The Reallocation Challenge
In this commentary published in the Canadian Journal of Public Health, we argue governments should be containing medical care spending, and investing more in the social determinants of health.

Why did we write this article?

Every winter we find ourselves in government budget lockups, crunching the numbers to see how proposed public spending for that year breaks down by age. And every year, we see more and more public spending being gobbled up by medical care, without much public debate.

At the same time, proposals to invest more in younger Canadians are met with significant resistance and arguments that "the cupboard is bare."  

Canada's universal medical care system is a source of pride and a cherished aspect of our national identity. However: 

We're spending too much to get too little, we're focusing on health care instead of health, and we're burdening younger Canadians with public debt and inadequate investment.

So we partnered with two co-authors to publish this commentary in the Canadian Journal of Public Health

Download the commentary

Paul Kershaw
Dr. Paul Kershaw is a Professor in the University of British Columbia's School of Population and Public Health, and the Founder of Generation Squeeze.
Canadian governments need to contain medical care spending, and invest more in the social determinants of health
The Reallocation Challenge
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