This document discusses Canada's management of health reform during an economic downturn from 1985 to 2000. It shows real per capita GDP, public health expenditures, doctor consultations, physicians, and hospital beds per capita in Canada over this period. During an economic recession, Canada was able to maintain increases in public health spending and access to care as shown by steady or rising rates of doctor consultations, physicians and hospital beds per capita despite a fall in real GDP per person.