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User Fees for Health Care: Why a Bad Idea Keeps Coming Back (Or, What's Health Got to Do with It?)


  • Evans, R.G.
  • Barer, M.L.


Calls for user fees in Canadian health care go back as far as the debate leading up to the establishment of Canada's national hospital insurance program in the late 1950s. Although the rationales have shifted around somewhat, some of the more consistent claims have been that user fees are necessary as a source of additional revenue for the badly underfunded system, that they are necessary to control runaway health care costs, and that they will deter unnecessary use (read abuse) of the system.

Suggested Citation

  • Evans, R.G. & Barer, M.L., 1995. "User Fees for Health Care: Why a Bad Idea Keeps Coming Back (Or, What's Health Got to Do with It?)," Centre for Health Services and Policy Research 95:8r, University of British Columbia - Centre for Health Services and Policy Research..
  • Handle: RePEc:fth:brichs:95:8r

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    Cited by:

    1. Voncina, Luka & Dzakula, Aleksandar & Mastilica, Miroslav, 2007. "Health care funding reforms in Croatia: A case of mistaken priorities," Health Policy, Elsevier, vol. 80(1), pages 144-157, January.
    2. Mamas Theodorou, 2014. "Testing the Waters for GeSY: Patients’ Opinion of Cost-sharing Arrangements in the Public Health Care System in Cyprus," Cyprus Economic Policy Review, University of Cyprus, Economics Research Centre, vol. 8(2), pages 37-59, December.
    3. Bentur, Netta & Gross, Revital & Brammli-Greenberg, Shuli, 2004. "Satisfaction with and access to community care of the chronically ill in Israel's health system," Health Policy, Elsevier, vol. 67(2), pages 129-136, February.

    More about this item



    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets


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