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Languages : en
Pages : 0
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Thus, the broad purpose of this paper is to look at the shift from contributory to non-contributory health care finance, cost sharing between the federal and provincial governments, and the softening of public health insurance budget constraints through borrowing in order to understand the role these fiscal changes have played in the evolution of health care spending and to determine whether the s [...] According to Gagan and Gagan (2002, 94-95), the provinces, fearing that a national health insurance would be a "federal tax grab," called in the 1950s for health insurance to be a provincial initiative funded "primarily through generous transfer payments from the federal government." Under the 1957 HIDS and the 1966 Medical Care Act, the federal government agreed to share the costs of provincial h [...] This agreement to share the costs helped to persuade higher- income provinces Alberta, British Columbia, and Ontario to join the federal plan even though their governments previously had expressed a commitment to the principle of private insurance for most of the population and to limiting the role of public programs to covering hard-to- insure groups such as the elderly and the poor.5 Boychuk (20 [...] The significance of the use of tax points through EPF, the CHST, and the CHT to allow the provinces to finance health care, however, is that, unlike cost sharing, it creates a clearer link in the minds of voters and politicians between health care expenditures and the tax price of health insurance - at least, it reduces the size of the subsidy of the health care services individuals obtain. [...] For an individual to support a positive level of government health care spending, then the tax price of public spending would have to be lower than the private insurance price the individual would 11 If a government requires the political support of at least 50 percent of voters, then the pivotal voter would be the median voter in the population.
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Languages : en
Pages : 0
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Book Description
Thus, the broad purpose of this paper is to look at the shift from contributory to non-contributory health care finance, cost sharing between the federal and provincial governments, and the softening of public health insurance budget constraints through borrowing in order to understand the role these fiscal changes have played in the evolution of health care spending and to determine whether the s [...] According to Gagan and Gagan (2002, 94-95), the provinces, fearing that a national health insurance would be a "federal tax grab," called in the 1950s for health insurance to be a provincial initiative funded "primarily through generous transfer payments from the federal government." Under the 1957 HIDS and the 1966 Medical Care Act, the federal government agreed to share the costs of provincial h [...] This agreement to share the costs helped to persuade higher- income provinces Alberta, British Columbia, and Ontario to join the federal plan even though their governments previously had expressed a commitment to the principle of private insurance for most of the population and to limiting the role of public programs to covering hard-to- insure groups such as the elderly and the poor.5 Boychuk (20 [...] The significance of the use of tax points through EPF, the CHST, and the CHT to allow the provinces to finance health care, however, is that, unlike cost sharing, it creates a clearer link in the minds of voters and politicians between health care expenditures and the tax price of health insurance - at least, it reduces the size of the subsidy of the health care services individuals obtain. [...] For an individual to support a positive level of government health care spending, then the tax price of public spending would have to be lower than the private insurance price the individual would 11 If a government requires the political support of at least 50 percent of voters, then the pivotal voter would be the median voter in the population.
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Category : Health insurance
Languages : en
Pages : 16
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Author: J. C. Herbert Emery
Publisher:
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Category :
Languages : en
Pages : 17
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Book Description
Surprisingly little attention has been paid to how we pay for health care affects how much we spend on health care. In this paper, I discuss how noncontributory finance and effective subsidization of public health care spending with federal cost sharing crowded out demand for private insurance as voters opted for high levels of public health spending. From this perspective, the Romanow Report's call for increases in federal cash transfers to provinces for health care spending would result in an increase in provincial health spending and a diminution of the demand for private health insurance. It is not clear, however, that federal subsidization of health spending is either sustainable or socially desirable. Indeed, as Canada's population ages, the current financing of health care represents enormous unfunded liabilities for the provinces. To sustain current levels and growth rates of health spending without tying current revenues to that objective means asking the next generation of working Canadians to pay far more for their health care than do working Canadians today. Although the effect of population aging on health care expenditures is projected to be modest, it could trigger a serious political crisis for Canadian medicare as taxes rise.
Author: Katherine Fierlbeck
Publisher: McGill-Queen's Press - MQUP
ISBN: 0773589422
Category : Political Science
Languages : en
Pages : 323
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Book Description
Now that Ottawa has left health care to the provinces, what is the future for Canadian health care in a decentralized federal context? Is the Canada Health Act dead? Health Care Federalism in Canada provides a multi-perspective, interdisciplinary analysis of a critical juncture in Canadian public policy and the contributing factors which have led to this point. Social scientists, legal scholars, health services researchers, and decision-makers examine the shift from a system where Ottawa has played a significant, sometimes controversial role, to one where provinces have more ability to push health care design in new directions. Will this change inspire innovation and collaboration, or inequality and confusion? Providing an up-to-date analysis of health care policy and intergovernmental relations at a crucial time, Health Care Federalism in Canada will be of interest to anyone concerned with the current dynamics and future potential of Canadian health care. Contributors include Greg Marchildon (Canada Research Chair at the Johnson-Shoyama Graduate School of Public Policy in Saskatchewan), Ken Boessenkool (public affairs strategist and former political advisor to Stephen Harper), Adrian Levy (Professor and Head, Department of Community Health and Epidemiology at Dalhousie University), Boris Sobolev (Canada Research Chair at the School of Public and Population Health, University of British Columbia), Gail Tomblin Murphy (Director, WHO Collaborating Centre for Health Workforce Planning and Research), and David Haardt (Department of Economics, Dalhousie University).
Author: Nadia Verrelli
Publisher: McGill-Queen's Press - MQUP
ISBN: 1553392086
Category : Political Science
Languages : en
Pages : 255
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Book Description
In this edition of Canada: State of the Federation, contributors consider whether and to what degree the relationship between the central government and the provincial and territorial governments has changed in the past decade. The authors address three overarching questions. First, is the power base changing in Canada? If so, how are governments responding? Second, what are the implications of the changing environment for the relationships between governments? And third, are there underlying forces – such as economic or technological change, or demands for citizen engagement – that are pushing some provinces and regions to become more assertive in the global environment? The papers are organized into four categories: those that identify and analyze the changing federal environment; those concerned with the implications of the 2011 federal election; those that deal with health policy and economic federalism; and those that explore the growing importance of the North and the changing dynamics among the provinces and the federal government. Among the topics discussed are the impact of a majority government based on a West-Ontario coalition, with Quebec represented primarily by the Opposition, the implications of the trade-off between health care spending and the public financing of other essential public goods, and second-generation trade agreements, such as the Canada-European Union Comprehensive Trade Agreement.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309459575
Category : Medical
Languages : en
Pages : 483
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Book Description
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Author: William C. Hsiao
Publisher: World Bank Publications
ISBN:
Category : Business & Economics
Languages : en
Pages : 196
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Book Description
Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.
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ISBN: 9780195531916
Category : Australia
Languages : en
Pages : 400
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Book Description
Author: Mr.David Coady
Publisher: International Monetary Fund
ISBN: 1475583788
Category : Business & Economics
Languages : en
Pages : 381
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Book Description
Using cross-country analysis and case studies, this book provides new insights and potential policy responses for the key fiscal policy challenges that both advanced and emerging economies will be facing.
Author: Carolyn J. Tuohy
Publisher: Temple University Press
ISBN: 1439907021
Category : Political Science
Languages : en
Pages : 418
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Book Description
A comparative perspective on the distinctive feature of the Canadian policy process enabling conflict resolution.
