Fiscal sustainability & the transformation of Canada's healthcare system: a shifting gears report PDF Download

Author: Falk
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Author: OECD
Publisher: OECD Publishing
ISBN: 9264233385
Category :
Languages : en
Pages : 264

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The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to ...

Author: Commission on the Future of Health Care in Canada
Publisher: University of Toronto Press
ISBN: 9780802086174
Category : Political Science
Languages : en
Pages : 436

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The Fiscal Sustainability of Health Care - the first of a three-volume set of selected papers from the Romanow Commission - comprises the most influential discussion papers on the fiscal sustainability of public health care in the future. The subjects covered include the current and potential cost drivers of the system, the financing and delivery of health care, fiscal federalism, and international trade regimes. While some of the contributors are among Canada's best known and respected figures in the field, others are relatively new scholars from Canada and abroad who bring fresh perspectives and new insights to the issue of fiscal sustainability. Presenting divergent diagnoses and policy prescriptions, the papers collectively highlight the many factors that governments and health care sector managers must confront to keep the Canadian health care system viable in the 21st century.

Author: Livio Di Matteo
Publisher:
ISBN: 9781927024218
Category : Medical care
Languages : en
Pages : 33

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The fiscal sustainability of the publicly funded healthcare systems in Canada is a persistent policy issue. Recent estimates by the Canadian Institute for Health Information (CIHI) put total nominal healthcare spending in Canada in 2010 at $191.6 billion, reflecting an annual nominal growth rate of 5.2% in 2010. Since 1975, real per capita government health spending in Canada has risen at an average annual rate of 2.3%, in excess of the growth in real per capita GDP, government revenues, federal transfers and total government expenditures. With these persistent increases in health expenditures in mind, this study examines the fiscal sustainability of Canada's publicly funded healthcare systems for the period up to 2035.

Author: Carolyn Hughes Tuohy
Publisher: University of Toronto Press
ISBN: 1487523246
Category : History
Languages : en
Pages : 200

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Canada's centennial anniversary in 1967 coincided with a period of transformative public policymaking. This period saw the establishment of the modern welfare state, as well as significant growth in the area of cultural diversity, including multiculturalism and bilingualism. Meanwhile, the rising commitment to the protection of individual and collective rights was captured in the project of a "just society." Tracing the past, present, and future of Canadian policymaking, Policy Transformation in Canada examines the country's current and most critical challenges: the renewal of the federation, managing diversity, Canada's relations with Indigenous peoples, the environment, intergenerational equity, global economic integration, and Canada's role in the world. Scrutinizing various public policy issues through the prism of Canada's sesquicentennial, the contributors consider the transformation of policy and present an accessible portrait of how the Canadian view of policymaking has been reshaped, and where it may be heading in the next fifty years.

Author: Commission on the Future of Health Care in Canada
Publisher: Saskatoon : Commission on the Future of Health Care in Canada
ISBN:
Category : Medical
Languages : en
Pages : 396

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In April 2001, the Prime Minister established the Commission on the Future of Health Care in Canada. Its mandate was to review medicare, engage Canadians in a national dialogue on its future, and make recommendations to enhance the system's quality and sustainability. The 47 recommendations in this report outline actions that must be taken in 10 critical areas, starting by renewing the foundations of medicare and considering Canada's role in improving health around the world.

Author:
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ISBN:
Category :
Languages : en
Pages : 0

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This difference between the growth rates of health care spending on the one hand and government revenues and the economy on the other gives rise to concern about the fiscal sustainability of the province's public health care system. [...] The most recent estimate of the Canadian Institute for Health Information (CIHI) puts total nominal health spending in Canada in 2008 at $171.9 billion, reflecting an increase of 6.4% over the level of spending in 2007.2 The same report suggests that Alberta's total health spending per capita (both public and private) in 2008 was the highest of all the provinces. [...] It has been estimated that, in the United States, the looming bill for health care is equivalent to the present value of all of the federal government's projected future health expenditures.8 In Canada, it has been suggested that the real value of the debt of the three levels of government is actually one-third higher than official figures, largely because of the enormous value of unfunded pension [...] SuStaiNaBiLity aND aLBErta'S rEvENuES An important part of the issue of the fiscal sustainability of public health care is the ability and willingness to pay for health care expenditures, so an examination of the revenue base is necessary. [...] LOOKiNG aHEaD: PrOJEctiNG HEaLtH ExPENDiturES iNtO tHE FuturE Whereas in the previous sections we examined issues related to the question of the fiscal sustainability of the public health care system by looking to the past, in this section we turn our attention to making predictions about fiscal sustainability in the future.

