Health Care Spending

Health care spending equates to approximately 40% of all provincial/territorial budgets, making health care the single largest expenditure (CIHI, 2015). Of this, Hospital, drug and physician expenditure

The Canadian Institute for Health Information (CIHI) provides detailed information on health care expenditures in Canada, published annually in their National Health Expenditure Trends report. The 2015 report (Canadian Institute for Health Information, 2015) shows total budget has increased modestly from previous years, estimating Canadian health care spending at over $219 billion which represents an increase of 1.6% from previous year (image 1: CIHI total Canadian health care spending).

It is expected that with the baby boomers significantly using the health care dollars, the provinces and territories will end up spending 60% of their GDP on health care services which accounts to $530 billion dollars of debt ( Robson, 2001). This discrepancy will put pressure on the federal government and encourage provincial policy makers to rely more on the federal government for funding instead of finding their own way to manage their health care systems better. Population aging affects the demand for and costs of health care services, given that seniors account for about 45% of provincial/ government health care dollars (Ng,Sanmartin,Tu, Manuel, 2014, pg 15). Seniors are not only the largest user group of health care, but their hospital visits and admissions are higher than any other age group. This is merely because seniors tend to have more chronic conditions which derive them to use the health care services. Due to the health care problems that many seniors face, it is important to address the future directions in which the sustainability of the universal health care resides.

This paper will compare the healthcare service and healthcare status between Canada and the United States. Canada and the United States have a totally different healthcare system. Many people argued that the United States healthcare system needs some upgrading, while, some people admire Canada’s healthcare system due to the fact that Canada’s healthcare does more for less. Research has shown that Canada spends less of its’ GDP on it’s healthcare yet performs better than the United States.

The Social Determinants of Health are the living conditions people experience, which plays a vital role in shaping population health (Mikkonen & Raphael, 2010). Government policy is one of the Social Determinants of Health and also the one that can strengthen or weaken the other Social Determinants of Health such as education, income, employment etc. The Social Determinants of Health for Canadian young adults become worse today while the older Canadians today, young Canadians a generation ago, experience better Social Determinants of Health. This is because the Canadian government and policy maker put less effort to develop public policy so that the Social Determinants of Health are not strengthened today (Mikkonen & Raphael, 2010). I choose

Canada is a ‘high-income nation’, possessing industrialized economies, technologically advanced industries, and high per capita income (Kendall et al. 2016: 24). Resulting in Canada much receiving international scrutiny as it has a vast number of individuals living in relative poverty (Kendall et al. 2016: 29). Particularly as many as five million, or one in seven people live in relative poverty in Canada (Kendall et al. 2016: 29). Constituting relative poverty is living below the standard of living relative to the average individual in Canada (Levine-Rasky 2017). In addition, income inequality acts as a social determinant of health (SDH), as it impacts the economic and social conditions of an individual or a community (Raphael 2016:

Canada’s healthcare cost constitutes a large share of GDP. Although this may be a good thing as it reflects on a country’s increased wealth and ability to pay for valued care, however in the case of Canada, there is a strongly held belief that the growth rate in Canada is not sustainable nor is it necessarily improving our outcomes.

Under Canada’s healthcare system, citizens are provided with primary care and medical treatments, as well as easy access to hospitals, clinics, and any other additional medical services. Regardless of annual income, this system allows all Canadian citizens access to medical services without immediate pay. Canada is fortunate to have a free healthcare plan since this necessity comes at a substantial expense for people living in the United States of America. For instance, the Commonwealth Fund's Health Insurance Survey mentions that “80 million people, around 43% of America's working-age adults, did not go to the doctor or access other medical services because of the cost” (Luhby). Evidently, Canada’s healthcare system is notorious in supporting the demands of the population, and creating a healthy and happy society at a manageable cost.

