Drug Expenditure in Canada, 1985 to 2012 pic Spending and Health Workforce

Drug Expenditure in Canada, 1985 to 2012 pic Spending and Health Workforce
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Drug Expenditure in Canada, 1985 to 2012
Spending and Health Workforce
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Table of Contents
Introduction .................................................................................................................................. iii Highlights ..................................................................................................................................... iii 1 Methodological Notes.............................................................................................................. 1 1.1 Background .................................................................................................................... 1 1.2 Data Limitations .............................................................................................................. 6 1.3 Collection and Non-Response ........................................................................................ 8 1.4 Sources of Data ............................................................................................................ 15 Series A—Expenditure on Drugs by Type, by Source of Finance and as a Share
of Public, Private and Total Health Expenditure, Canada, 1985 to 2012 .................................... 17 Series B—Expenditure on Drugs by Type, by Source of Finance and as a Share
of Public, Private and Total Health Expenditure, by Province/Territory, 1985 to 2012 ............... 23 Series C—International Comparisons ......................................................................................... 77 Appendix A: Factors That May Influence Drug Use and Expenditure in Canada ....................... 83 Appendix B: Comparison of Provincial and Territorial Drug Subsidy Programs ......................... 85 References................................................................................................................................ 107 Drug Expenditure in Canada, 1985 to 2012
Introduction
Drug expenditure data in this publication was obtained primarily from the National Health
Expenditure Database (NHEX) maintained by the Canadian Institute for Health Information
(CIHI). This publication provides readers with highlights of total drug expenditure by source of
funds (public and private sectors) and by type of drugs (prescribed and non-prescribed) at the
provincial/territorial and national levels. International comparisons are also included. For more
detailed information on the data, please see the Methodological Notes section.
Highlights
How much is total drug expenditure in Canada?
 Total drug expenditure is forecast to have reached $32.0 billion in 2011 and $33.0 billion in
2012, representing annual growth rates of 4.0% and 3.3%, respectively.
 The annual rate of change in total drug expenditure is at its lowest since 1996, and average
annual growth in the past 10 years has been lower than growth over any other 10-year
period dating back to 1985. This trend is due in part to patent expirations of blockbuster
brand name drugs and the subsequent entry of lower-priced generic drugs used to treat
common ailments like high cholesterol and hypertension, as well as the implementation of
generic pricing policies by provincial drug programs.1–3 (For a more comprehensive list of
factors that may influence drug expenditure, see Appendix A.)
 Drugs’ share of total health expenditure is forecast to have remained constant at 15.9% in
both 2011 and 2012.
 Total drug expenditure per capita is expected to have reached $927 in 2011 and $947 in
2012, representing annual growth rates of 2.9% and 2.2%, respectively.
What is the makeup of total drug expenditure in Canada?
 Prescribed drug spending is forecast to have made up 84.1% and 84.0% of total drug
expenditure in 2011 and 2012, respectively.
 Expenditure on prescribed drugs is expected to have reached $26.9 billion in 2011 and
$27.7 billion in 2012, representing annual growth rates of 3.8% and 3.2%, respectively.
 Expenditure on non-prescribed drugs is forecast to have reached $5.1 billion in 2011 and
$5.3 billion in 2012, representing annual increases of 4.7% and 4.4%, respectively.
What are the sources of finance for prescribed drug spending?
 Multiple payers (that is, provincial/territorial and federal drug subsidy programs and social
security funds) are involved in the public-sector financing of prescribed drugs. In 2012, an
estimated $12.3 billion (44.5% of prescribed drug spending) was financed by the public
sector, representing an annual growth rate of 1.9% (the lowest growth rate since 1996).
iii
Drug Expenditure in Canada, 1985 to 2012
• In the private sector (which includes private insurers as well as households and individuals),
spending on prescribed drugs is forecast to have reached $15.4 billion in 2012, representing
an annual growth rate of 4.1%.
How did drug expenditure vary provincially in 2012?
• Total drug expenditure per capita is forecast to have ranged from $736 in British Columbia
and $873 in Alberta to $1,110 in New Brunswick and $1,160 in Nova Scotia.
• Annual growth in total drug expenditure ranged from 2.3% in Prince Edward Island and 2.4%
in Ontario to 4.1% in Alberta and 6.8% in Newfoundland and Labrador.
• The proportion of prescribed drugs financed by the public sector varied across the provinces;
it is forecast to have ranged from 32.5% in New Brunswick and 34.5% in Newfoundland and
Labrador to 49.3% in both Alberta and Saskatchewan.
How did drug expenditure in Canada compare with drug expenditure internationally in 2010?
• Among seven comparator countries, Canada had the second-highest level of total drug
expenditure per capita, after the United States (see the Methodological Notes section for a
list of comparator countries).
• In Canada, average annual growth in total drug expenditure per capita, at constant 2005
Canadian dollars, between 2000 and 2010, was 3.9%. Canada was second behind Japan
(4.0%) and just ahead of the United States (3.8%).
• The public sector funded 38.3% of total drug expenditure in Canada. This was the secondlowest share, ahead of that for the United States (31.7%). Germany had the highest share of
public drug expenditure in total drug expenditure (76.4%).
iv
Drug Expenditure in Canada, 1985 to 2012
1
Methodological Notes
1.1 Background
Drug expenditure data in this publication was obtained primarily from the National Health
Expenditure Database (NHEX), which is maintained by the Canadian Institute for Health
Information (CIHI). This database contains a historical series of macro-level health expenditure
statistics by province and territory, beginning in 1975. Drug expenditure data in NHEX is
macro-level data and does not allow for decomposition of spending by type (for example,
drug costs versus professional fees) or drug class.
The Drugs category in NHEX is intended to measure final consumption, outside an institutional
setting, of drugs purchased by consumers or third-party payers on their behalf, generally from
community pharmacies. Drug expenditure data in NHEX consists of estimates that represent
the final costs to Canadian consumers, which include dispensing fees, markups and appropriate
taxes. NHEX data does not account for drug expenditure by non-Canadians (for example,
Americans’ purchases from Canadian pharmacies). The classification system employed
is consistent with international standards developed by the Organisation for Economic
Co-operation and Development (OECD).
National Health Expenditure Database
The mandate of NHEX is twofold:
1. To support the development and evaluation of health programs in Canada by all levels of
government and within the private sector.
2. To compile information on health expenditure that will accurately portray the importance of
health care as a component of national expenditure.
Health expenditure includes any type of expenditure for which the primary objective is to
improve or prevent the deterioration of health status.
This definition allows economic activities to be measured according to primary purpose and
secondary effects. Activities that are undertaken with the direct purpose of improving or
maintaining health are included. Other activities are not included, even though they may impact
health. For example, housing and income support policies have social welfare goals as their
primary purpose and are not considered health expenditure, yet they are recognized as powerful
factors in determining population health.
1
Drug Expenditure in Canada, 1985 to 2012
Source of Finance
National health expenditures are reported based on the principle of responsibility for payment
rather than on the source of the funds. It is for this reason, for example, that federal health
transfers to the provinces/territories are included in the provincial/territorial government sector,
since it is the responsibility of provincial/territorial governments to expend federal transfers on
health services. The exception to this principle is that provincial/territorial government health
transfers to municipal governments are included in the provincial/territorial government sector.
The following figure depicts the composition of total health expenditure by source of finance.
Figure 1: Composition of Total Health Expenditure, by Source of Finance*
Note
* The remaining funds in the Quebec Drug Insurance Fund are financed through the Consolidated Revenue Fund;
these expenditures are captured under the provincial government sector.
The public sector includes health care spending by governments and government agencies.i
It is subdivided into provincial government sector and other public sector, as described below:
1. The provincial government sector includes health spending from provincial/territorial
government funds, federal health transfers to the provinces/territories and
provincial/territorial government health transfers to municipal governments.
i.
2
Statistics Canada (Public Sector Statistics Division) publishes estimates of government health expenditure as part of its
comprehensive reporting system of all government expenditure, the Financial Management System (FMS). The FMS
public-sector health spending estimates are lower than those reported by CIHI because different classification methods
are applied and a narrower definition of health expenditure is used in the FMS.
Drug Expenditure in Canada, 1985 to 2012
2. The other public sector includes the following:
a. The federal direct sector refers to direct health care spending by the federal government
in relation to health care services for special groups, such as Aboriginal peoples, members
of the Canadian Forces and veterans, as well as expenditures for health research, health
promotion and health protection. Federal direct health expenditure does not include
federal health transfers to the provinces.
b. Municipal government sector expenditure includes health care spending by municipal
governments for institutional services, public health, capital construction and equipment,
and dental services provided by municipalities in the provinces of Nova Scotia, Manitoba
and B.C. Designated funds transferred by provincial governments for health purposes
are not included in the municipal sector, as they are included with provincial government
expenditure. Currently, no estimates of drug spending are included in this sector.
c. Social security funds are social insurance programs that are imposed and controlled by
a government authority. They generally involve compulsory contributions by employees,
employers or both, and the government authority determines the terms upon which
benefits are paid to recipients. Social security funds are distinguished from other social
insurance programs, the terms of which are determined by mutual agreement between
individual employers and their employees. In Canada, social security funds include
health care spending by workers’ compensation boards (WCBs) and the premium
component of the Quebec Drug Insurance Fund.
ii.

Health spending by WCBs includes what the provincial boards commonly refer to as
medical aid. Non–health related items often reported by the WCBs as medical aid
expenditure—such as funeral expenses, travel and clothing—are removed.

On January 1, 1997, the government of Quebec created a basic drug insurance plan
with the objective of ensuring that the population of Quebec has access to drugs
as required by health status. All residents of Quebec must be covered by drug
insurance, whether by private group insurance or by the public plan administered
by the Régie de l’assurance maladie du Québec (RAMQ). At the beginning of the
plan, the Drug Insurance Fund was the chosen mechanism to pay all drug and
pharmaceutical service costs provided to subscribersii insured by the RAMQ, as
well as their children. Since July 1, 2002, the Drug Insurance Fund has also covered
persons age 65 and older and social assistance recipients insured by the RAMQ.
Accordingly, the public plan has been financed since then both by the expenditure
allocated to this program by the Quebec government (provincial government sector)
and by the amounts collected by the Drug Insurance Fund as premiums and
proceeds (social security funds sector). The premiums are paid by the subscribers
of the Quebec Drug Insurance Fund and by persons age 65 and older insured by
this plan.
Subscribers are defined as Quebec residents younger than age 65 who do not receive social assistance benefits and who do
not have access to private group insurance.
3
Drug Expenditure in Canada, 1985 to 2012
The private sector includes health care spending by individuals and private sources as
described below:
1. Non-consumption includes non-patient revenues received by health care institutions, such as
donations and investment income, private spending on health-related capital construction and
equipment, and health research funded by private sources. Currently, no estimates of drug
spending are included in this portion of the private sector.
2. Out of pocket includes health expenditures made by individuals for health care goods
and services.
3. Private health insurance includes health expenditure paid by commercial and not-for-profit
insurance firms, as well as the cost of administering those claims.
Hierarchy of Classification
National health expenditure in Canada is based on a system of classification that is consistent
with international standards developed by the OECD for reporting health expenditure.
National health expenditure is grouped within the broad categories of personal health care or
other health expenses:
 Personal health care consists of expenditure for health goods and services used
by individuals.
 Other health expenses consist of expenditure on behalf of society, such as public health;
expenditure made as investments for purposes of future consumption, such as capital
expenditure; the administrative expenses of planning and managing the health care system;
and research.
Personal health care expenditure is classified within categories that describe the type of health
care used. Certain categories overlap. The hierarchy of classification that is used to allocate
overlapping categories of expenditure is as follows:
 Institutional setting: Health care services consumed in hospitals or other institutions are
allocated to the institutional categories if the institution purchased the services on behalf of
its patients. For example, drugs paid for through hospital budgets are classified as hospital
expenditure. This allocates expenditure to the supplier that was actually paid by patients or
their agents in the form of government or insurance companies. It also reflects
data availability.
 Self-employed provider of service: For example, all expenses of physicians’ practices are
considered expenditure for physician services, even though some of these expenses are for
employment of other health professionals, drugs or personal health supplies.
 Type of good or service: Drugs and personal health supplies are examples.
One of the categories of health expenditure within NHEX is Drugs. Other categories include
Hospitals, Other Institutions, Physicians, Other Professionals, Capital, Public Health and
Administration, and Other Health Spending. In NHEX, these categories are also named
“use of funds.”
4
Drug Expenditure in Canada, 1985 to 2012
Below is a description of the Drugs category within NHEX; it is not a definition supplied by
the OECD.
 Drugs: At the aggregate level, include expenditure on prescribed and non-prescribed drugs
and other health products purchased in retail stores. Estimates represent the final costs to
consumers, including dispensing fees, markups and appropriate taxes. The breakdown of
prescribed drugs, over-the-counter drugs and personal health supplies in NHEX is parallel
with the breakdown in the OECD. This category has been disaggregated at the Canada level
in the data tables to provide information on the following subcategories:
̶
Prescribed drugs: substances considered as drugs under the Food and Drugs Act and
sold for human use as the result of a prescription from a health professional.
̶
Non-prescribed drugs:iii include two sub-components: over-the-counter drugs and personal
health supplies.
o Over-the-counter drugs: therapeutic drug products not requiring a prescription.
o Personal health supplies: include items used primarily to promote or maintain health;
examples include oral hygiene products, diagnostic items such as diabetic test strips
and medical items such as incontinence products.
The Drugs category in NHEX does not include drugs dispensed in hospitals and generally
in other institutions. These are included in health expenditure figures for Hospitals and
Other Institutions, respectively.
International Comparisons: Data Comprehensiveness and Boundaries
of Health Care
There are 30 countries with health expenditure information that most closely follows the health
care boundary proposed in the OECD manual A System of Health Accounts (SHA). The SHA
provides a comprehensive framework for reporting expenditures on the entire field of health
care activities and proposes common functional boundaries of health care for international
comparisons. However, member countries do not yet fully report comprehensive data; they may
also include expenditures that fall outside the boundaries of health care as defined by the OECD.
In general, international comparisons should be interpreted with caution, as variation exists
among countries with regard to reporting, inclusion and classification of health expenditure.
Level of income, institutional characteristics and service delivery across countries also cause
differences in the share of drugs in total health expenditure.
The OECD maintains a comparative database on health-related statistics, including health
expenditure. This database captures information on expenditure for pharmaceuticals and other
medical non-durables outside an institutional setting (equivalent to drugs purchased in retail
establishments in Canada). Pharmaceutical and other medical non-durables include prescribed
drugs, over-the-counter drugs and a wide range of medical non-durables such as bandages,
elastic stockings, incontinence articles, condoms and other mechanical contraceptive devices.
iii.
For more information on over-the-counter drugs and personal health supplies, see General Methods in Section 1.3 of the
Methodological Notes.
5
Drug Expenditure in Canada, 1985 to 2012
To eliminate the differences in price levels between countries, purchasing power parities are
used. To make useful comparisons of trends in drug expenditure per capita over time, it is
necessary to deflate nominal drug expenditure through the use of a suitable price index to
derive real spending per capita. Due to the unavailability of a specific pharmaceutical price
index, the OECD uses the gross domestic product.
Drug expenditure data from 7 of the 30 OECD comparator countries is covered in the Highlights
section: Australia, Canada, France, Germany, Japan, New Zealand and the United States.
Other Terms
Gross domestic product (GDP):4 The GDP implicit price index (in 1997 dollars) is used to
compare the annual percentage change of drug expenditure with inflation in the Canadian
economy. GDP is the unduplicated value of production originating within the boundaries
of Canada, regardless of the ownership of the factors of production.
Purchasing power parity (PPP):5 PPPs are the rates of currency conversion that equalize
the purchasing power of different currencies. This means that a given sum of money, when
converted into different currencies at the PPP rates, will buy the same basket of goods and
services in all countries. Thus PPPs are the rates of currency conversion that eliminate
differences in price levels between countries.
1.2 Data Limitations
Data contained in NHEX is estimated. The data is collected from diverse sources and includes
varying classes of financial information. The data is collected and classified according to
methods established by a review committee. CIHI’s analysts and external experts continue
to improve the comprehensiveness, accuracy and currency of the data to provide the most
complete and objective estimates possible. Notwithstanding these improvements, national
health expenditure data consists of estimates and should be used accordingly.
Most private-sector expenditure is estimated from survey data. Prior to 1996, the Family
Expenditure Survey by Statistics Canada,6 an important source of private-sector data,
was not carried out annually; therefore, trend data was imputed for years between surveys.
Private-sector data was revised following a methodology review in the early 1990s. The revised
private-sector data incorporated information estimated directly from new sources for 1988 and
subsequent years. Prior years were estimated using trend data. As a result, readers should use
caution when using the private-sector expenditure data for small provinces and for years prior
to 1988.
In 2010, the Survey of Household Spending (formerly the Family Expenditure Survey) underwent
a major redesign by Statistics Canada. This affects out-of-pocket health expenditure in NHEX.
See Section 1.3: Collection and Non-Response for more details.
6
Drug Expenditure in Canada, 1985 to 2012
Drugs in Hospitals
NHEX uses a classification system that is consistent with international standards developed by
the OECD for reporting health expenditure. Similar to the functional category Pharmaceutical
and Other Medical Non-Durables in the OECD’s SHA, the Drugs category in NHEX is intended
to measure final consumption, outside an institutional setting, of drugs purchased by consumers
or third-party payers on their behalf, generally from retail outlets. Drugs in hospitals are
considered inputs (intermediate consumption) to the production of health care in hospitals.
Consequently, drugs paid for through hospital budgets are not identified separately in NHEX but
are classified as Hospitals expenditure. Similarly, drugs purchased by residential care facilities
for their residents are classified as Other Institutions expenditure. All expenses of physicians’
and dentists’ practices, including drugs, are considered to be expenditure for physicians’ and
dentists’ services, respectively. Some drug expenditure is also included in the NHEX category of
Public Health (for example, vaccines). While the above hierarchy of classification is essential in
allocating overlapping categories of expenditure, it also reflects data availability. For example,
data on expenditure by provincial/territorial governments is usually extracted from provincial/
territorial government public accounts. In the accounts, it is generally not possible to isolate drug
spending from other categories of expenditure within program areas (for example, hospitals or
public health). Although other possible data sources exist, the use of a single data source for
the different categories of provincial government health expenditure—such as the provincial/
territorial public accounts—has the major advantage of minimizing the risk of double counting.
Measuring Drug Prices
There is no authoritative composite price index for all drugs sold in Canada. The difficulty lies
in the fact that traditional statistical measurement considers the price of tablets or capsules
rather than measuring the nature of the product itself (that is, its therapeutic properties). In pure
economic terms, the price of a drug is the price per unit of health gain attained. From a practical
perspective, however, people buy tablets, capsules or other forms of medication, some of which
may contain multiple active ingredients.
There are several commonly accepted price indices that can potentially be used to measure
shifts in drug prices at the retail level. These include the Consumer Price Index (CPI), the
pharmaceutical component of the Industrial Product Price Index (IPPI [pharma]) and the
Patented Medicine Price Index (PMPI). Each index is built upon a unique set of assumptions
pertaining to inclusion criteria, definitions, updating and weighting methodologies. As a result,
these indices produce differing results (Figure 2).
7
Drug Expenditure in Canada, 1985 to 2012
Figure 2: Industrial Product Price Index, Patented Medicine Price Index and
Consumer Price Index, 1985 to 2012 (1987 = 100)
Notes
IPPI: Industrial Product Price Index.
PMPI: Patented Medicine Price Index.
CPI: Consumer Price Index.
Sources
Consumer Price Index and Industrial Product Price Index: Statistics Canada; Patented Medicine Price Index: Patented Medicine
Prices Review Board.
1.3 Collection and Non-Response
The definitions and methods used to prepare this document are for the most part based on
those adopted in 1994 by the National Health Expenditure Methodology Review Committee.
This committee included representation from Health Canada, Statistics Canada, the ministère
de la Santé et des Services sociaux du Québec, the Canadian Medical Association and the
Canadian Healthcare Association.
General Methods
The following is intended to be a general overview of the methods applied to calculate estimates
of drug expenditure in Canada. More detailed information can be obtained by contacting the
National Health Expenditures department by phone at 613-241-7860, by fax at 613-241-8120 or
by email at [email protected]
Provincial/Territorial Government
Provincial/territorial government expenditure principally includes drugs that are dispensed
through provincial/territorial drug subsidy programs (see Appendix B). This drug expenditure
data is extracted predominantly from audited and consolidated provincial/territorial documents
detailing provincial government expenditure (Table 1).
8
Drug Expenditure in Canada, 1985 to 2012
Provincial/territorial government drug spending figures include spending by the provincial/
territorial ministry responsible for health, as well as by other departments that may provide
drug coverage. CIHI’s estimates of provincial and territorial government drug expenditure
were submitted to provincial and territorial departments of health for review and validation.
Provincial/territorial government figures identified as forecasts are based on the growth rates of
major programs reported in provincial and territorial government main estimates and budgets.
Table 1: Provincial/Territorial Government Drug Expenditure Data
Province/Territory
Description
Newfoundland
and Labrador
Drug
Expenditure
Data Source
Drug expenditure data is collected from the provincial Public Accounts,
Volume III: Consolidated Revenue Fund Supplementary Statements and
Schedules for three drug programs: indigents, seniors and the special
drug programs.
Prince Edward
Island
Drug
Expenditure
Data Source
The Drug Cost Assistance Program is reported under Provincial Pharmacy
Program in the Queens Region Health and Community Services Operating
Statement, which is reported in P.E.I.’s provincial Public Accounts, Volume II.
Nova Scotia
Drug
Expenditure
Data Source
Drugs data is extracted from three sources: the Nova Scotia Estimates
Supplementary Detail; special tabulations from the Nova Scotia Seniors’
Pharmacare Program; and the Nova Scotia Department of Community
Services, Income Assistance and Employment Support Services.
New Brunswick
Drug
Expenditure
Data Source
Drugs data is provided through special reports from the Department of Health
and the Department of Social Development. A small component of drug
expenditure by the provincial government is from the New Brunswick
Public Accounts, Volume 2, under Payments to Vendors and Grants and
Contribution Payments.
Quebec
Drug
Expenditure
Data Source
Provincial government expenditure is extracted from Volume 2 of the Quebec
provincial public accounts. Spending on drugs by the provincial government is
represented by total transfers of Program 5, RAMQ, for médicaments et services
pharmaceutiques. See also the section below on social security funds and the
Quebec Drug Insurance Fund.
Ontario
Drug
Expenditure
Data Source
Data is collected from Volume 1 of the Public Accounts of Ontario. Information
is collected for the drug programs provided by the Ministry of Health and LongTerm Care (Ontario Drug Benefit Program, Trillium Drug Program and Special
Drug Program) and by the Ministry of Community and Social Services, under
Adult and Children’s Service Program—Social Assistance and Employment.
Manitoba
Drug
Expenditure
Data Source
Data is from Manitoba Health’s Pharmacare Program under the Health Services
Insurance Fund. Data is also collected from the annual report of the Manitoba
Department of Family Services under Income Assistance of the Employment
and Income Assistance Program.
Saskatchewan
Drug
Expenditure
Data Source
Data sources include Saskatchewan’s Public Accounts, Volume 2 and
the Saskatchewan Health Annual Statistical Report for the Drug Plan
and Extended Benefits Branch. Data is collected for the Saskatchewan
Prescription Drug Plan from the annual report. A total for the Supplementary
Health Program (SHP) is also extracted from the annual report. The distribution
of detailed expenditure of the SHP provided in the Statistical Report for the Drug
Plan and Extended Benefits Branch is applied to the total for the SHP extracted
from the public accounts. One of the components of the SHP that is also
collected is non-formulary drugs. Drug expenditure amounts are collected
under the Ministry of Social Services in the Supplier Payments section of
the public accounts.
9
Drug Expenditure in Canada, 1985 to 2012
Provincial/Territorial Government Drug Expenditure Data (cont’d)
Province/Territory
Alberta
Description
Drug
Expenditure
Data Source
Drug expenditure data from Alberta Health and Wellness is extracted from its
annual report. Detailed claims summary data is provided by Alberta Blue Cross
Non-Group Benefits. The largest single expenditure component of Alberta
Blue Cross Non-Group Benefits is drug benefits. The detailed claims
distribution is applied to the total for Blue Cross Non-Group Benefits under
Practitioner Services, extracted from the annual report of the Ministry of
Health and Wellness.
Drug expenditure information is also collected from Children’s Services,
the Department of Community Development and the Department of Human
Resources and Employment. Drug expenditure amounts are compiled
from various income assistance programs, including Income Support
to Individuals and Families, Social Support to Individuals and Families,
and Services to Persons With Disabilities.
British Columbia Drug
Expenditure
Data Source
Data is received in the Financial Management Reports (FMRs) from the Ministry
of Health Services. Control totals for major programs are from the public
accounts. With few exceptions, expenditure items from the FMRs sum to the
control totals. The Ministry of Health administers drug subsidization for all
targeted groups (seniors, income assistance recipients and families) under
the Medical Services Program.
Yukon
Drug
Expenditure
Data Source
Northwest
Territories
Drug
Expenditure
Data Source
Drug
Expenditure
Data Source
Control totals for major programs are extracted from Yukon’s public accounts.
Additional details are in a special tabulation provided by the territorial Ministry of
Health and Social Services on spending for pharmacare (prescription drugs)
under the Chronic Disease Program and Extended Health Benefits for Seniors.
Drug expenditure data is provided by the Finance Division of the Department of
Health and Social Services under the Extended Health Benefits of the
Supplementary Health Programs.
Nunavut
The government of Nunavut is unable to provide drug expenditure amounts
to CIHI. To estimate expenditure in Nunavut, CIHI determined the proportion
that drugs made up of the aggregate of individual programs in the Northwest
Territories and allocated that proportion to the Supplementary Health Benefits
Program in Nunavut.
Federal Direct
Prescribed drug data is derived from information provided by federal government organizations,
supplemented with information from the national public accounts. Federal government health
care spending is generally provided according to the province in which the expenditure was
made. Some data, however, is provided at the national level only; in these cases, it is distributed
by the appropriate provincial or territorial population.
