The Fiscal Sustainability of Health Care in Canada

by Marchildon, Gregory P.; Forest, Pierre-Gerlier; McIntosh, Tom

• ISBN13: 9780802086174
• ISBN10: 0802086179
• Format: Paperback
• Copyright: 2004-03-01
• Publisher: Univ of Toronto Pr

Summary

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 Biography

Gregory P. Marchildon is a Canada Research Chair in Public Policy and Economic History and professor in the Faculty of Administration at the University of Regina. Tom McIntosh is an assistant professor in the Department of Political Science, and Research Faculty at the Saskatchewan Population Health and Evaluation Research Branch, University of Regina. Pierre-Gerlier Forest is an associate professor in the Department of Political Science at UniversitT Laval.

Table of Contents

Acknowledgments	ix
Contributors	xi
Introduction: The Many Worlds of Fiscal Sustainability	3	(24)
Gregory P. Marchildon
Part One: Cost Factors
Technological Change as a Cost-Driver in Health Care	27	(24)
Steve Morgan
Jeremiah Hurley
How an Ageing Population Will Affect Health Care	51	(30)
Seamus Hogan
Sarah Hogan
Medical Malpractice, the Common Law, and Health-Care Reform	81	(29)
Timothy Caulfield
Section 7 of the Charter and Health-Care Spending	110	(29)
Martha Jackman
Part Two: The Financing and Delivery of Health Care
Financing Health Care: Options, Consequences, and Objectives	139	(58)
Robert G. Evans
Determining the Extent of Public Financing of Programs and Services	197	(36)
Cynthia Ramsay
Delivering Health Care: Public, Not-for-Profit, or Private?	233	(66)
Raisa B. Deber
Part Three: Federal-Provincial Fiscal Dynamics
Increasing Provincial Revenues for Health Care	299	(21)
Melissa Rode
Michael Rushton
The Changing Political and Economic Environment of Health Care	320	(20)
Gerard W. Boychuk
Paying to Play? Government Financing and Agenda Setting for Health Care	340	(29)
Katherine Fierlbeck
Part Four: International Trade Regimes
International Trade Agreements and Canadian Health Care	369	(34)
Jon R. Johnson
The Effects of International Trade Agreements and Options for Upcoming Negotiations	403
Richard Ouellet