Income-Based Drug Coverage in British Columbia: The Impact on Private and Public Expenditures Un régime d’assurance-médicaments fondé sur le revenu en Colombie-Britannique : Incidence sur les dépenses privées et publiques

Income-Based Drug Coverage in British Columbia: The Impact on the Distribution of Financial Burden Un régime d’assurance-médicaments fondé sur le revenu en Colombie-Britannique : Incidence sur la répartition du fardeau financier

Background and Objectives: In May 2003, the government of British Columbia adopted an income-based pharmacare program, replacing the previous age-based program. Stated policy goals included improving the distribution of pharmaceutical payments across incomes. This analysis assesses the policy’s effect on the distribution across incomes of both private payments and public subsidy for prescriptio...

Income-Based Drug Coverage in British Columbia: The Impact on Access to Medicines Un régime d’assurance-médicaments fondé sur le revenu en Colombie-Britannique : Incidence sur l’accès aux médicaments

Background and Objectives: In May 2003, the government of British Columbia adopted income-based pharmacare, replacing an age-based program. Stated policy goals included the maintenance or enhancement of access to necessary medicines. This study examines the policy impact on access to two widely used drugs for chronic risk factors (antihypertensives and statins). Methods: Data on incident antihy...

The Effect of Evidence-Based Drug Coverage Policies on Pharmaceutical R&D: A Case Study from British Columbia Effet, sur la R&D pharmaceutique, des politiques d’assurance-médicaments fondées sur des preuves : une étude de cas de la Colombie-Britannique

Background: To manage public expenditures in the mid-1990s, British Columbia implemented evidence-based drug coverage policies, including " reference pricing. " Industry lobbied against the province' s policy, arguing that reference pricing harms patients and that it is inconsistent with federal and provincial legislation. Researchers and the courts have studied and rejected industry' s claims....

Fiscal policy, long-run growth, and welfare in a stock-flow model of public goods

We introduce public capital and public services as inputs in an endogenous growth model. We show that the growth rate depends on the apportionment of tax revenues between the accumulation of public capital and the provision of public services. When public spending is financed by proportional income taxes, the growth rate, the level of public spending as a proportion of GDP, the level of investm...

Healthcare Use of Families of Injured Workers Before and After a Workplace Injury in British Columbia, Canada Le recours aux soins de santé par les familles de travailleurs blessés avant et après un accident du travail, en Colombie-Britannique, Canada