Social Security Funds
Social security funds are financially autonomous social insurance schemes that are imposed
and controlled by a government authority. They generally involve compulsory contributions by
employees, employers or both, and the government authority determines the terms by which
benefits are paid to recipients. Social security funds are distinguished from other social
insurance programs, the terms of which are determined by mutual agreement between
individual employers and their employees. In Canada, social security funds include the health
care spending by WCBs and the premium component of the Quebec Drug Insurance Fund.
10
Drug Expenditure in Canada, 1985 to 2012
Workers’ compensation boards: Prescribed drug expenditure for the WCBs and the
Commission de la santé et de la sécurité du travail du Québec is collected through special
tabulations from contacts in each provincial or territorial WCB.
Quebec Drug Insurance Fund: On January 1, 1997, the government of Quebec created
a basic drug insurance plan with the objective of ensuring that the population of Quebec has
access to drugs as required by health status. All residents of Quebec must be covered by drug
insurance, whether by private group insurance or by the public plan administered by the RAMQ.
At the beginning of the plan, the Drug Insurance Fund was the chosen mechanism to pay all
drug and pharmaceutical service costs provided to subscribersiv insured by the RAMQ, as well
as their children. Since July 1, 2002, the Drug Insurance Fund has also covered persons age 65
and older and social assistance recipients insured by the RAMQ. Accordingly, the public plan
has been financed since then both by the expenditure allocated to this program by the Quebec
government (provincial government sector) and by the amounts collected by the Drug Insurance
Fund as premiums and proceeds (social security funds sector). The premiums are paid by the
subscribers of the Quebec Drug Insurance Fund and by persons age 65 and older insured by
this plan.
The premium component of the Quebec drug program is considered a social security scheme,
while the remaining portion of the program, which is paid through the ministère de la Santé et
des Services sociaux du Québec, is included as a provincial government expenditure.
Private Sector
Private-sector drug data was revised in 1995 following a methodology review that began in
the early 1990s. Private-sector data under the revised methodology incorporated information
estimated directly from new sources for 1988 and subsequent years. Expenditure amounts
prior to 1988 were estimated using trend data. Therefore, readers should exercise caution
when using the private-sector expenditure data for small provinces and for years prior to 1988.
The recommendations pertaining to prescribed and non-prescribed drugs that were ultimately
implemented included the following:
 Data on drug benefits paid by private insurers was to be estimated based on information
provided by the Canadian Life and Health Insurance Association (CLHIA) and from surveys
of non-profit insurers.
 Out-of-pocket expenditure on prescribed drugs was to be estimated from Statistics Canada’s
Family Expenditure Survey (FAMEX), renamed the Survey of Household Spending (SHS)
in 1997.
 Non-prescribed drug estimates would include two components: over-the-counter drugs and
personal health supplies. Estimates would be based on information from the market research
firm The Nielsen Company.
iv.
Subscribers are defined as Quebec residents younger than age 65 who do not receive social assistance benefits and who do
not have access to private group insurance.
11
Drug Expenditure in Canada, 1985 to 2012
As part of the original agreement with the not-for-profit insurance firms that provide data to
NHEX, the administrators of NHEX agreed to not report the components of the private sector—
insurance and out-of-pocket expenditure—at the provincial/territorial level. The purpose
was to protect the proprietary nature of the information of the not-for-profit insurance firms.
Consequently, CIHI reports the private-sector sum of components by province and the
out-of-pocket and insurance components separately at the national level.
The data sources and methodologies related to these recommendations are described below.
Health insurance drug claims paid are collected from nine not-for-profit insurance companies
and the CLHIA. The CLHIA data is based on its survey of member companies. Currently, drug
spending that may occur by insurance companies providing casualty insurance is not included
in the estimates.
Out-of-pocket prescribed drug expenditure is based on purchased data from the SHS fielded by
Statistics Canada. Specifically, average household costs associated with question 220, in Section
PH of the SHS 2008 Questionnaire, relating to medicines, drugs and pharmaceutical products
prescribed by a doctor are the basis of the estimates. The average household expenditure of
prescribed drugs is multiplied by the number of estimated households reported in the survey.
The SHS is an annual survey that began in 1996. Prior to 1996, full surveys that included both
urban and rural areas were carried out in 1986 and 1992. In 1990, a survey was conducted that
included only metropolitan areas. For the years in which complete surveys were carried out,
data is available for the 10 provinces and for 17 urban centres. Two of the urban centres,
Yellowknife and Whitehorse, were used to derive estimates of expenditure in the territories.
Metropolitan expenditure per household tends to be somewhat higher than provincial estimates.
All relevant categories were updated in complete survey years. For the years in which only
urban surveys were carried out, the percentage changes in urban expenditure within each
province or territory were used to update category estimates from complete survey years.
Between 1992 and 1996, when no surveys were conducted, historical provincial growth
rates of the SHS variables of drug and drug sundries were used to impute missing years.
The non-prescribed drug estimate is based on data from the market research firm The Nielsen
Company, which tracks consumer sales of non-prescribed drugs sold in Canada at retail outlets.
Each year, The Nielsen Company reports retail sales data for two consistent years for more
than 48 non-prescribed drug categories. Data is reported by sales channel,v total dollar
sales volume and regional sales distribution for five regions that include nine provinces.
Newfoundland and Labrador and the territories are not included. The data is processed by
classifying the non-prescribed drug categories as either over-the-counter drugs or personal
health supplies. Regional sales amounts are separated into nine provinces, and estimates for
Newfoundland and Labrador and the territories are calculated using provincial distributions of
“direct costs for health care” from the SHS. Appropriate provincial and federal sales taxes are
incorporated into the estimates.
v.
12
As a general rule, Statistics Canada’s definitions govern the classification of stores by class of trade. Sales channels include
drug stores; food stores with pharmacies; grocery banners; and mass merchandisers and warehouse clubs, which are
estimated from The Nielsen Company’s household panel data.
Drug Expenditure in Canada, 1985 to 2012
In 2010, the SHS underwent a major redesign by Statistics Canada: the reference period for
prescribed drugs changed from 12 months to 3 months, and the result was annualized by
multiplying by 4. One of the objectives of the redesign was to better adapt collection methods
and reference periods. However, this methodology change caused a break in the series of out-ofpocket prescribed drug spending across the provinces. The 2010 growth rates of out-of-pocket
prescribed drugs exceeded 30% for most provinces and were almost 50% in some provinces. To
mitigate the impact of this change, a smoothing method was used. Also, spending on Other
Professionals dropped the most compared with the other categories of out-of-pocket spending in
most of the provinces in 2010. For these reasons, 2010 SHS data for prescribed drugs and other
professionals was redistributed based on 2009 SHS proportions for these two categories.
Table 2 provides the various drug classes that are supplied to CIHI by The Nielsen Company.
The choice of classes to be included in the non-prescribed drug expenditure estimate and the
classification according to which drugs are included as over-the-counter drugs or personal
health supplies was made by the NHEX Drug Expenditure Review Committee during the
NHEX methodology review and adopted in 1995.
Table 2: Drug Classes Supplied to CIHI by The Nielsen Company
Over-the-Counter Drugs
Personal Health Supplies
Analgesic rubs
Adhesive bandages and dressing strips
Anti-fungals (external)
Antiperspirants
Athletes’ foot products (included in anti-fungals in
later years)
Artificial sweeteners
Athletic supports/braces
Cold remedies
Condoms
Cough remedies
Contact lens preparations
Diarrhea remedies
Cotton swabs
Dietary aids
Cover and tape products
Headache remedies
Dental floss
Headache remedies—child’s acetaminophen
Dentifrice
Hemorrhoidal remedies
Denture adhesives
Infant feeding products
Denture cleansers
Laxatives
Diabetic test strips
Medical nutritional supplements
Disposable diabetic syringes
Milk-intolerant products
Elastic bandages
Nasal preparations
Eye drops and lotions
Oral backache remedies
Feminine hygiene products
Pediculicides
Fever thermometers
Personal lubricants
Incontinence products
Premenstrual products
Medical supports/braces
Sleeping aids
Oral antiseptics
Throat remedies
Pregnancy test kits
Topical wound care
Sanitary pads
Upset stomach remedies
Selected hot/cold compresses
Vitamins—children’s
Selected insoles
Vitamins—adults’
Tampons
Wart removers
Toothbrushes (includes denture brushes)
13
Drug Expenditure in Canada, 1985 to 2012
Calculation Methods
Calculation of Average Annual Rate of Growth
The average annual rate of growth is the constant annual rate necessary for a value at the
beginning of a period to grow to a value at the end of a period over the number of compounding
years in the period. The formula used to calculate the average annual rate of growth is
e
ln(value at end of period)  In(value at beginning of period)
T
1
Where the constant e equals 2.718, which is the base of the natural logarithm, and T equals the
number of years in the period (that is, year at end of period minus year at beginning of period).
Calculation of Calendar Year
Some information sources provide data in fiscal years. Calendar-year data was derived by
adding three-quarters of one fiscal year to one-quarter of the following fiscal year.
Calculation of per Capita Dollars
Per capita expenditure was calculated using the most recent revised population estimates and
forecasts from the Demography Division of Statistics Canada. These take into account the
results of the census adjustment for net census under-count, non-permanent residents and
returning Canadians.
Calculation of Total Health Expenditure
“Total health expenditure” refers to the sum of the public and private sectors. “Canada” refers
to the sum of the 10 provinces and 3 territories. “Canada average” is the sum of provincial and
territorial expenditure divided by the sum of provincial and territorial data of another variable,
such as population.
Forecasting Methods
Provincial government–sector drug spending forecasts are based on the growth rates of drug
subsidy programs of provincial health departments reported in provincial main estimates and
budgets. In the case of territorial government forecasts of the Northwest Territories and Nunavut,
estimates were based on amounts reported in their main estimates. In other sectors, the figures
for these two territories were calculated by developing a forecast for the Northwest Territories,
including Nunavut. The share of Nunavut spending in the last year of actual data of the combined
total of the Northwest Territories and Nunavut was used as a proxy to break out the forecasts for
the Northwest Territories and Nunavut.
Forecasts for federal direct health care spending are based on information from the national
public accounts and the Treasury Board of Canada’s Main Estimates. Forecasts for WCBs and
the private sector were entirely based on econometric analysis of time series trends. For each
series, up to 40 different univariate forecasting specifications were evaluated, and the best one
14
Drug Expenditure in Canada, 1985 to 2012
(based on the root mean square error of prediction) was selected. The functional forms studied
included the exponential smoothing family (simple, double, Holt, Brown, Winters, damped trend,
etc.), time trends and ARIMA specifications. Logarithmic transformations were used when the
data warranted their use.
Forecasts of health expenditure are identified in the figure by special symbols and in the data
tables by the letter f.
1.4 Sources of Data
Drug expenditure estimates from NHEX are compiled based on information from the
following sources.
Provincial Government Sector
 Provincial public accounts and main estimates
 Provincial departments of health annual reports and statistical supplements, where available
 Annual reports of various foundations, agencies and commissions
 Special tabulations and specific information from various provincial departments reporting
health expenditure
Federal Direct Sector
 Public Accounts of Canada
 Main Estimates of Treasury Board of Canada
 Special tabulations and information from
̶
Health Canada
̶
Veterans Affairs Canada
̶
Department of National Defence
̶
Solicitor General of Canada
̶
Statistics Canada
̶
Citizenship and Immigration Canada
Social Security Funds Sector
 Special tabulations on medical aid spending provided by the provincial and territorial WCBs
 Annual reports of provincial and territorial WCBs
 Annual report of the RAMQ
15
Drug Expenditure in Canada, 1985 to 2012
Private Sector
 Private insurance component:
̶
The not-for-profit portion is captured from special tabulations provided by the not-for-profit
insurance companies
̶
The commercial portion is captured by a special tabulation provided by the CLHIA
 Out-of-pocket component:
̶
SHS, Statistics Canada (formerly the FAMEX)
̶
Over-the-Counter Drugs and Personal Health Supplies—Market Review of Selected Drug
Categories at Retail, a special tabulation purchased from The Nielsen Company Canada
Economic and Demographic Data
 Gross domestic product:
̶
Purchased from Statistics Canada for all years except the latest
̶
Purchased from The Conference Board of Canada (GDP growth rates) for the latest year
 Population—purchased from Demography Division, Statistics Canada
 Provincial government expenditure—special tabulation purchased from Public Institutions
Division, Statistics Canada
 Price indices:
16
̶
PMPI: from Patented Medicine Prices Review Board
̶
CPI and Industrial IPPI: purchased from the Prices Division, Statistics Canada
Series A—Expenditure on Drugs by Type,
by Source of Finance and as a Share of Public,
Private and Total Health Expenditure, Canada,
1985 to 2012
Drug Expenditure in Canada, 1985 to 2012
Table A Canada—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Canada, 1985 to 2012
Provincial/
Territorial
Prescribed Drugs
Public
Social Security Funds
Subtotal
Insurers
WCBs
Drug Insurance
Public
Funds
(Premium Component)
Federal
Year
CA
Private
Out of
Pocket
Subtotal
Private
Total
Prescribed
Drugs
OvertheCounter
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
Personal
Total
Health
Non-Presc.
Supplies
Drugs
($ Millions)
1985
1986
1987
1988
1989
1,048.1
1,240.6
1,406.7
1,592.7
1,838.0
58.0
63.3
68.2
89.3
110.0
12.6
15.2
17.8
20.8
22.9
—
—
—
—
—
1,118.7
1,319.2
1,492.7
1,702.8
1,970.9
—
—
—
1,130.3
1,260.6
—
—
—
903.7
1,031.4
1,447.7
1,698.8
1,800.4
2,034.0
2,292.0
2,566.5
3,018.0
3,293.1
3,736.8
4,262.9
—
—
—
—
—
—
—
—
—
—
1,235.9
1,399.0
1,621.7
1,784.9
1,975.6
1990
1991
1992
1993
1994
2,120.2
2,428.0
2,710.7
2,817.0
2,845.0
130.3
145.6
159.7
187.6
207.1
27.5
33.2
38.1
40.2
35.5
—
—
—
—
—
2,278.0
2,606.7
2,908.5
3,044.9
3,087.6
1,466.8
1,671.5
1,947.3
2,089.3
2,105.2
1,127.0
1,190.4
1,244.9
1,469.4
1,568.2
2,593.9
2,861.9
3,192.3
3,558.7
3,673.3
4,871.8
5,468.7
6,100.7
6,603.5
6,760.9
—
—
1,290.0
1,373.0
1,475.1
—
—
1,128.1
1,203.1
1,288.9
2,058.7
2,236.6
2,418.1
2,576.0
2,764.0
1995
1996
1997
1998
1999
3,099.7
3,052.3
3,133.4
3,462.5
3,914.2
227.8
234.0
252.5
283.7
321.0
37.8
41.4
42.7
47.9
53.7
—
—
169.1
213.4
262.4
3,365.3
3,327.7
3,597.7
4,007.5
4,551.3
2,350.1
2,476.6
2,785.2
3,220.5
3,387.0
1,683.6
1,796.7
2,148.0
2,223.0
2,302.0
4,033.8
4,273.3
4,933.2
5,443.5
5,689.0
7,399.0
7,601.0
8,530.9
9,451.1
10,240.3
1,474.2
1,508.0
1,569.2
1,661.7
1,782.1
1,314.2
1,338.8
1,407.6
1,509.7
1,576.7
2,788.4
2,846.7
2,976.8
3,171.3
3,358.8
2000
2001
2002
2003
2004
4,559.3
5,228.8
5,839.0
6,376.6
6,998.7
343.3
392.0
448.2
508.2
528.6
64.8
75.8
86.5
102.6
121.1
327.8
367.4
433.2
577.8
615.5
5,295.2
6,064.1
6,807.0
7,565.2
8,263.9
3,866.8
4,489.0
5,009.4
5,692.6
6,229.2
2,562.5
2,613.5
2,934.4
3,155.9
3,364.8
6,429.3
7,102.5
7,943.9
8,848.5
9,594.0
11,724.6
13,166.6
14,750.9
16,413.7
17,857.9
1,815.2
1,882.4
1,972.2
2,047.6
2,159.3
1,605.0
1,654.0
1,712.5
1,714.6
1,770.9
3,420.3
3,536.4
3,684.7
3,762.2
3,930.2
2005
2006
2007
2008
2009
7,595.6
8,188.6
8,672.0
9,188.4
9,903.3
564.4
609.9
626.7
639.8
646.5
133.4
148.5
157.3
168.9
177.5
618.7
669.0
712.1
774.7
807.2
8,912.2
9,616.0
10,168.0
10,771.8
11,534.5
6,714.3
7,269.4
7,896.8
8,467.2
8,976.9
3,484.1
3,945.5
3,934.9
4,167.8
4,302.1
10,198.4
11,214.9
11,831.7
12,634.9
13,279.0
19,110.6
20,830.9
21,999.6
23,406.8
24,813.5
2,245.4
2,349.1
2,478.3
2,531.9
2,704.0
1,838.3
1,914.6
1,961.7
1,983.8
2,052.5
4,083.7
4,263.7
4,439.9
4,515.7
4,756.5
2010
f
2011
f
2012
10,104.0
10,447.2
10,677.1
642.1
611.0
597.0
193.0
203.8
214.4
844.7
832.7
841.4
11,783.9
12,094.6
12,329.9
9,270.8
9,535.3
9,825.4
4,843.1
5,256.7
5,578.5
14,114.0
14,792.0
15,403.9
25,897.8
26,886.6
27,733.7
2,748.3
2,915.2
3,028.8
2,091.3
2,153.7
2,262.9
4,839.6
5,068.9
5,291.7
1985
1986
1987
1988
1989
—
18.4
13.4
13.2
15.4
—
9.2
7.7
30.9
23.2
—
20.9
16.9
16.6
10.0
—
—
—
—
—
—
17.9
13.2
14.1
15.7
—
—
—
—
11.5
—
—
—
—
14.1
—
17.3
6.0
13.0
12.7
—
17.6
9.1
13.5
14.1
—
—
—
—
—
—
—
—
—
—
—
13.2
15.9
10.1
10.7
1990
1991
1992
1993
1994
15.4
14.5
11.6
3.9
1.0
18.4
11.7
9.7
17.5
10.4
20.0
20.8
14.8
5.7
-11.9
—
—
—
—
—
15.6
14.4
11.6
4.7
1.4
16.4
14.0
16.5
7.3
0.8
9.3
5.6
4.6
18.0
6.7
13.2
10.3
11.5
11.5
3.2
14.3
12.3
11.6
8.2
2.4
—
—
—
6.4
7.4
—
—
—
6.6
7.1
4.2
8.6
8.1
6.5
7.3
1995
1996
1997
1998
1999
9.0
-1.5
2.7
10.5
13.0
10.0
2.7
7.9
12.4
13.1
6.5
9.6
3.2
12.0
12.1
—
—
—
26.2
23.0
9.0
-1.1
8.1
11.4
13.6
11.6
5.4
12.5
15.6
5.2
7.4
6.7
19.6
3.5
3.6
9.8
5.9
15.4
10.3
4.5
9.4
2.7
12.2
10.8
8.4
-0.1
2.3
4.1
5.9
7.2
2.0
1.9
5.1
7.3
4.4
0.9
2.1
4.6
6.5
5.9
2000
2001
2002
2003
2004
16.5
14.7
11.7
9.2
9.8
7.0
14.2
14.3
13.4
4.0
20.7
17.0
14.1
18.7
18.0
24.9
12.1
17.9
33.4
6.5
16.3
14.5
12.3
11.1
9.2
14.2
16.1
11.6
13.6
9.4
11.3
2.0
12.3
7.5
6.6
13.0
10.5
11.8
11.4
8.4
14.5
12.3
12.0
11.3
8.8
1.9
3.7
4.8
3.8
5.5
1.8
3.1
3.5
0.1
3.3
1.8
3.4
4.2
2.1
4.5
2005
2006
2007
2008
2009
8.5
7.8
5.9
6.0
7.8
6.8
8.1
2.7
2.1
1.1
10.2
11.3
5.9
7.4
5.1
0.5
8.1
6.4
8.8
4.2
7.8
7.9
5.7
5.9
7.1
7.8
8.3
8.6
7.2
6.0
3.5
13.2
-0.3
5.9
3.2
6.3
10.0
5.5
6.8
5.1
7.0
9.0
5.6
6.4
6.0
4.0
4.6
5.5
2.2
6.8
3.8
4.1
2.5
1.1
3.5
3.9
4.4
4.1
1.7
5.3
2010
f
2011
f
2012
2.0
3.4
2.2
-0.7
-4.9
-2.3
8.8
5.6
5.2
4.6
-1.4
1.0
2.2
2.6
1.9
3.3
2.9
3.0
12.6
8.5
6.1
6.3
4.8
4.1
4.4
3.8
3.2
1.6
6.1
3.9
1.9
3.0
5.1
1.7
4.7
4.4
1985
1986
1987
1988
1989
27.6
28.1
28.6
28.8
29.5
1.5
1.4
1.4
1.6
1.8
0.3
0.3
0.4
0.4
0.4
—
—
—
—
—
29.4
29.9
30.4
30.8
31.6
—
—
—
20.5
20.2
—
—
—
16.4
16.5
38.1
38.5
36.6
36.8
36.7
67.5
68.3
67.0
67.7
68.3
—
—
—
—
—
—
—
—
—
—
32.5
31.7
33.0
32.3
31.7
1990
1991
1992
1993
1994
30.6
31.5
31.8
30.7
29.9
1.9
1.9
1.9
2.0
2.2
0.4
0.4
0.4
0.4
0.4
—
—
—
—
—
32.9
33.8
34.1
33.2
32.4
21.2
21.7
22.9
22.8
22.1
16.3
15.4
14.6
16.0
16.5
37.4
37.1
37.5
38.8
38.6
70.3
71.0
71.6
71.9
71.0
—
—
15.1
15.0
15.5
—
—
13.2
13.1
13.5
29.7
29.0
28.4
28.1
29.0
1995
1996
1997
1998
1999
30.4
29.2
27.2
27.4
28.8
2.2
2.2
2.2
2.2
2.4
0.4
0.4
0.4
0.4
0.4
—
—
1.5
1.7
1.9
33.0
31.9
31.3
31.7
33.5
23.1
23.7
24.2
25.5
24.9
16.5
17.2
18.7
17.6
16.9
39.6
40.9
42.9
43.1
41.8
72.6
72.8
74.1
74.9
75.3
14.5
14.4
13.6
13.2
13.1
12.9
12.8
12.2
12.0
11.6
27.4
27.2
25.9
25.1
24.7
2000
2001
2002
2003
2004
30.1
31.3
31.7
31.6
32.1
2.3
2.3
2.4
2.5
2.4
0.4
0.5
0.5
0.5
0.6
2.2
2.2
2.4
2.9
2.8
35.0
36.3
36.9
37.5
37.9
25.5
26.9
27.2
28.2
28.6
16.9
15.6
15.9
15.6
15.4
42.5
42.5
43.1
43.9
44.0
77.4
78.8
80.0
81.4
82.0
12.0
11.3
10.7
10.1
9.9
10.6
9.9
9.3
8.5
8.1
22.6
21.2
20.0
18.6
18.0
2005
2006
2007
2008
2009
32.7
32.6
32.8
32.9
33.5
2.4
2.4
2.4
2.3
2.2
0.6
0.6
0.6
0.6
0.6
2.7
2.7
2.7
2.8
2.7
38.4
38.3
38.5
38.6
39.0
28.9
29.0
29.9
30.3
30.4
15.0
15.7
14.9
14.9
14.5
44.0
44.7
44.7
45.3
44.9
82.4
83.0
83.2
83.8
83.9
9.7
9.4
9.4
9.1
9.1
7.9
7.6
7.4
7.1
6.9
17.6
17.0
16.8
16.2
16.1
2010
f
2011
f
2012
f: forecast.