The main economic challenge for the healthcare system in the United State will be the rising expenses associated with Medicare and Medicaid. The Governments share of healthcare spending is predicted to rise to 31 percent by the year 2020 (Keehan, Sisko, Truffer, Poisal, Cuckler, Madison, Lizonitz, and Smith, 2011). This may jeopardize the economic stability and financial security of the nation.

Currently, the author is trying to tell the audience that social problems can be more problematic than clinical problems. The author also discusses how the living standards for Canadians are not distributed equally. Since everything is unequal, those who are in a higher social position have more control over the economy and try their best to avoid risks and diseases (Graham, 2004). The main argument from the author is that healthcare determines the heath outcome of an individual. The author also addresses that all Canadians should have equal access to all the social determinants of health to avoid getting sick in the first place. That being said, the author is briefly addressing all the social determinants of health and how the all connect to health, but with inequality as an underlying issue. The dispute on how social determinants of health is a notion that directs attention to the social factors shaping people’s health is also discussed in the article (Graham, 2004).

Yet the strings on the public purse continue to tighten. Transfer payments from the federal government continue to decrease as provincial debt loads increase. And, although the minister of health and the premier assured them that the costs of health care were doubling or even tripling, Albertans have witnessed a steady decline in government spending on health care. The proportion of gross domestic product, (GDP), which Alberta allocates to health care is ranked last among the ten provinces, (Taft, 1997). Albertans now find themselves with a struggling health care system and a waiting list.

There is diversity among all Canadian, hence there is differences among the aging population. Not all seniors are aging well and have the appropriate programs and services to meet their needs. Some seniors are victims of abuse and some are living in isolation and poverty. Some seniors suffer from chronic illness and other socio-economic factors limit the amount of money they can put away for retirement. Hence these middle and low income elderly retirees will have to depend mainly on the pension plan that is offered between the age of 60- 65. The age of 60-65 is regarded in Canada as the age of retirement. This paper will focus mainly on the disadvantaged older populations. The disadvantaged older populations are those who are currently

Healthcare spending growth rate trends show astounding estimates. Since 1960, spending has risen from $27 billion ($143 per capita, 5.1% pf GDP) to amazing $1,678.9 billion ($5,670 per capita, 15.3% of GDP, 2003 data) (HHS, 2005). Recent research estimated that by 2013, healthcare spending will be as high as 18.4% of the Growth Domestic Product. It is important to note that the gradual move from hospital to ambulatory setting has resulted in much higher spending on outpatient hospital services and prescription drugs. The spending growth for these two trends is much higher than the overall healthcare cost growth, which, in fact, increases faster than such important economic indicators as GDP growth, inflation growth, and population growth rates.

Social determinants of health are social, economic and physical factors that affect the health of individuals in any given population. There are fourteen social determinants of health but Income is perhaps the most important of these because it shapes living conditions, influences health related behaviors, and determines food security. In Canada, people with lower incomes are more susceptible to disease/ conditions, higher mortality rate, decreased life expectancy and poorer perceived health than people with high incomes. In numerous Canadian studies and reports, there has been more emphasis on health being based on an individual’s characteristics, choices and behaviours, rather than the role that income plays as a social determinant of health. Although Canada has one of the highest income economies in the world and is comprised of a free health care system, many low income families are a burden on the system because of the physical and mental health issues influenced by income insecurity. Low income individuals are heavier users of health care services because they have lower levels of health and more health problems than do people with higher incomes. This essay will address income as a social determinant of health in three key sections: what is known on the issue, why the issue is important and how can health and public policies address the issue. The main theme that runs through the essay is the income related health inequalities among low income groups compared to

Mandatory retirement refers to an organization of the labor market that requires employees to withdraw their services at an arbitrary age and age discrimination refers to social behavior in which age categories are used for the basis of a variety of employment decisions like hiring, promoting, and firing employees (Gillin and Klassen 87). Furthermore, this article examines the health issues and poverty in the older population, and the evolution of social policies, like mandatory retirement and old age security, in Canada.