The Health Care Philosophy that Nearly Destroyed Medicare in Canada in a Single Decade.In 1989, governments in Canada perceived an economic crisis in health care funding and commissioned two economists, Drs. Barer and Stoddart, to review policies. They indicated the major costs were caused by physicians and recommended cutting physician training and hospital facilities. In 1991, governments selectively implemented their recommendations. The Federally established Romanow Commission 're-reviewed' the problem and reported in 2002.