title: 2020 healthcare management in Canada: a new model home next door.
abstract: The Commission on the Future of Health Care in Canada asked whether Medicare is sustainable in its present form. Well, Medicare is not sustainable for at least six reasons. Given a long list of factors, such as Canada's changing dependency ratio, the phenomenon of diminishing returns from increased taxation, competing provincial expenditure needs, low labour and technological productivity in government-funded healthcare, the expectations held by baby boomers, and the evolving value sets of Canadians--Medicare will impoverish Canada within the next couple of decades if not seriously recast. As distasteful as parallel private-pay, private-choice healthcare may be to some policy makers and providers who grew up in the 1960s, the reality of the 2020s will dictate its necessity as a pragmatic solution to a systemic problem.
authors.affiliation: Michael G. DeGroote School of Business, McMaster University.
authors.forename: D Wayne
authors.initials: DW
authors.lastname: Taylor
mesh_terms: D002170:Canada; D017047:Cost Sharing; D004526:Efficiency; D004651:Employment / Q000706:statistics & numerical data / Q000639:trends; D018166:Health Care Reform; D005102:Health Expenditures / Q000639:trends; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D017146:Models, Organizational; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration* / Q000639:trends; D011057:Politics; D011157:Population Dynamics; D012922:Social Change; D012945:Social Values; D013660:Taxes / Q000639:trends