A second column on health care. She says "the devil is in the details." She gets a lot of them into 650 or so words, working through an interview with state Rep. Steve Gottwalt. A couple people have said to me they really liked this one, so please check it out.

To see more devils, behold Canada, where the rate of increase of medical spending is growing faster than available revenues.

Provincial government health spending has grown at an average annual rate of 7.4% over the 10-year trend period examined in this report (1999/2000 to 2008/2009). At the same time, the average annual growth rate for total available provincial revenue has been only 6.5%. Provincial government health spending has also grown faster than provincial GDP, which grew at an average annual rate of only 6.4% over the same period.

...The most recent one-year growth in government health spending was 8.3% (on average across all provinces), while the growth in total available revenue was only 5.2%.

So how do you fix that? In Canada, they queue:

Unfortunately, provincial governments typically attempt to slow the growth of health spending by restricting or delaying access to publicly insured health care. For example, the most recent data show that wait times for access to medical services have increased in every province over the 10-year trend period (Esmail et al., 2008). In addition, provincial publicly funded drug programs are, to an increasing degree, covering only a small percentage of new medicines. Such policies have the effect of slowing growth in government health spending in the short term. However, the rationing of health goods and services cannot continue indefinitely without increasing medical risks for patients.

Link added.

Labels: Gottwalt, health care, Mrs. S