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Understanding the Political Economy of the Evolution and Future of Single-Payer Public Health Insurance in Canada

Author

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  • J.C. Herbert Emery

    (Department of Economics, University of Calgary)

Abstract

Surprisingly little attention has been paid to how we pay for health care affects how much we spend on health care. In this paper, the author discusses how non-contributory finance and effective subsidization of public health care spending with federal cost sharing crowded out demand for private insurance as voters opted for high levels of public health spending.

Suggested Citation

  • J.C. Herbert Emery, 2010. "Understanding the Political Economy of the Evolution and Future of Single-Payer Public Health Insurance in Canada," SPP Technical Papers, The School of Public Policy, University of Calgary, February.
    • Handle: RePEc:clh:techni:y:2010
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    References listed on IDEAS

    as
    1. J.C. Herbert Emery, 2010. "Understanding the Political Economy of the Evolution and Future of Single-Payer Public Health Insurance in Canada," SPP Briefing Papers, The School of Public Policy, University of Calgary, vol. 3(2), February.
    2. Emery, J.C. Herbert, 2010. ""Un-American" or unnecessary? America's rejection of compulsory government health insurance in the Progressive Era," Explorations in Economic History, Elsevier, vol. 47(1), pages 68-81, January.
    3. R.G. Evans & K.M. McGrail & S.G. Morgan & M.L. Barer & C. Hertzman, 2001. "APOCALYPSE NO: Population Aging and the Future of Health Care Systems," Social and Economic Dimensions of an Aging Population Research Papers 59, McMaster University.
    4. J. C. Herbert Emery & Ian Rongve, 1999. "Much Ado About Nothing? Demographic Bulges, The Productivity Puzzle, And Cpp Reform," Contemporary Economic Policy, Western Economic Association International, vol. 17(1), pages 68-78, January.
    5. Parry, Ian W.H., 2005. "Comparing the welfare effects of public and private health care subsidies in the United Kingdom," Journal of Health Economics, Elsevier, vol. 24(6), pages 1191-1209, November.
    6. Mathias Kifmann, 2005. "Health insurance in a democracy: Why is it public and why are premiums income related?," Public Choice, Springer, vol. 124(3), pages 283-308, September.
    7. Deber, Raisa B. & Forget, Evelyn L. & Roos, Leslie L., 2004. "Medical savings accounts in a universal system: wishful thinking meets evidence," Health Policy, Elsevier, vol. 70(1), pages 49-66, October.
    8. Evans, R.G. & McGrail, K.M. & Morgan, S.G. & Barer, M.L. & Hertzman, C., 2001. "Apocalypse No: Population Aging and the Future of Health Care Systems," Centre for Health Services and Policy Research 2001:3r, University of British Columbia - Centre for Health Services and Policy Research..
    9. Michael Yeo & J.C. Herbert Emery & Daniel Kary, 2009. "The Private Insurance Debate in Canadian Health Policy: Making the Values Explicit," SPP Research Papers, The School of Public Policy, University of Calgary, vol. 2(3), June.
    10. Bundorf, M. Kate & Pauly, Mark V., 2006. "Is health insurance affordable for the uninsured?," Journal of Health Economics, Elsevier, vol. 25(4), pages 650-673, July.
    11. Miguel Gouveia, 1997. "Majority rule and the public provision of a private good," Public Choice, Springer, vol. 93(3), pages 221-244, December.
    12. Emmanuel Saez & Michael R. Veall, 2005. "The Evolution of High Incomes in Northern America: Lessons from Canadian Evidence," American Economic Review, American Economic Association, vol. 95(3), pages 831-849, June.
    13. Dagmar Dyck, "undated". "Fiscal Redistribution in Canada, 1994-2000," Working Papers-Department of Finance Canada 2003-22, Department of Finance Canada.
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    Cited by:

    1. J.C. Herbert Emery, 2010. "Understanding the Political Economy of the Evolution and Future of Single-Payer Public Health Insurance in Canada," SPP Briefing Papers, The School of Public Policy, University of Calgary, vol. 3(2), February.
    2. J.C. Herbert Emery & David Still & Tom Cottrell, 2012. "Can We Avoid a Sick Fiscal Future? The Non-Sustainability of Health-Care Spending on an Aging Population," SPP Research Papers, The School of Public Policy, University of Calgary, vol. 5(31), October.
    3. Haizhen Mou, 2012. "The political economy of public health expenditure and wait times in a public‐private mixed health care system," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 45(4), pages 1640-1666, November.
    4. J.C. Herbert Emery, 2016. "Tax-Assisted Approaches For Helping Canadians Meet Out-of-Pocket Health-Care Costs," SPP Research Papers, The School of Public Policy, University of Calgary, vol. 9(23), June.

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