Canada - World Health Organization Regional Office for Europe

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64 8000 7000 6000 5000 4000 3000 2000 1000 0 Health systems in transition Canada Fig. 3.2 Trends in total health expenditure per capita ($US PPP) in Canada and selected countries, 1990–2010 Trends in capita (US$ PPP) 1990 1992 1994 1996 1998 2000 2002 Source: OECD (2011). Note: 2010 data was available only for Canada, not for other countries. United States Canada France Sweden United Kingdom Australia In the early to mid-1990s, Canadian Governments managed to force health spending below the rate of economic growth to a greater extent than most OECD countries. This was a direct result of the aggressive fiscal policy of provincial governments in eliminating their budgetary deficits and reducing debt loads that had accumulated over the previous two decades. Since health is the single largest spending category in provincial budgets, these governments capped or even reduced spending in the early to mid-1990s. This was followed by a major reduction in cash transfers from the federal government to the provinces, a large portion of which had historically been earmarked for health care (Tuohy, 2002). Since the mid-1990s, largely in response to public perceptions about the deteriorating quality of medicare, the provincial and territorial governments have increased their respective spending on health care. Figs 3.3 and 3.4 compare Canada with other OECD countries in terms of the degree to which public-sector health spending has increased since 1990. While all six countries have shown considerable growth in public-sector health spending over the past 20 years whether measured as a share of the economy or in per capita terms, the latter measure demonstrates the extent to which the Canadian experience with respect to public expenditure has been almost identical to France, Sweden and the United Kingdom. 2004 2006 2008 2010
10 9 8 7 6 5 4 4000 3500 3000 2500 2000 1500 1000 500 Health systems in transition Canada 65 Fig. 3.3 Trends in public expenditure on health as a share of GDP in Canada and selected countries, 1990–2010 Trend (Share of GDP) 1990 1992 Source: OECD (2011). Note: 2010 data was available only for Canada, not for other countries. Fig. 3.4 Trends in public expenditure on health per capita ($US PPP) in Canada and selected countries, 1990–2010 Trend (Share of GDP) 1990 1992 1994 1994 1996 1996 1998 1998 2000 2000 Source: OECD (2011). Note: 2010 data was available only for Canada, not for other countries. United States 2002 2002 2004 2004 Sweden 2006 2006 United Kingdom 2008 France 2008 2010 2010 France Canada Australia United States Canada Sweden United Kingdom Australia
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Health Systems in Transition Vol. 1
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Health Systems in Transition Gregor
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Contents Preface . . . . . . . . .
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Preface The Health Systems in Trans
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Acknowledgements The HiT on Canada
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List of abbreviations Abbreviations
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List of tables and figures Tables p
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Abstract Canada is a high-income co
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The European Observatory on Health
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