Author: Howard A. Palley
Publisher:
ISBN: 9781604978155
Category : History
Languages : en
Pages : 192

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Canada has a complex health delivery system which is a conglomeration of 13 public plans--10 provincial and three territorial as well as a number of federally administered plans serving special populations such as Aboriginals and Veterans--all providing full coverage for most hospital and physician services as well as partial coverage for many services that vary among plans. The importance of this study is that it examines how the public/private sector relationship in health care delivery--particularly that of the for-profit sector--has developed both historically and in recent years, in three subnational provincial jurisdictions within a federal system. The case study provinces are Ontario, Quebec, and Alberta. The study examines both similarities and differences in this development. These provinces are highly distinct in their political culture and political history affecting health care delivery. Ontario and Quebec are Canada's most populous provinces and Alberta is an increasingly populous prairie state. Alberta is unique in its long-time governance of the Progressive Conservative party and its predecessor the Social Credit Party. Ontario has had a more variable political history with periods of Progressive Conservative, New Democratic Party and Liberal leadership and in recent years Quebec governance has shifted between the Parti Qu becois and the Liberal Party. In this study, one dimension that the authors examine are political dispositions to act regarding public/private initiatives in health care delivery and how this affects health care delivery in these provinces. Provincial medical and hospital plans are constrained by the Canada Health Act of 1984. For necessary medical and hospital services, the provinces and territories must adhere to the five principles of the Act in order to receive federal funding. However for other extended health care and health care-related services, there are federal contributions that are not constrained by these principles--although subject to reporting obligations. Another factor providing some flexibility in provincial Medicare plans is that necessary hospital and medical services are not enumerated in the Canada Health Act. This has allowed some "delisting" of services which is discussed in the case studies. In the provincial case studies, the authors examine how the federal/provincial dynamic in the delivery of health care services has worked out in the three provinces, with respect to similarities and differences regarding the involvement of the for-profit sector both within and outside the respective Medicare systems. They also examine how the fiscal setting has affected both political and economic sustainability pressures with respect to inclusion of private commercial initiatives in these three provincial settings. The authors note that these initiatives occur both within and external to Canadian provincial Medicare systems and that there is a need to see that such initiatives are held publicly accountability to meet equity and access goals. The study utilizes government documents, press reports and personal interviews to draw a picture of health delivery developments within the Canadian federal context. This study adds to the comparative health policy literature by applying a comparative approach to subnational provincial cases. It is also noteworthy to note that globally, many nations' health insurance plans incorporate a mixed public and private health delivery system, albeit that the mixes of for-profit and not-for-profit organizations will vary with respect to the ideological, political, cultural and historical characteristics of various nations. This is an important book for collections in Canadian studies, political science, and public health.

Author:
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ISBN:
Category :
Languages : en
Pages : 0

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This could in part be due, according to cihi, to the rapid growth in supply of physicians - the number of physicians per population has also been rising significantly due to more medical graduates, domestic and What is driving costs in health care? a clear picture of the cost drivers in the canadian health care system is crucial to understand the magnitude of the threat to fiscal sustainability fa. [...] the consistent upward trend of health expenditure growth since 1975, including sharper growth in the period from 1975 to the early 1990s as well as from the late 1990s to 2010, has been punctuated by two periods of fiscal restraint in the mid-1990s and in the period from 2010 to the present. [...] Of key importance to the establishment of the systems was the idea that the sharing of eligible health care costs equally between the two orders of government was seen as the fairest way to set the funding contribution levels between equal partners (Provincial- territorial ministers of health 2000). [...] the new conditions in the act highlighted a disconnect between the role of early assessments of the epF arrangements opinion at the time on whether the federal government or the provinces stood to gain more from the new arrangements was mixed, yet it indicates that both partners stood to gain from the new arrangements. [...] the epF represents a landmark in collaborative federalism, and the value of the tax points is an important consideration in any discussion of whether the current level of federal support for provincial health care spending is meeting the sharing of costs the 1977 arrangements were designed to achieve.

Author: Livio Di Matteo
Publisher:
ISBN:
Category : Alberta
Languages : en
Pages : 27

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The long-term fiscal sustainability of Canada's publicly funded provincial health care systems is under pressure from an aging population, expensive technological advances, and expanding coverage that is pushing up against constraints on provincial government revenues. Alberta, for example, enjoys the benefit of energy royalties, but the volatility of this bounty has been highlighted by the recent collapse in energy prices and the loss of upwards of $6 billion in resource royalties. Other provincial governments enjoy more stable sources of revenue but are constrained in their health care choices by heavier tax burdens and larger public debt loads. This paper examines the challenges faced by governments as they attempt to satisfy the needs of the public today, without compromising the needs of future generations.