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Exploring Social InsuranceCan a Dose of Europe Cure Canadian Health Care Finance? |
Sustainability, quality, and accessibility are vital questions in Canadian health care. All Canadian governments, concerned about the growing share of the public budget absorbed by health care, are questioning the sustainability of the present system. How can we maintain and improve access to health care services of appropriate quality while ensuring sustainability? If there is one consolation to Canadian governments as they wrestle with the future of Medicare, it is that sustainability concerns are not unique to Canada but affect all countries, regardless of the level of private financing in a system. Some countries, however - particularly social insurance countries in Northern Europe such as Germany and France - manage to achieve universal access without wrestling with waiting lists, while providing a wide range of services. This book examines whether the grail of sustainability, quality, and accessibility could be better achieved through a marriage of the traditional Canadian model with elements of a European system.
Contributors include Sherry Glied (Columbia), Stefan Gress (Duisburg-Essen), Morley Gunderson and Doug Hyatt (Toronto), Tim Jost (Washington and Lee Universities), Ted Marmor (Yale), Jack Mintz (Toronto), Steve Morgan (UBC), Terry Sullivan (Cancer Care Ontario), Joe White (Case Western Reserve University), and Wynand Van de Ven (Erasmus).
Contributors include Sherry Glied (Columbia), Stefan Gress (Duisburg-Essen), Morley Gunderson and Doug Hyatt (Toronto), Tim Jost (Washington and Lee Universities), Ted Marmor (Yale), Jack Mintz (Toronto), Steve Morgan (UBC), Terry Sullivan (Cancer Care Ontario), Joe White (Case Western Reserve University), and Wynand Van de Ven (Erasmus).
Details
Part of the Queen's Policy Studies Series (number 116 in series)
312 Pages, 6 x 9
Queen's Policy Studies Series - School of Policy Studies
ISBN 9781553392132
April 2008
Formats: Cloth
Colleen M. Flood is Canada Research Chair in Health Law & Policy, Faculty of Law, University of Toronto and Scientific Director, CIHR Institute for Health Services & Policy Research.
Mark Stabile is Associate Professor, Rotman School of Management, and Director, School of Public Policy and Governance, University of Toronto.
Carolyn Hughes Tuohy is Professor Emeritus of Political Science and Senior Fellow in the School of Public Policy and Governance, University of Toronto.
Mark Stabile is Associate Professor, Rotman School of Management, and Director, School of Public Policy and Governance, University of Toronto.
Carolyn Hughes Tuohy is Professor Emeritus of Political Science and Senior Fellow in the School of Public Policy and Governance, University of Toronto.
Exploring Social Insurance
Edited by Colleen M. Flood, Mark Stabile and Carolyn Hughes Tuohy
Table of Contents
List of Tables and Figures vii
Foreword xi
Hugh Segal
Acknowledgements xiii
1. Introduction: Seeking the Grail: Financing for Quality, Accessibility, arid Sustainability in the Health Care System 1
Colleen M. Flood, Mark Stabile, and Carolyn Hughes Tuohy
2. Health Care Financing, Efficiency, and Equity 37
Sherry Glied
3. Efficient and Fair Financing of the Public Share of Canadian Health Care Insurance with Greater Reliance on the User-Pay Approach 59
Jack M. Mintz and Andrey Tarasov
4. Payroll-Tax Financed Health Insurance: A Way for the Future? 91
Morley Gunderson and Douglas Hyatt
5. Social Insurance versus Tax Financing in Health Care: Reflections from Germany 115
Stefan Greb, Stephanie Maas, and Jurgen Wasem
6. A Competitive Market for Social Health Insurance in Five Countries: Is There a Relation between Funding and Organizing Health Care? 139
Wynand P.M.M. van de Ven
7. Funding Health Care Services: The Optimal Balance 163
Timothy Stoltzfus Jost
8. The Comparative Dimension of Policy Analysis: Rules of the Game? 185
Ted Marmor
9. Challenges and Changes in Pharmacare: Could Social Insurance Be the Answer? 199
Steve Morgan
10. Between the Dream and Sleepwalking: Pragmatic Possibilities for Canada -221
Terrence Sullivan
11. Policy and Politics: A Commentary on the Conference on Social Insurance for Health Care: Economic, Legal, and Political Considerations 233
Joseph White
12. Conclusion 251
Colleen M. Flood, Mark Stabile, and Carolyn Hughes Tuohy
Index 277
Contributors 285
Edited by Colleen M. Flood, Mark Stabile and Carolyn Hughes Tuohy
Table of Contents
List of Tables and Figures vii
Foreword xi
Hugh Segal
Acknowledgements xiii
1. Introduction: Seeking the Grail: Financing for Quality, Accessibility, arid Sustainability in the Health Care System 1
Colleen M. Flood, Mark Stabile, and Carolyn Hughes Tuohy
2. Health Care Financing, Efficiency, and Equity 37
Sherry Glied
3. Efficient and Fair Financing of the Public Share of Canadian Health Care Insurance with Greater Reliance on the User-Pay Approach 59
Jack M. Mintz and Andrey Tarasov
4. Payroll-Tax Financed Health Insurance: A Way for the Future? 91
Morley Gunderson and Douglas Hyatt
5. Social Insurance versus Tax Financing in Health Care: Reflections from Germany 115
Stefan Greb, Stephanie Maas, and Jurgen Wasem
6. A Competitive Market for Social Health Insurance in Five Countries: Is There a Relation between Funding and Organizing Health Care? 139
Wynand P.M.M. van de Ven
7. Funding Health Care Services: The Optimal Balance 163
Timothy Stoltzfus Jost
8. The Comparative Dimension of Policy Analysis: Rules of the Game? 185
Ted Marmor
9. Challenges and Changes in Pharmacare: Could Social Insurance Be the Answer? 199
Steve Morgan
10. Between the Dream and Sleepwalking: Pragmatic Possibilities for Canada -221
Terrence Sullivan
11. Policy and Politics: A Commentary on the Conference on Social Insurance for Health Care: Economic, Legal, and Political Considerations 233
Joseph White
12. Conclusion 251
Colleen M. Flood, Mark Stabile, and Carolyn Hughes Tuohy
Index 277
Contributors 285
9781553392774
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9781553391302
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