From the Editors

Lazar et al. (2013) examined the pace, scope and significance of Canadian health policy reforms over several decades and found a prevailing problem, which became the title of the book Paradigm Freeze. Some experts argue that the tendency to "move slow and not break anything" means little action unless a crisis hits. Will the COVID-19 pandemic be that crisis? Will it kickstart substantive health system change in Canada, or are the deficiencies, clearly displayed during the pandemic, too daunting? Can the healthcare community leverage recovery efforts to strengthen what works in the system, rebuild what is broken, introduce what is missing and integrate what has been fragmented?