health system overview 13. general health system facts national health insurance program...
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Health System Overview
13
General Health System Facts
• National health insurance program (“Medicare”)
• Central Government sets insurance standards through CanadaHealth Act
• 13 provincial and territorial health insurance plans offers actualcoverage and medical services
• Traditional single-payer model, tax funded
• Health policy fragmented, divided between central and provincialgovernments, especially pharmaceutical policy (discussed below)
• Private provision of primary care limited but growing
14
Health Expenditure
• TEH 11.2% of GDP spent on Health in 2011
– 1.7% higher than OECD average of 9.5% (2010 latest figures)
• 70.4% of total health spending in 2011 public expenditure– OECD average 72% (2010 latest figures)
• Long term decrease in public expenditure as % of TEH fromaverages of 74-76% during1970s-1990s to 70-71% during 2000s
• Annual average growth rate (AAGR) total health expenditure 4.6%per year 2000-2009– OECD average 4.7%
• AAGR public sector 4.7% per year 2000-2009– OECD average 4.8%
• Out of pocket spending 14.4% 2011– OECD average 20.1% (2010 latest figures)
15
(2012)
0.00
16
2.00
6.00
4.00Source:OECD Stat
8.00
16.00
Total Expenditure on Health % of GDP, 1960-2010
20.00
Canada18.00
UnitedStates
France14.00
Germany12.00
Japan10.00
UnitedKingdom
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
OECD Stat(2012)
74
72
70
68
66
64
17
76
Public Expenditure on Health, % TEH, Canada, 1970-2011
78
Source:
18
OECD Stat(2012)
1
0
4
3
AAGR Canada and OECD Averages, 2000-2009
7
6
5
AAGR AAGR Public Sector
Canada
OECD Average
US
UK
2
Source:
19
Source:OECD Stat(2012)
0
10
80
70
60
Public Expenditure and Out-of-pocket payments, % TotalExpenditure on Health, 2010/2011
90
Public Expenditure, % Total Health Expenditure Out-of-pocket payments (households), % total expenditure onhealth
Canada(2011)
OECDAverage(2010)
US (2010)
50
UK (2010)
40
30
20