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Charging Peter to pay Paul : accounting for the financial effects of user charges Evans, Robert G., 1942-; Barer, M. L.; Stoddart, G. L.

Abstract

This is one in a series of articles by the authors about the ongoing debate over user charges in the Canadian health care system. In this paper we outline a formal and comprehensive analytic framework in which income transfers - the principal effects of user charges - can be traced between groups in the population (e.g. the healthy and the sick, the rich and the poor), between payers and health care providers, and among providers. The accounting relationships in this framework, expressed as equatins, are a sub-set of those underlying the economy-wide national income and product accounts. They make it clear that "it is impossible to do only one thing" when charges are imposed -- or removed. The framework is used to analyze the patterns of income transfers associated with different types of user charges.

Item Metadata

Title
Charging Peter to pay Paul : accounting for the financial effects of user charges
Alternate Title
HPRU 93:17D
Creator
Evans, Robert G., 1942-; Barer, M. L.; Stoddart, G. L.
Contributor
University of British Columbia. Centre for Health Services and Policy Research
Publisher
Centre for Health Services and Policy Research (CHSPR)
Date Issued
1993-12
Description
This is one in a series of articles by the authors about the ongoing debate over user charges in the Canadian health care system. In this paper we outline a formal and comprehensive analytic framework in which income transfers - the principal effects of user charges - can be traced between groups in the population (e.g. the healthy and the sick, the rich and the poor), between payers and health care providers, and among providers. The accounting relationships in this framework, expressed as equatins, are a sub-set of those underlying the economy-wide national income and product accounts. They make it clear that "it is impossible to do only one thing" when charges are imposed -- or removed. The framework is used to analyze the patterns of income transfers associated with different types of user charges.
Subject
User charges -- Canada; Medical care -- Canada -- Finance; Medical economics -- Canada; Fee-for-Service Plans -- Canada; Fees, Medical -- Canada
Geographic Location
Canada
Genre
Book
Type
Text
Language
eng
Date Available
2014-08-26
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial-NoDerivs 2.5 Canada
DOI
10.14288/1.0048422
URI
http://hdl.handle.net/2429/50234
Affiliation
Arts, Faculty of; Vancouver School of Economics; Health Care and Epidemiology, Department of; Non UBC; Medicine, Faculty of; Population and Public Health (SPPH), School of
Peer Review Status
Unreviewed
Scholarly Level
Faculty; Researcher
Rights URI
http://creativecommons.org/licenses/by-nc-nd/2.5/ca/
Aggregated Source Repository
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Attribution-NonCommercial-NoDerivs 2.5 Canada