National Health Expenditure Trends, 1975 to 2014 ChartbookOctober 2014

2 Our Vision Better data. Better decisions. Healthier Canadians. Our Mandate To lead the development and maintenance of comprehensive and integrated health information that enables sound policy and effective health system management that improve health and health care. Our Values Respect, Integrity, Collaboration, Excellence, Innovation

3 The following slides are provided to reuse in your own presentations. Please cite as follows: Canadian Institute for Health Information. National Health Expenditure Trends, 1975 to Ottawa, ON: CIHI; Additional Resources The following companion products are available on CIHI’s website. Report Data tables Public summary Talk to Us For data-specific information: For media inquiries:

This presentation Infographics National trends International comparisons Provincial-level findings 4

How much will we spend on health in 2014? 5

What is the money being spent on? 6

Where does the money come from? 7

What is the money being spent on? 8

Has health spending on seniors changed? 9

How do the provinces and territories compare? 10

How does Canada compare internationally? is the latest year available.

How much is being spent on health care? 12

Four distinct periods of growth in health spending since Sources National Health Expenditure Database, CIHI; Statistics Canada.

The fourth period is emerging 14 Sources National Health Expenditure Database, CIHI; Statistics Canada.

The percentage of total health spending as a proportion of Canada’s gross domestic product (GDP) has fallen gradually in the past few years 15 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.

Public/private split unchanged in the last two decades 16 Source National Health Expenditure Database, CIHI.

Where does the money come from? 17 Notes 2014 forecast data. In billions of dollars. Sources National Health Expenditure Database, CIHI; Statistics Canada. Public Sector Private Sector

There is a difference of more than $1,300 between the highest and lowest spenders 18 Note f: Forecast. Sources National Health Expenditure Database, CIHI; Statistics Canada.

On average, provincial/territorial governments spend 40% of their budgets on health care 19 Canada Average % 2013 f 38% Note f: Forecast. Sources National Health Expenditure Database, CIHI; Statistics Canada.

Provincial/territorial government health spending is growing faster than revenue; spending on other government programs also continues to increase 20 Source Statistics Canada.

What is the money being spent on? 21

About 60% of total health spending is directed to hospitals, drugs and physicians 22 Note 2014 forecast data. Source National Health Expenditure Database, CIHI.

Spending on hospitals declined in the last decade as spending on drugs and other expenditures increased 23 Note f: Forecast. Source National Health Expenditure Database, CIHI f 1994

Public-sector share of spending on prescription drugs 24 Note f: Forecast. Sources National Health Expenditure Database, CIHI; Statistics Canada.

Public-sector spending on prescription drugs, average annual growth rate, last decade versus current decade 25 Note f: Forecast. Sources National Health Expenditure Database, CIHI; Statistics Canada. Canada Average 1994– % 2004–2014 f 3.9%

Difference of $400 between the highest and lowest total drug expenditure per capita 26 Note f: Forecast. Sources National Health Expenditure Database, CIHI; Statistics Canada.

On average, we spend three times more on older seniors than on younger seniors 27 Sources National Health Expenditure Database, CIHI; Statistics Canada.

Share of health spending on seniors has risen only slightly since Sources National Health Expenditure Database, CIHI; Statistics Canada.

Impact of population growth and aging varies 29 Canada Average Population Growth1.0% Aging0.9% Sources National Health Expenditure Database, CIHI; Statistics Canada.

How does Canada compare internationally? 30

Canada’s per person spending is just more than half of what is spent on health care in the U.S. but higher than the OECD average 31 Note * Data for Source OECD Health Statistics 2014 (June edition), Organisation for Economic Co-operation and Development (OECD).

Canada spends more on health care as a percentage of its economy than most OECD countries 32 Note * Data for Source OECD Health Statistics 2014 (June edition), OECD.

The ratio of health spending to GDP increased in all G7 countries in the last decade 33 Source OECD Health Statistics 2014 (June edition), OECD.

The share of health spending funded by the public sector in Canada is less than the OECD average 34 Note * Data for Source OECD Health Statistics 2014 (June edition), OECD.

As GDP grows, so does per person health spending 35 Source OECD Health Statistics 2014 (June edition), OECD.

