Several causes
showed remarkable progress in terms of both reduced mortality and diminished differences
across the income quintiles, while a few causes showed the opposite: both higher mortality
and greater inequality. For some causes, most progress occurred in the period
immediately following the introduction of universal Medicare in Canada. For other causes,
progress continued fairly steadily throughout the entire 25-year study period, or even
accelerated during the latter years (1986-1996).
For a few causes, however, the situation deteriorated over the latter 10 years, and
more notably over the most recent 5-year period, which coincided with a period of
increasing unemployment and higher prevalence of low income in Canada.