Competition in Canadian Health Care Service Provision: Good, Bad or Indifferent?

The School of Public Policy Publications, Vol. 2, Issue 4, November 2009

43 Pages Posted: 11 Oct 2017 Last revised: 25 Sep 2020

Date Written: November 4, 2009

Abstract

Most provincial health care systems in Canada combine public, private non-profit, and private for-profit delivery. In Alberta, the Health Care Protection Act, known as Bill 11, allows the public to purchase certain insured surgical services from private providers. This legislation sparked a heated and ongoing debate in Canada about the role of competition in health care service delivery. The key question asked is what can be gained from introducing competition among hospital and physician services while maintaining a public payment system. This paper evaluates what has been learned from the recent literature on competition in health care markets in the context of expanding the role of the private sector in Alberta. The evidence does not provide a definitive answer. Competition introduced by an expanded private sector is likely to be beneficial on some measures, indifferent on others, but not likely bad.

Suggested Citation

Ruseski, Jane E., Competition in Canadian Health Care Service Provision: Good, Bad or Indifferent? (November 4, 2009). The School of Public Policy Publications, Vol. 2, Issue 4, November 2009, Available at SSRN: https://ssrn.com/abstract=3050651

Jane E. Ruseski (Contact Author)

West Virginia University ( email )

PO Box 6025
Morgantown, WV 26506
United States

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