Managing the Cost of Healthcare for an Aging Population: How Do the Provinces Compare? Colin Busby Senior Policy Analyst C.D. Howe Institute
Public Healthcare Budgets In Canada – Three Major Eras xx body Bullet 1 Bullet 2 Source: Author’s calculations 2 2
An Aging Population xx 70 66 60 58 Share of the total poulation (percent) 57 56 50 40 30 27 26 23 20 19 20 18 16 14 10 0 Youth (17 and under) Working Age (18-64) Old Age (65 and up) 2010 2030 2050 2050 - BC Source: Author’s calculations 3 3
Canada - Average Per Capita Public Health Spending xx By Age Group, 1998 and 2010 16,000 28,000 26,000 1998 Average Per Capital Spending ($nominal) 14,000 2010 Average Per Capita Spending ($nominal) 24,000 22,000 12,000 20,000 18,000 10,000 16,000 8,000 14,000 12,000 6,000 10,000 8,000 4,000 6,000 4,000 2,000 2,000 0 0 <1 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90+ Age Group 1998 (left axis) 2010 (right axis) Source: CIHI and Author’s calculations 4 4
British Columbia - Average Per Capita Public Health xx Spending By Age Group, 1998 and 2010 18,000 32,000 30,000 2010 Average Per Capita Spending ($nominal) 16,000 28,000 1998 Average Per Capital Spending ($nominal) 26,000 14,000 24,000 22,000 12,000 20,000 18,000 10,000 16,000 8,000 14,000 12,000 6,000 10,000 8,000 4,000 6,000 4,000 2,000 2,000 0 0 Age Group 1998 (left axis) 2010 (right axis) Source: CIHI and Author’s calculations 5 5
Expenditures on Prescription Drugs by Source of Financing xx and Province, 2001 and 2011, ($2011) per capita 2001 2011 Average growth rate, 2001-2011 $198 $210 0.6 BC Provincial Government $215 $366 5.5 BC Other Sources $413 $575 3.4 BC Total $228 $335 3.9 ON Provincial Government $323 $450 3.4 ON Other Sources $551 $785 3.6 ON Total $217 $301 3.3 QC Provincial Government $360 $612 5.5 QC Other Sources $577 $912 4.7 QC Total Source: Morgan et al. upcoming 6 6
Percentage of Adults Reporting Cost-Related Non- xx Adherence for Drug Prescriptions, by Jurisdiction. 22% 20% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0% BC ON QB CAN US AU GER NZ UK NL Source: Morgan et al. upcoming 7 7
Percentage of Households Reporting Out-of-Pocket Expenses for Prescription Medicines exceeding $1,000 USD, by xx Jurisdiction. 14% 12% 10% 8% 6% 4% 2% 0% BC ON QB CAN US AU GER NZ UK NL Source: Morgan et al. upcoming 8 8
Private Charges for Government Subsidized Facility- xx Based Care, Single Individual $40,000 36,200 $35,000 $30,000 28,200 Private Charges (annual) $25,000 19,400 19,400 $20,000 17,600 16,200 $15,000 12,600 11,200 $10,000 $5,000 $0 OAS/GIS Max (~15,000) 20,000 35,000 70,000 Annual Income ($) BC (net income) AB (gross income) ON (gross income) Source: Various government documents; author’s calculations 9 9
Current Funding System for Long-term Care in Canada xx 10 10
Ownership of Nursing Home Facilities: The Public/Private xx Mix, 2008 100% 90% % of All Facilities (Homes for the Aged) 80% 70% 60% 50% 40% 30% 20% 10% 0% NL PE NS NB QC ON MB SK AB BC Canada Public Private Source: Various government documents; author’s calculations 11 11
Publicly Funded For-Profit Nursing Home Beds, 2008 xx 60 53 50 For-Profit Facilities as a percentage of total 41 40 35 31 30 30 30 26 23 20 10 8 5 0 0 NL PE NS NB QC ON MB SK AB BC Canada Source: CUPE (2009) 12 12
Funding System For Long-Term Care in France and xx Nordic Countries – Money Follows the Patient 13 13
Managing the Cost of Healthcare for an Aging Population: How Do the Provinces Compare? Colin Busby Senior Policy Analyst C.D. Howe Institute
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