32.9
32.7
32.3
2.1
1.9
1.8
0.6
0.6
0.6
2.7
2.6
2.5
38.3
37.8
37.3
30.2
29.8
29.8
15.8
16.5
16.9
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
18
45.9
84.3
8.9
6.8
15.7
46.3
84.1
9.1
6.7
15.9
46.6
84.0
9.2
6.9
16.0
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table A Canada—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Canada, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
Year
(Percentage Share)
1985
1986
1987
1988
1989
1,118.7
1,319.2
1,492.7
1,702.8
1,970.9
2,683.6
3,097.9
3,422.2
3,818.9
4,267.7
3,802.3
4,417.1
4,914.9
5,521.7
6,238.5
30,095.5
32,529.4
35,055.7
38,163.7
41,911.9
9,746.9
10,808.7
11,733.5
12,796.4
14,184.3
39,842.4
43,338.1
46,789.2
50,960.1
56,096.2
3.7
4.1
4.3
4.5
4.7
27.5
28.7
29.2
29.8
30.1
9.5
10.2
10.5
10.8
11.1
1990
1991
1992
1993
1994
2,278.0
2,606.7
2,908.5
3,044.9
3,087.6
4,652.5
5,098.5
5,610.4
6,134.7
6,437.4
6,930.5
7,705.3
8,518.8
9,179.6
9,524.9
45,449.2
49,382.9
51,637.9
51,922.0
52,537.2
15,577.1
16,906.9
18,112.0
19,578.1
20,574.2
61,026.3
66,289.8
69,749.9
71,500.0
73,111.4
5.0
5.3
5.6
5.9
5.9
29.9
30.2
31.0
31.3
31.3
11.4
11.6
12.2
12.8
13.0
1995
1996
1997
1998
1999
3,365.3
3,327.7
3,597.7
4,007.5
4,551.3
6,822.2
7,120.0
7,910.0
8,614.9
9,047.9
10,187.4
10,447.8
11,507.7
12,622.4
13,599.2
52,716.3
52,803.4
55,201.3
59,186.0
63,182.8
21,370.1
21,910.5
23,533.1
24,897.9
27,180.7
74,086.4
74,713.9
78,734.4
84,083.9
90,363.4
6.4
6.3
6.5
6.8
7.2
31.9
32.5
33.6
34.6
33.3
13.8
14.0
14.6
15.0
15.0
2000
2001
2002
2003
2004
5,295.2
6,064.1
6,807.0
7,565.2
8,263.9
9,849.6
10,638.9
11,628.6
12,610.7
13,524.2
15,144.8
16,703.0
18,435.6
20,176.0
21,788.1
69,253.9
74,991.5
79,945.7
86,668.6
92,682.0
29,335.1
32,216.8
35,147.5
37,025.4
39,515.9
98,589.1
107,208.3
115,093.2
123,694.0
132,197.9
7.6
8.1
8.5
8.7
8.9
33.6
33.0
33.1
34.1
34.2
15.4
15.6
16.0
16.3
16.5
2005
2006
2007
2008
2009
8,912.2
9,616.0
10,168.0
10,771.8
11,534.5
14,282.1
15,478.5
16,271.6
17,150.6
18,035.5
23,194.3
25,094.5
26,439.5
27,922.4
29,570.0
98,679.7
105,035.3
112,328.1
121,232.5
128,989.6
42,049.3
45,802.7
47,916.3
50,772.2
53,096.7
140,729.0
150,838.0
160,244.4
172,004.7
182,086.3
9.0
9.2
9.1
8.9
8.9
34.0
33.8
34.0
33.8
34.0
16.5
16.6
16.5
16.2
16.2
2010
f
2011
f
2012
11,783.9
12,094.6
12,329.9
18,953.6
19,860.9
20,695.6
30,737.4
31,955.5
33,025.5
136,158.6
140,615.3
144,637.5
56,955.0
60,006.5
62,779.4
193,113.5
200,621.8
207,416.9
8.7
8.6
8.5
33.3
33.1
33.0
15.9
15.9
15.9
1985
1986
1987
1988
1989
—
17.9
13.2
14.1
15.7
—
15.4
10.5
11.6
11.8
—
16.2
11.3
12.3
13.0
—
8.1
7.8
8.9
9.8
—
10.9
8.6
9.1
10.8
—
8.8
8.0
8.9
10.1
1990
1991
1992
1993
1994
15.6
14.4
11.6
4.7
1.4
9.0
9.6
10.0
9.3
4.9
11.1
11.2
10.6
7.8
3.8
8.4
8.7
4.6
0.6
1.2
9.8
8.5
7.1
8.1
5.1
8.8
8.6
5.2
2.5
2.3
1995
1996
1997
1998
1999
9.0
-1.1
8.1
11.4
13.6
6.0
4.4
11.1
8.9
5.0
7.0
2.6
10.1
9.7
7.7
0.3
0.2
4.5
7.2
6.8
3.9
2.5
7.4
5.8
9.2
1.3
0.8
5.4
6.8
7.5
2000
2001
2002
2003
2004
16.3
14.5
12.3
11.1
9.2
8.9
8.0
9.3
8.4
7.2
11.4
10.3
10.4
9.4
8.0
9.6
8.3
6.6
8.4
6.9
7.9
9.8
9.1
5.3
6.7
9.1
8.7
7.4
7.5
6.9
2005
2006
2007
2008
2009
7.8
7.9
5.7
5.9
7.1
5.6
8.4
5.1
5.4
5.2
6.5
8.2
5.4
5.6
5.9
6.5
6.4
6.9
7.9
6.4
6.4
8.9
4.6
6.0
4.6
6.5
7.2
6.2
7.3
5.9
2010
f
2011
f
2012
2.2
2.6
1.9
5.1
4.8
4.2
3.9
4.0
3.3
5.6
3.3
2.9
7.3
5.4
4.6
6.1
3.9
3.4
CA
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
29.4
29.9
30.4
30.8
31.6
70.6
70.1
69.6
69.2
68.4
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
32.9
33.8
34.1
33.2
32.4
67.1
66.2
65.9
66.8
67.6
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
33.0
31.9
31.3
31.7
33.5
67.0
68.1
68.7
68.3
66.5
100.0
100.0
100.0
100.0
100.0
2000
2001
2002
2003
2004
35.0
36.3
36.9
37.5
37.9
65.0
63.7
63.1
62.5
62.1
100.0
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
38.4
38.3
38.5
38.6
39.0
61.6
61.7
61.5
61.4
61.0
100.0
100.0
100.0
100.0
100.0
2010
f
2011
f
2012
f: forecast.
38.3
37.8
37.3
61.7
62.2
62.7
100.0
100.0
100.0
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
19
Drug Expenditure in Canada, 1985 to 2012
Table A Canada—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Canada, 1985 to 2012
Provincial/
Territorial
Prescribed Drugs
Public
Subtotal
Insurers
Social Security Funds
WCBs
Drug Insurance
Public
Funds
(Premium Component)
Federal
Year
CA
Private
Out of
Pocket
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
1985
1986
1987
1988
1989
40.56
47.53
53.18
59.44
67.37
2.24
2.43
2.58
3.33
4.03
0.49
0.58
0.67
0.78
0.84
—
—
—
—
—
43.29
50.54
56.44
63.55
72.24
—
—
—
42.18
46.21
—
—
—
33.72
37.81
56.02
65.09
68.07
75.91
84.01
99.31
115.63
124.51
139.46
156.25
—
—
—
—
—
—
—
—
—
—
47.82
53.60
61.32
66.61
72.42
1990
1991
1992
1993
1994
76.55
86.62
95.56
98.22
98.11
4.70
5.19
5.63
6.54
7.14
0.99
1.18
1.34
1.40
1.22
—
—
—
—
—
82.24
92.99
102.53
106.16
106.47
52.96
59.63
68.65
72.84
72.59
40.69
42.47
43.89
51.23
54.08
93.65
102.10
112.53
124.07
126.67
175.89
195.09
215.07
230.23
233.14
—
—
45.48
47.87
50.87
—
—
39.77
41.95
44.45
74.33
79.79
85.24
89.81
95.31
1995
1996
1997
1998
1999
105.78
103.08
104.77
114.81
128.74
7.78
7.90
8.44
9.41
10.56
1.29
1.40
1.43
1.59
1.77
—
—
5.65
7.08
8.63
114.85
112.38
120.30
132.89
149.70
80.20
83.64
93.13
106.79
111.40
57.46
60.68
71.82
73.71
75.71
137.66
144.32
164.95
180.51
187.12
252.51
256.70
285.24
313.39
336.81
50.31
50.93
52.47
55.10
58.61
44.85
45.21
47.07
50.06
51.86
95.16
96.14
99.53
105.16
110.47
2000
2001
2002
2003
2004
148.57
168.56
186.12
201.31
218.74
11.19
12.64
14.29
16.04
16.52
2.11
2.44
2.76
3.24
3.79
10.68
11.84
13.81
18.24
19.24
172.55
195.48
216.97
238.83
258.29
126.00
144.71
159.68
179.71
194.69
83.50
84.25
93.53
99.63
105.17
209.50
228.96
253.21
279.34
299.86
382.04
424.44
470.18
518.17
558.14
59.15
60.68
62.86
64.64
67.49
52.30
53.32
54.59
54.13
55.35
111.45
114.00
117.45
118.77
122.84
2005
2006
2007
2008
2009
235.07
251.37
263.35
275.77
293.61
17.47
18.72
19.03
19.20
19.17
4.13
4.56
4.78
5.07
5.26
19.15
20.54
21.62
23.25
23.93
275.82
295.19
308.78
323.29
341.97
207.80
223.15
239.81
254.12
266.14
107.83
121.11
119.49
125.09
127.55
315.62
344.27
359.30
379.21
393.69
591.44
639.45
668.08
702.50
735.66
69.49
72.11
75.26
75.99
80.17
56.89
58.77
59.57
59.54
60.85
126.38
130.88
134.83
135.53
141.02
2010
f
2011
f
2012
296.08
302.97
306.19
18.82
17.72
17.12
5.66
5.91
6.15
24.75
24.15
24.13
345.30
350.74
353.58
271.66
276.52
281.76
141.92
152.44
159.97
413.58
428.97
441.74
758.88
779.71
795.32
80.53
84.54
86.86
61.28
62.46
64.89
141.82
147.00
151.75
1985
1986
1987
1988
1989
—
17.2
11.9
11.8
13.3
—
8.1
6.3
29.2
21.0
—
19.7
15.4
15.1
8.1
—
—
—
—
—
—
16.8
11.7
12.6
13.7
—
—
—
—
9.5
—
—
—
—
12.1
—
16.2
4.6
11.5
10.7
—
16.4
7.7
12.0
12.0
—
—
—
—
—
—
—
—
—
—
—
12.1
14.4
8.6
8.7
1990
1991
1992
1993
1994
13.6
13.2
10.3
2.8
-0.1
16.7
10.4
8.4
16.2
9.2
18.2
19.4
13.4
4.5
-12.8
—
—
—
—
—
13.8
13.1
10.3
3.5
0.3
14.6
12.6
15.1
6.1
-0.3
7.6
4.4
3.3
16.7
5.6
11.5
9.0
10.2
10.3
2.1
12.6
10.9
10.2
7.1
1.3
—
—
—
5.3
6.3
—
—
—
5.5
6.0
2.6
7.3
6.8
5.4
6.1
1995
1996
1997
1998
1999
7.8
-2.6
1.6
9.6
12.1
8.9
1.6
6.8
11.4
12.2
5.4
8.5
2.2
11.1
11.2
—
—
—
25.2
22.0
7.9
-2.1
7.0
10.5
12.6
10.5
4.3
11.3
14.7
4.3
6.3
5.6
18.4
2.6
2.7
8.7
4.8
14.3
9.4
3.7
8.3
1.7
11.1
9.9
7.5
-1.1
1.2
3.0
5.0
6.4
0.9
0.8
4.1
6.4
3.6
-0.2
1.0
3.5
5.7
5.1
2000
2001
2002
2003
2004
15.4
13.5
10.4
8.2
8.7
6.0
13.0
13.1
12.3
3.0
19.6
15.7
12.8
17.5
16.9
23.7
10.9
16.6
32.1
5.5
15.3
13.3
11.0
10.1
8.1
13.1
14.8
10.3
12.5
8.3
10.3
0.9
11.0
6.5
5.6
12.0
9.3
10.6
10.3
7.3
13.4
11.1
10.8
10.2
7.7
0.9
2.6
3.6
2.8
4.4
0.8
2.0
2.4
-0.8
2.3
0.9
2.3
3.0
1.1
3.4
2005
2006
2007
2008
2009
7.5
6.9
4.8
4.7
6.5
5.7
7.2
1.6
0.9
-0.2
9.1
10.4
4.8
6.1
3.8
-0.5
7.2
5.3
7.5
2.9
6.8
7.0
4.6
4.7
5.8
6.7
7.4
7.5
6.0
4.7
2.5
12.3
-1.3
4.7
2.0
5.3
9.1
4.4
5.5
3.8
6.0
8.1
4.5
5.2
4.7
3.0
3.8
4.4
1.0
5.5
2.8
3.3
1.4
-0.1
2.2
2.9
3.6
3.0
0.5
4.1
2010
f
2011
f
2012
0.8
2.3
1.1
-1.8
-5.8
-3.4
7.5
4.5
4.0
3.4
-2.4
-0.1
1.0
1.6
0.8
2.1
1.8
1.9
11.3
7.4
4.9
5.1
3.7
3.0
3.2
2.7
2.0
0.5
5.0
2.7
0.7
1.9
3.9
0.6
3.7
3.2
1985
1986
1987
1988
1989
—
14.4
7.1
7.2
8.8
—
5.3
1.6
24.7
16.4
—
16.9
10.6
10.6
3.5
—
—
—
—
—
—
14.0
6.9
8.1
9.1
—
—
—
—
—
—
—
—
—
—
—
13.4
-0.2
7.0
6.1
—
13.6
2.9
7.5
7.5
—
—
—
—
—
—
—
—
—
—
—
9.3
9.7
4.1
4.1
1990
1991
1992
1993
1994
10.6
10.4
9.1
1.3
-1.2
13.6
7.6
7.1
14.7
8.1
15.2
16.6
12.2
3.1
-13.9
—
—
—
—
—
10.8
10.3
9.0
2.1
-0.8
—
—
—
—
—
—
—
—
—
—
8.4
6.3
9.0
8.8
1.0
9.5
8.2
9.0
5.6
0.2
—
—
—
3.8
5.2
—
—
—
4.0
4.9
-0.4
4.6
5.6
3.9
5.0
1995
1996
1997
1998
1999
5.5
-4.2
0.6
10.0
10.3
6.5
0.0
5.8
11.9
10.4
3.0
6.8
1.2
11.6
9.4
—
—
—
25.6
20.2
5.5
-3.8
6.1
10.9
10.8
—
—
—
—
—
—
—
—
—
—
6.3
3.2
13.3
9.9
1.9
6.0
0.0
10.1
10.3
5.7
-3.4
-0.4
2.0
5.5
4.6
-1.4
-0.9
3.1
6.8
1.8
-2.5
-0.6
2.5
6.1
3.2
2000
2001
2002
2003
2004
11.3
12.1
9.4
5.3
6.1
1.9
11.6
12.0
9.4
0.4
15.5
14.4
11.7
14.6
14.3
19.6
9.5
15.6
29.2
2.9
11.2
11.9
9.9
7.2
5.6
—
—
—
—
—
—
—
—
—
—
7.9
7.9
9.5
7.4
4.8
9.3
9.7
9.7
7.3
5.1
-3.2
1.2
2.6
-0.1
1.8
-3.3
0.6
1.3
-3.7
-0.3
-3.2
0.9
2.0
-1.8
0.8
2005
2006
2007
2008
2009
4.5
4.1
1.1
-0.3
9.2
2.7
4.4
-2.0
-4.1
2.6
6.1
7.6
1.1
1.1
6.6
-3.5
4.4
1.6
2.5
5.7
3.8
4.2
0.9
-0.3
8.5
—
—
—
—
—
—
—
—
—
—
2.2
6.3
0.7
0.5
6.6
3.0
5.3
0.8
0.1
7.5
0.0
1.0
0.7
-4.1
8.3
-0.2
0.5
-2.3
-5.1
5.0
-0.1
0.8
-0.7
-4.5
6.8
2010
f
2011
f
2012
-2.4
-1.1
-0.7
-5.1
-9.3
-5.1
4.2
1.1
2.3
0.2
-5.9
-1.8
-2.3
-1.9
-0.9
—
—
—
—
—
—
1.8
0.3
1.3
-0.1
-0.7
0.3
-2.8
1.5
1.0
-2.6
-1.5
2.2
-2.7
0.2
1.5
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
20
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table A Canada—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Canada, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
43.29
50.54
56.44
63.55
72.24
103.84
118.69
129.39
142.52
156.43
147.13
169.23
185.82
206.07
228.67
1,164.56
1,246.28
1,325.41
1,424.26
1,536.26
377.16
414.11
443.63
477.56
519.92
1,541.72
1,660.39
1,769.04
1,901.82
2,056.18
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
82.24
92.99
102.53
106.16
106.47
167.98
181.89
197.78
213.89
221.98
250.22
274.88
300.31
320.05
328.46
1,640.91
1,761.70
1,820.36
1,810.27
1,811.68
562.40
603.14
638.49
682.59
709.48
2,203.31
2,364.84
2,458.85
2,492.87
2,521.16
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
114.85
112.38
120.30
132.89
149.70
232.82
240.45
264.48
285.67
297.59
347.67
352.84
384.78
418.56
447.28
1,799.05
1,783.24
1,845.74
1,962.59
2,078.12
729.30
739.95
786.87
825.61
893.99
2,528.35
2,523.19
2,632.61
2,788.20
2,972.10
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
172.55
195.48
216.97
238.83
258.29
320.95
342.96
370.66
398.12
422.69
493.49
538.44
587.63
636.95
680.98
2,256.63
2,417.42
2,548.27
2,736.09
2,896.75
955.88
1,038.54
1,120.32
1,168.88
1,235.06
3,212.52
3,455.96
3,668.59
3,904.97
4,131.80
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
275.82
295.19
308.78
323.29
341.97
442.01
475.15
494.13
514.74
534.71
717.82
770.34
802.91
838.03
876.68
3,053.96
3,224.31
3,411.14
3,638.53
3,824.22
1,301.35
1,406.02
1,455.11
1,523.82
1,574.18
4,355.31
4,630.33
4,866.25
5,162.35
5,398.40
117.5
120.8
125.2
131.5
127.9
2010
f
2011
f
2012
345.30
350.74
353.58
555.40
575.97
593.49
900.70
926.71
947.08
3,989.86
4,077.84
4,147.79
1,668.95
1,740.19
1,800.33
5,658.81
5,818.03
5,948.12
132.1
136.6
139.0
1985
1986
1987
1988
1989
—
16.8
11.7
12.6
13.7
—
14.3
9.0
10.2
9.8
—
15.0
9.8
10.9
11.0
—
7.0
6.3
7.5
7.9
—
9.8
7.1
7.6
8.9
—
7.7
6.5
7.5
8.1
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
13.8
13.1
10.3
3.5
0.3
7.4
8.3
8.7
8.1
3.8
9.4
9.9
9.3
6.6
2.6
6.8
7.4
3.3
-0.6
0.1
8.2
7.2
5.9
6.9
3.9
7.2
7.3
4.0
1.4
1.1
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
7.9
-2.1
7.0
10.5
12.6
4.9
3.3
10.0
8.0
4.2
5.8
1.5
9.1
8.8
6.9
-0.7
-0.9
3.5
6.3
5.9
2.8
1.5
6.3
4.9
8.3
0.3
-0.2
4.3
5.9
6.6
2.3
1.7
1.0
-0.4
1.8
2000
2001
2002
2003
2004
15.3
13.3
11.0
10.1
8.1
7.8
6.9
8.1
7.4
6.2
10.3
9.1
9.1
8.4
6.9
8.6
7.1
5.4
7.4
5.9
6.9
8.6
7.9
4.3
5.7
8.1
7.6
6.2
6.4
5.8
4.1
1.4
1.0
2.9
2.6
2005
2006
2007
2008
2009
6.8
7.0
4.6
4.7
5.8
4.6
7.5
4.0
4.2
3.9
5.4
7.3
4.2
4.4
4.6
5.4
5.6
5.8
6.7
5.1
5.4
8.0
3.5
4.7
3.3
5.4
6.3
5.1
6.1
4.6
3.0
2.8
3.7
5.0
-2.8
2010
f
2011
f
2012
1.0
1.6
0.8
3.9
3.7
3.0
2.7
2.9
2.2
4.3
2.2
1.7
6.0
4.3
3.5
4.8
2.8
2.2
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
14.0
6.9
8.1
9.1
—
11.5
4.3
5.6
5.2
—
12.2
5.1
6.4
6.4
—
4.2
1.6
2.9
3.3
—
7.0
2.4
3.1
4.3
—
4.9
1.8
3.0
3.6
1990
1991
1992
1993
1994
10.8
10.3
9.0
2.1
-0.8
4.4
5.5
7.5
6.7
2.7
6.4
7.1
8.0
5.1
1.5
3.8
4.6
2.1
-2.0
-1.0
5.1
4.5
4.6
5.5
2.8
4.1
4.6
2.7
-0.1
0.0
1995
1996
1997
1998
1999
5.5
-3.8
6.1
10.9
10.8
2.5
1.6
9.0
8.4
2.4
3.5
-0.2
8.1
9.2
5.1
-3.0
-2.6
2.5
6.8
4.1
0.5
-0.2
5.3
5.4
6.5
-2.1
-1.9
3.3
6.3
4.8
2000
2001
2002
2003
2004
11.2
11.9
9.9
7.2
5.6
3.7
5.5
7.0
4.5
3.6
6.2
7.8
8.1
5.5
4.3
4.5
5.8
4.4
4.5
3.3
2.8
7.3
6.8
1.4
3.1
4.0
6.2
5.1
3.5
3.2
2005
2006
2007
2008
2009
3.8
4.2
0.9
-0.3
8.5
1.6
4.7
0.3
-0.9
6.6
2.4
4.5
0.5
-0.6
7.4
2.4
2.8
2.1
1.6
7.9
2.4
5.2
-0.2
-0.3
6.1
2.4
3.5
1.4
1.1
7.3
2010
f
2011
f
2012
-2.3
-1.9
-0.9
0.6
0.3
1.3
-0.5
-0.5
0.5
1.1
-1.2
0.0
2.8
0.8
1.7
1.6
-0.6
0.5
CA
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
21
Series B—Expenditure on Drugs by Type, by
Source of Finance and as a Share of Public,
Private and Total Health Expenditure,
by Province/Territory, 1985 to 2012
Drug Expenditure in Canada, 1985 to 2012
Table B N.L.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Newfoundland and Labrador, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
N.L.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
18.0
21.4
24.7
28.2
31.2
2.3
2.7
3.1
1.6
1.3
0.1
0.2
0.3
0.4
0.4
—
—
—
—
—
20.4
24.4
28.1
30.2
32.9
—
—
—
—
—
—
—
—
—
—
82.8
51.6
55.1
58.7
62.5
103.2
76.0
83.2
88.9
95.4
—
—
—
—
—
—
—
—
—
—
24.9
28.2
32.7
32.3
32.0
1990
1991
1992
1993
1994
35.3
40.3
43.9
47.8
52.1
1.6
1.7
1.7
2.2
2.5
0.6
0.8
1.1
1.2
1.2
—
—
—
—
—
37.5
42.8
46.6
51.1
55.8
—
—
—
—
—
—
—
—
—
—
64.7
65.8
72.9
76.1
77.9
102.2
108.5
119.5
127.2
133.7
—
—
20.6
21.7
22.9
—
—
17.9
18.2
18.3
34.3
37.8
38.6
39.9
41.2
1995
1996
1997
1998
1999
54.5
54.5
53.6
56.1
60.0
2.8
2.7
3.3
3.7
4.1
1.5
1.8
1.9
2.4
2.8
—
—
—
—
—
58.8
59.0
58.8
62.1
66.9
—
—
—
—
—
—
—
—
—
—
85.6
90.0
87.9
93.7
103.3
144.4
149.0
146.7
155.8
170.2
22.5
24.7
21.4
23.3
25.6
19.9
21.9
18.9
21.0
22.5
42.3
46.7
40.3
44.3
48.1
2000
2001
2002
2003
2004
68.0
77.9
86.9
96.0
101.7
5.8
6.6
7.4
8.1
7.8
3.8
4.2
5.0
4.7
4.8
—
—
—
—
—
77.6
88.7
99.3
108.9
114.4
—
—
—
—
—
—
—
—
—
—
119.9
129.2
150.2
169.0
178.4
197.5
217.9
249.5
277.8
292.7
26.1
25.8
26.6
27.0
27.8
22.2
22.6
23.0
22.5
23.1
48.3
48.3
49.7
49.5
50.9
2005
2006
2007
2008
2009
106.0
108.1
116.9
122.3
128.7
8.0
7.7
7.3
7.1
7.2
5.1
5.1
5.1
5.2
6.2
—
—
—
—
—
119.0
121.0
129.4
134.5
142.1
—
—
—
—
—
—
—
—
—
—
196.7
208.4
241.2
229.2
250.9
315.8
329.4
370.6
363.7
393.1
27.3
28.4
29.6
29.6
32.4
22.2
23.0
23.3
23.1
24.5
49.5
51.4
52.8
52.8
57.0
2010
2011f
2012f
135.9
145.7
157.0
7.1
6.7
6.6
6.2
6.6
7.0
—
—
—
149.2
159.0
170.5
—
—
—
—
—
—
275.9
301.2
324.0
425.1
460.2
494.5
32.7
33.8
34.1
24.9
25.1
25.9
57.5
58.9
60.0
1985
1986
1987
1988
1989
—
19.2
15.4
13.9
10.6
—
20.4
13.5
-48.0
-20.2
—
35.5
34.3
50.0
14.5
—
—
—
—
—
—
19.4
15.3
7.4
9.0
—
—
—
—
—
—
—
—
—
—
—
-37.6
6.7
6.6
6.6
—
-26.3
9.4
6.8
7.4
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
