As an American, there were times reading this book that I felt like I was looking in a funhouse mirror. The issues around profit pressure and cost versus care quality in the Canadian health care system are already omnipresent in the US system, so it was interesting to see things framed as "changing" and "increasing pressure" in the Canadian context. It was also interesting to see the authors taking a critical, qualitative perspective on these issues, which I think worked better for some of the contributor's articles than others.

One of the research articles that will stick with me a while looked at the impacts of managerialism on nurses. this ethnographic work looked at Nurses on an ICU unit and saw the extent to which time for patient care was impacted by demands of documentation and pressures from nurse managers and MDs to have documentation done. There's a clear tension here, and patients are not getting the high quality care they otherwise could. But the tension is *not* between high quality care and good data/documentation. It's the logic of corporatized health care that asks nurses to complete *both* of those functions.

This book highlights many of the changes and shifts experienced in healthcare, from nursing duties, role expectations and assumptions to patients receiving care versus being cared for or requesting and investigating the appropriate care for them. The book is packed with interesting and thought provoking ideas, research, and information.
Very relevant spotlight on what it means to be a nurse or health care provider in the age of "data" and a researcher or provider in the age of commercialization.
Some sections were definitely more interesting than others. That being said, this book is written in a way that makes it easy to pick and choose which parts you read (though I highly recommend you read the whole book).
Psychosocial aspects of care is really important to me and something I'm passionate about, as such, I liked what this book highlights.