The purpose of this project was to provide policy makers, academics, researchers and media with a clear analysis of the kinds of health care approaches, outside the current system, that could work in the Canadian context. The research undertaken during this project focused primarily on developing a Medical Savings Account (MSA) system to manage the costs of Canadian health care. It assesses how MSAs work in other countries, how MSAs could be applied in the context of the Canada Health Act, and what the cost to taxpayers would be. The research undertaken in this project provided the basis for a subsequent publication.