Medical tourism is the practice of traveling across international borders with the intention of accessing medical care, paid for out-of-pocket. This practice has implications for preferential access to medical care for Canadians both through inbound and outbound medical tourism. In this paper, we identify four patterns of medical tourism with implications for preferential access to care by Canadians: Inbound medical tourism to Canada’s public hospitals; Inbound medical tourism to a First Nations reserve; Canadian patients opting to go abroad for medical (...) tourism; and Canadian patients traveling abroad with a Canadian surgeon. These patterns of medical tourism affect preferential access to health care by Canadians by circumventing domestic regulation of care, creating jurisdictional tensions over the provision of health care, and undermining solidarity with the Canadian health system. (shrink)

I apply the Zhuangzi 莊子 to assess the contemporary value of personal autonomy. Focusing on two concepts, wuwei 無為 and you 遊, I clarify the “wandering ideal” in the Zhuangzi to challenge the ideal of autonomy as central to a well-lived life. Drawing on Sneddon’s persuasive recent account of autonomy, the Inner Chapters of the Zhuangzi, as well as recent secondary scholarship on the text, I show that the wandering ideal suggests a stark move away from the controlled and self-reflective (...) life of the autonomous person. My goal is to draw on the Zhuangzi to contribute to dialogue on the ideal of autonomy, rather than to provide an innovative way of reading the Zhuangzi. I argue that both autonomy and wandering are higher-order ideals that can be applied to individual actions and to a person’s form of life, but at both levels, wandering and personal autonomy are in tension. The conclusion briefly reflects on the significance of the tension. (shrink)