{"id":543436,"date":"2026-03-18T00:39:08","date_gmt":"2026-03-18T00:39:08","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/543436\/"},"modified":"2026-03-18T00:39:08","modified_gmt":"2026-03-18T00:39:08","slug":"where-do-our-health-care-dollars-go","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/543436\/","title":{"rendered":"Where do our health care dollars go?"},"content":{"rendered":"<p class=\"c-article-body__text text-pr-5\">The quest for better health care is a national obsession in many countries, and an important issue for Canadian seniors. When it comes to spending money on health care, Canada is doing well compared to other developed countries. <\/p>\n<p class=\"c-article-body__text text-pr-5\">Charts measuring spending per capita generally show Canada falling in the middle, a rank that would be higher if the figures were age-adjusted. (Health care costs rise rapidly as people age and most European countries have older populations than Canada, so they should be spending more.) <\/p>\n<\/p>\n<p class=\"c-article-body__text text-pr-5\">But what are Canadians getting for those health care dollars? When it comes to medical technology, such as MRIs and CT scans, Canada ranks dead last, below countries that spend much less per capita, including Slovakia, Croatia and Turkey. <\/p>\n<p class=\"c-article-body__text text-pr-5\">If we\u2019re not spending on technology, then where is the money going? Is it going toward better access to emergency care, major medical procedures, hospital beds or family doctors? <\/p>\n<\/p>\n<p class=\"c-article-body__text text-pr-5\">While that question deserves a deeper dive, I can provide my own initial observations. <\/p>\n<p class=\"c-article-body__text text-pr-5\">The first is that Canada spends a disproportionate amount on end-of-life care, more than the United States and many European countries. A 2021 C.D. Howe Institute study found we spend <a href=\"https:\/\/www.cdhowe.org\/wp-content\/uploads\/2024\/04\/Commentary_608.pdf\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.cdhowe.org\/wp-content\/uploads\/2024\/04\/Commentary_608.pdf\">nearly double on end-of-life hospitalizations<\/a> compared with England and the Netherlands. Yet, there\u2019s little to show for it in terms of higher life expectancy or quality of life at advanced ages. And even though they spend less than Canada, I would guess that Europeans do not believe they are any less compassionate toward their elderly.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Another potential factor relates to a trend identified by economist William J. Baumol known as Baumol\u2019s cost disease. His theory noted that salaries in any given sector will rise higher along with the rest of the economy, even when there are no productivity gains within that sector itself. When additional public funding becomes available, a disproportionate amount gets spent on raising salaries rather than on productivity improvements, infrastructure or technology. <\/p>\n<p class=\"c-article-body__text text-pr-5\"><a href=\"https:\/\/www.theglobeandmail.com\/topics\/retirement-and-pension\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.theglobeandmail.com\/topics\/retirement-and-pension\/\">Retirees<\/a> probably have a greater say than younger Canadians in changing this country\u2019s approach to health care. They are the biggest users of health care and they are more likely to vote. But when it comes to health care, charts like these show they should be voting for smarter spending rather than just more of it.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Frederick Vettese is former chief actuary of Morneau Shepell and author of the <a href=\"https:\/\/www.perc-pro.ca\/\" target=\"_blank\" rel=\"noopener nofollow\">PERC<\/a> retirement calculator (<a href=\"https:\/\/www.perc-pro.ca\/\" target=\"_blank\" rel=\"noopener nofollow\">perc-pro.ca<\/a>)<\/p>\n","protected":false},"excerpt":{"rendered":"The quest for better health care is a national obsession in many countries, and an important issue for&hellip;\n","protected":false},"author":2,"featured_media":252595,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[49,48,14537,84,392,1705],"class_list":["post-543436","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-ca","tag-canada","tag-chartoftheday","tag-health","tag-healthcare","tag-retirement"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/543436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=543436"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/543436\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/252595"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=543436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=543436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=543436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}