In 2024-2025, health spending exceeded $60 billion, representing half of the Quebec government's total spending. Quebec is at a turning point, and the government faces difficult trade-offs: improving access to care and equity in access to care, particularly for vulnerable individuals; putting the population back at the heart of the healthcare system; reviewing the balance between curative and preventive care; regulating the role of the private sector in healthcare; addressing the loss of autonomy; and enabling people to age with dignity. In this context, how can the healthcare system be transformed for the better?

The importance of these issues has prompted CIRANO to focus its 2024-2025 theme on “Efficiency at the heart of the Quebec healthcare system.” We have addressed health issues from various angles.

This special edition of PERSPECTIVES brings together the articles published during the year, covering a wide range of studies conducted in the field of health at CIRANO.