What is happening in my province? 36

Provincial Chapter Newfoundland and Labrador 37

How has total health spending changed over time? 38 Source National Health Expenditure Database, CIHI. Newfoundland and Labrador

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 39 Newfoundland and Labrador Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 40 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. Newfoundland and Labrador

Category shares of total health spending 41 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. Newfoundland and Labrador

Shares of provincial government health spending by age group 42 Sources National Health Expenditure Database, CIHI; Statistics Canada. Newfoundland and Labrador

Provincial Chapter Prince Edward Island 43

How has total health spending changed over time? 44 Source National Health Expenditure Database, CIHI. Prince Edward Island

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 45 Prince Edward Island Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 46 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. Prince Edward Island

Category shares of total health spending 47 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. Prince Edward Island

Shares of provincial government health spending by age group 48 Sources National Health Expenditure Database, CIHI; Statistics Canada. Prince Edward Island

Provincial Chapter Nova Scotia 49

How has total health spending changed over time? 50 Source National Health Expenditure Database, CIHI. Nova Scotia

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 51 Nova Scotia Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 52 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. Nova Scotia

Category shares of total health spending 53 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. Nova Scotia

Shares of provincial government health spending by age group 54 Sources National Health Expenditure Database, CIHI; Statistics Canada. Nova Scotia

Provincial Chapter New Brunswick 55

How has total health spending changed over time? 56 Source National Health Expenditure Database, CIHI. New Brunswick

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 57 New Brunswick Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 58 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. New Brunswick

Category shares of total health spending 59 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. New Brunswick

Shares of provincial government health spending by age group 60 Sources National Health Expenditure Database, CIHI; Statistics Canada. New Brunswick

Provincial Chapter Quebec 61

How has total health spending changed over time? 62 Source National Health Expenditure Database, CIHI. Quebec

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 63 Quebec Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 64 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. Quebec

Category shares of total health spending 65 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. Quebec

Shares of provincial government health spending by age group 66 Sources National Health Expenditure Database, CIHI; Statistics Canada. Quebec

Provincial Chapter Ontario 67

How has total health spending changed over time? 68 Source National Health Expenditure Database, CIHI. Ontario

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 69 Ontario Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 70 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. Ontario

Category shares of total health spending 71 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. Ontario

Shares of provincial government health spending by age group 72 Sources National Health Expenditure Database, CIHI; Statistics Canada. Ontario

Provincial Chapter Manitoba 73

How has total health spending changed over time? 74 Source National Health Expenditure Database, CIHI. Manitoba

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 75 Manitoba Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 76 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. Manitoba

Category shares of total health spending 77 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. Manitoba

Shares of provincial government health spending by age group 78 Sources National Health Expenditure Database, CIHI; Statistics Canada. Manitoba

Provincial Chapter Saskatchewan 79

How has total health spending changed over time? 80 Source National Health Expenditure Database, CIHI. Saskatchewan

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 81 Saskatchewan Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 82 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. Saskatchewan

Category shares of total health spending 83 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. Saskatchewan

Shares of provincial government health spending by age group 84 Sources National Health Expenditure Database, CIHI; Statistics Canada. Saskatchewan

Provincial Chapter Alberta 85

How has total health spending changed over time? 86 Source National Health Expenditure Database, CIHI. Alberta

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 87 Alberta Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 88 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. Alberta

Category shares of total health spending 89 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. Alberta

Shares of provincial government health spending by age group 90 Sources National Health Expenditure Database, CIHI; Statistics Canada. Alberta

Provincial Chapter British Columbia 91

How has total health spending changed over time? 92 Source National Health Expenditure Database, CIHI. British Columbia

Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars 93 British Columbia Source National Health Expenditure Database, CIHI.

Total health spending–to-GDP ratio 94 Sources National Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada. British Columbia

Category shares of total health spending 95 Note 2014 forecast data. Source National Health Expenditure Database, CIHI. British Columbia

Shares of provincial government health spending by age group 96 Sources National Health Expenditure Database, CIHI; Statistics Canada. British Columbia

More information The annual report National Health Expenditure Trends, 1975 to 2014 provides detailed, updated information on health expenditure in Canada. The annual report, information sheets, presentations, methodological notes and up-to-date data tables are available at Feedback and questions can be sent to 97