-1.0
-1.0
1990
1991
1992
1993
1994
13.4
14.1
8.8
8.9
9.1
21.5
9.6
-3.5
31.4
12.4
38.7
25.5
40.5
9.2
7.4
—
—
—
—
—
14.0
14.1
8.9
9.7
9.2
—
—
—
—
—
—
—
—
—
—
3.4
1.7
10.8
4.5
2.3
7.1
6.2
10.1
6.5
5.1
—
—
—
5.4
5.3
—
—
—
1.1
0.8
7.1
10.3
2.0
3.4
3.3
1995
1996
1997
1998
1999
4.6
0.0
-1.6
4.6
7.0
12.3
-2.7
23.0
10.5
12.0
22.5
18.8
3.4
28.6
16.0
—
—
—
—
—
5.4
0.4
-0.4
5.6
7.7
—
—
—
—
—
—
—
—
—
—
9.9
5.1
-2.3
6.5
10.3
8.0
3.2
-1.5
6.2
9.3
-1.8
10.1
-13.4
8.8
9.9
8.6
10.3
-14.0
11.5
7.0
2.8
10.2
-13.7
10.0
8.5
2000
2001
2002
2003
2004
13.4
14.5
11.5
10.6
5.9
40.7
15.5
11.9
8.3
-3.0
37.7
8.8
19.9
-4.9
2.2
—
—
—
—
—
16.1
14.3
12.0
9.6
5.1
—
—
—
—
—
—
—
—
—
—
16.0
7.8
16.2
12.5
5.5
16.0
10.3
14.5
11.4
5.4
2.2
-1.4
3.3
1.2
3.2
-1.4
1.7
2.1
-2.3
2.5
0.5
0.1
2.8
-0.4
2.8
2005
2006
2007
2008
2009
4.2
2.0
8.1
4.6
5.2
1.8
-3.1
-5.0
-3.5
2.2
4.5
1.5
-0.7
1.0
20.7
—
—
—
—
—
4.1
1.7
6.9
4.0
5.7
—
—
—
—
—
—
—
—
—
—
10.3
5.9
15.7
-5.0
9.5
7.9
4.3
12.5
-1.9
8.1
-2.0
4.1
4.1
0.2
9.5
-3.6
3.7
1.0
-0.6
6.1
-2.7
3.9
2.7
-0.1
8.0
2010
2011f
2012f
5.6
7.2
7.7
-2.1
-5.3
-2.1
-1.0
6.4
6.2
—
—
—
4.9
6.6
7.2
—
—
—
—
—
—
10.0
9.2
7.6
8.1
8.3
7.5
0.6
3.4
0.9
1.4
0.9
3.1
1.0
2.3
1.9
1985
1986
1987
1988
1989
14.0
20.6
21.3
23.2
24.4
1.8
2.6
2.7
1.3
1.0
0.1
0.2
0.2
0.3
0.3
—
—
—
—
—
15.9
23.4
24.3
24.9
25.8
—
—
—
—
—
—
—
—
—
—
64.6
49.6
47.5
48.4
49.1
80.6
73.0
71.8
73.3
74.9
—
—
—
—
—
—
—
—
—
—
19.4
27.0
28.2
26.7
25.1
1990
1991
1992
1993
1994
25.9
27.5
27.8
28.6
29.8
1.2
1.2
1.1
1.3
1.4
0.4
0.5
0.7
0.7
0.7
—
—
—
—
—
27.5
29.2
29.5
30.6
31.9
—
—
—
—
—
—
—
—
—
—
47.4
44.9
46.1
45.6
44.6
74.9
74.2
75.6
76.1
76.5
—
—
13.0
13.0
13.1
—
—
11.4
10.9
10.5
25.1
25.8
24.4
23.9
23.5
1995
1996
1997
1998
1999
29.2
27.9
28.7
28.0
27.5
1.5
1.4
1.8
1.8
1.9
0.8
0.9
1.0
1.2
1.3
—
—
—
—
—
31.5
30.2
31.4
31.0
30.6
—
—
—
—
—
—
—
—
—
—
45.9
46.0
47.0
46.8
47.3
77.3
76.2
78.5
77.9
78.0
12.0
12.6
11.4
11.6
11.7
10.6
11.2
10.1
10.5
10.3
22.7
23.8
21.5
22.1
22.0
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
24
2000
27.7
2.3
1.6
—
31.6
—
—
48.8
80.3
10.6
9.0
19.7
2001
2002
2003
2004
29.3
29.0
29.3
29.6
2.5
2.5
2.5
2.3
1.6
1.7
1.4
1.4
—
—
—
—
33.3
33.2
33.3
33.3
—
—
—
—
—
—
—
—
48.5
50.2
51.6
51.9
81.8
83.4
84.9
85.2
9.7
8.9
8.2
8.1
8.5
7.7
6.9
6.7
18.2
16.6
15.1
14.8
2005
2006
2007
2008
2009
29.0
28.4
27.6
29.4
28.6
2.2
2.0
1.7
1.7
1.6
1.4
1.4
1.2
1.2
1.4
—
—
—
—
—
32.6
31.8
30.6
32.3
31.6
—
—
—
—
—
—
—
—
—
—
53.9
54.7
57.0
55.0
55.8
86.5
86.5
87.5
87.3
87.3
7.5
7.5
7.0
7.1
7.2
6.1
6.0
5.5
5.6
5.5
13.5
13.5
12.5
12.7
12.7
2010
28.2
1.5
1.3
28.1
1.3
1.3
2011f
2012f
28.3
1.2
1.3
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
30.9
30.6
30.7
—
—
—
—
—
—
57.2
58.0
58.4
88.1
88.7
89.2
6.8
6.5
6.1
5.2
4.8
4.7
11.9
11.3
10.8
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B N.L.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Newfoundland and Labrador, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Year
Health Expenditure
Private
Public
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
20.4
24.4
28.1
30.2
32.9
107.7
79.8
87.8
91.0
94.6
128.1
104.2
115.9
121.2
127.4
588.8
642.9
693.6
733.8
787.7
197.1
169.6
188.0
197.1
203.9
785.8
812.5
881.6
930.9
991.6
3.5
3.8
4.1
4.1
4.2
54.6
47.1
46.7
46.2
46.4
16.3
12.8
13.1
13.0
12.9
1990
1991
1992
1993
1994
37.5
42.8
46.6
51.1
55.8
99.0
103.6
111.4
116.0
119.1
136.5
146.4
158.0
167.1
174.9
875.9
905.7
928.3
924.9
948.1
220.6
247.5
269.1
284.2
301.1
1,096.4
1,153.2
1,197.4
1,209.1
1,249.3
4.3
4.7
5.0
5.5
5.9
44.9
41.8
41.4
40.8
39.6
12.4
12.7
13.2
13.8
14.0
1995
1996
1997
1998
1999
58.8
59.0
58.8
62.1
66.9
128.0
136.7
128.2
138.0
151.4
186.7
195.6
187.0
200.1
218.3
973.1
974.4
1,020.8
1,107.8
1,250.8
296.4
279.0
284.5
325.6
332.5
1,269.4
1,253.4
1,305.4
1,433.4
1,583.3
6.0
6.1
5.8
5.6
5.3
43.2
49.0
45.1
42.4
45.5
14.7
15.6
14.3
14.0
13.8
2000
2001
2002
2003
2004
77.6
88.7
99.3
108.9
114.4
168.2
177.5
199.8
218.5
229.2
245.8
266.2
299.1
327.3
343.6
1,318.7
1,415.5
1,510.0
1,591.3
1,628.9
368.6
387.4
416.0
470.5
509.2
1,687.2
1,802.9
1,926.1
2,061.8
2,138.0
5.9
6.3
6.6
6.8
7.0
45.6
45.8
48.0
46.4
45.0
14.6
14.8
15.5
15.9
16.1
2005
2006
2007
2008
2009
119.0
121.0
129.4
134.5
142.1
246.2
259.8
294.0
281.9
307.9
365.2
380.8
423.4
416.4
450.1
1,684.8
1,783.3
1,926.8
2,096.9
2,313.6
550.2
561.6
632.3
638.2
679.9
2,235.0
2,344.9
2,559.1
2,735.0
2,993.5
7.1
6.8
6.7
6.4
6.1
44.8
46.3
46.5
44.2
45.3
16.3
16.2
16.5
15.2
15.0
2010
2011f
2012f
149.2
159.0
170.5
333.5
360.1
384.0
482.6
519.1
554.5
2,544.3
2,651.0
2,749.3
755.2
804.8
844.6
3,299.5
3,455.8
3,593.9
5.9
6.0
6.2
44.2
44.7
45.5
14.6
15.0
15.4
1985
1986
1987
1988
1989
—
19.4
15.3
7.4
9.0
—
-25.9
9.9
3.7
3.9
—
-18.6
11.2
4.6
5.1
—
9.2
7.9
5.8
7.4
—
-13.9
10.9
4.8
3.4
—
3.4
8.5
5.6
6.5
1990
1991
1992
1993
1994
14.0
14.1
8.9
9.7
9.2
4.7
4.7
7.6
4.1
2.7
7.1
7.3
8.0
5.8
4.7
11.2
3.4
2.5
-0.4
2.5
8.2
12.2
8.7
5.6
6.0
10.6
5.2
3.8
1.0
3.3
1995
1996
1997
1998
1999
5.4
0.4
-0.4
5.6
7.7
7.4
6.8
-6.2
7.6
9.7
6.8
4.8
-4.4
7.0
9.1
2.6
0.1
4.8
8.5
12.9
-1.6
-5.9
2.0
14.4
2.1
1.6
-1.3
4.1
9.8
10.5
2000
2001
2002
2003
2004
16.1
14.3
12.0
9.6
5.1
11.1
5.6
12.6
9.3
4.9
12.6
8.3
12.4
9.4
5.0
5.4
7.3
6.7
5.4
2.4
10.8
5.1
7.4
13.1
8.2
6.6
6.9
6.8
7.0
3.7
2005
2006
2007
2008
2009
4.1
1.7
6.9
4.0
5.7
7.4
5.5
13.1
-4.1
9.2
6.3
4.3
11.2
-1.6
8.1
3.4
5.8
8.0
8.8
10.3
8.1
2.1
12.6
0.9
6.5
4.5
4.9
9.1
6.9
9.5
2010
2011f
2012f
4.9
6.6
7.2
8.3
8.0
6.6
7.2
7.6
6.8
10.0
4.2
3.7
11.1
6.6
4.9
10.2
4.7
4.0
N.L.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
15.9
23.4
24.3
24.9
25.8
84.1
76.6
75.7
75.1
74.2
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
27.5
29.2
29.5
30.6
31.9
72.5
70.8
70.5
69.4
68.1
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
31.5
30.2
31.4
31.0
30.6
68.5
69.8
68.6
69.0
69.4
100.0
100.0
100.0
100.0
100.0
2000
31.6
68.4
100.0
2001
2002
2003
2004
33.3
33.2
33.3
33.3
66.7
66.8
66.7
66.7
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
32.6
31.8
30.6
32.3
31.6
67.4
68.2
69.4
67.7
68.4
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
30.9
30.6
30.7
69.1
69.4
69.3
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
25
Drug Expenditure in Canada, 1985 to 2012
Table B N.L.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Newfoundland and Labrador, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
N.L.
Private
Out of
Pocket
1985
1986
1987
1988
1989
31.05
37.19
43.00
49.00
54.05
3.94
4.77
5.42
2.82
2.25
0.24
0.32
0.44
0.66
0.75
—
—
—
—
—
35.23
42.28
48.86
52.48
57.04
—
—
—
—
—
—
—
—
—
—
142.89
89.58
95.77
102.08
108.52
178.12
131.86
144.63
154.56
165.56
—
—
—
—
—
—
—
—
—
—
42.96
48.89
56.82
56.25
55.53
1990
1991
1992
1993
1994
61.11
69.56
75.61
82.36
90.69
2.72
2.97
2.87
3.77
4.28
1.03
1.30
1.82
1.99
2.15
—
—
—
—
—
64.87
73.83
80.30
88.12
97.12
—
—
—
—
—
—
—
—
—
—
111.92
113.48
125.66
131.28
135.64
176.79
187.30
205.95
219.40
232.75
—
—
35.54
37.46
39.83
—
—
30.94
31.30
31.86
59.30
65.26
66.48
68.77
71.69
1995
1996
1997
1998
1999
96.05
97.36
97.30
103.81
112.49
4.86
4.80
6.00
6.76
7.67
2.67
3.22
3.38
4.43
5.20
—
—
—
—
—
103.58
105.37
106.67
115.01
125.36
—
—
—
—
—
—
—
—
—
—
150.89
160.78
159.58
173.46
193.70
254.47
266.15
266.25
288.47
319.07
39.59
44.17
38.85
43.13
47.96
35.02
39.17
34.22
38.93
42.18
74.61
83.34
73.08
82.06
90.14
2000
2001
2002
2003
2004
128.84
149.21
167.25
185.27
196.64
10.90
12.73
14.32
15.54
15.11
7.24
7.97
9.60
9.15
9.37
—
—
—
—
—
146.98
169.91
191.17
209.96
221.13
—
—
—
—
—
—
—
—
—
—
226.98
247.46
289.07
325.97
344.79
373.96
417.37
480.24
535.94
565.91
49.52
49.41
51.30
52.01
53.78
42.00
43.21
44.35
43.41
44.57
91.52
92.63
95.65
95.42
98.35
2005
2006
2007
2008
2009
206.17
211.91
230.95
241.51
252.90
15.48
15.11
14.47
13.97
14.21
9.86
10.08
10.09
10.19
12.24
—
—
—
—
—
231.51
237.10
255.51
265.66
279.34
—
—
—
—
—
—
—
—
—
—
382.64
408.42
476.27
452.58
493.12
614.15
645.53
731.78
718.24
772.46
53.04
55.63
58.37
58.52
63.77
43.21
45.13
45.94
45.66
48.21
96.25
100.76
104.31
104.18
111.98
2010
2011f
2012f
265.88
285.40
308.22
13.85
13.13
12.89
12.05
12.84
13.67
—
—
—
291.78
311.37
334.78
—
—
—
—
—
—
539.68
589.99
636.26
831.45
901.36
971.04
63.87
66.12
66.92
48.65
49.17
50.82
112.51
115.29
117.74
1985
1986
1987
1988
1989
—
19.8
15.6
14.0
10.3
—
21.0
13.7
-48.0
-20.4
—
36.2
34.7
50.0
14.2
—
—
—
—
—
—
20.0
15.6
7.4
8.7
—
—
—
—
—
—
—
—
—
—
—
-37.3
6.9
6.6
6.3
—
-26.0
9.7
6.9
7.1
—
—
—
—
—
—
—
—
—
—
—
13.8
16.2
-1.0
-1.3
1990
1991
1992
1993
1994
13.1
13.8
8.7
8.9
10.1
21.2
9.3
-3.5
31.4
13.4
38.3
25.2
40.4
9.3
8.4
—
—
—
—
—
13.7
13.8
8.8
9.7
10.2
—
—
—
—
—
—
—
—
—
—
3.1
1.4
10.7
4.5
3.3
6.8
5.9
10.0
6.5
6.1
—
—
—
5.4
6.3
—
—
—
1.2
1.8
6.8
10.0
1.9
3.4
4.3
1995
1996
1997
1998
1999
5.9
1.4
-0.1
6.7
8.4
13.7
-1.3
25.0
12.8
13.4
24.1
20.4
5.1
31.2
17.4
—
—
—
—
—
6.7
1.7
1.2
7.8
9.0
—
—
—
—
—
—
—
—
—
—
11.2
6.6
-0.7
8.7
11.7
9.3
4.6
0.0
8.3
10.6
-0.6
11.6
-12.0
11.0
11.2
9.9
11.8
-12.6
13.8
8.3
4.1
11.7
-12.3
12.3
9.8
1.5
(Annual Percentage Change)
2000
14.5
42.2
39.1
—
17.2
—
—
17.2
17.2
3.2
-0.4
2001
15.8
16.8
10.1
—
15.6
—
—
9.0
11.6
-0.2
2.9
2002
12.1
12.5
20.4
—
12.5
—
—
16.8
15.1
3.8
2.6
3.3
2003
10.8
8.5
-4.7
—
9.8
—
—
12.8
11.6
1.4
-2.1
-0.2
1.2
2004
6.1
-2.8
2.5
—
5.3
—
—
5.8
5.6
3.4
2.7
3.1
2005
2006
2007
2008
2009
4.8
2.8
9.0
4.6
4.7
2.5
-2.4
-4.2
-3.5
1.7
5.1
2.3
0.0
1.0
20.1
—
—
—
—
—
4.7
2.4
7.8
4.0
5.1
—
—
—
—
—
—
—
—
—
—
11.0
6.7
16.6
-5.0
9.0
8.5
5.1
13.4
-1.8
7.5
-1.4
4.9
4.9
0.3
9.0
-3.0
4.4
1.8
-0.6
5.6
-2.1
4.7
3.5
-0.1
7.5
2010
2011f
2012f
5.1
7.3
8.0
-2.5
-5.2
-1.8
-1.5
6.5
6.4
—
—
—
4.5
6.7
7.5
—
—
—
—
—
—
9.4
9.3
7.8
7.6
8.4
7.7
0.2
3.5
1.2
0.9
1.1
3.4
0.5
2.5
2.1
1985
1986
1987
1988
1989
—
17.0
10.9
9.4
5.7
—
18.2
9.0
-52.5
-25.0
—
33.4
29.9
45.5
9.6
—
—
—
—
—
—
17.2
10.8
2.9
4.1
—
—
—
—
—
—
—
—
—
—
—
-40.1
2.2
2.1
1.7
—
-28.8
4.9
2.3
2.6
—
—
—
—
—
—
—
—
—
—
—
11.0
11.5
-5.5
-5.8
1990
1991
1992
1993
1994
10.0
11.1
7.4
7.5
9.0
18.2
6.6
-4.8
29.9
12.3
35.3
22.4
39.1
7.8
7.3
—
—
—
—
—
10.7
11.1
7.5
8.3
9.1
—
—
—
—
—
—
—
—
—
—
0.1
-1.4
9.5
3.0
2.2
3.8
3.2
8.7
5.1
5.0
—
—
—
4.0
5.2
—
—
—
-0.3
0.7
3.8
7.3
0.6
2.0
3.2
1995
1996
1997
1998
1999
3.6
-0.3
-1.1
7.1
6.6
11.4
-3.0
24.0
13.2
11.6
21.7
18.7
4.1
31.7
15.6
—
—
—
—
—
4.3
0.1
0.2
8.3
7.2
—
—
—
—
—
—
—
—
—
—
8.9
4.9
-1.7
9.1
9.9
7.0
2.9
-1.0
8.8
8.8
-2.9
9.9
-13.0
11.4
9.4
7.6
10.2
-13.6
14.2
6.5
1.7
10.0
-13.3
12.7
8.0
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
10.4
38.1
35.0
—
13.1
—
—
13.1
13.1
-0.9
-4.5
-2.6
2001
2002
2003
2004
14.5
11.0
7.9
3.5
15.4
11.4
5.6
-5.4
8.8
19.4
-7.6
-0.1
—
—
—
—
14.2
11.5
6.9
2.7
—
—
—
—
—
—
—
—
7.7
15.8
9.9
3.2
10.3
14.0
8.7
3.0
-1.6
2.8
-1.5
0.8
1.5
1.6
-5.0
0.1
-0.1
2.2
-3.1
0.5
2005
2006
2007
2008
2009
1.8
0.0
5.3
-0.4
7.5
-0.5
-5.2
-7.9
-8.5
4.5
2.1
-0.5
-3.7
-4.0
22.9
—
—
—
—
—
1.7
-0.4
4.1
-1.0
7.9
—
—
—
—
—
—
—
—
—
—
8.0
3.9
12.9
-10.0
11.7
5.5
2.3
9.7
-6.9
10.3
-4.4
2.1
1.2
-4.8
11.7
-6.1
1.6
-1.9
-5.6
8.3
-5.1
1.9
-0.2
-5.2
10.2
2010
2011f
2012f
1.9
3.9
6.3
-5.8
-8.6
-3.5
-4.8
3.1
4.7
—
—
—
1.2
3.3
5.8
—
—
—
—
—
—
6.2
5.9
6.1
4.4
5.0
6.0
-3.1
0.1
-0.5
-2.4
-2.4
1.6
-2.8
-1.0
0.4
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
26
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B N.L.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Newfoundland and Labrador, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
35.23
42.28
48.86
52.48
57.04
185.85
138.46
152.59
158.33
164.05
221.08
180.75
201.45
210.81
221.09
1,016.34
1,115.18
1,205.91
1,276.14
1,366.63
340.16
294.15
326.89
342.81
353.75
1,356.50
1,409.34
1,532.79
1,618.95
1,720.39
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
64.87
73.83
80.30
88.12
97.12
171.22
178.73
192.14
200.04
207.33
236.09
252.56
272.44
288.16
304.44
1,515.29
1,562.86
1,600.38
1,594.84
1,650.45
381.55
427.13
463.99
489.99
524.20
1,896.84
1,989.99
2,064.37
2,084.83
2,174.65
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
103.58
105.37
106.67
115.01
125.36
225.50
244.12
232.65
255.52
283.85
329.08
349.49
339.33
370.54
409.21
1,714.87
1,740.60
1,852.68
2,051.73
2,344.87
522.27
498.31
516.33
603.02
623.44
2,237.14
2,238.91
2,369.01
2,654.75
2,968.31
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
146.98
169.91
191.17
209.96
221.13
318.50
340.09
384.72
421.39
443.14
465.48
510.00
575.89
631.36
664.27
2,497.29
2,711.82
2,907.00
3,069.54
3,148.75
698.00
742.15
800.89
907.53
984.26
3,195.29
3,453.96
3,707.89
3,977.07
4,133.01
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
231.51
237.10
255.51
265.66
279.34
478.89
509.19
580.59
556.76
605.10
710.40
746.29
836.09
822.42
884.44
3,276.91
3,494.48
3,805.02
4,141.00
4,546.54
1,070.07
1,100.57
1,248.73
1,260.27
1,336.18
4,346.98
4,595.04
5,053.76
5,401.27
5,882.72
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
291.78
311.37
334.78
652.19
705.28
754.00
943.97
1,016.66
1,088.77
4,976.23
5,192.14
5,398.59
1,477.16
1,576.23
1,658.45
6,453.40
6,768.37
7,057.05
132.1
136.6
139.0
1985
1986
1987
1988
1989
—
20.0
15.6
7.4
8.7
—
-25.5
10.2
3.8
3.6
—
-18.2
11.5
4.6
4.9
—
9.7
8.1
5.8
7.1
—
-13.5
11.1
4.9
3.2
—
3.9
8.8
5.6
6.3
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
13.7
13.8
8.8
9.7
10.2
4.4
4.4
7.5
4.1
3.6
6.8
7.0
7.9
5.8
5.6
10.9
3.1
2.4
-0.3
3.5
7.9
11.9
8.6
5.6
7.0
10.3
4.9
3.7
1.0
4.3
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
6.7
1.7
1.2
7.8
9.0
8.8
8.3
-4.7
9.8
11.1
8.1
6.2
-2.9
9.2
10.4
3.9
1.5
6.4
10.7
14.3
-0.4
-4.6
3.6
16.8
3.4
2.9
0.1
5.8
12.1
11.8
2.3
1.7
1.0
-0.4
1.8
2000
17.2
12.2
13.7
6.5
12.0
7.6
4.1
2001
15.6
6.8
9.6
8.6
6.3
8.1
1.4
2002
12.5
13.1
12.9
7.2
7.9
7.4
1.0
2003
9.8
9.5
9.6
5.6
13.3
7.3
2.9
2004
5.3
5.2
5.2
2.6
8.5
3.9
2.6
2005
2006
2007
2008
2009
4.7
2.4
7.8
4.0
5.1
8.1
6.3
14.0
-4.1
8.7
6.9
5.1
12.0
-1.6
7.5
4.1
6.6
8.9
8.8
9.8
8.7
2.8
13.5
0.9
6.0
5.2
5.7
10.0
6.9
8.9
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
4.5
6.7
7.5
7.8
8.1
6.9
6.7
7.7
7.1
9.5
4.3
4.0
10.6
6.7
5.2
9.7
4.9
4.3
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
17.2
10.8
2.9
4.1
—
-28.3
5.5
-0.8
-1.0
—
-21.0
6.7
0.1
0.3
—
6.9
3.4
1.3
2.5
—
-16.3
6.4
0.4
-1.4
—
1.1
4.0
1.1
1.7
1990
1991
1992
1993
1994
10.7
11.1
7.5
8.3
9.1
1.3
1.6
6.2
2.7
2.5
3.8
4.2
6.6
4.3
4.6
7.9
0.4
1.1
-1.8
2.4
4.8
9.2
7.4
4.2
5.9
7.2
2.2
2.5
-0.4
3.2
1995
1996
1997
1998
1999
4.3
0.1
0.2
8.3
7.2
6.4
6.6
-5.7
10.3
9.3
5.8
4.5
-3.9
9.6
8.6
1.6
-0.2
5.4
11.2
12.5
-2.7
-6.3
2.6
17.2
1.6
0.5
-1.6
4.8
12.5
10.0
2000
13.1
8.1
9.6
2.4
7.9
3.5
2001
2002
2003
2004
14.2
11.5
6.9
2.7
5.4
12.1
6.6
2.6
8.2
11.9
6.7
2.6
7.2
6.2
2.7
0.0
5.0
6.9
10.4
5.9
6.7
6.3
4.4
1.3
2005
2006
2007
2008
2009
1.7
-0.4
4.1
-1.0
7.9
5.1
3.5
10.3
-9.1
11.4
3.9
2.3
8.4
-6.7
10.3
1.1
3.8
5.2
3.8
12.5
5.7
0.1
9.8
-4.1
8.8
2.2
2.9
6.3
1.9
11.7
2010
2011f
2012f
1.2
3.3
5.8
4.5
4.7
5.2
3.5
4.3
5.4
6.2
0.9
2.3
7.3
3.3
3.5
6.4
1.5
2.5
N.L.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
27
Drug Expenditure in Canada, 1985 to 2012
Table B P.E.I.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Prince Edward Island, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
P.E.I.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
1.7
2.1
3.5
4.6
5.5
0.8
0.9
1.0
0.6
0.5
0.0
0.1
0.1
0.1
0.1
—
—
—
—
—
2.5
3.1
4.6
5.3
6.0
—
—
—
—
—
—
—
—
—
—
19.5
12.9
10.2
12.4
15.0
22.0
16.0
14.7
17.7
21.0
—
—
—
—
—
—
—
—
—
—
10.7
12.1
14.0
11.8
9.9
1990
1991
1992
1993
1994
6.5
