The goal was to provide workers with access to health services at a reasonable cost and through an advanced reimbursement plan.

Its quick success can be attributed to its exclusive partnerships with hospitals, the backing of major corporations and the support from physician associations.

[4] The following years were characterised by an increase in competition from commercial plans, the explosion of insurance and medical costs and a decrease in enrollments.

In Quebec, the insurance industry failed to extend its protection to lower-class workers and the coalition that initially supported Blue Cross over a state intervention faded.

[9] In 1996, however, the organisation decided to refocus its efforts around Québec Blue Cross by selling other assets.