Advanced Search
MyIDEAS: Login

Health Care Expenditures, Public Administration and the Business Cycle

Contents:

Author Info

  • François Béland
  • Co-director Solidage
Registered author(s):

    Abstract

    Claims of the unsustainability of Medicare abound and have been fuelled by the consequences of the 2008-09 economic recession. The looming question for Canadian public health care services is "How will public administrations in Canada sustain their health care expenditures during the next few years, given the pressure from debt recovery and the new federal payment transfer for health care?” To examine these issues, variations from 1989 to 2009 in Canadian public administration health care expenditures (HCE) are compared with variations in GDP, in public administration revenue, their expenditures on items other than health care, transfer payments for health from the federal government to provinces, and debt charges. Since the turn of the millennium, Canadian public administrations have increased HCE in constant dollars in context of: 1) decreasing share of public revenue and expenditures in terms of GDP; 2) constant share (70%), since 1996, of expenditures for items other than health care on total expenditures ; 3) parallel trends, with a 3 year lag, for GDP and expenditures for services covered by Medicare; 4) constant share of total HCE in terms of public administration total revenues from 2003 to 2007; 5) constant share of federal transfers for health on provincial public administration expenditures for total health care and for Medicare; and 6) reverse trends for share of HCE and debt charges. Given this context, the rhetoric of apocalyptic share of HCE on public administration budget is having a boost, while increases in this share has more to do with the factors included in the denominator rather than with those in the numerator.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://socserv.mcmaster.ca/sedap/p/sedap297.pdf
    Download Restriction: no

    Bibliographic Info

    Paper provided by McMaster University in its series Social and Economic Dimensions of an Aging Population Research Papers with number 297.

    as in new window
    Length: 31 pages
    Date of creation: May 2012
    Date of revision:
    Handle: RePEc:mcm:sedapp:297

    Contact details of provider:
    Postal: 1280 Main Street West, Hamilton, Ontario, L8S 4M4
    Phone: (905) 525-9140 ext. 22765
    Fax: (905) 521-8232
    Email:
    Web page: http://www.mcmaster.ca/economics/
    More information through EDIRC

    Related research

    Keywords: Healthcare expenditures; public administration; sustainability; federal transfers; debt charges;

    Find related papers by JEL classification:

    This paper has been announced in the following NEP Reports:

    References

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
    as in new window
    1. Di Matteo, Livio, 2000. "The determinants of the public-private mix in Canadian health care expenditures: 1975-1996," Health Policy, Elsevier, vol. 52(2), pages 87-112, June.
    2. Livio Di Matteo, 2010. "The sustainability of public health expenditures: evidence from the Canadian federation," The European Journal of Health Economics, Springer, vol. 11(6), pages 569-584, December.
    3. Claude Montmarquette & Virginie Giroux & Joanne Castonguay, 2005. "Pour un financement durable de la santé au Québec," CIRANO Burgundy Reports 2005rb-08, CIRANO.
    Full references (including those not matched with items on IDEAS)

    Citations

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:mcm:sedapp:297. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.