1
Canadian Institute for Health Information
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National Health Expenditure Highlights
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The National Picture
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Health Spending in Canada
• How much are governments and Canadians spending?
• What are we spending it on?
• Whom do we spend it on?
• How does Canada compare?
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2012 Health Spending Forecasts
• Spending on health care by governments and Canadians is projected to be
– $207.4 billion, a 3.4% increase
– 11.6% of GDP (versus 11.7% in 2011)
– $5,948 per person
– 0.4% above inflation and population growth in 2012
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Health Expenditure Continues to Rise
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
f0
50
100
150
200
250
Actual Spending Inflation-Adjusted Spending ($1997) Forecast
Bill
ion
s o
f D
olla
rs
2012f
Average Annual Growth Rates
Actual Spending Inflation-Adjusted
Spending1980s 10.8% 4.2%1990s 4.5% 2.5%2000–2010 7.0% 4.2%
SourceNational Health Expenditure Database, CIHI.
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Health Care Spending Outpacing Inflation and Population Growth
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
f-1%
0%
1%
2%
3%
4%
5%
6%
0.3%0.4%
Total Health Expenditure per Capita, Annual Growth Rates, Constant 1997 Dollars
Actual Forecast 1975–2010 AAG (2.5%)NoteAAG = average annual growth.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Components of Growth in Total Health Spending, 2012 and Average Annual Growth (2000 to 2010)
AAG 2012f0%
2%
4%
6%
8%
10%
2.7%1.9%
1.2%1.1%
3.1%
0.4%
Increase Due to Inflation Increase Due to Population GrowthReal Increase in Health Spending
3.4%
7.0%
Notesf = forecast.AAG = average annual growth.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Total Health Expenditure as a Proportion of GDP
19751977
19791981
19831985
19871989
19911993
19951997
19992001
20032005
20072009
2011f6%
7%
8%
9%
10%
11%
12%
8.1%
9.7% 9.7%
11.9%
Actual Forecast
2012f
Notef = forecast.SourcesNational Health Expenditure Database, CIHI; The Conference Board of Canada.
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Who Spends What?
Other Private3.3%
Out of Pocket14.5%
Private Health In-surance11.7%
Provincial-Gov-ernment Sector
65.2%
Other Public5.3%
Note2010 actual data.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Public Sector
Private Sector
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Public/Private Split
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
f0%
10%
20%
30%
40%
50%
60%
70%
80%
90%77.0% 76.1%74.0%
69.7%
23.0% 23.9% 26.0%30.3%
Public- and Private-Sector Shares of Total Health Expenditures, 1975 to 2012
Public-Sector Share Private-Sector Share Forecast
2012f
Notef: forecast.SourceNational Health Expenditure Database, CIHI.
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Public Share of Total Health Expenditure, 30 Selected Countries, OECD, 2010
Mexico
Korea
Slovak Republic
Switzerland
Australia*
Poland
Turkey†
Finland
Austria
France
Iceland
Sweden
United Kingdom
Luxembourg*
Norway
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
47.3%48.2%
58.2%60.5%
64.5%64.8%65.2%65.8%
68.5%71.1%71.7%72.8%73.0%
74.2%74.5%75.6%76.2%76.8%77.0%
78.9%80.4%80.5%81.0%
83.2%83.2%83.8%84.0%85.1%85.5%85.7%
Average: 73.2%
Notes* Data for 2009; † Data for 2008; § Current Expenditure (capital excluded).SourceOECD Health Data 2012, June edition.
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What Are We Spending On?
Hospitals29.1%
Drugs15.9%
Physicians14.2%
Other Profes-sionals10.6%
Other Health Spending
6.0%
Public Health5.4%
Administration3.2%
Capital5.2%
Other Institutions10.4%
Note2010 actual data.SourceNational Health Expenditure Database, CIHI.
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Changing Look of the Health Care System
60%
9%
9%
9%
13%
1975
Hospitals and Physicians Drugs Other Professionals Other Institutions
Other Expenditures
SourceNational Health Expenditure Database, CIHI.
2012
44%
16%
11%
11%
19%
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Annual Growth on Selected Services, 2012 Versus Average Annual Growth (2000 to 2010)
Other Institutions
Hospitals
Physicians
Other Professionals
Drugs
Total Health Spending
0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10%
0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10%
6.4%
6.8%
7.6%
5.9%
7.3%
7.0%
5.2%
3.1%
3.6%
3.5%
3.3%
3.4%
2012f AverageNotef: forecast.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Provincial Variations
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Total Health Expenditure per Capita, Provinces and Territories, 2012 (Forecast)
Que. B.C. Ont. N.B. P.E.I Sask. N.S. Man. Alta. N.L.$4,000
$4,500
$5,000
$5,500
$6,000
$6,500
$7,000
$7,500
$5,469$5,700
$5,849
$6,318 $6,336$6,481 $6,497 $6,518
$6,754
$7,057
Dollars per Capita Canada $5,948Y.T. $8,916.2N.W.T. $9,852.9Nun. $13,250.1
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Total Health Expenditure, Public- and Private-Sector Shares, 2012 (Forecast)
Ont. N.S. B.C. N.B. Que. Alta. P.E.I. Man. Sask. N.L. Canada
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
67.8% 68.7% 69.1% 69.3% 69.3% 72.5% 73.6% 73.9% 76.4% 76.5%69.7%
32.2% 31.3% 30.9% 30.7% 30.7% 27.5% 26.4% 26.1% 23.6% 23.5%30.3%
Public Share Private ShareSourceNational Health Expenditure Database, CIHI.
