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What Is Political Action For Universal Drug Care

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Addressing Gaps in Canadian Pharmacare

According to Morgan and Boothe (2016), Canada's Medicare system is the only one among the developed countries that has universal public health insurance but does not also have universal prescription drug coverage. The amount of out-of-pocket (OOP) spending can become a great burden on Canadians, as private insurance “only composes approximately 34.3% of expenditures,” (Hennessey et al., 2016); and in Ontario, 1 in 3 people do not have employer-provided health benefits to begin with (Barnes, 2015). Cost-related non-adherence to prescription drugs is associated with households with low income, which can lead to poorer, avoidable outcomes such as increased hospital admissions, worsening disease, and an …show more content…

Not following prescriptions as ordered causes more stress on the health care system because it increases visits to physicians’ offices and emergency departments that may have been avoidable if the medication was covered for all Canadians (Lexchin, 2017). There are various political barriers to implementing a universal drug coverage plan in Canada. Primarily the federal government’s Patented Medicine Prices Review Board of Canada (PMPRBC). This board controls prescription and non-prescription prices by making comparisons of across seven selected Organisation of Economic Co-Operation and Development (OECD) countries (Tang, Ghali, & Manns, 2014). However the OECD countries have high costs for medications, four of which have the most expensive prices in the world, therefore increasing Canadian prices. According to Morgan and Boothe (2016), another barrier to universal drug coverage stems from “pharmacare’s initially low place on the policy agenda” (p. 249). Healthy public policy development requires synergy between the public, policy makers, and institutions alike. If universal drug coverage has “less attention than other health policy debates” a political change is less likely to occur (p. 251).
A few key stakeholders include government, physicians, pharmaceutical and insurance companies, nurses and patients. The government plays a significant role in the provision of prescription drug pricing by “establishing

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