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It's the Institutions, Stupid! Why U.S. Health Care Expenditure Is so Different from Canada's

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  • Antoon Spithoven

Abstract

The United States and Canada are rather similar in social orientation. However, this is not reflected in health care. Firstly, Canada implemented the principle of universal coverage much earlier than the United States. Secondly, U.S. health care continues to rely much more on private funding and private managing, while Canadian health care relies more on cost containing public funding and governmental budgeting. These differences can be explained, among other things, by their different paths of development since the American Revolutionary War: the United States followed an independent path while Canada was oriented on Europe (for a long period of time). The different governance structures of health care and associated institutions such as lobbying result in a much higher health care expenditure in the United States than in Canada.

Suggested Citation

  • Antoon Spithoven, 2011. "It's the Institutions, Stupid! Why U.S. Health Care Expenditure Is so Different from Canada's," Journal of Economic Issues, Taylor & Francis Journals, vol. 45(1), pages 75-96.
  • Handle: RePEc:mes:jeciss:v:45:y:2011:i:1:p:75-96 DOI: 10.2753/JEI0021-3624450105
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    1. de Cecco, Marcello, 1979. "Origins of the Post-War Payments System," Cambridge Journal of Economics, Oxford University Press, vol. 3(1), pages 49-61, March.
    2. Francesco Forte & Roberto Marchionatti, 2012. "Luigi Einaudi's economics of liberalism," The European Journal of the History of Economic Thought, Taylor & Francis Journals, pages 587-624.
    3. Markwell, Donald, 2006. "John Maynard Keynes and International Relations: Economic Paths to War and Peace," OUP Catalogue, Oxford University Press, number 9780198292364.
    4. Mario Cedrini, 2008. "Consensus versus freedom or consensus upon freedom? from Washington disorder to the rediscovery of Keynes," Journal of Post Keynesian Economics, M.E. Sharpe, Inc., vol. 30(4), pages 499-522, July.
    5. J. B. Davis, 1990. "Keynes and Organicism," Journal of Post Keynesian Economics, M.E. Sharpe, Inc., vol. 12(2), pages 308-315, January.
    6. Anna Maria Carabelli & Mario Aldo Cedrini, 2007. "Current Global Imbalances: Might Keynes Be of Help?," Working Papers 113, SEMEQ Department - Faculty of Economics - University of Eastern Piedmont.
    7. Anna Carabelli, 1998. "Keynes on Probability, Uncertainty and Tragic Choices," Cahiers d'Économie Politique, Programme National Persée, vol. 30(1), pages 187-226.
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