7.4
7.6
7.5
7.7
0.6
0.7
0.7
0.8
0.9
0.1
0.1
0.4
0.3
0.3
—
—
—
—
—
7.3
8.2
8.6
8.6
8.9
—
—
—
—
—
—
—
—
—
—
18.0
17.1
18.8
21.8
23.8
25.3
25.3
27.5
30.5
32.8
—
—
8.6
9.0
9.2
—
—
7.8
8.4
8.7
10.6
13.5
16.4
17.4
17.9
1995
1996
1997
1998
1999
8.5
8.5
9.1
10.4
12.0
1.0
1.0
1.0
1.2
1.4
0.4
0.4
0.4
0.5
0.6
—
—
—
—
—
9.8
9.8
10.6
12.2
13.9
—
—
—
—
—
—
—
—
—
—
28.4
29.7
28.8
33.0
33.6
38.3
39.5
39.4
45.1
47.6
8.5
6.8
7.1
8.6
9.1
8.3
6.3
6.9
8.5
8.5
16.8
13.1
14.0
17.1
17.6
2000
2001
2002
2003
2004
14.0
15.7
16.9
18.4
19.9
2.3
2.7
2.7
2.9
2.9
0.7
0.8
0.7
0.7
0.7
—
—
—
—
—
17.0
19.1
20.3
22.0
23.4
—
—
—
—
—
—
—
—
—
—
36.0
43.0
38.1
43.7
47.8
53.0
62.2
58.4
65.7
71.2
8.8
9.7
10.4
10.7
10.7
8.0
8.4
9.0
9.0
8.9
16.8
18.1
19.4
19.7
19.6
2005
2006
2007
2008
2009
22.3
24.2
25.8
28.7
32.4
2.9
2.8
2.8
2.8
2.7
0.7
0.8
0.9
0.9
0.9
—
—
—
—
—
25.9
27.8
29.4
32.4
36.0
—
—
—
—
—
—
—
—
—
—
52.2
56.8
56.9
56.7
63.7
78.1
84.6
86.3
89.1
99.7
10.2
10.6
11.3
12.2
12.5
8.3
8.7
9.0
9.6
9.5
18.5
19.3
20.4
21.8
22.0
2010
2011f
2012f
35.1
37.0
36.4
2.6
2.6
2.5
0.9
0.8
0.8
—
—
—
38.6
40.4
39.8
—
—
—
—
—
—
67.1
70.9
73.9
105.7
111.3
113.7
12.9
13.2
13.5
9.9
10.0
10.3
22.9
23.2
23.9
1985
1986
1987
1988
1989
—
27.8
63.7
32.4
17.9
—
16.1
12.6
-40.9
-17.4
—
44.0
39.7
20.2
0.9
—
—
—
—
—
—
24.4
48.5
16.1
13.7
—
—
—
—
—
—
—
—
—
—
—
-34.1
-21.0
21.5
21.5
—
-27.5
-7.6
19.8
19.1
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
-16.1
-16.1
1990
1991
1992
1993
1994
19.8
13.5
2.5
-1.7
2.8
30.7
7.0
-4.5
24.8
12.0
20.5
-0.4
218.0
-13.7
-1.5
—
—
—
—
—
20.7
12.7
5.2
-0.3
3.5
—
—
—
—
—
—
—
—
—
—
19.8
-4.7
10.0
15.9
9.2
20.1
0.3
8.5
10.8
7.6
—
—
—
4.9
1.7
—
—
—
7.8
3.7
7.5
27.3
21.5
6.3
2.7
1995
1996
1997
1998
1999
10.2
0.0
7.4
14.6
14.7
8.6
-3.8
8.3
16.2
14.0
9.8
4.4
14.7
21.0
11.9
—
—
—
—
—
10.0
-0.2
7.8
15.1
14.5
—
—
—
—
—
—
—
—
—
—
19.2
4.3
-3.0
14.5
2.0
16.7
3.2
-0.3
14.6
5.4
-7.1
-20.6
5.4
21.2
5.7
-5.1
-24.1
9.2
23.2
0.1
-6.1
-22.3
7.2
22.2
3.0
2000
2001
2002
2003
2004
16.8
12.4
7.7
9.2
7.7
66.4
16.8
0.7
6.4
0.4
26.3
4.4
-9.4
-1.6
-2.8
—
—
—
—
—
22.1
12.6
6.0
8.4
6.5
—
—
—
—
—
—
—
—
—
—
7.2
19.4
-11.5
14.8
9.3
11.6
17.2
-6.1
12.6
8.3
-3.7
10.0
7.4
2.5
0.6
-6.0
5.3
7.2
0.2
-0.9
-4.8
7.7
7.3
1.4
-0.1
2005
2006
2007
2008
2009
12.4
8.2
6.6
11.3
12.8
-0.1
-1.4
-1.0
-1.5
-1.5
7.6
9.7
7.0
10.8
-7.9
—
—
—
—
—
10.7
7.1
5.9
10.1
11.0
—
—
—
—
—
—
—
—
—
—
9.3
8.8
0.3
-0.4
12.4
9.8
8.2
2.1
3.2
11.9
-5.2
4.3
7.1
7.5
2.7
-6.5
4.7
3.4
6.5
-1.4
-5.8
4.5
5.4
7.1
0.9
2010
2011f
2012f
8.6
5.3
-1.6
-4.0
-1.9
-1.5
-1.8
-0.9
-1.1
—
—
—
7.4
4.7
-1.5
—
—
—
—
—
—
5.4
5.6
4.2
6.1
5.3
2.1
3.3
1.9
2.7
4.8
1.1
3.0
4.0
1.5
2.8
1985
1986
1987
1988
1989
5.1
7.6
12.1
15.7
17.6
2.3
3.2
3.5
2.0
1.6
0.1
0.2
0.3
0.3
0.3
—
—
—
—
—
7.6
11.0
15.9
18.1
19.6
—
—
—
—
—
—
—
—
—
—
59.7
45.9
35.3
42.0
48.5
67.3
56.9
51.3
60.0
68.1
—
—
—
—
—
—
—
—
—
—
32.7
43.1
48.7
40.0
31.9
1990
1991
1992
1993
1994
18.2
19.1
17.3
15.6
15.2
1.8
1.8
1.5
1.7
1.8
0.3
0.3
0.9
0.7
0.7
—
—
—
—
—
20.3
21.2
19.7
18.0
17.6
—
—
—
—
—
—
—
—
—
—
50.1
44.1
42.9
45.6
47.1
70.4
65.2
62.6
63.6
64.7
—
—
19.6
18.8
18.1
—
—
17.8
17.6
17.2
29.6
34.8
37.4
36.4
35.3
1995
1996
1997
1998
1999
15.4
16.1
17.0
16.8
18.4
1.8
1.8
1.9
1.9
2.1
0.7
0.7
0.8
0.9
0.9
—
—
—
—
—
17.8
18.7
19.8
19.5
21.4
—
—
—
—
—
—
—
—
—
—
51.6
56.5
54.0
53.0
51.6
69.5
75.1
73.8
72.5
73.0
15.5
12.9
13.4
13.9
14.0
15.1
12.0
12.9
13.6
13.0
30.5
24.9
26.2
27.5
27.0
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
28
2000
20.0
3.3
1.1
—
24.4
—
—
51.6
76.0
12.6
11.4
24.0
2001
2002
2003
2004
19.6
21.7
21.6
21.9
3.3
3.5
3.3
3.2
1.0
0.9
0.8
0.7
—
—
—
—
23.9
26.1
25.8
25.8
—
—
—
—
—
—
—
—
53.6
49.0
51.2
52.6
77.5
75.1
77.0
78.4
12.1
13.4
12.5
11.8
10.5
11.6
10.6
9.8
22.5
24.9
23.0
21.6
2005
2006
2007
2008
2009
23.1
23.3
24.1
25.9
26.6
3.0
2.7
2.6
2.5
2.2
0.8
0.8
0.8
0.9
0.7
—
—
—
—
—
26.8
26.7
27.6
29.2
29.6
—
—
—
—
—
—
—
—
—
—
54.0
54.6
53.3
51.1
52.4
80.9
81.4
80.9
80.3
81.9
10.5
10.2
10.6
11.0
10.3
8.6
8.4
8.5
8.7
7.8
19.1
18.6
19.1
19.7
18.1
2010
27.3
2.0
0.7
27.5
1.9
0.6
2011f
2012f
26.5
1.8
0.6
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
30.0
30.0
28.9
—
—
—
—
—
—
52.2
52.7
53.7
82.2
82.7
82.6
10.1
9.8
9.8
7.7
7.5
7.5
17.8
17.3
17.4
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B P.E.I.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Prince Edward Island, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Year
Health Expenditure
Private
Public
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
2.5
3.1
4.6
5.3
6.0
30.2
25.0
24.2
24.1
24.9
32.7
28.0
28.8
29.4
30.9
128.3
138.0
149.7
163.0
174.4
52.9
49.6
53.3
56.5
64.9
181.2
187.6
202.9
219.5
239.3
1.9
2.2
3.1
3.3
3.5
57.1
50.3
45.4
42.6
38.3
18.0
15.0
14.2
13.4
12.9
1990
1991
1992
1993
1994
7.3
8.2
8.6
8.6
8.9
28.6
30.6
35.2
39.3
41.8
35.9
38.8
43.9
47.9
50.7
186.3
203.8
209.2
218.2
217.0
70.0
76.8
85.8
93.5
96.7
256.2
280.6
295.0
311.7
313.7
3.9
4.0
4.1
4.0
4.1
40.9
39.9
41.1
42.0
43.2
14.0
13.8
14.9
15.4
16.2
1995
1996
1997
1998
1999
9.8
9.8
10.6
12.2
13.9
45.2
42.7
42.8
50.1
51.2
55.1
52.5
53.4
62.2
65.2
222.8
233.0
229.9
245.5
259.0
104.6
106.1
110.4
115.9
119.7
327.4
339.1
340.3
361.4
378.7
4.4
4.2
4.6
5.0
5.4
43.2
40.3
38.8
43.2
42.8
16.8
15.5
15.7
17.2
17.2
2000
2001
2002
2003
2004
17.0
19.1
20.3
22.0
23.4
52.8
61.1
57.5
63.4
67.4
69.8
80.2
77.7
85.4
90.8
277.7
328.5
365.6
379.7
375.9
123.7
147.5
139.8
161.3
162.3
401.4
475.9
505.4
541.0
538.2
6.1
5.8
5.6
5.8
6.2
42.7
41.4
41.1
39.3
41.5
17.4
16.9
15.4
15.8
16.9
2005
2006
2007
2008
2009
25.9
27.8
29.4
32.4
36.0
70.7
76.1
77.3
78.5
85.7
96.6
103.9
106.7
110.9
121.7
412.8
434.0
465.9
510.4
572.3
163.2
187.7
188.4
185.2
215.9
576.0
621.7
654.2
695.7
788.2
6.3
6.4
6.3
6.3
6.3
43.3
40.5
41.0
42.4
39.7
16.8
16.7
16.3
15.9
15.4
2010
2011f
2012f
38.6
40.4
39.8
90.0
94.1
97.8
128.6
134.5
137.6
621.1
651.8
682.5
224.4
237.5
244.8
845.6
889.3
927.3
6.2
6.2
5.8
40.1
39.6
39.9
15.2
15.1
14.8
1985
1986
1987
1988
1989
—
24.4
48.5
16.1
13.7
—
-17.3
-3.1
-0.3
3.1
—
-14.2
2.6
2.3
5.0
—
7.6
8.5
8.9
7.0
—
-6.3
7.4
6.2
14.8
—
3.5
8.2
8.2
9.0
1990
1991
1992
1993
1994
20.7
12.7
5.2
-0.3
3.5
14.9
7.2
15.1
11.4
6.3
16.0
8.3
13.0
9.1
5.8
6.8
9.4
2.7
4.3
-0.6
7.7
9.8
11.6
9.0
3.4
7.0
9.5
5.1
5.7
0.6
1995
1996
1997
1998
1999
10.0
-0.2
7.8
15.1
14.5
8.4
-5.6
0.2
17.0
2.3
8.7
-4.6
1.6
16.6
4.7
2.7
4.6
-1.3
6.8
5.5
8.2
1.4
4.1
5.0
3.3
4.4
3.5
0.4
6.2
4.8
2000
2001
2002
2003
2004
22.1
12.6
6.0
8.4
6.5
3.1
15.7
-6.0
10.3
6.4
7.1
14.9
-3.1
9.8
6.4
7.2
18.3
11.3
3.8
-1.0
3.3
19.3
-5.2
15.4
0.6
6.0
18.6
6.2
7.0
-0.5
2005
2006
2007
2008
2009
10.7
7.1
5.9
10.1
11.0
4.9
7.6
1.6
1.6
9.2
6.4
7.5
2.7
3.9
9.7
9.8
5.1
7.3
9.6
12.1
0.6
15.0
0.3
-1.7
16.5
7.0
7.9
5.2
6.3
13.3
2010
2011f
2012f
7.4
4.7
-1.5
5.0
4.5
3.9
5.7
4.6
2.3
8.5
4.9
4.7
4.0
5.8
3.1
7.3
5.2
4.3
P.E.I.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
7.6
11.0
15.9
18.1
19.6
92.4
89.0
84.1
81.9
80.4
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
20.3
21.2
19.7
18.0
17.6
79.7
78.8
80.3
82.0
82.4
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
17.8
18.7
19.8
19.5
21.4
82.2
81.3
80.2
80.5
78.6
100.0
100.0
100.0
100.0
100.0
2000
24.4
75.6
100.0
2001
2002
2003
2004
23.9
26.1
25.8
25.8
76.1
73.9
74.2
74.2
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
26.8
26.7
27.6
29.2
29.6
73.2
73.3
72.4
70.8
70.4
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
30.0
30.0
28.9
70.0
70.0
71.1
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
29
Drug Expenditure in Canada, 1985 to 2012
Table B P.E.I.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Prince Edward Island, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
P.E.I.
Private
Out of
Pocket
1985
1986
1987
1988
1989
13.08
16.61
27.17
35.77
41.92
6.01
6.94
7.80
4.59
3.77
0.33
0.47
0.66
0.79
0.79
—
—
—
—
—
19.42
24.02
35.62
41.15
46.48
—
—
—
—
—
—
—
—
—
—
152.95
100.25
79.09
95.54
115.34
172.37
124.27
114.72
136.69
161.82
—
—
—
—
—
—
—
—
—
—
83.63
94.14
109.04
90.98
75.86
1990
1991
1992
1993
1994
50.03
56.89
58.12
56.53
57.56
4.91
5.26
5.01
6.18
6.86
0.95
0.94
2.99
2.56
2.49
—
—
—
—
—
55.88
63.09
66.12
65.27
66.91
—
—
—
—
—
—
—
—
—
—
137.70
131.41
144.08
165.28
178.75
193.59
194.50
210.20
230.55
245.65
—
—
65.73
68.24
68.75
—
—
59.68
63.70
65.44
81.26
103.63
125.41
131.94
134.19
1995
1996
1997
1998
1999
62.95
62.35
66.82
76.76
87.75
7.39
7.04
7.61
8.86
10.07
2.72
2.81
3.21
3.90
4.35
—
—
—
—
—
73.06
72.20
77.64
89.52
102.17
—
—
—
—
—
—
—
—
—
—
211.56
218.51
211.50
242.67
246.71
284.62
290.71
289.13
332.19
348.88
63.37
49.84
52.38
63.65
67.05
61.67
46.35
50.46
62.32
62.19
125.04
96.19
102.85
125.97
129.24
2000
2001
2002
2003
2004
102.36
114.85
123.41
134.35
144.18
16.74
19.53
19.63
20.82
20.83
5.48
5.72
5.17
5.08
4.91
—
—
—
—
—
124.58
140.10
148.21
160.24
169.92
—
—
—
—
—
—
—
—
—
—
264.09
314.79
278.01
318.33
346.45
388.67
454.89
426.22
478.57
516.37
64.46
70.80
75.90
77.57
77.74
58.37
61.36
65.64
65.60
64.73
122.84
132.16
141.54
143.17
142.46
2005
2006
2007
2008
2009
161.68
175.23
186.53
205.49
229.19
20.75
20.49
20.26
19.75
19.24
5.28
5.80
6.20
6.79
6.19
—
—
—
—
—
187.71
201.52
212.98
232.04
254.61
—
—
—
—
—
—
—
—
—
—
377.81
411.68
412.01
406.10
451.07
565.52
613.20
624.99
638.14
705.69
73.51
76.85
82.13
87.36
88.70
60.35
63.33
65.38
68.92
67.16
133.86
140.18
147.51
156.29
155.87
2010
2011f
2012f
245.08
253.76
248.95
18.19
17.56
17.23
5.98
5.83
5.74
—
—
—
269.26
277.14
271.92
—
—
—
—
—
—
468.21
485.96
504.83
737.47
763.10
776.75
90.28
90.45
92.57
69.33
68.89
70.70
159.61
159.34
163.27
1985
1986
1987
1988
1989
—
27.0
63.5
31.7
17.2
—
15.4
12.4
-41.2
-17.9
—
43.2
39.5
19.5
0.3
—
—
—
—
—
—
23.7
48.3
15.5
13.0
—
—
—
—
—
—
—
—
—
—
—
-34.5
-21.1
20.8
20.7
—
-27.9
-7.7
19.2
18.4
—
—
—
—
—
—
—
—
—
—
—
12.6
15.8
-16.6
-16.6
1990
1991
1992
1993
1994
19.3
13.7
2.2
-2.7
1.8
30.2
7.2
-4.8
23.5
10.9
20.1
-0.2
216.8
-14.6
-2.4
—
—
—
—
—
20.2
12.9
4.8
-1.3
2.5
—
—
—
—
—
—
—
—
—
—
19.4
-4.6
9.6
14.7
8.1
19.6
0.5
8.1
9.7
6.6
—
—
—
3.8
0.8
—
—
—
6.7
2.7
7.1
27.5
21.0
5.2
1.7
1995
1996
1997
1998
1999
9.4
-0.9
7.2
14.9
14.3
7.8
-4.7
8.0
16.5
13.6
9.0
3.4
14.4
21.3
11.5
—
—
—
—
—
9.2
-1.2
7.5
15.3
14.1
—
—
—
—
—
—
—
—
—
—
18.4
3.3
-3.2
14.7
1.7
15.9
2.1
-0.5
14.9
5.0
-7.8
-21.4
5.1
21.5
5.3
-5.8
-24.8
8.9
23.5
-0.2
-6.8
-23.1
6.9
22.5
2.6
-5.0
(Annual Percentage Change)
2000
16.7
66.2
26.2
—
21.9
—
—
7.0
11.4
-3.9
-6.1
2001
12.2
16.7
4.3
—
12.5
—
—
19.2
17.0
9.8
5.1
7.6
2002
7.5
0.5
-9.6
—
5.8
—
—
-11.7
-6.3
7.2
7.0
7.1
2003
8.9
6.1
-1.8
—
8.1
—
—
14.5
12.3
2.2
-0.1
1.2
2004
7.3
0.0
-3.2
—
6.0
—
—
8.8
7.9
0.2
-1.3
-0.5
2005
2006
2007
2008
2009
12.1
8.4
6.4
10.2
11.5
-0.3
-1.3
-1.2
-2.5
-2.6
7.4
9.9
6.9
9.7
-8.9
—
—
—
—
—
10.5
7.4
5.7
8.9
9.7
—
—
—
—
—
—
—
—
—
—
9.1
9.0
0.1
-1.4
11.1
9.5
8.4
1.9
2.1
10.6
-5.4
4.5
6.9
6.4
1.5
-6.8
4.9
3.2
5.4
-2.6
-6.0
4.7
5.2
5.9
-0.3
2010
2011f
2012f
6.9
3.5
-1.9
-5.4
-3.5
-1.8
-3.3
-2.6
-1.5
—
—
—
5.8
2.9
-1.9
—
—
—
—
—
—
3.8
3.8
3.9
4.5
3.5
1.8
1.8
0.2
2.3
3.2
-0.6
2.6
2.4
-0.2
2.5
1985
1986
1987
1988
1989
—
24.2
58.8
27.2
12.6
—
12.6
7.7
-45.7
-22.4
—
40.4
34.8
15.0
-4.3
—
—
—
—
—
—
20.9
43.6
11.0
8.4
—
—
—
—
—
—
—
—
—
—
—
-37.3
-25.8
16.3
16.2
—
-30.7
-12.4
14.6
13.8
—
—
—
—
—
—
—
—
—
—
—
9.8
11.1
-21.1
-21.2
1990
1991
1992
1993
1994
16.3
10.9
0.9
-4.2
0.7
27.2
4.4
-6.1
22.1
9.8
17.1
-3.0
215.6
-16.1
-3.5
—
—
—
—
—
17.2
10.1
3.5
-2.7
1.4
—
—
—
—
—
—
—
—
—
—
16.4
-7.3
8.4
13.3
7.0
16.6
-2.3
6.8
8.2
5.5
—
—
—
2.4
-0.3
—
—
—
5.3
1.6
4.1
24.8
19.8
3.8
0.6
1995
1996
1997
1998
1999
7.0
-2.6
6.2
15.3
12.5
5.5
-6.4
7.1
16.9
11.8
6.7
1.7
13.4
21.7
9.7
—
—
—
—
—
6.9
-2.8
6.5
15.7
12.3
—
—
—
—
—
—
—
—
—
—
16.0
1.6
-4.2
15.2
-0.1
13.5
0.5
-1.5
15.3
3.2
-10.2
-23.0
4.1
21.9
3.5
-8.1
-26.5
7.9
23.9
-2.0
-9.2
-24.7
5.9
22.9
0.8
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
12.5
62.1
22.1
—
17.8
—
—
2.9
7.3
-8.0
-10.2
-9.1
2001
2002
2003
2004
10.8
6.4
6.0
4.7
15.3
-0.6
3.2
-2.6
3.0
-10.6
-4.7
-5.8
—
—
—
—
11.1
4.7
5.2
3.5
—
—
—
—
—
—
—
—
17.8
-12.7
11.6
6.2
15.7
-7.3
9.4
5.3
8.5
6.1
-0.7
-2.4
3.8
5.9
-3.0
-3.9
6.2
6.1
-1.7
-3.1
2005
2006
2007
2008
2009
9.1
5.6
2.8
5.1
14.3
-3.4
-4.1
-4.8
-7.5
0.1
4.4
7.1
3.2
4.6
-6.2
—
—
—
—
—
7.5
4.6
2.0
3.9
12.5
—
—
—
—
—
—
—
—
—
—
6.0
6.2
-3.6
-6.5
13.8
6.5
5.6
-1.8
-2.9
13.3
-8.4
1.7
3.2
1.3
4.3
-9.8
2.1
-0.4
0.4
0.2
-9.0
1.9
1.6
0.9
2.5
2010
2011f
2012f
3.7
0.1
-3.6
-8.7
-6.9
-3.6
-6.6
-6.0
-3.2
—
—
—
2.5
-0.5
-3.6
—
—
—
—
—
—
0.5
0.4
2.2
1.2
0.0
0.1
-1.5
-3.2
0.6
0.0
-4.1
0.9
-0.9
-3.6
0.7
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
30
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B P.E.I.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Prince Edward Island, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
19.42
24.02
35.62
41.15
46.48
236.58
194.39
188.13
186.53
191.20
256.00
218.41
223.76
227.67
237.68
1,004.74
1,074.57
1,164.10
1,260.71
1,340.84
414.66
386.13
414.24
437.42
499.18
1,419.40
1,460.70
1,578.34
1,698.12
1,840.01
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
55.88
63.09
66.12
65.27
66.91
218.96
235.04
269.50
297.22
312.94
274.84
298.14
335.62
362.49
379.85
1,426.83
1,563.81
1,599.57
1,651.43
1,626.43
535.91
589.69
655.88
707.51
724.66
1,962.74
2,153.50
2,255.45
2,358.94
2,351.09
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
73.06
72.20
77.64
89.52
102.17
336.60
314.70
314.34
368.63
375.95
409.66
386.90
391.98
458.15
478.12
1,657.77
1,716.36
1,689.18
1,807.78
1,900.33
778.40
781.25
811.16
853.14
878.29
2,436.16
2,497.61
2,500.34
2,660.92
2,778.63
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
124.58
140.10
148.21
160.24
169.92
386.93
446.95
419.55
461.50
488.91
511.51
587.05
567.76
621.74
658.83
2,034.62
2,403.43
2,669.89
2,764.67
2,726.65
905.97
1,078.93
1,020.75
1,174.86
1,176.96
2,940.60
3,482.35
3,690.64
3,939.54
3,903.61
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
187.71
201.52
212.98
232.04
254.61
511.68
551.86
559.52
562.39
606.94
699.38
753.38
772.50
794.42
861.55
2,987.06
3,146.71
3,371.86
3,656.17
4,052.39
1,180.97
1,361.24
1,363.52
1,326.94
1,528.75
4,168.03
4,507.95
4,735.39
4,983.11
5,581.13
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
269.26
277.14
271.92
627.82
645.30
668.09
897.08
922.45
940.02
4,331.66
4,469.05
4,663.01
1,565.11
1,628.03
1,672.67
5,896.78
6,097.08
6,335.68
132.1
136.6
139.0
1985
1986
1987
1988
1989
—
23.7
48.3
15.5
13.0
—
-17.8
-3.2
-0.9
2.5
—
-14.7
2.4
1.7
4.4
—
7.0
8.3
8.3
6.4
—
-6.9
7.3
5.6
14.1
—
2.9
8.1
7.6
8.4
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
20.2
12.9
4.8
-1.3
2.5
14.5
7.3
14.7
10.3
5.3
15.6
8.5
12.6
8.0
4.8
6.4
9.6
2.3
3.2
-1.5
7.4
10.0
11.2
7.9
2.4
6.7
9.7
4.7
4.6
-0.3
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
9.2
-1.2
7.5
15.3
14.1
7.6
-6.5
-0.1
17.3
2.0
7.8
-5.6
1.3
16.9
4.4
1.9
3.5
-1.6
7.0
5.1
7.4
0.4
3.8
5.2
2.9
3.6
2.5
0.1
6.4
4.4
2.3
1.7
1.0
-0.4
1.8
2000
21.9
2.9
7.0
7.1
3.2
5.8
4.1
2001
12.5
15.5
14.8
18.1
19.1
18.4
1.4
2002
5.8
-6.1
-3.3
11.1
-5.4
6.0
1.0
2003
8.1
10.0
9.5
3.5
15.1
6.7
2.9
2004
6.0
5.9
6.0
-1.4
0.2
-0.9
2.6
2005
2006
2007
2008
2009
10.5
7.4
5.7
8.9
9.7
4.7
7.9
1.4
0.5
7.9
6.2
7.7
2.5
2.8
8.5
9.6
5.3
7.2
8.4
10.8
0.3
15.3
0.2
-2.7
15.2
6.8
8.2
5.0
5.2
12.0
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
5.8
2.9
-1.9
3.4
2.8
3.5
4.1
2.8
1.9
6.9
3.2
4.3
2.4
4.0
2.7
5.7
3.4
3.9
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
