Skip to main content

Ontario spends relatively less on hospitals and more on drugs and doctors

The Ontario Hospital Association (OHA) has just released a fairly interesting report entitled The Changing Face of Ontario Healthcare.   Here's what I draw from the report:

  • Provincial government health care spending in 2010  is $173 per capita less in Ontario than other provinces.  That means $173 less for every person in the province for the year.  And that means a saving of $2.3 billion province-wide.
  • All of this (and more) is accounted for by spending less per capita than other provinces on hospitals.  Ontario spends $262 less per capita than the other provinces.  In total that is a saving of $3.5 billion for all of Ontario.
  • The gap between what Ontario spends and what other provinces spend has increased every year since 2005 when the difference was only $86 per capita.
  • Unlike hospitals, Ontario spends more per capita than any other province on physicians: $192 more per capita than the other provinces. The gap between what Ontario spends and what other provinces spend has grown since 2005 when it was only $126 more in Ontario.
  • Ontario also spends more per capita on drugs, even a little more than Quebec which is the home of the brand name drug industry in Canada.  Per capita, Ontario spends $61 more than the other province per capita. The gap has remained pretty constant since 2005.
  • Ontario would have to increase hospital spending by 3.5% to match the average of the other provinces. Notably, almost all of that could be achieved if physician and drug spending also matched what other provinces are spending.
The OHA report is brief and worth a read. It is largely based on data in the 2010 National Healthcare Expenditure Report from the Canadian Institute for Health Information (CIHI).

dallan@cupe.ca

Comments

Popular posts from this blog

Too many public sector workers in Ontario?

Opponents of public services often try to portray the public sector as having grown disproportionately.  In fact, since 1976, the number of public sector employees has not quite kept pace with the population. In 1976, the number of public sector employees in Ontario  as reported by Statistics Canada averaged 830,800.  By 2012, the number had increased to 1,330,700 -- a 60.2% increase.  That sounds like significant growth -- true. But the population has increased  from 8,413,779 in 1976 to 13,505,900 in 2012, a 60.5% increase.   In other words, population growth has run slightly ahead of the growth in public sector employment.     In 1976, close to 10% of the population worked in the public sector.  It stayed pretty much this way until the Mike Harris government came to power when it dipped below 9%.  It returned close to the historical range in the last six years or so, declining in 2012 to below the 1976 averag...

Huge cuts in public sector wages predicted

The Ontario Financial Accountability Office (FAO)   says  that, with inflation, real wages in the public sector will decline 11.3% over the three year period  2021/2 - 2023/4 .  This would radically deepen the trend towards lower wages during the last ten years.   The FAO reports that since 2011, the average annual salary for the Ontario public sector employees (defined here as employees of schools, colleges, provincial government, provincial agencies, and hospitals) has increased by $10,385   -- or 1.6 per cent on average annually.  This is the lowest increase of all the sectors and lower than inflation, which averaged 1.8 per cent per year. Over the ten years that would be about a 2% pay cut.   The FAO reports that wage settlements were the lowest in the provincial public sector over the last decade:   Hospital Wages Especially Challenged: The FAO predicts hospital wages will increase even less than in the public sector  -- just ...

The hospital crisis: No capacity, no plan, no end

While Canada has achieved universal public healthcare coverage, that does not mean conservative forces have given up trying to erode that coverage and expand corporate care where it does not currently exist. The battle has become particularly intense in Ontario under the Ford Progressive Conservative government, which is implementing serious cuts to the level of care and moving to bring in for-profit mini-hospitals. Inadequate Staffing.   Less and less of hospital spending is on staff.   Employee compensation as a share of hospital expenditures has consistently shrunk in Ontario. This is not some immutable law of hospital development.  It is in stark contrast with the rest of Canada, where compensation has become a larger share and now accounts for 67.1%. Hospitals in provinces other than Ontario now have 18 percent more staff per capita than hospitals in Ontario. Overall, if Ontario had the same staffing capacity as the other provinces and territories, there would be another...