Canadian Medicare: We Need It and We Can Keep It by Stephen Duckett;Adrian Peetoom

By Stephen Duckett;Adrian Peetoom

Medicare has been an important a part of Canadian identification for almost fifty years, and it stands in marked distinction to the U.S. overall healthiness method. yet those evidence on my own don't shield it from dismissive swipes and criticisms, claims that the approach is unsustainable, or even proposals to alter medicare's basics. In Canadian Medicare, Stephen Duckett and Adrian Peetoom express that the shared values underpinning medicare nonetheless supply a legitimate foundation for the system's layout. whereas medicare is still a massive pillar of Canadian coverage, adjustments can and needs to be made. The authors argue for more desirable basic care to higher tackle raises in persistent ailments, a complete technique to supply take care of the aged, and the advent of pharmacare. They exhibit how, with right funding, the well-being of Canadians could be maintained or even superior whereas the kingdom is still financially liable. Accessibly written and obviously provided, Canadian Medicare is a decision for Canadian voters to enhance at the origin outfitted via Tommy Douglas and Lester B. Pearson, to develop into extra acquainted with their overall healthiness care, and to permit their politicians comprehend that they should act.

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Sample text

Health needs are unevenly distributed in the population; they vary by age, location, employment status, and other factors such as belonging to a First Nation. To what extent should policies focus on improving the health status of the disadvantaged versus being targeted at majority populations? What is the right mix of interventions to be funded? Reform strategies should emphasize the least restrictive alternative. System design should recognize the importance of patient independence, even in seniors’ accommodation.

Many Canadians worry that if medicare is not sustainable the responsibility for paying the high cost of medical services will once again fall upon the shoulders of individuals and families. Most middle-class and working-class families already stoop under the burdens of their daily household expenses. Many Canadians carry dangerously high debt loads. Consider the effect of adding medical costs of roughly $4,000 per person each year to an average Canadian household budget 30 Canadian Medicare (this figure approximates current per capita provincial spending on health care).

In other words, we are not facing an avalanche, and we are not facing a tsunami. The impact of aging on costs is more like a slowly moving glacier. Increasing costs because of aging can be absorbed as part of the normal development and innovation of the health care system and will be less than growths in gdp. This is not to say that we should ignore the effects of aging. Statistics Canada predicts that our population over age 65 will double between 2011 and 2036, with the number of upper seniors (those over 85) increasing from 675,000 to 1,700,000 (a 150% increase).

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