1. Medicare is as sustainable as we want it to be Michael M Rachlis MD MSc FRCPC LLD November 5, 2010 www.michaelrachlis.comwww.michaelrachlis.com

2. Certainly those who knew the most were the least scared. Winston Churchill. The Second World War. 1949. Volume II. Book One. Chapter 14. The Invasion Problem Michael M. Rachlis MD November 5, 2010 2

3. The sustainability of Medicare Canadas current health care costs are increasing Health increased its share of GDP from 2000 to 2009 – It fell this year But recent increases in health cares share of the GDP are almost totally due to the recession Health care has slightly increased its share of provincial budgets due mainly to cuts in other areas rather than increases in health spending Canadas health costs are similar to other wealthy countries and substantially less than those in the US Michael M. Rachlis MD November 5, 2010 3

4. 4

5. 5

6. 6

7. 7

8. 8

9. 9

10. Notes * Data for 2007. Data for 2006. Source Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France: OECD, 2010). Most data 2008 10