scholarly journals Finances of the Nation: Provincial Debt Sustainability in Canada: Demographics, Federal Transfers, and COVID-19

2021 ◽  
Vol 68 (4) ◽  
pp. 1083-1122
Author(s):  
Trevor Tombe
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Public Debt ◽  
Policy Options ◽  
Debt Sustainability ◽  
Debt Burden ◽  
The Face ◽  
Federal Debt ◽  
Economic Shock ◽  
Care Costs

In this article, Trevor Tombe examines the sustainability of Canada's public debt in the face of steadily rising provincial debt, a severe economic shock from COVID-19, and mounting health-care costs associated with an aging population. He finds that while the federal debt is solidly sustainable, despite a large increase owing to COVID-19, the debt burden of most provincial governments is not. He discusses some of the policy options available to improve fiscal outlooks, focusing in particular on reform of federal transfers.

User Fees for Health Care: Why a Bad Idea Keeps Coming Back (Or, What's Health Got to Do With It?)

1995 ◽  
Vol 14 (2) ◽  
pp. 360-390 ◽  
Author(s):  
Robert G. Evans ◽  
Morris L. Barer ◽  
Greg L. Stoddart
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Costs ◽  
Health Care Providers ◽  
Final Analysis ◽  
User Fees ◽  
Care Providers ◽  
Positive Effects ◽  
The Face ◽  
Care Costs

ABSTRACTCalls for user fees in Canadian health care go back as far as the debate leading up to the establishment of Canada's national hospital insurance program in the late 1950s. Although the rationales have shifted around somewhat, some of the more consistent claims have been that user fees are necessary as a source of additional revenue for a badly underfunded system, that they are necessary to control runaway health care costs, and that they will deter unnecessary use (read abuse) of the system. But the real reasons that user fees have been such hardy survivors of the health policy wars, bear little relation to the claims commonly made for them. Their introduction in the financing of hospital or medical care in Canada would be to the benefit of a number of groups, and not just those one usually thinks of. We show that those who are healthy, and wealthy, would join health care providers (and possibly insurers) as net beneficiaries of a reintroduction of user fees for hospital and medical care in Canada. The flip side of this is that those who are indigent and ill will bear the brunt of the redistribution (for that is really what user fees are all about), and seniors feature prominently in those latter groups. Claims of other positive effects of user fees, such as reducing total health care costs, or improving appropriateness or accessibility, simply do not stand up in the face of the available evidence. In the final analysis, therefore, whether one is for or against user fees reduces to whether one is for or against the resulting income redistribution.

Acute Health Care Costs for the Aged Medicare Population: Overview and Policy Options

1987 ◽  
Vol 65 (3) ◽  
pp. 397 ◽  
Author(s):  
Sandra Christensen ◽  
Stephen H. Long ◽  
Jack Rodgers
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Policy Options ◽  
Medicare Population ◽  
Acute Health Care ◽  
Care Costs

scholarly journals Health Care Costs: On the Rise Again

2003 ◽  
Vol 17 (2) ◽  
pp. 125-148 ◽  
Author(s):  
Sherry Glied
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
New Technologies ◽  
Private Insurance ◽  
National Income ◽  
Insurance Market ◽  
The Face ◽  
Private And Public ◽  
Care Costs

Since 1999, health care costs have been growing faster than national income. This rapid growth has occurred as the ability of private and public purchasers to reduce service utilization and bargain for lower prices has fallen, insurers have recouped lost profits through higher premiums, and new technologies have driven up costs throughout the sector. Private insurance market responses to these rising costs may lead to reductions in the number of people with insurance and to increased fragmentation of the insurance market. Over time, technological change in medicine both increases costs and improves the quality of care. The challenge for public policy is to maintain insurance and some degree of equity in the face of these rising costs.

scholarly journals Factors associated with direct health care costs in schizophrenia: Results from the FACE-SZ French dataset

2018 ◽  
Vol 28 (1) ◽  
pp. 24-36 ◽  
Author(s):  
Charles Laidi ◽  
Amélie Prigent ◽  
Alice Plas ◽  
Marion Leboyer ◽  
Guillaume Fond ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Factors Associated ◽  
The Face ◽  
Care Costs

Do Orbital Implants Differ in Complication Rates: A Retrospective Study of 88 Patients, and an Argument for Cost-Effective Practices in the Face of Rising Health Care Costs

2021 ◽  
Author(s):  
Husayn F. Ramji ◽  
Nathan W. Blessing ◽  
Jeremy F. Tan ◽  
Annie Moreau
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Cost Effective ◽  
Complication Rates ◽  
Cost Effective Approach ◽  
Significant Difference ◽  
The Face ◽  
Orbital Blowout Fractures ◽  
Care Costs

AbstractOperative repair of orbital fractures utilizes implants constructed of a plethora of materials that vary in cost. Surgeon preference as well as fracture complexity may dictate the implant chosen. In this study, we retrospectively compared the complication rates of the four most common types of implants utilized at our institution. We found no significant difference in complication rates in our sample of 88 patients. Additionally, the least expensive implant was as effective as the most expensive implant in addressing isolated orbital blowout fractures. This situation is not unique to the field of oculoplastics. As evidenced from published literature in other areas of surgery, from orthopaedics to orthodontics, cheaper alternatives often afford similar outcomes as more expensive options. We herein argue that a cost-effective approach should be considered while still allowing for high quality of care, in the face of rising health care costs and health disparities in America.

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