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Author: R.G. Evans
Publisher: University of Toronto Press
ISBN: 1487596790
Category : Health & Fitness
Languages : en
Pages : 436
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Book Description
This study explores the policy options a provincial government might consider in extending health care coverage to the purchase of prescription drugs and dental care. It examines the major public policy objectives involved, such as spreading risk, redistributing wealth, and reducing the barriers to care, and evaluates alternative programs in terms of their costs and efficiency as well as their realization of the basic social objectives of health care. Using varied statistics, some drawn from schemes in other provinces, it estimates what different packages of pharmacare and denticare would have cost in Ontario in 1975. The results indicate that universal coverage may be one of the most costly and least effective options. Based on current modes of service delivery, a universal pharmacare and denticare program would transfer wealth to upper income groups without significantly improving the utilization of health care services. A study of drug manufacturing and retailing systems in Canada and of the structure of dental services suggests that wasteful methods of service delivery could lower per capita costs by 30 to 40 per cent. Potential annual savings in pharmacy and dentistry together in Ontario run into the hundreds of millions of dollars. The authors show how a combination of competitive pressures and selective public intervention can be used to rationalize the delivery system. They caution, however, that such potential savings will be forever unrealized if a public-insurance type of program is introduced which freezes the existing system in place and forecloses the options of either public provision or private market competition.
Author: R.G. Evans
Publisher: University of Toronto Press
ISBN: 1487596790
Category : Health & Fitness
Languages : en
Pages : 436
Get Book Here
Book Description
This study explores the policy options a provincial government might consider in extending health care coverage to the purchase of prescription drugs and dental care. It examines the major public policy objectives involved, such as spreading risk, redistributing wealth, and reducing the barriers to care, and evaluates alternative programs in terms of their costs and efficiency as well as their realization of the basic social objectives of health care. Using varied statistics, some drawn from schemes in other provinces, it estimates what different packages of pharmacare and denticare would have cost in Ontario in 1975. The results indicate that universal coverage may be one of the most costly and least effective options. Based on current modes of service delivery, a universal pharmacare and denticare program would transfer wealth to upper income groups without significantly improving the utilization of health care services. A study of drug manufacturing and retailing systems in Canada and of the structure of dental services suggests that wasteful methods of service delivery could lower per capita costs by 30 to 40 per cent. Potential annual savings in pharmacy and dentistry together in Ontario run into the hundreds of millions of dollars. The authors show how a combination of competitive pressures and selective public intervention can be used to rationalize the delivery system. They caution, however, that such potential savings will be forever unrealized if a public-insurance type of program is introduced which freezes the existing system in place and forecloses the options of either public provision or private market competition.
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 24
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Book Description
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 242
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Book Description
Author:
Publisher: The Urban Insitute
ISBN:
Category :
Languages : en
Pages : 748
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Book Description
Author: Malcolm G. Taylor
Publisher: McGill-Queen's Press - MQUP
ISBN: 0773584978
Category : Political Science
Languages : en
Pages : 566
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Book Description
In Health Insurance and Canadian Public Policy, Malcolm Taylor describes the emergence of Medicare, providing an interesting window into current health care debates. He discusses the seemingly endless series of federal-provincial exchanges and negotiations involving issues of jurisdiction, cost allocations, revenue transfers, and taxing authorities as well as efforts to accommodate opposition from various special interests that would eventually evolve into a system that provided access to adequate health care for all Canadians on the basis of need, irrespective of financial circumstances.
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 92
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309183502
Category : Medical
Languages : en
Pages : 410
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Book Description
This report, which was developed by an expert committee of the Institute of Medicine, reviews the first three services listed above. It is intended to assist policymakers by providing syntheses of the best evidence available about the effectiveness of these services and by estimating the cost to Medicare of covering them. For each service or condition examined, the committee commissioned a review of the scientific literature that was presented and discussed at a public workshop. As requested by Congress, this report includes explicit estimates only of costs to Medicare, not costs to beneficiaries, their families, or others. It also does not include cost-effectiveness analyses. That is, the extent of the benefits relative to the costs to Medicareâ€"or to society generallyâ€"is not evaluated for the services examined. The method for estimating Medicare costs follows the generic estimation practices of the Congressional Budget Office (CBO). The objective was to provide Congress with estimates that were based on familiar procedures and could be compared readily with earlier and later CBO estimates. For each condition or service, the estimates are intended to suggest the order of magnitude of the costs to Medicare of extending coverage, but the estimates could be considerably higher or lower than what Medicare might actually spend were coverage policies changed. The estimates cover the five-year period 2000-2004. In addition to the conclusions about specific coverage issues, the report examines some broader concerns about the processes for making coverage decisions and about the research and organizational infrastructure for these decisions. It also briefly examines the limits of coverage as a means of improving health services and outcomes and the limits of evidence as a means of resolving policy and ethical questions.
Author: National Library of Medicine (U.S.)
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1442
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Book Description
First multi-year cumulation covers six years: 1965-70.
Author: Scott Sinclair
Publisher: James Lorimer & Company
ISBN: 1459411811
Category : Political Science
Languages : en
Pages : 218
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Book Description
The Trans-Pacific Partnership, with its twelve participating countries on three continents, is the largest regional trade and investment agreement that Canada has ever negotiated. It is also one of the most controversial— for good reason. Negotiations ended exactly a year ago, in October 2015, and the TPP was signed in New Zealand in February 2016. But there is no guarantee it will ever come into effect. Opposition to the TPP is strongest in the United States, where both 2016 presidential nominees vowed to kill or significantly renegotiate the deal. Outgoing President Barack Obama characterized the TPP as a Made-in-America deal in the hope of getting it passed into law shortly after the November presidential election. But is what is good for corporate America good for Canada? In this book, experts in a dozen policy areas explain what the impact of the TPP agreement would be on Canada. Many of the key issues they explore have received little media coverage, notably the effect of the TPP on environmental protection, health care and other public services, Canada's cultural industries, the labour market, human rights and the democratic decision-making process generally. Perhaps most controversially, the TPP would expand the rights of multinational corporations to sue governments for policies and decisions that interfere with their profits. Most public commentary on the TPP in Canada has come from CEOs and business lobbyists with a vested interest in furthering a free-trade model that impoverishes democracy and weakens our ability to shape public-interest regulation. The expert contributors to this book, drawn from academia, the labour movement and NGO world, offer an independent and nuanced account of the real but underreported costs of the TPP.
Author: Frank T. Denton
Publisher: University of Toronto Press
ISBN: 1442638206
Category : Business & Economics
Languages : en
Pages : 291
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Book Description
While the unemployment rate for young people has always tended to be well above the average, this tendency has been greatly accentuated in recent years. There is a large turnover in the youth labour force, and the employment of experience of those between the ages of eighteen and twenty-five has been marked by seasonal variations. This study discusses the factors which contribute to the high youth unemployment rate, examines the historical record of labout force participation, and provides some projections into the future.