20.9
43.6
11.0
8.4
—
-20.6
-8.0
-5.4
-2.1
—
-17.5
-2.3
-2.8
-0.2
—
4.1
3.6
3.8
1.8
—
-9.7
2.5
1.1
9.6
—
0.1
3.3
3.1
3.8
1990
1991
1992
1993
1994
17.2
10.1
3.5
-2.7
1.4
11.5
4.6
13.4
8.8
4.2
12.6
5.7
11.3
6.6
3.7
3.4
6.8
1.0
1.8
-2.6
4.3
7.3
10.0
6.4
1.3
3.6
7.0
3.5
3.1
-1.4
1995
1996
1997
1998
1999
6.9
-2.8
6.5
15.7
12.3
5.2
-8.2
-1.1
17.7
0.2
5.5
-7.2
0.3
17.3
2.5
-0.4
1.9
-2.6
7.5
3.3
5.1
-1.3
2.8
5.6
1.1
1.3
0.9
-0.9
6.9
2.6
2000
17.8
-1.2
2.9
3.0
-1.0
1.7
2001
2002
2003
2004
11.1
4.7
5.2
3.5
14.2
-7.2
7.1
3.3
13.4
-4.3
6.6
3.4
16.8
10.0
0.7
-4.0
17.7
-6.4
12.2
-2.4
17.1
4.9
3.8
-3.5
2005
2006
2007
2008
2009
7.5
4.6
2.0
3.9
12.5
1.6
5.1
-2.3
-4.5
10.7
3.1
4.9
-1.1
-2.2
11.2
6.5
2.5
3.5
3.4
13.6
-2.7
12.5
-3.5
-7.7
18.0
3.8
5.4
1.4
0.2
14.8
2010
2011f
2012f
2.5
-0.5
-3.6
0.2
-0.6
1.8
0.9
-0.6
0.2
3.6
-0.3
2.6
-0.9
0.6
1.0
2.4
0.0
2.2
P.E.I.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
31
Drug Expenditure in Canada, 1985 to 2012
Table B N.S.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Nova Scotia, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
N.S.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
45.5
53.1
62.3
72.2
82.1
2.3
2.4
2.6
3.4
4.2
0.2
0.2
0.2
0.3
0.3
—
—
—
—
—
48.0
55.7
65.1
76.0
86.6
—
—
—
—
—
—
—
—
—
—
38.7
59.6
67.7
74.8
82.5
86.7
115.3
132.8
150.8
169.1
—
—
—
—
—
—
—
—
—
—
61.1
69.2
80.2
78.9
77.7
1990
1991
1992
1993
1994
83.0
83.0
89.0
88.5
83.2
5.0
5.6
5.9
6.8
7.3
0.3
0.5
0.5
0.6
0.6
—
—
—
—
—
88.3
89.1
95.4
95.9
91.1
—
—
—
—
—
—
—
—
—
—
96.0
106.2
118.4
132.7
137.8
184.2
195.3
213.8
228.6
228.9
—
—
48.7
51.3
51.8
—
—
44.3
47.9
49.3
79.3
80.6
93.0
99.1
101.1
1995
1996
1997
1998
1999
83.9
83.3
86.8
99.5
110.7
8.9
8.4
9.8
14.4
14.8
0.7
0.7
0.7
0.8
1.1
—
—
—
—
—
93.5
92.5
97.3
114.7
126.5
—
—
—
—
—
—
—
—
—
—
148.7
159.4
170.5
198.7
201.5
242.2
251.8
267.9
313.4
328.0
47.8
53.8
49.6
54.8
55.5
46.5
50.0
47.4
53.7
51.5
94.2
103.8
96.9
108.5
107.0
2000
2001
2002
2003
2004
117.3
128.7
140.8
156.2
170.0
18.8
22.3
24.2
25.9
26.4
1.4
1.9
2.2
2.5
3.0
—
—
—
—
—
137.4
152.9
167.2
184.6
199.4
—
—
—
—
—
—
—
—
—
—
227.3
247.5
282.2
299.5
324.5
364.7
400.4
449.5
484.1
523.9
55.3
60.5
64.6
68.7
72.1
50.1
52.4
55.9
58.1
60.0
105.4
112.9
120.5
126.9
132.1
2005
2006
2007
2008
2009
186.1
231.8
252.3
269.0
293.0
27.4
34.7
30.4
28.2
28.2
3.4
4.8
5.6
6.8
6.9
—
—
—
—
—
216.8
271.3
288.3
304.1
328.2
—
—
—
—
—
—
—
—
—
—
359.9
396.8
423.5
423.0
459.5
576.7
668.1
711.8
727.0
787.7
71.6
73.7
80.1
80.4
76.8
58.8
60.8
63.7
63.5
58.2
130.4
134.5
143.8
143.9
135.0
2010
2011f
2012f
307.7
319.2
320.0
28.0
27.3
26.7
9.7
10.1
10.4
—
—
—
345.3
356.6
357.2
—
—
—
—
—
—
513.2
565.7
607.2
858.5
922.3
964.4
74.5
75.3
73.7
57.2
57.4
59.4
131.7
132.7
133.1
1985
1986
1987
1988
1989
—
16.7
17.2
16.0
13.7
—
3.8
8.3
32.7
21.9
—
16.4
4.2
48.7
-7.8
—
—
—
—
—
—
16.1
16.8
16.8
14.0
—
—
—
—
—
—
—
—
—
—
—
54.0
13.6
10.4
10.4
—
33.0
15.1
13.5
12.2
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
-1.6
-1.6
1990
1991
1992
1993
1994
1.0
0.1
7.2
-0.5
-6.0
20.1
12.4
5.3
15.4
6.6
6.4
41.5
2.6
20.2
6.1
—
—
—
—
—
1.9
0.9
7.1
0.6
-5.0
—
—
—
—
—
—
—
—
—
—
16.3
10.6
11.5
12.1
3.9
8.9
6.0
9.5
6.9
0.1
—
—
—
5.2
1.0
—
—
—
8.1
3.0
2.1
1.7
15.4
6.6
1.9
1995
1996
1997
1998
1999
0.8
-0.7
4.2
14.5
11.3
21.6
-5.0
16.2
47.4
2.5
15.7
5.2
-1.0
16.2
27.0
—
—
—
—
—
2.6
-1.1
5.3
17.9
10.3
—
—
—
—
—
—
—
—
—
—
7.9
7.2
7.0
16.5
1.4
5.8
4.0
6.4
17.0
4.7
-7.8
12.7
-7.9
10.7
1.2
-5.7
7.7
-5.4
13.4
-4.1
-6.8
10.2
-6.7
12.0
-1.5
2000
2001
2002
2003
2004
5.9
9.8
9.4
10.9
8.8
27.1
18.6
8.6
7.0
2.0
28.6
39.0
18.0
12.3
19.2
—
—
—
—
—
8.6
11.3
9.4
10.4
8.0
—
—
—
—
—
—
—
—
—
—
12.8
8.9
14.0
6.1
8.4
11.2
9.8
12.2
7.7
8.2
-0.3
9.3
6.8
6.4
4.9
-2.7
4.6
6.6
4.0
3.3
-1.5
7.1
6.7
5.3
4.2
2005
2006
2007
2008
2009
9.5
24.6
8.9
6.6
8.9
3.7
26.9
-12.5
-7.1
-0.1
12.0
41.6
17.6
21.3
2.0
—
—
—
—
—
8.7
25.1
6.3
5.4
7.9
—
—
—
—
—
—
—
—
—
—
10.9
10.2
6.7
-0.1
8.6
10.1
15.8
6.5
2.1
8.3
-0.7
3.0
8.6
0.4
-4.5
-2.1
3.4
4.9
-0.4
-8.3
-1.3
3.2
6.9
0.1
-6.2
2010
2011f
2012f
5.0
3.8
0.3
-0.7
-2.5
-2.1
39.8
4.1
3.1
—
—
—
5.2
3.3
0.2
—
—
—
—
—
—
11.7
10.2
7.3
9.0
7.4
4.6
-3.1
1.1
-2.2
-1.7
0.3
3.5
-2.5
0.8
0.3
1985
1986
1987
1988
1989
30.8
28.8
29.2
31.5
33.3
1.5
1.3
1.2
1.5
1.7
0.1
0.1
0.1
0.1
0.1
—
—
—
—
—
32.5
30.2
30.5
33.1
35.1
—
—
—
—
—
—
—
—
—
—
26.2
32.3
31.8
32.5
33.4
58.7
62.5
62.3
65.6
68.5
—
—
—
—
—
—
—
—
—
—
41.3
37.5
37.7
34.4
31.5
1990
1991
1992
1993
1994
31.5
30.1
29.0
27.0
25.2
1.9
2.0
1.9
2.1
2.2
0.1
0.2
0.2
0.2
0.2
—
—
—
—
—
33.5
32.3
31.1
29.3
27.6
—
—
—
—
—
—
—
—
—
—
36.4
38.5
38.6
40.5
41.8
69.9
70.8
69.7
69.8
69.4
—
—
15.9
15.6
15.7
—
—
14.4
14.6
14.9
30.1
29.2
30.3
30.2
30.6
1995
1996
1997
1998
1999
24.9
23.4
23.8
23.6
25.4
2.6
2.4
2.7
3.4
3.4
0.2
0.2
0.2
0.2
0.2
—
—
—
—
—
27.8
26.0
26.7
27.2
29.1
—
—
—
—
—
—
—
—
—
—
44.2
44.8
46.7
47.1
46.3
72.0
70.8
73.4
74.3
75.4
14.2
15.1
13.6
13.0
12.8
13.8
14.1
13.0
12.7
11.8
28.0
29.2
26.6
25.7
24.6
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
32
2000
24.9
4.0
0.3
—
29.2
—
—
48.4
77.6
11.8
10.7
22.4
2001
2002
2003
2004
25.1
24.7
25.6
25.9
4.3
4.2
4.2
4.0
0.4
0.4
0.4
0.5
—
—
—
—
29.8
29.3
30.2
30.4
—
—
—
—
—
—
—
—
48.2
49.5
49.0
49.5
78.0
78.9
79.2
79.9
11.8
11.3
11.2
11.0
10.2
9.8
9.5
9.2
22.0
21.1
20.8
20.1
2005
2006
2007
2008
2009
26.3
28.9
29.5
30.9
31.8
3.9
4.3
3.6
3.2
3.1
0.5
0.6
0.7
0.8
0.8
—
—
—
—
—
30.7
33.8
33.7
34.9
35.6
—
—
—
—
—
—
—
—
—
—
50.9
49.4
49.5
48.6
49.8
81.6
83.2
83.2
83.5
85.4
10.1
9.2
9.4
9.2
8.3
8.3
7.6
7.4
7.3
6.3
18.4
16.8
16.8
16.5
14.6
2010
31.1
2.8
1.0
30.3
2.6
1.0
2011f
2012f
29.2
2.4
0.9
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
34.9
33.8
32.5
—
—
—
—
—
—
51.8
53.6
55.3
86.7
87.4
87.9
7.5
7.1
6.7
5.8
5.4
5.4
13.3
12.6
12.1
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B N.S.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Nova Scotia, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Year
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
48.0
55.7
65.1
76.0
86.6
99.8
128.8
147.9
153.7
160.2
147.8
184.5
213.0
229.7
246.8
947.2
1,023.2
1,165.5
1,165.0
1,281.5
285.3
353.7
395.0
420.3
470.3
1,232.5
1,376.9
1,560.6
1,585.2
1,751.8
5.1
5.4
5.6
6.5
6.8
35.0
36.4
37.4
36.6
34.1
12.0
13.4
13.6
14.5
14.1
1990
1991
1992
1993
1994
88.3
89.1
95.4
95.9
91.1
175.3
186.8
211.4
231.8
238.9
263.5
275.9
306.8
327.7
330.0
1,376.6
1,451.2
1,477.0
1,445.5
1,413.1
490.4
518.8
554.5
579.5
610.2
1,866.9
1,970.0
2,031.6
2,025.0
2,023.4
6.4
6.1
6.5
6.6
6.4
35.7
36.0
38.1
40.0
39.1
14.1
14.0
15.1
16.2
16.3
1995
1996
1997
1998
1999
93.5
92.5
97.3
114.7
126.5
242.9
263.2
267.5
307.2
308.5
336.4
355.7
364.8
421.9
435.0
1,440.0
1,438.2
1,669.3
1,786.8
1,899.7
621.3
650.8
694.9
766.1
778.2
2,061.3
2,089.0
2,364.2
2,552.9
2,677.9
6.5
6.4
5.8
6.4
6.7
39.1
40.4
38.5
40.1
39.6
16.3
17.0
15.4
16.5
16.2
2000
2001
2002
2003
2004
137.4
152.9
167.2
184.6
199.4
332.7
360.4
402.7
426.4
456.7
470.1
513.3
569.9
611.0
656.1
1,968.4
2,082.7
2,264.3
2,484.1
2,585.0
868.2
930.6
1,042.5
1,111.7
1,137.0
2,836.6
3,013.3
3,306.8
3,595.8
3,722.0
7.0
7.3
7.4
7.4
7.7
38.3
38.7
38.6
38.4
40.2
16.6
17.0
17.2
17.0
17.6
2005
2006
2007
2008
2009
216.8
271.3
288.3
304.1
328.2
490.3
531.3
567.3
566.9
594.6
707.1
802.6
855.6
870.9
922.8
2,819.0
3,167.5
3,396.0
3,578.1
3,667.0
1,207.8
1,333.1
1,413.2
1,484.6
1,661.8
4,026.8
4,500.6
4,809.2
5,062.7
5,328.8
7.7
8.6
8.5
8.5
8.9
40.6
39.9
40.1
38.2
35.8
17.6
17.8
17.8
17.2
17.3
2010
2011f
2012f
345.3
356.6
357.2
644.9
698.4
740.3
990.2
1,055.0
1,097.5
3,987.1
4,162.6
4,221.9
1,825.2
1,846.7
1,923.6
5,812.3
6,009.4
6,145.5
8.7
8.6
8.5
35.3
37.8
38.5
17.0
17.6
17.9
1985
1986
1987
1988
1989
—
16.1
16.8
16.8
14.0
—
29.1
14.9
3.9
4.2
—
24.9
15.4
7.8
7.5
—
8.0
13.9
-0.1
10.0
—
24.0
11.7
6.4
11.9
—
11.7
13.3
1.6
10.5
1990
1991
1992
1993
1994
1.9
0.9
7.1
0.6
-5.0
9.4
6.6
13.2
9.6
3.1
6.8
4.7
11.2
6.8
0.7
7.4
5.4
1.8
-2.1
-2.2
4.3
5.8
6.9
4.5
5.3
6.6
5.5
3.1
-0.3
-0.1
1995
1996
1997
1998
1999
2.6
-1.1
5.3
17.9
10.3
1.7
8.3
1.6
14.9
0.4
2.0
5.7
2.6
15.7
3.1
1.9
-0.1
16.1
7.0
6.3
1.8
4.7
6.8
10.2
1.6
1.9
1.3
13.2
8.0
4.9
2000
2001
2002
2003
2004
8.6
11.3
9.4
10.4
8.0
7.9
8.3
11.7
5.9
7.1
8.1
9.2
11.0
7.2
7.4
3.6
5.8
8.7
9.7
4.1
11.6
7.2
12.0
6.6
2.3
5.9
6.2
9.7
8.7
3.5
2005
2006
2007
2008
2009
8.7
25.1
6.3
5.4
7.9
7.4
8.4
6.8
-0.1
4.9
7.8
13.5
6.6
1.8
6.0
9.1
12.4
7.2
5.4
2.5
6.2
10.4
6.0
5.1
11.9
8.2
11.8
6.9
5.3
5.3
2010
2011f
2012f
5.2
3.3
0.2
8.5
8.3
6.0
7.3
6.5
4.0
8.7
4.4
1.4
9.8
1.2
4.2
9.1
3.4
2.3
N.S.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
32.5
30.2
30.5
33.1
35.1
67.5
69.8
69.5
66.9
64.9
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
33.5
32.3
31.1
29.3
27.6
66.5
67.7
68.9
70.7
72.4
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
27.8
26.0
26.7
27.2
29.1
72.2
74.0
73.3
72.8
70.9
100.0
100.0
100.0
100.0
100.0
2000
29.2
70.8
100.0
2001
2002
2003
2004
29.8
29.3
30.2
30.4
70.2
70.7
69.8
69.6
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
30.7
33.8
33.7
34.9
35.6
69.3
66.2
66.3
65.1
64.4
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
34.9
33.8
32.5
65.1
66.2
67.5
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
33
Drug Expenditure in Canada, 1985 to 2012
Table B N.S.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Nova Scotia, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
N.S.
Private
Out of
Pocket
1985
1986
1987
1988
1989
51.41
59.72
69.69
80.51
90.89
2.59
2.67
2.88
3.81
4.61
0.21
0.24
0.25
0.37
0.34
—
—
—
—
—
54.21
62.63
72.82
84.68
95.83
—
—
—
—
—
—
—
—
—
—
43.74
67.05
75.80
83.31
91.30
97.94
129.68
148.61
167.99
187.13
—
—
—
—
—
—
—
—
—
—
69.01
77.77
89.77
87.95
85.92
1990
1991
1992
1993
1994
91.20
90.73
96.80
95.81
89.76
5.50
6.14
6.44
7.39
7.86
0.36
0.50
0.51
0.61
0.65
—
—
—
—
—
97.05
97.37
103.75
103.82
98.27
—
—
—
—
—
—
—
—
—
—
105.50
116.04
128.74
143.56
148.69
202.55
213.41
232.49
247.38
246.96
—
—
53.01
55.48
55.85
—
—
48.13
51.79
53.16
87.16
88.07
101.14
107.28
109.01
1995
1996
1997
1998
1999
90.40
89.46
93.13
106.74
118.53
9.54
9.03
10.48
15.46
15.82
0.75
0.78
0.78
0.90
1.14
—
—
—
—
—
100.69
99.28
104.39
123.11
135.49
—
—
—
—
—
—
—
—
—
—
160.23
171.12
182.88
213.19
215.75
260.92
270.39
287.28
336.30
351.24
51.45
57.77
53.15
58.85
59.42
50.07
53.72
50.79
57.63
55.12
101.52
111.49
103.94
116.48
114.55
2000
2001
2002
2003
2004
125.55
138.03
150.66
166.78
181.22
20.11
23.89
25.89
27.63
28.16
1.47
2.05
2.41
2.70
3.21
—
—
—
—
—
147.13
163.96
178.95
197.11
212.59
—
—
—
—
—
—
—
—
—
—
243.42
265.49
302.01
319.83
346.01
390.56
429.45
480.96
516.95
558.60
59.24
64.85
69.13
73.39
76.87
53.64
56.20
59.79
62.06
64.01
112.88
121.05
128.92
135.45
140.88
2005
2006
2007
2008
2009
198.78
247.14
269.66
287.04
311.65
29.26
37.04
32.47
30.12
29.98
3.60
5.09
6.00
7.26
7.38
—
—
—
—
—
231.64
289.27
308.13
324.43
349.02
—
—
—
—
—
—
—
—
—
—
384.51
422.99
452.51
451.31
488.73
616.15
712.26
760.64
775.73
837.75
76.49
78.60
85.57
85.82
81.73
62.80
64.77
68.11
67.71
61.88
139.29
143.38
153.68
153.53
143.61
2010
2011f
2012f
325.62
337.63
338.31
29.63
28.87
28.25
10.27
10.68
11.00
—
—
—
365.52
377.18
377.56
—
—
—
—
—
—
543.15
598.36
641.90
908.67
975.54
1,019.47
78.85
79.69
77.92
60.56
60.70
62.80
139.40
140.39
140.72
1985
1986
1987
1988
1989
—
16.2
16.7
15.5
12.9
—
3.3
7.8
32.1
21.0
—
15.8
3.7
48.1
-8.5
—
—
—
—
—
—
15.5
16.3
16.3
13.2
—
—
—
—
—
—
—
—
—
—
—
53.3
13.0
9.9
9.6
—
32.4
14.6
13.0
11.4
—
—
—
—
—
—
—
—
—
—
—
12.7
15.4
-2.0
-2.3
1990
1991
1992
1993
1994
0.3
-0.5
6.7
-1.0
-6.3
19.3
11.7
4.8
14.8
6.3
5.8
40.7
2.1
19.7
5.7
—
—
—
—
—
1.3
0.3
6.5
0.1
-5.3
—
—
—
—
—
—
—
—
—
—
15.6
10.0
10.9
11.5
3.6
8.2
5.4
8.9
6.4
-0.2
—
—
—
4.7
0.7
—
—
—
7.6
2.6
1.4
1.0
14.8
6.1
1.6
1995
1996
1997
1998
1999
0.7
-1.0
4.1
14.6
11.0
21.4
-5.3
16.0
47.5
2.3
15.6
4.8
-1.1
16.3
26.7
—
—
—
—
—
2.5
-1.4
5.2
17.9
10.1
—
—
—
—
—
—
—
—
—
—
7.8
6.8
6.9
16.6
1.2
5.7
3.6
6.2
17.1
4.4
-7.9
12.3
-8.0
10.7
1.0
-5.8
7.3
-5.5
13.5
-4.3
-6.9
9.8
-6.8
12.1
-1.7
-1.5
(Annual Percentage Change)
2000
5.9
27.1
28.5
—
8.6
—
—
12.8
11.2
-0.3
-2.7
2001
9.9
18.8
39.3
—
11.4
—
—
9.1
10.0
9.5
4.8
7.2
2002
9.1
8.4
17.7
—
9.1
—
—
13.8
12.0
6.6
6.4
6.5
2003
10.7
6.8
12.0
—
10.2
—
—
5.9
7.5
6.2
3.8
5.1
2004
8.7
1.9
19.0
—
7.9
—
—
8.2
8.1
4.8
3.1
4.0
2005
2006
2007
2008
2009
9.7
24.3
9.1
6.4
8.6
3.9
26.6
-12.3
-7.2
-0.5
12.2
41.2
17.8
21.1
1.6
—
—
—
—
—
9.0
24.9
6.5
5.3
7.6
—
—
—
—
—
—
—
—
—
—
11.1
10.0
7.0
-0.3
8.3
10.3
15.6
6.8
2.0
8.0
-0.5
2.8
8.9
0.3
-4.8
-1.9
3.1
5.2
-0.6
-8.6
-1.1
2.9
7.2
-0.1
-6.5
2010
2011f
2012f
4.5
3.7
0.2
-1.2
-2.5
-2.2
39.1
4.0
3.0
—
—
—
4.7
3.2
0.1
—
—
—
—
—
—
11.1
10.2
7.3
8.5
7.4
4.5
-3.5
1.1
-2.2
-2.1
0.2
3.5
-2.9
0.7
0.2
1985
1986
1987
1988
1989
—
13.4
11.9
11.0
8.3
—
0.5
3.1
27.6
16.4
—
13.0
-1.0
43.6
-13.1
—
—
—
—
—
—
12.7
11.5
11.8
8.6
—
—
—
—
—
—
—
—
—
—
—
50.5
8.3
5.4
5.0
—
29.6
9.9
8.5
6.8
—
—
—
—
—
—
—
—
—
—
—
9.9
10.7
-6.5
-6.9
1990
1991
1992
1993
1994
-2.7
-3.3
5.4
-2.5
-7.4
16.3
9.0
3.6
13.4
5.2
2.7
37.9
0.9
18.2
4.6
—
—
—
—
—
-1.8
-2.4
5.3
-1.4
-6.4
—
—
—
—
—
—
—
—
—
—
12.5
7.2
9.7
10.1
2.5
5.2
2.6
7.7
5.0
-1.3
—
—
—
3.2
-0.4
—
—
—
6.2
1.5
-1.6
-1.7
13.6
4.6
0.5
1995
1996
1997
1998
1999
-1.6
-2.7
3.1
15.0
9.2
19.1
-7.0
15.1
48.0
0.5
13.3
3.1
-2.1
16.7
24.9
—
—
—
—
—
0.1
-3.1
4.2
18.4
8.2
—
—
—
—
—
—
—
—
—
—
5.4
5.1
5.9
17.0
-0.6
3.3
2.0
5.3
17.5
2.6
-10.2
10.6
-9.0
11.2
-0.8
-8.2
5.6
-6.5
13.9
-6.2
-9.2
8.2
-7.8
12.5
-3.5
2000
1.8
23.0
24.4
—
4.5
—
—
8.7
7.1
-4.4
-6.8
-5.6
2001
2002
2003
2004
8.6
8.1
7.8
6.1
17.4
7.3
3.9
-0.7
37.9
16.7
9.1
16.4
—
—
—
—
10.1
8.1
7.3
5.3
—
—
—
—
—
—
—
—
7.7
12.7
3.0
5.6
8.6
11.0
4.6
5.5
8.1
5.6
3.3
2.2
3.4
5.3
0.9
0.5
5.9
5.5
2.2
1.4
2005
2006
2007
2008
2009
6.7
21.5
5.4
1.4
11.3
0.9
23.8
-16.0
-12.3
2.3
9.2
38.4
14.2
16.1
4.4
—
—
—
—
—
6.0
22.1
2.8
0.3
10.3
—
—
—
—
—
—
—
—
—
—
8.1
7.2
3.3
-5.3
11.0
7.3
12.8
3.1
-3.0
10.8
-3.5
0.0
5.2
-4.7
-2.0
-4.9
0.3
1.5
-5.6
-5.9
-4.1
0.1
3.5
-5.1
-3.7
2010
2011f
2012f
1.2
0.3
-1.5
-4.5
-6.0
-3.9
35.9
0.6
1.3
—
—
—
1.5
-0.2
-1.6
—
—
—
—
—
—
7.9
6.7
5.6
5.2
3.9
2.8
-6.8
-2.4
-3.9
-5.4
-3.2
1.8
-6.2
-2.7
-1.5
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
34
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B N.S.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Nova Scotia, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
54.21
62.63
72.82
84.68
95.83
112.74
144.82
165.57
171.26
177.23
166.95
207.46
238.39
255.94
273.06
1,070.18
1,150.53
1,304.53
1,298.16
1,417.87
322.36
397.71
442.14
468.32
520.32
1,392.54
1,548.24
1,746.68
1,766.48
1,938.19
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
97.05
97.37
103.75
103.82
98.27
192.66
204.11
229.88
250.84
257.70
289.71
301.48
333.62
354.66
355.97
1,513.31
1,585.86
1,606.22
1,564.33
1,524.47
539.08
566.94
603.05
627.19
658.31
2,052.39
2,152.81
2,209.26
2,191.52
2,182.78
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
100.69
99.28
104.39
123.11
135.49
261.74
282.61
286.83
329.67
330.30
362.43
381.89
391.22
452.78
465.79
1,551.41
1,544.13
1,790.15
1,917.40
2,034.29
669.35
698.71
745.24
822.05
833.35
2,220.76
2,242.84
2,535.39
2,739.44
2,867.64
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
147.13
163.96
178.95
197.11
212.59
356.30
386.53
430.93
455.28
486.90
503.43
550.50
609.88
652.40
699.49
2,107.72
2,233.73
2,422.95
2,652.47
2,755.99
929.70
998.07
1,115.60
1,187.04
1,212.20
3,037.42
3,231.81
3,538.55
