Expanding Coverage – Romanow wants the Canada Health Act amended to extend Medicare coverage to diagnostic services, such as MRIs and CT scans, and to homecare for the mentally ill, the dying and people recently released from hospital.

Prescription Drugs – Romanow is calling for a National Catastrophic Drug Transfer. The idea is to cap the amount individuals will have to pay for any prescribed drug at $1,500 a year – so that illness doesn’t result in financial ruin. Eventually, Romanow would like to see the Drug Transfer program expanded into a national Pharmacare plan that would cover the full cost of all prescription medication. Romanow is also calling on the federal government to change existing drug patent laws – with the goal of opening the market for more low-priced generic drugs.

Primary Care – One of the main goals of the Romanow report is to convince the federal and provincial governments to make major changes in the way primary health services are delivered. In particular, Romanow wants to establish a national network of group health centre that would act as "one-stop-shopping" for patients in need of medical attention. Romanow points to the Group Health Centre in Sault Ste. Marie, Ontario as an example. The centre, started in the 60s by the Steelworkers union, brings family doctors together with dentists, nurse practioners, speech pathologists, physical therapists and other health professionals. By cooperating on treatment, pooling resources and sharing overhead, health centre reduce costs, improve access and take a substantial burden off local emergency wards. Romanow says: "No other initiative holds as much potential for improving health and sustaining our health care system."