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Author: Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
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: Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
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: Commission on the Future of Health Care in Canada Publisher: University of Toronto Press ISBN: 9780802086174 Category : Political Science Languages : en Pages : 436
Book Description
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: Howard A. Palley Publisher: ISBN: 9781604978155 Category : History Languages : en Pages : 192
Book Description
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: John Church Publisher: ISBN: 9781487525163 Category : Languages : en Pages : 304
Book Description
Alberta: A Health System Profile provides the first comprehensive and detailed overview of the economic, political, population health, program and service delivery aspects of health care in Alberta and the resulting health outcomes.
Author: OECD Publisher: OECD Publishing ISBN: 9264394877 Category : Languages : en Pages : 207
Book Description
This publication explores the policy options to finance more resilient health systems whilst maintaining fiscal sustainability. It finds that the scale of the additional health financing needs requires ambitious and transformative policy changes.
Author: Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
The following policy recommendations are grouped into two categories: those that fall within There are various reasons why people would the current bounds of the Canada Health Act, and choose to use private health care, even if the same those that would violate the act's sections on ex- goods and services are provided by the public tra-billing and user charges, and the principle of sector for a lo [...] The Fraser Institute 7 The Alberta Health Care Advantage Section 2: The Basic Economics of Health Care In Canada, the public sector-all levels of gov- financial contribution to the health system from ernment and the Workers' Compensation their health risks and from their use of services. [...] To some tans are relatively happy with their health care extent, they mirror the results of the ministry of system, these survey results are more favourable health's survey in that Albertans seem generally than those of the 2003 survey conducted by the satisfied with access to most of the health system, with the exceptions of emergency room services and specialists, as well as the quality of care [...] While the report indicates that progress has been made in two of The Mazankowski Report gave an extensive list of the four categories, there has been little done to recommended reforms, all of which the govern- ensure the sustainability of the system, and much ment of Alberta accepted (Alberta Health and of the work on improving accountability is still in Wellness, 2004a). [...] The Fraser Institute 27 The Alberta Health Care Advantage PUBLIC POLICY SOURCES, NUMBER 81 Some of the highlights in this direction in- manent advisory board on these issues, clude the determination of 10-year health tar- opted to reinforce the current method of re- gets, the establishment of at least 10 primary viewing new and emerging health services health care projects, the province-wide ex- b.
Author: Livio Di Matteo Publisher: ISBN: 9781927024218 Category : Medical care Languages : en Pages : 33
Book Description
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: Gregory P. Marchildon Publisher: University of Toronto Press ISBN: 1442609753 Category : Political Science Languages : en Pages : 518
Book Description
Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena. The book moves beyond previous debates, agreeing that while efficiencies and better value for money may yet be found, more fundamental reforms to the management and delivery of health services are essential prerequisites to bending the cost curve in the long run. While there is considerable controversy over direction and details of change, there also remains the challenge of getting agreement on the values or principles that would guide the reshaping of the policies, the structures, and the regulatory environment of health care in Canada. Leading experts from around the world representing a range of disciplines and professional backgrounds come together to organize and define the problems faced by policy-makers. Case studies from the United States, the United Kingdom, Australia, the Nordic countries, and industrialized Asian countries such as Taiwan offer useful reform experiences for provincial governments in Canada. Finally, common Canadian cost factors, such as pharmaceuticals and technology, and paying the health workforce, are explored. This book is the first volume in The Johnson-Shoyama Series on Public Policy, published by the University of Toronto Press in association with the Johnson-Shoyama Graduate School of Public Policy, an interdisciplinary centre for research, teaching, and executive training with campuses at the Universities of Regina and Saskatchewan.
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Author: Livio Di Matteo
Author: Commission on the Future of Health Care in Canada
Author: Howard A. Palley
Author: John Church
Author: OECD
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Author: Livio Di Matteo
Author: Tammy Horne
Author: Gregory P. Marchildon