3,839.51
3,968.19
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
231.64
289.27
308.13
324.43
349.02
523.80
566.37
606.19
604.84
632.34
755.44
855.64
914.32
929.26
981.36
3,011.79
3,376.81
3,628.99
3,817.86
3,899.86
1,290.40
1,421.18
1,510.16
1,584.04
1,767.34
4,302.20
4,798.00
5,139.15
5,401.90
5,667.20
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
365.52
377.18
377.56
682.55
738.75
782.62
1,048.07
1,115.93
1,160.19
4,219.97
4,402.86
4,463.22
1,931.80
1,953.33
2,033.54
6,151.77
6,356.19
6,496.75
132.1
136.6
139.0
1985
1986
1987
1988
1989
—
15.5
16.3
16.3
13.2
—
28.5
14.3
3.4
3.5
—
24.3
14.9
7.4
6.7
—
7.5
13.4
-0.5
9.2
—
23.4
11.2
5.9
11.1
—
11.2
12.8
1.1
9.7
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
1.3
0.3
6.5
0.1
-5.3
8.7
5.9
12.6
9.1
2.7
6.1
4.1
10.7
6.3
0.4
6.7
4.8
1.3
-2.6
-2.5
3.6
5.2
6.4
4.0
5.0
5.9
4.9
2.6
-0.8
-0.4
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
2.5
-1.4
5.2
17.9
10.1
1.6
8.0
1.5
14.9
0.2
1.8
5.4
2.4
15.7
2.9
1.8
-0.5
15.9
7.1
6.1
1.7
4.4
6.7
10.3
1.4
1.7
1.0
13.0
8.0
4.7
2.3
1.7
1.0
-0.4
1.8
2000
8.6
7.9
8.1
3.6
11.6
5.9
4.1
2001
11.4
8.5
9.3
6.0
7.4
6.4
1.4
2002
9.1
11.5
10.8
8.5
11.8
9.5
1.0
2003
10.2
5.7
7.0
9.5
6.4
8.5
2.9
2004
7.9
6.9
7.2
3.9
2.1
3.4
2.6
2005
2006
2007
2008
2009
9.0
24.9
6.5
5.3
7.6
7.6
8.1
7.0
-0.2
4.5
8.0
13.3
6.9
1.6
5.6
9.3
12.1
7.5
5.2
2.1
6.5
10.1
6.3
4.9
11.6
8.4
11.5
7.1
5.1
4.9
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
4.7
3.2
0.1
7.9
8.2
5.9
6.8
6.5
4.0
8.2
4.3
1.4
9.3
1.1
4.1
8.6
3.3
2.2
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
12.7
11.5
11.8
8.6
—
25.7
9.6
-1.1
-1.1
—
21.5
10.2
2.8
2.1
—
4.7
8.6
-5.0
4.7
—
20.6
6.4
1.4
6.5
—
8.4
8.1
-3.4
5.2
1990
1991
1992
1993
1994
-1.8
-2.4
5.3
-1.4
-6.4
5.7
3.2
11.4
7.7
1.6
3.1
1.3
9.4
4.9
-0.7
3.7
2.0
0.0
-4.0
-3.6
0.6
2.4
5.1
2.6
3.9
2.9
2.1
1.4
-2.2
-1.5
1995
1996
1997
1998
1999
0.1
-3.1
4.2
18.4
8.2
-0.8
6.3
0.5
15.4
-1.6
-0.5
3.7
1.5
16.2
1.1
-0.6
-2.1
14.9
7.5
4.3
-0.7
2.7
5.7
10.7
-0.4
-0.6
-0.7
12.1
8.5
2.9
2000
4.5
3.8
4.0
-0.5
7.5
1.8
2001
2002
2003
2004
10.1
8.1
7.3
5.3
7.1
10.4
2.8
4.4
8.0
9.7
4.1
4.6
4.6
7.4
6.6
1.3
6.0
10.7
3.5
-0.5
5.0
8.4
5.6
0.8
2005
2006
2007
2008
2009
6.0
22.1
2.8
0.3
10.3
4.6
5.3
3.3
-5.2
7.3
5.0
10.5
3.2
-3.4
8.4
6.3
9.3
3.8
0.2
4.9
3.4
7.3
2.6
-0.1
14.3
5.4
8.7
3.4
0.1
7.7
2010
2011f
2012f
1.5
-0.2
-1.6
4.7
4.8
4.2
3.5
3.0
2.3
4.9
0.9
-0.3
6.0
-2.3
2.4
5.3
-0.1
0.5
N.S.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
35
Drug Expenditure in Canada, 1985 to 2012
Table B N.B.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, New Brunswick, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
N.B.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
33.9
39.6
46.2
48.5
52.7
1.7
1.8
1.9
2.7
3.1
0.1
0.2
0.2
0.2
0.3
—
—
—
—
—
35.7
41.5
48.4
51.4
56.0
—
—
—
—
—
—
—
—
—
—
38.8
45.6
56.1
61.4
67.1
74.4
87.1
104.5
112.7
123.1
—
—
—
—
—
—
—
—
—
—
48.4
54.8
63.6
61.6
59.6
1990
1991
1992
1993
1994
58.3
62.4
60.0
56.8
56.0
3.7
4.1
4.2
5.2
5.7
0.4
0.4
0.5
0.6
0.6
—
—
—
—
—
62.4
67.0
64.8
62.5
62.3
—
—
—
—
—
—
—
—
—
—
80.3
88.8
102.2
111.3
118.4
142.7
155.8
167.0
173.8
180.7
—
—
35.6
37.0
37.3
—
—
32.3
34.5
35.5
61.0
66.1
67.9
71.5
72.8
1995
1996
1997
1998
1999
58.3
54.8
56.1
62.1
69.0
6.4
6.4
7.1
8.6
10.8
0.6
0.7
0.7
0.9
1.1
—
—
—
—
—
65.4
61.9
64.0
71.6
80.8
—
—
—
—
—
—
—
—
—
—
127.8
126.7
143.9
149.7
167.0
193.1
188.6
207.9
221.3
247.8
34.4
32.9
44.5
42.5
47.6
33.5
30.6
42.6
41.6
44.1
67.9
63.6
87.1
84.2
91.7
2000
2001
2002
2003
2004
78.4
90.1
101.3
112.3
124.4
14.2
17.2
18.8
21.0
21.6
1.4
1.7
2.1
2.6
3.3
—
—
—
—
—
94.0
109.0
122.2
135.9
149.3
—
—
—
—
—
—
—
—
—
—
187.7
218.9
241.9
271.4
276.1
281.6
327.9
364.1
407.2
425.4
47.6
46.5
49.7
50.6
52.2
43.1
40.3
43.0
42.8
43.5
90.7
86.9
92.6
93.4
95.7
2005
2006
2007
2008
2009
135.8
146.4
152.7
160.9
175.2
22.3
22.7
23.3
24.3
23.2
3.7
4.0
4.0
4.2
4.4
—
—
—
—
—
161.9
173.0
180.0
189.4
202.7
—
—
—
—
—
—
—
—
—
—
327.0
343.7
349.6
378.3
407.0
488.9
516.7
529.6
567.8
609.7
50.1
52.7
56.8
57.8
70.2
41.1
43.4
45.2
45.6
53.1
91.2
96.0
102.1
103.3
123.3
2010
2011f
2012f
188.5
196.7
195.7
23.0
22.7
22.2
4.4
4.3
4.3
—
—
—
215.9
223.7
222.2
—
—
—
—
—
—
425.8
448.0
461.6
641.7
671.7
683.8
81.4
81.8
89.6
62.5
62.3
66.4
143.9
144.2
156.0
1985
1986
1987
1988
1989
—
16.9
16.8
5.0
8.6
—
7.6
9.3
36.1
17.3
—
14.5
15.9
18.5
15.6
—
—
—
—
—
—
16.4
16.4
6.3
9.1
—
—
—
—
—
—
—
—
—
—
—
17.6
23.0
9.3
9.3
—
17.1
19.9
7.9
9.2
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
-3.1
-3.1
1990
1991
1992
1993
1994
10.7
7.0
-3.9
-5.4
-1.4
18.6
12.5
2.0
22.5
10.6
56.5
11.2
24.7
3.7
5.4
—
—
—
—
—
11.4
7.4
-3.4
-3.5
-0.4
—
—
—
—
—
—
—
—
—
—
19.7
10.6
15.1
8.9
6.4
15.9
9.2
7.1
4.1
4.0
—
—
—
3.9
0.9
—
—
—
6.8
2.9
2.2
8.3
2.8
5.3
1.8
1995
1996
1997
1998
1999
4.2
-6.0
2.5
10.7
11.0
11.6
0.1
11.0
21.1
25.2
8.4
13.1
0.1
19.3
23.4
—
—
—
—
—
4.9
-5.2
3.3
12.0
12.9
—
—
—
—
—
—
—
—
—
—
7.9
-0.8
13.6
4.0
11.6
6.9
-2.3
10.2
6.4
12.0
-7.8
-4.2
35.2
-4.5
11.8
-5.7
-8.5
38.9
-2.1
6.0
-6.8
-6.3
37.0
-3.4
8.9
2000
2001
2002
2003
2004
13.6
14.9
12.5
10.8
10.8
31.9
20.8
9.3
11.7
3.1
28.3
25.8
19.0
25.8
25.2
—
—
—
—
—
16.2
16.0
12.1
11.2
9.9
—
—
—
—
—
—
—
—
—
—
12.4
16.6
10.5
12.2
1.8
13.6
16.4
11.0
11.8
4.5
0.1
-2.3
6.7
1.9
3.2
-2.3
-6.5
6.5
-0.3
1.6
-1.0
-4.2
6.6
0.9
2.4
2005
2006
2007
2008
2009
9.2
7.8
4.3
5.4
8.8
3.3
1.7
2.4
4.3
-4.5
13.9
6.6
1.5
5.7
2.7
—
—
—
—
—
8.4
6.9
4.0
5.3
7.0
—
—
—
—
—
—
—
—
—
—
18.4
5.1
1.7
8.2
7.6
14.9
5.7
2.5
7.2
7.4
-4.1
5.1
8.0
1.6
21.5
-5.4
5.5
4.3
0.7
16.6
-4.7
5.3
6.3
1.2
19.4
2010
2011f
2012f
7.6
4.4
-0.5
-0.6
-1.4
-2.2
0.9
-2.1
-0.6
—
—
—
6.5
3.6
-0.7
—
—
—
—
—
—
4.6
5.2
3.0
5.3
4.7
1.8
16.0
0.5
9.5
17.6
-0.3
6.6
16.7
0.2
8.2
1985
1986
1987
1988
1989
27.6
27.9
27.5
27.8
28.8
1.3
1.3
1.2
1.5
1.7
0.1
0.1
0.1
0.1
0.1
—
—
—
—
—
29.0
29.2
28.8
29.5
30.7
—
—
—
—
—
—
—
—
—
—
31.6
32.1
33.4
35.2
36.7
60.6
61.4
62.2
64.7
67.4
—
—
—
—
—
—
—
—
—
—
39.4
38.6
37.8
35.3
32.6
1990
1991
1992
1993
1994
28.6
28.1
25.5
23.1
22.1
1.8
1.9
1.8
2.1
2.3
0.2
0.2
0.2
0.2
0.2
—
—
—
—
—
30.6
30.2
27.6
25.5
24.6
—
—
—
—
—
—
—
—
—
—
39.4
40.0
43.5
45.4
46.7
70.1
70.2
71.1
70.9
71.3
—
—
15.2
15.1
14.7
—
—
13.8
14.1
14.0
29.9
29.8
28.9
29.1
28.7
1995
1996
1997
1998
1999
22.3
21.7
19.0
20.3
20.3
2.5
2.5
2.4
2.8
3.2
0.2
0.3
0.2
0.3
0.3
—
—
—
—
—
25.0
24.6
21.7
23.4
23.8
—
—
—
—
—
—
—
—
—
—
49.0
50.2
48.8
49.0
49.2
74.0
74.8
70.5
72.4
73.0
13.2
13.1
15.1
13.9
14.0
12.8
12.1
14.4
13.6
13.0
26.0
25.2
29.5
27.6
27.0
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
36
2000
21.0
3.8
0.4
—
25.2
—
—
50.4
75.6
12.8
11.6
24.4
2001
2002
2003
2004
21.7
22.2
22.4
23.9
4.1
4.1
4.2
4.1
0.4
0.5
0.5
0.6
—
—
—
—
26.3
26.7
27.1
28.6
—
—
—
—
—
—
—
—
52.8
53.0
54.2
53.0
79.1
79.7
81.3
81.6
11.2
10.9
10.1
10.0
9.7
9.4
8.6
8.3
20.9
20.3
18.7
18.4
2005
2006
2007
2008
2009
23.4
23.9
24.2
24.0
23.9
3.9
3.7
3.7
3.6
3.2
0.6
0.6
0.6
0.6
0.6
—
—
—
—
—
27.9
28.2
28.5
28.2
27.7
—
—
—
—
—
—
—
—
—
—
56.4
56.1
55.3
56.4
55.5
84.3
84.3
83.8
84.6
83.2
8.6
8.6
9.0
8.6
9.6
7.1
7.1
7.2
6.8
7.3
15.7
15.7
16.2
15.4
16.8
2010
24.0
2.9
0.6
24.1
2.8
0.5
2011f
2012f
23.3
2.6
0.5
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
27.5
27.4
26.5
—
—
—
—
—
—
54.2
54.9
55.0
81.7
82.3
81.4
10.4
10.0
10.7
8.0
7.6
7.9
18.3
17.7
18.6
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B N.B.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, New Brunswick, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Year
Health Expenditure
Private
Public
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
35.7
41.5
48.4
51.4
56.0
87.2
100.4
119.7
122.9
126.7
122.9
142.0
168.1
174.3
182.8
752.2
805.3
888.9
961.0
1,047.7
274.1
285.9
305.1
330.5
352.4
1,026.2
1,091.1
1,194.0
1,291.5
1,400.1
4.7
5.2
5.4
5.3
5.3
31.8
35.1
39.2
37.2
36.0
12.0
13.0
14.1
13.5
13.1
1990
1991
1992
1993
1994
62.4
67.0
64.8
62.5
62.3
141.2
154.9
170.1
182.8
191.2
203.7
221.9
234.9
245.3
253.5
1,136.1
1,186.9
1,233.1
1,236.1
1,272.2
397.4
442.4
466.7
503.0
520.8
1,533.5
1,629.3
1,699.8
1,739.1
1,793.0
5.5
5.6
5.3
5.1
4.9
35.5
35.0
36.4
36.3
36.7
13.3
13.6
13.8
14.1
14.1
1995
1996
1997
1998
1999
65.4
61.9
64.0
71.6
80.8
195.6
190.3
231.0
233.8
258.7
261.0
252.2
295.0
305.5
339.5
1,323.0
1,325.3
1,305.7
1,370.6
1,469.5
496.4
488.4
551.4
553.6
607.0
1,819.3
1,813.7
1,857.2
1,924.2
2,076.5
4.9
4.7
4.9
5.2
5.5
39.4
39.0
41.9
42.2
42.6
14.3
13.9
15.9
15.9
16.4
2000
2001
2002
2003
2004
94.0
109.0
122.2
135.9
149.3
278.4
305.8
334.6
364.8
371.8
372.3
414.7
456.7
500.7
521.1
1,580.0
1,740.0
1,829.1
1,947.6
2,115.2
638.6
727.8
786.5
840.9
864.5
2,218.6
2,467.8
2,615.6
2,788.5
2,979.8
5.9
6.3
6.7
7.0
7.1
43.6
42.0
42.5
43.4
43.0
16.8
16.8
17.5
18.0
17.5
2005
2006
2007
2008
2009
161.9
173.0
180.0
189.4
202.7
418.2
439.7
451.7
481.7
530.3
580.0
612.7
631.6
671.1
733.0
2,309.8
2,527.0
2,647.4
2,841.8
3,004.6
984.2
1,054.7
1,075.5
1,141.5
1,299.5
3,294.0
3,581.7
3,722.9
3,983.3
4,304.1
7.0
6.8
6.8
6.7
6.7
42.5
41.7
42.0
42.2
40.8
17.6
17.1
17.0
16.8
17.0
2010
2011f
2012f
215.9
223.7
222.2
569.7
592.2
617.6
785.6
815.9
839.8
3,149.7
3,289.6
3,309.9
1,379.1
1,401.1
1,468.1
4,528.8
4,690.7
4,778.1
6.9
6.8
6.7
41.3
42.3
42.1
17.3
17.4
17.6
1985
1986
1987
1988
1989
—
16.4
16.4
6.3
9.1
—
15.2
19.2
2.7
3.1
—
15.6
18.4
3.7
4.8
—
7.1
10.4
8.1
9.0
—
4.3
6.7
8.3
6.6
—
6.3
9.4
8.2
8.4
1990
1991
1992
1993
1994
11.4
7.4
-3.4
-3.5
-0.4
11.5
9.6
9.8
7.4
4.6
11.4
9.0
5.8
4.4
3.3
8.4
4.5
3.9
0.2
2.9
12.8
11.3
5.5
7.8
3.5
9.5
6.2
4.3
2.3
3.1
1995
1996
1997
1998
1999
4.9
-5.2
3.3
12.0
12.9
2.3
-2.7
21.4
1.2
10.6
3.0
-3.3
17.0
3.5
11.1
4.0
0.2
-1.5
5.0
7.2
-4.7
-1.6
12.9
0.4
9.6
1.5
-0.3
2.4
3.6
7.9
2000
2001
2002
2003
2004
16.2
16.0
12.1
11.2
9.9
7.6
9.8
9.4
9.0
1.9
9.7
11.4
10.1
9.6
4.1
7.5
10.1
5.1
6.5
8.6
5.2
14.0
8.1
6.9
2.8
6.8
11.2
6.0
6.6
6.9
2005
2006
2007
2008
2009
8.4
6.9
4.0
5.3
7.0
12.5
5.1
2.7
6.6
10.1
11.3
5.6
3.1
6.2
9.2
9.2
9.4
4.8
7.3
5.7
13.8
7.2
2.0
6.1
13.8
10.5
8.7
3.9
7.0
8.1
2010
2011f
2012f
6.5
3.6
-0.7
7.4
3.9
4.3
7.2
3.9
2.9
4.8
4.4
0.6
6.1
1.6
4.8
5.2
3.6
1.9
N.B.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
29.0
29.2
28.8
29.5
30.7
71.0
70.8
71.2
70.5
69.3
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
30.6
30.2
27.6
25.5
24.6
69.4
69.8
72.4
74.5
75.4
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
25.0
24.6
21.7
23.4
23.8
75.0
75.4
78.3
76.6
76.2
100.0
100.0
100.0
100.0
100.0
2000
25.2
74.8
100.0
2001
2002
2003
2004
26.3
26.7
27.1
28.6
73.7
73.3
72.9
71.4
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
27.9
28.2
28.5
28.2
27.7
72.1
71.8
71.5
71.8
72.3
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
27.5
27.4
26.5
72.5
72.6
73.5
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
37
Drug Expenditure in Canada, 1985 to 2012
Table B N.B.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, New Brunswick, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
N.B.
Private
Out of
Pocket
1985
1986
1987
1988
1989
46.80
54.59
63.50
66.43
71.66
2.29
2.46
2.68
3.63
4.23
0.19
0.22
0.25
0.30
0.34
—
—
—
—
—
49.28
57.26
66.43
70.36
76.23
—
—
—
—
—
—
—
—
—
—
53.60
62.92
77.12
84.01
91.22
102.88
120.18
143.55
154.37
167.45
—
—
—
—
—
—
—
—
—
—
66.89
75.59
87.33
84.30
81.12
1990
1991
1992
1993
1994
78.82
83.75
80.19
75.83
74.59
4.99
5.57
5.66
6.92
7.64
0.53
0.59
0.73
0.75
0.79
—
—
—
—
—
84.34
89.90
86.57
83.50
83.03
—
—
—
—
—
—
—
—
—
—
108.44
119.11
136.60
148.60
157.80
192.78
209.01
223.17
232.11
240.84
—
—
47.57
49.37
49.72
—
—
43.20
46.09
47.33
82.40
88.62
90.77
95.47
97.05
1995
1996
1997
1998
1999
77.65
72.83
74.59
82.80
91.89
8.52
8.51
9.45
11.47
14.36
0.86
0.97
0.97
1.16
1.43
—
—
—
—
—
87.02
82.31
85.01
95.43
107.68
—
—
—
—
—
—
—
—
—
—
170.11
168.45
191.27
199.42
222.50
257.14
250.76
276.28
294.85
330.18
45.80
43.79
59.18
56.66
63.36
44.57
40.72
56.54
55.47
58.77
90.37
84.51
115.72
112.13
122.13
2000
2001
2002
2003
2004
104.41
120.09
135.05
149.49
165.45
18.94
22.90
25.01
27.91
28.74
1.84
2.31
2.75
3.46
4.33
—
—
—
—
—
125.19
145.31
162.81
180.86
198.52
—
—
—
—
—
—
—
—
—
—
250.06
291.92
322.44
361.25
367.17
375.25
437.23
485.25
542.11
565.69
63.43
62.06
66.19
67.38
69.43
57.44
53.78
57.25
56.99
57.81
120.87
115.84
123.44
124.37
127.25
2005
2006
2007
2008
2009
180.77
196.29
204.81
215.44
233.58
29.73
30.47
31.21
32.47
30.89
4.93
5.30
5.38
5.68
5.80
—
—
—
—
—
215.43
232.05
241.39
253.58
270.27
—
—
—
—
—
—
—
—
—
—
435.23
460.87
468.93
506.45
542.63
650.66
692.93
710.33
760.03
812.90
66.65
70.61
76.24
77.32
93.59
54.72
58.18
60.69
61.00
70.87
121.37
128.79
136.93
138.32
164.46
2010
2011f
2012f
250.36
260.40
258.80
30.59
30.06
29.38
5.83
5.69
5.65
—
—
—
286.79
296.16
293.83
—
—
—
—
—
—
565.62
593.02
610.31
852.41
889.18
904.13
108.11
108.32
118.50
83.03
82.50
87.83
191.14
190.82
206.33
1985
1986
1987
1988
1989
—
16.6
16.3
4.6
7.9
—
7.4
8.9
35.6
16.6
—
14.3
15.5
18.1
14.8
—
—
—
—
—
—
16.2
16.0
5.9
8.3
—
—
—
—
—
—
—
—
—
—
—
17.4
22.6
8.9
8.6
—
16.8
19.4
7.5
8.5
—
—
—
—
—
—
—
—
—
—
—
13.0
15.5
-3.5
-3.8
1990
1991
1992
1993
1994
10.0
6.3
-4.3
-5.4
-1.6
17.8
11.6
1.6
22.4
10.4
55.5
10.4
24.3
3.6
5.2
—
—
—
—
—
10.6
6.6
-3.7
-3.5
-0.6
—
—
—
—
—
—
—
—
—
—
18.9
9.8
14.7
8.8
6.2
15.1
8.4
6.8
4.0
3.8
—
—
—
3.8
0.7
—
—
—
6.7
2.7
1.6
7.6
2.4
5.2
1.7
1995
1996
1997
1998
1999
4.1
-6.2
2.4
11.0
11.0
11.5
-0.1
11.0
21.4
25.2
8.3
12.9
0.1
19.6
23.4
—
—
—
—
—
4.8
-5.4
3.3
12.3
12.8
—
—
—
—
—
—
—
—
—
—
7.8
-1.0
13.5
4.3
11.6
6.8
-2.5
10.2
6.7
12.0
-7.9
-4.4
35.1
-4.3
11.8
-5.8
-8.6
38.8
-1.9
5.9
-6.9
-6.5
36.9
-3.1
8.9
(Annual Percentage Change)
2000
13.6
31.9
28.3
—
16.3
—
—
12.4
13.6
0.1
-2.3
-1.0
2001
15.0
20.9
25.9
—
16.1
—
—
16.7
16.5
-2.2
-6.4
-4.2
12.5
9.2
—
12.0
—
10.5
11.0
6.7
6.5
6.6
2003
10.7
11.6
25.7
—
11.1
—
—
12.0
11.7
1.8
-0.5
0.8
2004
2002
10.7
3.0
25.0
18.9
—
9.8
—
—
—
1.6
4.4
3.0
1.5
2.3
2005
2006
2007
2008
2009
9.3
8.6
4.3
5.2
8.4
3.4
2.5
2.4
4.0
-4.9
14.0
7.4
1.5
5.5
2.2
—
—
—
—
—
8.5
7.7
4.0
5.0
6.6
—
—
—
—
—
—
—
—
—
—
18.5
5.9
1.7
8.0
7.1
15.0
6.5
2.5
7.0
7.0
-4.0
5.9
8.0
1.4
21.0
-5.4
6.3
4.3
0.5
16.2
-4.6
6.1
6.3
1.0
18.9
2010
2011f
2012f
7.2
4.0
-0.6
-1.0
-1.7
-2.3
0.5
-2.5
-0.7
—
—
—
6.1
3.3
-0.8
—
—
—
—
—
—
4.2
4.8
2.9
4.9
4.3
1.7
15.5
0.2
9.4
17.2
-0.6
6.5
16.2
-0.2
8.1
1985
1986
1987
1988
1989
—
13.8
11.6
0.1
3.3
—
4.6
4.2
31.1
12.0
—
11.5
10.7
13.6
10.3
—
—
—
—
—
—
13.4
11.3
1.4
3.8
—
—
—
—
—
—
—
—
—
—
—
14.6
17.8
4.4
4.0
—
14.0
14.7
3.0
3.9
—
—
—
—
—
—
—
—
—
—
—
10.2
10.8
-8.0
-8.3
1990
1991
1992
1993
1994
7.0
3.5
-5.5
-6.9
-2.7
14.8
8.9
0.3
21.0
9.3
52.5
7.6
23.0
2.2
4.1
—
—
—
—
—
7.6
3.8
-5.0
-5.0
-1.7
—
—
—
—
—
—
—
—
—
—
15.8
7.1
13.4
7.3
5.1
12.1
5.7
5.5
2.6
2.7
—
—
—
2.3
-0.4
—
—
—
5.3
1.6
-1.5
4.8
1.2
3.7
0.6
1995
1996
1997
1998
1999
1.8
-7.9
1.4
11.4
9.2
9.1
-1.8
10.0
21.8
23.4
6.0
11.2
-0.9
20.1
21.5
—
—
—
—
—
2.5
-7.1
2.3
12.7
11.0
—
—
—
—
—
—
—
—
—
—
5.5
-2.7
12.6
4.7
9.8
4.4
-4.2
9.2
7.2
10.2
-10.2
-6.1
34.2
-3.8
10.0
-8.2
-10.3
37.9
-1.5
4.1
-9.2
-8.2
35.9
-2.7
7.1
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
9.5
27.8
24.2
—
12.2
—
—
8.3
9.5
-4.0
-6.4
-5.1
2001
2002
2003
2004
13.7
11.4
7.8
8.1
19.6
8.2
8.7
0.4
24.6
17.9
22.8
22.4
—
—
—
—
14.7
11.0
8.2
7.2
—
—
—
—
—
—
—
—
15.4
9.4
9.1
-0.9
15.2
9.9
8.8
1.8
-3.5
5.6
-1.1
0.5
-7.7
5.4
-3.4
-1.1
-5.5
5.5
-2.1
-0.3
2005
2006
2007
2008
2009
6.2
5.8
0.7
0.2
11.2
0.4
-0.3
-1.3
-1.0
-2.1
11.0
4.6
-2.1
0.5
5.0
—
—
—
—
—
5.5
4.9
0.3
