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Alternative health-care funding in Canada will not lower costs
Date:8/22/2011

Alternative funding for health care in Canada will not result in lower costs nor contribute to financial sustainability, states a commentary in CMAJ (Canadian Medical Association Journal) (pre-embargo link only) http://www.cmaj.ca/site/embargo/cmaj110672.pdf

Recent reports from prominent think tanks have urged such solutions as severe cuts to health care, increased taxes, private health insurance, copayments for publicly funded services as well as other methods of raising funds.

Canada's health care costs are about 10.4% of gross domestic product (GDP), similar to that of many countries in Europe such as Germany (10.5%), France (11.2%), Sweden (9.4%) and others. The US, by contrast, spends 16% of its GDP on health care. Each country has a different way of financing health care such as through taxes in Britain and Canada, private health insurance in Switzerland and in the US, a mix of government funding, employer-based insurance and user fees for patients.

"Despite the variety of ways to finance health care, the rate of spending for health care has outstripped economic growth in almost every country in the OECD [Organization for Economic Co-operation and Development] for the past 15 years, and containment of the growth of health care as the population ages is a major concern for all developed economies, not just Canada," writes Dr. Sacha Bhatia from Massachusetts General Hospital and Harvard Medical School.

Evidence indicates that private health care does not result in large public savings as there are higher administrative costs to track multiple funders. As well, statistics from Ontario indicate that the majority of health care costs (84%) are spent on 5% of the population, often people with chronic diseases, frail elderly and economically disadvantaged people. Most of these people cannot afford private insurance, meaning the majority of health care costs
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Contact: Kim Barnhardt
kim.barnhardt@cmaj.ca
613-520-7116 x2224
Canadian Medical Association Journal
Source:Eurekalert

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