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Health Spending on Younger and Older Canadians
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Total Provincial/Territorial Government Health Expenditure per Capita, by Age Group, 2010
<1 1–4
5–9
10–
14
15–
19
20–
24
25–
29
30–
34
35–
39
40–
44
45–
49
50–
54
55–
59
60–
64
65–
69
70–
74
75–
79
80–
84
85–
89
90+
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$9,2
64$1
,496
$1,2
76$1
,282
$1,5
38$1
,708
$2,0
12$2
,156
$2,1
48$2
,206
$2,4
38$2
,917
$3,5
36$4
,380
$6,2
23 $8,7
21 $12,
050
$15,
768
$24,
111
$25,
970
Expenditure per Capita Average: $3,692
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Distribution of Provincial/Territorial Government Health Expenditures, by Age Group, 2000 and 2010
2000 20100%
10%
20%
30%
40%
50%
60%
2.9% 2.9%
53.3% 52.1%
43.8% 45.0%
<1 1–64 65+
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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How Does Canada Compare?
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Total Health Expenditure per Capita, U.S. Dollars, 30 Selected Countries, 2010
Turkey†
Estonia
Hungary
Korea
Slovak Republic
Portugal
Japan*
Finland
United Kingdom
Sweden
France
Austria
Denmark
Netherlands
Norway
$0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 $8,000 $9,000
$913$916
$1,294$1,389
$1,601$1,884
$2,035$2,071$2,095
$2,428$2,728
$3,022$3,035$3,056
$3,251$3,309
$3,433$3,670$3,758
$3,969$3,974
$4,338$4,395$4,445$4,464
$4,786$5,056
$5,270$5,388
$8,233
Average: $3,340
Note* Data for 2009; † Data for 2008.SourceOECD Health Data 2012, June edition.
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Total Health Expenditure as a Percentage of GDP, 30 Selected Countries, 2010
Turkey†
Estonia
Korea
Israel*
Luxembourg*
Slovak Republic
Australia*
Norway
Sweden
United Kingdom
Belgium
Austria
Switzerland
Germany
Netherlands
0% 2% 4% 6% 8% 10% 12% 14% 16% 18%
6.1%6.2%6.3%
7.0%7.1%
7.5%7.5%
7.8%7.9%
8.9%9.0%9.0%9.1%9.3%9.4%9.5%9.6%9.6%9.6%
10.1%10.5%10.7%
11.0%11.1%
11.4%11.4%11.6%11.6%
12.0%17.6%
Average: 9.5%
Note* Data for 2009; † Data for 2008.SourceOECD Health Data 2012, June edition.
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Public-Sector Health Expenditure per Capita, U.S. Dollars, 30 Selected Countries, 2010
Mexico
Poland
Hungary
Israel*
Czech Republic
Portugal
Finland
Australia†
Iceland
Belgium
France
Germany
Switzerland
United States
Netherlands§
$0 $500 $1,000 $1,500 $2,000 $2,500 $3,000 $3,500 $4,000 $4,500 $5,000
$433$667
$995$1,020$1,037
$1,185$1,254
$1,351$1,578
$1,768$1,795
$2,267$2,422$2,443
$2,515$2,515
$2,662$2,857
$3,000$3,046$3,061
$3,158$3,331$3,349
$3,437$3,800
$3,967$4,021$4,050
$4,607
Average: $2,453
Notes* Data for 2009; † Data for 2008; § Current Expenditure (capital excluded).SourceOECD Health Data 2012, June edition.
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Canada and Comparable G7 Countries, 2010
Total Health Expenditure per Capita
(USD)
Total Health Expenditure
(Percentage of GDP)
Public Share of Total Health Expenditure
Public-Sector Health
Spending per Capita (USD)
Canada 4,445 11.4% 71.1% 3,158
U.S. 8,233 17.6% 48.2% 3,967
Germany 4,338 11.6% 76.8% 3,331
France 3,974 11.6% 77.0% 3,061
U.K. 3,433 9.6% 83.2% 2,857
NoteAll numbers represent 2010 data. Per capita spending was converted to U.S. dollars using purchasing power parities for GDP.SourceOECD Health Data 2012, June edition.
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The Road Ahead . . .
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Thank You
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