Provincial Health Care Spending in Canada is Unsustainable
Based on the most recent five-year trends, Medicare will consume more than half of total revenues from all sources in 7 of 10 provinces by the year 2022. If the relative rate of health spending and revenue growth does not change, public expenditures on health care will swallow two thirds of total revenues in these provinces by the year 2032, eventually reaching 100 per cent by 2050, according to Paying More, Getting Less 2005, released today by The Fraser Institute.
Rather than rationing access to publicly covered health care, Brett Skinner, author of the paper and the Institute’s director of health and pharmaceutical policy research, points out that the prescription is to introduce the kinds of policies increasingly being used in other countries to deal with similar cost-control problems in their public health care programs. Reforms could include:
? Requiring patients to make co-payments for publicly insured health services;
? Allowing people the option of paying privately (via private insurance or out-of-pocket) for all types of medical services, including hospitals and physician services;
? Allowing both for-profit and non-profit health providers to compete for the delivery of publicly insured health services.
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