Here’s a fascinating finding from an NBER study: “The Economic Crisis and Medical Care Usage,” by Annamaria Lusardi, Daniel Schneider, and Peter Tufano (NBER study #15843). They undertook a broad public survey across 5 countries (the U.S., Canada, U.K., Germany, and France) on the economic and social impacts of the recession. The survey covered over 6000 individuals (over 2000 in […]
Read moreThis evening, the U.S. House of Representatives passed Obama’s healthcare bill. Two months ago, I was the odd man out on a Business News Network panel (watch video). The day after the Massachusetts by-election, I was talking about Democrats redoubling their efforts and being more aggressive in putting forward a progressive agenda. By contrast, one of my co-panellists said, “The […]
Read moreA couple years ago I put out a report for the CCPA that crunched the numbers on health care sustainability. The main finding was that public health care was basically sustainable in that it could handle projected increases in population, aging and inflation as long as GDP continued to grow at a reasonable rate (consistent with what we have seen […]
Read morePopulation health researchers, most famously and consistently Richard Wilkinson, have long drawn attention to the fact that the link between social class and health status is a gradient, such that an individual’s position in the class hierarchy is directly and causally linked to that person’s health status. It is not just that low income people are more likely to be […]
Read moreYesterday, I appeared before the Standing Committee on Finance and Economic Affairs at Queen’s Park. The committee is reviewing the Ontario Health Premium, as required by the legislation that implemented this levy. My assessment of the premium starts from the premise that the Government of Ontario needs more revenue not only for healthcare, but also for industrial development, education and […]
Read moreJeffrey Simpson is right to lament that “there is no realistic, sensible debate†about health care in BC. Unfortunately, his May 13th Globe & Mail column “Even the redoubtable Premier Campbell struggles with health care†does not help. Simpson’s main point in the column is that health care spending in BC is rising out of control, defeating Campbell’s efforts to […]
Read more … is homes. Check out this astonishing admission, as reported by CBC: St. Paul’s in downtown Vancouver, one out of every four beds is being used to treat the homeless, drug addicts and the mentally ill, said [Lorna Howes, the director of acute and community mental health for Vancouver with the Vancouver Coastal Health authority]. We are spending money on […]
Read moreThere is an interesting opinion piece in The Tyee this morning, aptly named Dying for the Rich, which points out the links between inequality and life expectancy. The article’s author, Crawford Kilian, should be praised for bringing up an angle that was virtually ignored by media commentators in their coverage of the recent Census findings of growing inequality, even by […]
Read moreLast December I testified before the Senate Special Committee on Aging, making the point that public health care need not fear an aging population. Today, I was invited back again to comment on their draft interim report and in particular the issue of how to address the fact that some provinces have a larger share of seniors than others, and […]
Read moreAn editorial in today’s Calgary Herald begins with the usual praise for TILMA, but ends by suggesting a new interprovincial deal on healthcare: Yet, for Ottawa to attempt to remedy matters by intruding itself into relations between the provinces would not only provoke reflexive opposition but, even if carried through by force majeure, be unlikely to work. Certainly, the Canada […]
Read moreSince the provincial Liberals came to power in 2001 I have seen a lot of BC Budgets and not been too happy with any of them. Until now. Today’s 2008 model is a very interesting budget, and while I have a number of quibbles, I support the overall direction. And as in the recent past on climate change I find […]
Read moreJust came across this interesting article relating comments by Frank Dobson, former UK health minister under Blair, on the plan by BC liberals to bring in the private sector in health care. Essentially, he thinks it was a fairly bad idea for Britain and advises BC not to go ahead. The following well represents his conclusion: [T]he changes made to […]
Read moreThere have been suggestions that the Conservative government’s forthcoming Throne Speech will surrender the federal spending power. Through an op-ed in today’s Globe and Mail, Bob Rae tries to position himself, and presumably the Liberal Party, as defenders of the power. This posturing will help the Conservatives woo Quebec nationalists and help the Liberals appeal to Canadians who believe in […]
Read moreIn a number of areas of health care, the rapid advance of technology may pose challenges to public systems, as technology tends to increase to costs associated with care by expanding both the realm of the possible and the number of people who can avail themselves of it (I review some cases of this in a CCPA paper). I argue […]
Read moreA big conference on this topic – and key Conservative promise – gets underway in Toronto today. Here’s a CLC commentary, from Executive Vice-President Barb Byers.. “ The Federal government has been busy introducing Canadians to the idea of “Patient Wait-Times Guaranteesâ€. If patients are unable to receive treatment in a timely manner, Conservatives argue, the public health system […]
Read moreWhere I live in BC, the provincial government is doing its best to subtlely undermine public health care, rather than make the reforms countless commissions have recommended to make the system better. A full frontal assault is not possible due to the continuing popularity of a public model, but perhaps they think that if they mismanage the system enough and […]
Read moreHere’s a post from Economist’s View starting with a novel argument against single payer health insurance: that it would hurt innovation. Mark Thoma then rebuts and throws in some Paul Krugman for safe measure. Krugman makes an important point that often we assume that innovation is always a good thing. True, some innovations lead to better health outcomes. Others do […]
Read moreSince it appears to be drug day at RPE, I should mention as a follow-up to a previous post on the National Pharmaceuticals Strategy that I did track down the document in question, a NPS Progress Report, and that the Globe reporter did indeed misrepresent the estimates of the cost of that program. The Globe stated that the Report “pegs […]
Read moreToday’s Globe and Mail features two excellent articles about drugs in Canada. The first makes some great points about what might be possible with a national pharmacare plan and how politics is getting in the way of doing the right thing. The second is about how profit-seeking by pharmaceutical companies is distorting the cost of treatment. In this case, doctors […]
Read moreToday’s report from the Fraser Institute finds that, surprise surprise, health care spending is unsustainable. Or at least that is what the Fraser’s funders want you to think. I find the Fraser Institute has an excellent knack for putting out media-friendly goodies that on closer examination do not stand up to scrutiny. But the media are generally not that interested […]
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