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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
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Alternate Title |
HPRU 93:17D
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Creator | |
Contributor | |
Publisher |
Centre for Health Services and Policy Research (CHSPR)
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Date Issued |
1993-12
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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.
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Subject | |
Geographic Location | |
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Type | |
Language |
eng
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Date Available |
2014-08-26
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Provider |
Vancouver : University of British Columbia Library
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Rights |
Attribution-NonCommercial-NoDerivs 2.5 Canada
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DOI |
10.14288/1.0048422
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URI | |
Affiliation | |
Peer Review Status |
Unreviewed
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Scholarly Level |
Faculty; Researcher
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Rights URI | |
Aggregated Source Repository |
DSpace
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Item Media
Item Citations and Data
Rights
Attribution-NonCommercial-NoDerivs 2.5 Canada