Canada's health spending growth lowest in 13 years
The medical bill for every Canadian is expected to reach nearly $5,700 this year, but the growth in overall health spending has slowed to its lowest rate in 13 years, new figures released Thursday show.
According to the latest data from the Canadian Institute for Health Information, total spending on health care — both public- and private-sector spending — in Canada is expected to reach $191.6 billion this year.
But, after taking inflation and population growth into account, health spending per person is expected to increase by 1.4 per cent this year, the lowest annual growth rate since 1997.
"Over the last 10 years, obviously, there has been a significant investment in health care, it was a priority of Canadians," Chris Kuchciak, CIHI's manager of health expenditures, said Thursday.
"However, in the last couple of years we're seeing a deceleration in that rate of growth." He said the phenomenon could be due to the aftermath of the recession, "and many of the provinces being in deficit positions and looking to control government spending, including health care."
Overall, health spending is expected to reach 11.7 per cent of Canada's gross domestic product this year, down from the estimated share of 11.9 per cent in 2009.
But health spending is growing at a faster rate than the population.
This year, government spending on health care is forecast to reach $135.1 billion; private spending, which includes private insurance and out-of-pocket expenses, will reach an estimated $56.6 billion, according to CIHI's annual report on health expenditures.
But while the nation's population is aging, the share spent on seniors has not budged significantly over the past decade. It was 43.6 per cent in 1998, and 43.8 per cent in 2008.
"While it is true that care is costlier for people who are 65 and older, we have not seen a rise in the proportion we spend on seniors," Jean-Marie Berthelot, vice-president of programs at CIHI said in a statement. "An aging population may have an impact on health-care spending, but so far, the average expenditure on seniors has not risen faster than for younger Canadians."
That has experts warning Canada is ill-prepared for what some have dubbed the "grey tsunami" of aging baby boomers. The number of Canadians older than 65 is expected to double by 2031.
Hospitals, at roughly 29 per cent of the total, are expected to account for the biggest chunk of health-care spending this year. In 2010, spending on hospitals is expected to reach $55.3 billion, up 6.2 per cent. But the hospital share of total spending has fallen over the past three decades.
"Thirty years ago it was over 40 per cent of total health care spending. Now, it's under 30," Kuchciak said.
The head of the Canadian Medical Association says he sees failings in the system every day.
"Today, our hospital is over 100-per-cent occupied," said Dr. Jeffrey Turnbull, who is also chief of staff at The Ottawa Hospital. "We have over 30 patients in our emergency department today waiting for a bed, and many of them have been waiting over a day, maybe two days."
"We have patients in hallways. We have cancelled surgery, (and) delays for diagnostic procedures. And, today in our hospital, we have 161 patients who are waiting to go into long-term care," Turnbull added.
"If you could move those patients to where they would get much more effective care, at a fraction of the price, we wouldn't have delays in the emergency department. We wouldn't be cancelling surgery. We think there are lots of efficiencies, and lots of opportunities to provide better care for Canadians without investing a lot more money."
Spending on drugs, which account for the second-largest category, grew by 4.8 per cent from 2009 to reach $31.1 billion, but, for the fourth year in a row, physician spending is growing faster than drugs and hospitals. Spending on doctors is expected to reach $26.3 billion this year, up 6.9 per cent.
"We know that there are more physicians today than there were 10 years ago. We do see that the demand for physician services is going up — they're being used more," Kuchciak. Compensation to doctors is also increasing, he said.
Alberta and Manitoba are expected to spend more per person on health care than any other province, at about $6,200 per person each — roughy $600 higher than the national average. B.C. and Quebec are forecast to have the lowest per capita spending, at $5,355 and $5,096, respectively.
Since 1997, the public-private split of total health spending has held steady, with government spending 70 per cent of the total health care bill, and the private sector accounting for 30 per cent.
Among 26 countries with comparable accounting systems in the Organization for Economic Co-operation and Development, in 2008, the latest year for which data is available, spending per person on health care was highest in the U.S., at $7,538 U.S.. Canada was fifth behind the U.S., Norway, Switzerland and Luxembourg.
While total spending has slowed, University of B.C. health economist Bob Evans called the report "a good news story."
"The medicare system in Canada is under threat by people who are claiming that it's fiscally unsustainable" and that Canada needs to introduce more American-style elements, Evans says. "I think that's very dangerous.
"If the rate of escalation remains high, it strengthens those arguments. Are we denying people needed services? The answer is no. I think a lot of what's been going on is price increase" for prescription drugs, Evans says.
"With generic drugs, the issue isn't so much price increases, but that the prices are just too damn high, and they're too high because pharmacies are getting kick backs from generic suppliers in return for putting their products on the shelves."
Canadians pay some of the highest prices in the world for generic drugs, according to a recent paper released by the Health Council of Canada.
Under Ontario drug reforms, the province is mandating that generic drugs be sold at no more than 25 per cent of the cost of the brand-name product, and is ending the system of so-called professional allowances.
