The document summarizes healthcare reform in Saskatchewan in the 1990s led by Louise Simard, the Minister of Health from 1991 to 1995. Saskatchewan had introduced universal healthcare in 1962 but faced budget deficits in the 1990s. The reforms focused on reorganizing governance and delivery structures, implementing service and program reforms, increasing community involvement and integration of services. This included converting 52 rural hospitals to health centers, establishing 30 health districts, and bargaining unit reorganization, while health outcomes and life expectancy remained stable or increased.