Under the Canada Health Act (CHA) every Canadian is covered under a health insurance plan based on 13 interlocking provincial and territorial health insurance plans. Canada’s national health insurance program, often referred to as “Medicare”, is designed to ensure that all residents have reasonable access to medically necessary hospital and physician services, on a prepaid basis.The implementation of the original vision of Medicare has not been accomplished in present times. Canadians are concerned about the state of Medicare due to waiting times for family doctor appointments, emergency room service, specialist appointments, and surgery. Our federal, provincial and territorial government could consider many strategies in order to ensure the viability of Medicare for all Canadians. The first implementation of universal hospital and medical care had been established in 1946 in Saskatchewan. Medicare had been introduced by the premier Tommy Douglas who had been elected in 1944. The Health Services Planning Commission had been overlooking implementation of Medicare. The original vision of implementation of Medicare was based on 2 stages. The first stage of Medicare has been successfully implemented. All Canadians are entitled to receive insured medically necessary services provided in hospital or by physicians without copayment. Also the health status and cost of health care improved compare to the US since the implementation of Medicare. But, Canada’s health care system has run into predictable problems because of the failure to implement the Second Stage of Medicare. The second stage of Medicare covers preventive medicine which plays an important role in the financial factor. In 1982 Tommy Douglas told a Montreal audience: “All those programs should be designed to keep people well – because in the long run it is cheaper to keep people well than to be