The medical bill for every Canadian is expected to reach nearly $5,700 this year, but the growth in overall health spending has slowed to its lowest rate in 13 years, new figures released Thursday show.
According to the latest data from the Canadian Institute for Health Information, total spending on health care — both public- and private-sector spending — in Canada is expected to reach $191.6 billion this year.
But, after taking inflation and population growth into account, health spending per person is expected to increase by 1.4 per cent this year, the lowest annual growth rate since 1997.
"Over the last 10 years, obviously, there has been a significant investment in health care, it was a priority of Canadians," Chris Kuchciak, CIHI's manager of health expenditures, said Thursday.
"However, in the last couple of years we're seeing a deceleration in that rate of growth." He said the phenomenon could be due to the aftermath of the recession, "and many of the provinces being in deficit positions and looking to control government spending, including health care."
Overall, health spending is expected to reach 11.7 per cent of Canada's gross domestic product this year, down from the estimated share of 11.9 per cent in 2009.
But health spending is growing at a faster rate than the population.
This year, government spending on health care is forecast to reach $135.1 billion; private spending, which includes private insurance and out-of-pocket expenses, will reach an estimated $56.6 billion, according to CIHI's annual report on health expenditures.
But while the nation's population is aging, the share spent on seniors has not budged significantly over the past decade. It was 43.6 per cent in 1998, and 43.8 per cent in 2008.
"While it is true that care is costlier for people who are 65 and older, we have not seen a rise in the proportion we spend on seniors," Jean-Marie Berthelot, vice-president of programs at CIHI said in a statement. "An aging population may have an impact on health-care spending, but so far, the average expenditure on seniors has not risen faster than for younger Canadians."
That has experts warning Canada is ill-prepared for what some have dubbed the "grey tsunami" of aging baby boomers. The number of Canadians older than 65 is expected to double by 2031.
Hospitals, at roughly 29 per cent of the total, are expected to account for the biggest chunk of health-care spending this year. In 2010, spending on hospitals is expected to reach $55.3 billion, up 6.2 per cent. But the hospital share of total spending has fallen over the past three decades.
"Thirty years ago it was over 40 per cent of total health care spending. Now, it's under 30," Kuchciak said.
The head of the Canadian Medical Association says he sees failings in the system every day.
"Today, our hospital is over 100-per-cent occupied," said Dr. Jeffrey Turnbull, who is also chief of staff at The Ottawa Hospital. "We have over 30 patients in our emergency department today waiting for a bed, and many of them have been waiting over a day, maybe two days."
"We have patients in hallways. We have cancelled surgery, (and) delays for diagnostic procedures. And, today in our hospital, we have 161 patients who are waiting to go into long-term care," Turnbull added.
"If you could move those patients to where they would get much more effective care, at a fraction of the price, we wouldn't have delays in the emergency department. We wouldn't be cancelling surgery. We think there are lots of efficiencies, and lots of opportunities to provide better care for Canadians without investing a lot more money."
Spending on drugs, which account for the second-largest category, grew by 4.8 per cent from 2009 to reach $31.1 billion, but, for the fourth year in a row, physician spending is growing faster than drugs and hospitals. Spending on doctors is expected to reach $26.3 billion this year, up 6.9 per cent.
"We know that there are more physicians today than there were 10 years ago. We do see that the demand for physician services is going up — they're being used more," Kuchciak. Compensation to doctors is also increasing, he said.
Alberta and Manitoba are expected to spend more per person on health care than any other province, at about $6,200 per person each — roughy $600 higher than the national average. B.C. and Quebec are forecast to have the lowest per capita spending, at $5,355 and $5,096, respectively.
Since 1997, the public-private split of total health spending has held steady, with government spending 70 per cent of the total health care bill, and the private sector accounting for 30 per cent.
Among 26 countries with comparable accounting systems in the Organization for Economic Co-operation and Development, in 2008, the latest year for which data is available, spending per person on health care was highest in the U.S., at $7,538 U.S.. Canada was fifth behind the U.S., Norway, Switzerland and Luxembourg.
While total spending has slowed, University of B.C. health economist Bob Evans called the report "a good news story."
"The medicare system in Canada is under threat by people who are claiming that it's fiscally unsustainable" and that Canada needs to introduce more American-style elements, Evans says. "I think that's very dangerous.
"If the rate of escalation remains high, it strengthens those arguments. Are we denying people needed services? The answer is no. I think a lot of what's been going on is price increase" for prescription drugs, Evans says.
"With generic drugs, the issue isn't so much price increases, but that the prices are just too damn high, and they're too high because pharmacies are getting kick backs from generic suppliers in return for putting their products on the shelves."
Canadians pay some of the highest prices in the world for generic drugs, according to a recent paper released by the Health Council of Canada.
Under Ontario drug reforms, the province is mandating that generic drugs be sold at no more than 25 per cent of the cost of the brand-name product, and is ending the system of so-called professional allowances.