Over the past decade health care in Canada has shifted from a cure-care model to a business model. Disguised behind talk of community, care closer to home, consumer choice, patient rights, cost-containment and improved efficiencies, the business model has ushered in "bottom line" financial management which has brought us steadily deteriorating health care services. Framed within a clear analysis of this new health care model, the articles in this collection illustrate how diverse groups in various social and institutional contexts are navigating through a changing health care system-a system upon which women in particular rely for their wellbeing as caregivers and care recipients; a system that operates more and more on the logic of scientific management.