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Health System Overview

Health System Overview. 13. General Health System Facts. • National health insurance program (“Medicare”). • Central Government sets insurance standards through Canada. Health Act. • 13 provincial and territorial health insurance plans offers actual. coverage and medical services.

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Health System Overview

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  1. HealthSystemOverview 13

  2. GeneralHealthSystemFacts •Nationalhealthinsuranceprogram(“Medicare”) •CentralGovernmentsetsinsurancestandardsthroughCanada HealthAct •13provincialandterritorialhealthinsuranceplansoffersactual coverageandmedicalservices •Traditionalsingle-payermodel,taxfunded •Healthpolicyfragmented,dividedbetweencentralandprovincial governments,especiallypharmaceuticalpolicy(discussedbelow) •Privateprovisionofprimarycarelimitedbutgrowing 14

  3. HealthExpenditure •TEH11.2%ofGDPspentonHealthin2011 –1.7%higherthanOECDaverageof9.5%(2010latestfigures) •70.4%oftotalhealthspendingin2011publicexpenditure –OECDaverage72%(2010latestfigures) •Longtermdecreaseinpublicexpenditureas%ofTEHfrom averagesof74-76%during1970s-1990sto70-71%during2000s •Annualaveragegrowthrate(AAGR)totalhealthexpenditure4.6% peryear2000-2009 –OECDaverage4.7% •AAGRpublicsector4.7%peryear2000-2009 –OECDaverage4.8% •Outofpocketspending14.4%2011 –OECDaverage20.1%(2010latestfigures) 15

  4. TotalExpenditureonHealth%ofGDP,1960-2010 20.00 Canada 18.00 United 16.00 States France 14.00 Germany 12.00 Japan 10.00 United Kingdom 8.00 6.00 4.00 Source: OECDStat (2012) 2.00 0.00 16

  5. PublicExpenditureonHealth,%TEH,Canada,1970-2011 78 Source: OECDStat (2012) 76 74 72 70 68 66 64 17 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

  6. AAGRCanadaandOECDAverages,2000-2009 7 6 5 4 3 Canada OECDAverage US UK 2 Source: OECDStat (2012) 1 0 AAGR AAGRPublicSector 18

  7. PublicExpenditureandOut-of-pocketpayments,%Total ExpenditureonHealth,2010/2011 90 80 70 60 Canada (2011) OECD Average (2010) US(2010) 50 UK(2010) 40 30 20 Source: OECDStat 10 (2012) 0 PublicExpenditure,%TotalHealthExpenditure Out-of-pocketpayments(households),%totalexpenditureon health 19

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