0.0
9.3
—
—
—
—
—
—
—
—
—
—
15.5
3.1
-1.9
3.0
9.9
12.0
3.7
-1.2
2.0
9.7
-7.0
3.1
4.3
-3.6
23.8
-8.4
3.5
0.6
-4.5
18.9
-7.6
3.3
2.6
-4.0
21.7
2010
2011f
2012f
3.9
0.6
-2.3
-4.2
-5.2
-4.0
-2.7
-5.9
-2.5
—
—
—
2.8
-0.2
-2.5
—
—
—
—
—
—
1.0
1.4
1.2
1.6
0.9
0.0
12.2
-3.2
7.7
13.9
-4.1
4.7
13.0
-3.6
6.4
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
38
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B N.B.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, New Brunswick, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
49.28
57.26
66.43
70.36
76.23
120.48
138.51
164.45
168.31
172.34
169.76
195.77
230.88
238.67
248.57
1,039.37
1,110.46
1,221.26
1,315.80
1,425.04
378.68
394.24
419.14
452.46
479.28
1,418.05
1,504.71
1,640.40
1,768.26
1,904.32
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
84.34
89.90
86.57
83.50
83.03
190.84
207.73
227.37
244.07
254.85
275.18
297.63
313.94
327.57
337.88
1,535.00
1,592.01
1,648.30
1,650.79
1,695.79
536.96
593.38
623.91
671.67
694.18
2,071.96
2,185.39
2,272.21
2,322.46
2,389.97
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
87.02
82.31
85.01
95.43
107.68
260.48
252.96
306.99
311.55
344.63
347.50
335.27
392.00
406.98
452.31
1,761.67
1,761.66
1,735.08
1,826.14
1,957.71
660.95
649.20
732.76
737.64
808.66
2,422.62
2,410.86
2,467.84
2,563.77
2,766.37
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
125.19
145.31
162.81
180.86
198.52
370.93
407.76
445.88
485.62
494.42
496.12
553.07
608.69
666.48
692.94
2,105.17
2,320.35
2,437.73
2,592.61
2,812.67
850.90
970.56
1,048.19
1,119.37
1,149.59
2,956.07
3,290.91
3,485.93
3,711.97
3,962.26
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
215.43
232.05
241.39
253.58
270.27
556.60
589.67
605.86
644.77
707.09
772.03
821.72
847.26
898.35
977.36
3,074.32
3,388.92
3,551.17
3,804.11
4,006.26
1,309.94
1,414.38
1,442.58
1,528.06
1,732.73
4,384.26
4,803.31
4,993.74
5,332.18
5,738.99
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
286.79
296.16
293.83
756.77
783.84
816.63
1,043.56
1,080.00
1,110.46
4,183.76
4,354.43
4,376.70
1,831.87
1,854.62
1,941.32
6,015.62
6,209.05
6,318.02
132.1
136.6
139.0
1985
1986
1987
1988
1989
—
16.2
16.0
5.9
8.3
—
15.0
18.7
2.4
2.4
—
15.3
17.9
3.4
4.1
—
6.8
10.0
7.7
8.3
—
4.1
6.3
7.9
5.9
—
6.1
9.0
7.8
7.7
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
10.6
6.6
-3.7
-3.5
-0.6
10.7
8.9
9.5
7.3
4.4
10.7
8.2
5.5
4.3
3.1
7.7
3.7
3.5
0.2
2.7
12.0
10.5
5.1
7.7
3.4
8.8
5.5
4.0
2.2
2.9
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
4.8
-5.4
3.3
12.3
12.8
2.2
-2.9
21.4
1.5
10.6
2.8
-3.5
16.9
3.8
11.1
3.9
0.0
-1.5
5.2
7.2
-4.8
-1.8
12.9
0.7
9.6
1.4
-0.5
2.4
3.9
7.9
2.3
1.7
1.0
-0.4
1.8
2000
16.3
7.6
9.7
7.5
5.2
6.9
4.1
2001
16.1
9.9
11.5
10.2
14.1
11.3
1.4
2002
12.0
9.3
10.1
5.1
8.0
5.9
1.0
2003
11.1
8.9
9.5
6.4
6.8
6.5
2.9
2004
9.8
1.8
4.0
8.5
2.7
6.7
2.6
2005
2006
2007
2008
2009
8.5
7.7
4.0
5.0
6.6
12.6
5.9
2.7
6.4
9.7
11.4
6.4
3.1
6.0
8.8
9.3
10.2
4.8
7.1
5.3
13.9
8.0
2.0
5.9
13.4
10.7
9.6
4.0
6.8
7.6
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
6.1
3.3
-0.8
7.0
3.6
4.2
6.8
3.5
2.8
4.4
4.1
0.5
5.7
1.2
4.7
4.8
3.2
1.8
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
13.4
11.3
1.4
3.8
—
12.2
14.0
-2.2
-2.2
—
12.5
13.2
-1.1
-0.4
—
4.0
5.2
3.2
3.7
—
1.3
1.6
3.4
1.4
—
3.3
4.3
3.3
3.1
1990
1991
1992
1993
1994
7.6
3.8
-5.0
-5.0
-1.7
7.7
6.1
8.2
5.9
3.3
7.7
5.4
4.2
2.9
2.0
4.7
1.0
2.3
-1.3
1.6
9.0
7.7
3.9
6.2
2.3
5.8
2.7
2.7
0.8
1.8
1995
1996
1997
1998
1999
2.5
-7.1
2.3
12.7
11.0
-0.1
-4.6
20.4
1.9
8.8
0.5
-5.2
15.9
4.3
9.3
1.5
-1.7
-2.5
5.7
5.4
-7.1
-3.4
11.9
1.1
7.8
-1.0
-2.2
1.4
4.3
6.1
2000
12.2
3.5
5.6
3.4
1.1
2.8
2001
2002
2003
2004
14.7
11.0
8.2
7.2
8.6
8.3
6.0
-0.8
10.1
9.0
6.6
1.4
8.9
4.0
3.5
5.9
12.7
7.0
3.9
0.1
10.0
4.9
3.6
4.2
2005
2006
2007
2008
2009
5.5
4.9
0.3
0.0
9.3
9.6
3.1
-0.9
1.4
12.4
8.4
3.6
-0.6
1.0
11.6
6.3
7.4
1.1
2.1
8.1
10.9
5.2
-1.7
0.9
16.2
7.6
6.8
0.3
1.8
10.4
2010
2011f
2012f
2.8
-0.2
-2.5
3.8
0.1
2.5
3.5
0.1
1.1
1.2
0.6
-1.2
2.5
-2.2
3.0
1.6
-0.2
0.0
N.B.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
39
Drug Expenditure in Canada, 1985 to 2012
Table B Que.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Quebec, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
Que.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
250.4
291.2
333.8
384.1
437.1
7.4
8.1
8.8
10.7
12.8
2.1
2.7
3.2
3.2
3.5
—
—
—
—
—
260.0
301.9
345.8
398.0
453.4
—
—
—
—
—
—
—
—
—
—
342.6
463.0
466.6
523.3
582.4
602.6
764.9
812.4
921.4
1,035.8
—
—
—
—
—
—
—
—
—
—
230.5
261.0
302.7
366.9
444.8
1990
1991
1992
1993
1994
502.9
604.0
650.5
686.1
742.1
15.3
16.7
18.1
21.1
23.0
4.2
4.9
5.1
5.0
5.6
—
—
—
—
—
522.4
625.6
673.7
712.3
770.7
—
—
—
—
—
—
—
—
—
—
638.9
709.4
770.9
882.3
898.5
1,161.2
1,335.0
1,444.6
1,594.6
1,669.2
—
—
306.5
312.4
326.8
—
—
264.2
280.8
306.6
468.3
534.5
570.7
593.1
633.4
1995
1996
1997
1998
1999
807.0
733.4
700.3
779.8
918.6
24.1
24.0
26.0
29.5
34.4
6.3
6.9
7.4
8.1
9.3
—
—
169.1
213.4
262.4
837.4
764.3
902.7
1,030.8
1,224.7
—
—
—
—
—
—
—
—
—
—
1,005.9
1,079.9
1,227.2
1,228.4
1,433.5
1,843.3
1,844.1
2,129.9
2,259.2
2,658.2
334.4
322.1
293.5
312.2
334.1
314.5
314.6
294.6
316.7
332.4
649.0
636.7
588.1
628.9
666.6
2000
2001
2002
2003
2004
1,118.4
1,309.4
1,439.5
1,538.9
1,678.1
35.0
38.4
44.7
50.7
53.5
11.1
13.5
15.4
18.0
21.1
327.8
367.4
433.2
577.8
615.5
1,492.4
1,728.6
1,932.8
2,185.4
2,368.2
—
—
—
—
—
—
—
—
—
—
1,612.8
1,752.2
1,968.7
2,130.9
2,357.0
3,105.2
3,480.8
3,901.6
4,316.3
4,725.2
321.2
337.0
347.1
350.7
371.7
324.3
331.7
340.6
340.4
352.4
645.4
668.7
687.6
691.0
724.1
2005
2006
2007
2008
2009
1,798.7
1,955.6
2,164.9
2,297.2
2,380.3
57.3
62.2
66.2
71.1
69.3
23.0
26.4
29.6
32.8
36.1
618.7
669.0
712.1
774.7
807.2
2,497.8
2,713.1
2,972.7
3,175.8
3,292.8
—
—
—
—
—
—
—
—
—
—
2,492.4
2,706.9
2,894.0
3,017.1
3,195.2
4,990.2
5,420.1
5,866.6
6,192.9
6,488.0
426.3
439.4
464.2
491.7
538.5
385.1
399.1
402.4
421.8
440.9
811.4
838.5
866.6
913.5
979.4
2010
2011f
2012f
2,394.9
2,466.2
2,521.2
67.7
64.7
63.4
38.7
41.8
44.2
844.7
832.7
841.4
3,346.0
3,405.3
3,470.1
—
—
—
—
—
—
3,572.9
3,774.8
3,989.1
6,918.9
7,180.1
7,459.2
537.4
577.0
602.8
444.4
466.0
485.6
981.8
1,043.0
1,088.4
1985
1986
1987
1988
1989
—
16.3
14.6
15.1
13.8
—
8.4
9.1
21.6
20.0
—
27.3
19.2
1.0
7.2
—
—
—
—
—
—
16.1
14.5
15.1
13.9
—
—
—
—
—
—
—
—
—
—
—
35.1
0.8
12.2
11.3
—
26.9
6.2
13.4
12.4
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
21.2
21.2
1990
1991
1992
1993
1994
15.0
20.1
7.7
5.5
8.2
19.2
9.4
8.2
16.7
8.7
20.8
16.6
3.3
-0.1
11.7
—
—
—
—
—
15.2
19.8
7.7
5.7
8.2
—
—
—
—
—
—
—
—
—
—
9.7
11.0
8.7
14.4
1.8
12.1
15.0
8.2
10.4
4.7
—
—
—
1.9
4.6
—
—
—
6.3
9.2
5.3
14.1
6.8
3.9
6.8
1995
1996
1997
1998
1999
8.7
-9.1
-4.5
11.4
17.8
5.0
-0.7
8.5
13.4
16.6
12.1
9.7
6.2
10.0
15.1
—
—
—
26.2
23.0
8.7
-8.7
18.1
14.2
18.8
—
—
—
—
—
—
—
—
—
—
11.9
7.4
13.6
0.1
16.7
10.4
0.0
15.5
6.1
17.7
2.3
-3.7
-8.9
6.4
7.0
2.6
0.0
-6.4
7.5
5.0
2.5
-1.9
-7.6
6.9
6.0
(Annual Percentage Change)
2000
2001
21.8
17.1
1.9
9.6
19.7
20.8
24.9
12.1
21.9
15.8
—
—
—
—
12.5
8.6
16.8
12.1
-3.9
4.9
-2.5
2.3
-3.2
3.6
2002
9.9
16.6
14.3
17.9
11.8
—
—
12.4
12.1
3.0
2.7
2.8
2003
2004
6.9
9.0
13.4
5.5
17.1
17.3
33.4
6.5
13.1
8.4
—
—
—
—
8.2
10.6
10.6
9.5
1.0
6.0
-0.1
3.5
0.5
4.8
2005
2006
2007
2008
2009
7.2
8.7
10.7
6.1
3.6
7.0
8.6
6.4
7.5
-2.6
9.0
14.7
11.9
10.8
10.1
0.5
8.1
6.4
8.8
4.2
5.5
8.6
9.6
6.8
3.7
—
—
—
—
—
—
—
—
—
—
5.7
8.6
6.9
4.3
5.9
5.6
8.6
8.2
5.6
4.8
14.7
3.1
5.6
5.9
9.5
9.3
3.6
0.8
4.8
4.5
12.1
3.3
3.3
5.4
7.2
2010
2011f
2012f
0.6
3.0
2.2
-2.3
-4.4
-2.0
7.4
7.9
5.7
4.6
-1.4
1.0
1.6
1.8
1.9
—
—
—
—
—
—
11.8
5.6
5.7
6.6
3.8
3.9
-0.2
7.4
4.5
0.8
4.9
4.2
0.2
6.2
4.4
1985
1986
1987
1988
1989
30.1
28.4
29.9
29.8
29.5
0.9
0.8
0.8
0.8
0.9
0.3
0.3
0.3
0.3
0.2
—
—
—
—
—
31.2
29.4
31.0
30.9
30.6
—
—
—
—
—
—
—
—
—
—
41.1
45.1
41.8
40.6
39.3
72.3
74.6
72.9
71.5
70.0
—
—
—
—
—
—
—
—
—
—
27.7
25.4
27.1
28.5
30.0
1990
1991
1992
1993
1994
30.9
32.3
32.3
31.4
32.2
0.9
0.9
0.9
1.0
1.0
0.3
0.3
0.3
0.2
0.2
—
—
—
—
—
32.1
33.5
33.4
32.6
33.5
—
—
—
—
—
—
—
—
—
—
39.2
37.9
38.3
40.3
39.0
71.3
71.4
71.7
72.9
72.5
—
—
15.2
14.3
14.2
—
—
13.1
12.8
13.3
28.7
28.6
28.3
27.1
27.5
1995
1996
1997
1998
1999
32.4
29.6
25.8
27.0
27.6
1.0
1.0
1.0
1.0
1.0
0.3
0.3
0.3
0.3
0.3
—
—
6.2
7.4
7.9
33.6
30.8
33.2
35.7
36.8
—
—
—
—
—
—
—
—
—
—
40.4
43.5
45.2
42.5
43.1
74.0
74.3
78.4
78.2
80.0
13.4
13.0
10.8
10.8
10.0
12.6
12.7
10.8
11.0
10.0
26.0
25.7
21.6
21.8
20.0
(Percentage Share of Total Drug Expenditure)
40
2000
29.8
0.9
0.3
8.7
39.8
—
—
43.0
82.8
8.6
8.6
17.2
2001
2002
2003
2004
31.6
31.4
30.7
30.8
0.9
1.0
1.0
1.0
0.3
0.3
0.4
0.4
8.9
9.4
11.5
11.3
41.7
42.1
43.6
43.5
—
—
—
—
—
—
—
—
42.2
42.9
42.6
43.3
83.9
85.0
86.2
86.7
8.1
7.6
7.0
6.8
8.0
7.4
6.8
6.5
16.1
15.0
13.8
13.3
2005
2006
2007
2008
2009
31.0
31.2
32.2
32.3
31.9
1.0
1.0
1.0
1.0
0.9
0.4
0.4
0.4
0.5
0.5
10.7
10.7
10.6
10.9
10.8
43.1
43.4
44.1
44.7
44.1
—
—
—
—
—
—
—
—
—
—
43.0
43.3
43.0
42.5
42.8
86.0
86.6
87.1
87.1
86.9
7.3
7.0
6.9
6.9
7.2
6.6
6.4
6.0
5.9
5.9
14.0
13.4
12.9
12.9
13.1
2010
30.3
0.9
0.5
30.0
0.8
0.5
2011f
2012f
29.5
0.7
0.5
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
10.7
10.1
9.8
42.4
41.4
40.6
—
—
—
—
—
—
45.2
45.9
46.7
87.6
87.3
87.3
6.8
7.0
7.1
5.6
5.7
5.7
12.4
12.7
12.7
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Que.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Quebec, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Year
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
260.0
301.9
345.8
398.0
453.4
573.1
724.0
769.3
890.3
1,027.2
833.0
1,025.9
1,115.1
1,288.3
1,480.7
7,927.6
8,051.3
8,636.4
9,428.4
10,108.6
2,104.4
2,486.1
2,632.2
2,850.8
3,181.7
10,031.9
10,537.4
11,268.6
12,279.2
13,290.3
3.3
3.7
4.0
4.2
4.5
27.2
29.1
29.2
31.2
32.3
8.3
9.7
9.9
10.5
11.1
1990
1991
1992
1993
1994
522.4
625.6
673.7
712.3
770.7
1,107.1
1,243.8
1,341.6
1,475.4
1,532.0
1,629.5
1,869.5
2,015.3
2,187.7
2,302.6
10,814.1
11,815.3
12,234.5
12,459.6
12,674.4
3,497.4
3,819.3
4,141.5
4,444.6
4,653.5
14,311.5
15,634.6
16,376.1
16,904.2
17,327.9
4.8
5.3
5.5
5.7
6.1
31.7
32.6
32.4
33.2
32.9
11.4
12.0
12.3
12.9
13.3
1995
1996
1997
1998
1999
837.4
764.3
902.7
1,030.8
1,224.7
1,654.9
1,716.6
1,815.2
1,857.3
2,100.1
2,492.3
2,480.9
2,717.9
2,888.0
3,324.8
12,704.3
12,248.5
13,033.2
14,123.0
14,456.5
4,663.6
4,727.9
4,976.0
5,050.8
5,616.8
17,367.9
16,976.4
18,009.2
19,173.7
20,073.3
6.6
6.2
6.9
7.3
8.5
35.5
36.3
36.5
36.8
37.4
14.4
14.6
15.1
15.1
16.6
2000
2001
2002
2003
2004
1,492.4
1,728.6
1,932.8
2,185.4
2,368.2
2,258.3
2,420.9
2,656.4
2,822.0
3,081.0
3,750.6
4,149.5
4,589.2
5,007.4
5,449.3
15,699.7
16,986.3
17,862.7
18,911.4
20,122.2
5,967.7
6,621.8
7,141.6
7,671.7
7,888.3
21,667.5
23,608.1
25,004.4
26,583.1
28,010.5
9.5
10.2
10.8
11.6
11.8
37.8
36.6
37.2
36.8
39.1
17.3
17.6
18.4
18.8
19.5
2005
2006
2007
2008
2009
2,497.8
2,713.1
2,972.7
3,175.8
3,292.8
3,303.8
3,545.4
3,760.6
3,930.6
4,174.6
5,801.6
6,258.6
6,733.2
7,106.4
7,467.4
21,217.1
22,528.6
23,909.2
25,603.1
27,493.3
8,567.8
9,109.1
9,561.5
10,259.4
10,770.5
29,784.9
31,637.7
33,470.7
35,862.5
38,263.8
11.8
12.0
12.4
12.4
12.0
38.6
38.9
39.3
38.3
38.8
19.5
19.8
20.1
19.8
19.5
2010
2011f
2012f
3,346.0
3,405.3
3,470.1
4,554.7
4,817.7
5,077.5
7,900.7
8,223.1
8,547.6
28,598.0
29,590.0
30,489.5
11,926.8
12,738.9
13,486.8
40,524.8
42,328.9
43,976.2
11.7
11.5
11.4
38.2
37.8
37.6
19.5
19.4
19.4
1985
1986
1987
1988
1989
—
16.1
14.5
15.1
13.9
—
26.3
6.3
15.7
15.4
—
23.2
8.7
15.5
14.9
—
1.6
7.3
9.2
7.2
—
18.1
5.9
8.3
11.6
—
5.0
6.9
9.0
8.2
1990
1991
1992
1993
1994
15.2
19.8
7.7
5.7
8.2
7.8
12.3
7.9
10.0
3.8
10.0
14.7
7.8
8.6
5.3
7.0
9.3
3.5
1.8
1.7
9.9
9.2
8.4
7.3
4.7
7.7
9.2
4.7
3.2
2.5
1995
1996
1997
1998
1999
8.7
-8.7
18.1
14.2
18.8
8.0
3.7
5.7
2.3
13.1
8.2
-0.5
9.6
6.3
15.1
0.2
-3.6
6.4
8.4
2.4
0.2
1.4
5.2
1.5
11.2
0.2
-2.3
6.1
6.5
4.7
2000
2001
21.9
15.8
7.5
7.2
12.8
10.6
8.6
8.2
6.2
11.0
7.9
9.0
2002
11.8
9.7
10.6
5.2
7.9
5.9
2003
2004
13.1
8.4
6.2
9.2
9.1
8.8
5.9
6.4
7.4
2.8
6.3
5.4
2005
2006
2007
2008
2009
5.5
8.6
9.6
6.8
3.7
7.2
7.3
6.1
4.5
6.2
6.5
7.9
7.6
5.5
5.1
5.4
6.2
6.1
7.1
7.4
8.6
6.3
5.0
7.3
5.0
6.3
6.2
5.8
7.1
6.7
2010
2011f
2012f
1.6
1.8
1.9
9.1
5.8
5.4
5.8
4.1
3.9
4.0
3.5
3.0
10.7
6.8
5.9
5.9
4.5
3.9
Que.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
31.2
29.4
31.0
30.9
30.6
68.8
70.6
69.0
69.1
69.4
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
32.1
33.5
33.4
32.6
33.5
67.9
66.5
66.6
67.4
66.5
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
33.6
30.8
33.2
35.7
36.8
66.4
69.2
66.8
64.3
63.2
100.0
100.0
100.0
100.0
100.0
2000
39.8
60.2
100.0
2001
2002
2003
2004
41.7
42.1
43.6
43.5
58.3
57.9
56.4
56.5
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
43.1
43.4
44.1
44.7
44.1
56.9
56.6
55.9
55.3
55.9
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
42.4
41.4
40.6
57.6
58.6
59.4
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
41
Drug Expenditure in Canada, 1985 to 2012
Table B Que.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Quebec, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
Que.
Private
Out of
Pocket
1985
1986
1987
1988
1989
37.57
43.40
49.21
56.16
63.09
1.12
1.20
1.30
1.56
1.85
0.32
0.40
0.47
0.47
0.50
—
—
—
—
—
39.00
45.00
50.98
58.20
65.44
—
—
—
—
—
—
—
—
—
—
51.40
69.01
68.80
76.52
84.06
90.40
114.02
119.78
134.72
149.50
—
—
—
—
—
—
—
—
—
—
34.58
38.91
44.62
53.65
64.20
1990
1991
1992
1993
1994
71.80
85.50
91.52
95.89
103.18
2.18
2.37
2.55
2.95
3.20
0.60
0.69
0.71
0.71
0.78
—
—
—
—
—
74.58
88.56
94.78
99.55
107.16
—
—
—
—
—
—
—
—
—
—
91.21
100.41
108.46
123.31
124.94
165.80
188.97
203.23
222.86
232.10
—
—
43.12
43.65
45.44
—
—
37.17
39.24
42.63
66.86
75.65
80.29
82.89
88.07
1995
1996
1997
1998
1999
111.78
101.20
96.26
106.88
125.43
3.34
3.31
3.57
4.04
4.69
0.88
0.96
1.01
1.11
1.27
—
—
23.25
29.25
35.84
116.00
105.46
124.09
141.28
167.23
—
—
—
—
—
—
—
—
—
—
139.34
149.01
168.69
168.37
195.75
255.33
254.47
292.78
309.65
362.98
46.32
44.45
40.34
42.79
45.62
43.57
43.42
40.50
43.40
45.40
89.89
87.86
80.84
86.19
91.02
2000
2001
2002
2003
2004
152.02
177.02
193.33
205.33
222.29
4.76
5.19
6.01
6.77
7.09
1.51
1.82
2.07
2.40
2.80
44.56
49.67
58.19
77.10
81.53
202.85
233.69
259.59
291.60
313.71
—
—
—
—
—
—
—
—
—
—
219.22
236.88
264.41
284.32
312.23
422.07
470.57
524.00
575.92
625.94
43.66
45.56
46.61
46.79
49.24
44.07
44.84
45.74
45.41
46.68
87.73
90.40
92.35
92.20
95.91
2005
2006
2007
2008
2009
236.74
256.25
281.61
296.39
304.12
7.54
8.15
8.61
9.18
8.85
3.03
3.46
3.84
4.23
4.61
81.43
87.66
92.63
99.95
103.13
328.74
355.52
386.69
409.75
420.70
—
—
—
—
—
—
—
—
—
—
328.03
354.70
376.45
389.26
408.23
656.77
710.22
763.15
799.01
828.94
56.11
57.58
60.39
63.44
68.80
50.68
52.30
52.34
54.42
56.33
106.79
109.87
112.73
117.86
125.13
2010
2011f
2012f
302.94
309.06
313.55
8.56
8.11
7.89
4.90
5.24
5.49
106.84
104.35
104.64
423.24
426.75
431.57
—
—
—
—
—
—
451.94
473.05
496.12
875.18
899.80
927.69
67.98
72.31
74.96
56.21
58.40
60.39
124.19
130.70
135.36
1985
1986
1987
1988
1989
—
15.5
13.4
14.1
12.3
—
7.7
7.9
20.6
18.4
—
26.4
17.9
0.1
5.8
—
—
—
—
—
—
15.4
13.3
14.1
12.4
—
—
—
—
—
—
—
—
—
—
—
34.3
-0.3
11.2
9.8
—
26.1
5.1
12.5
11.0
—
—
—
—
—
—
—
—
—
—
—
12.5
14.7
20.2
19.7
1990
1991
1992
1993
1994
13.8
19.1
7.0
4.8
7.6
17.9
8.4
7.6
15.9
8.2
19.5
15.6
2.6
-0.8
11.2
—
—
—
—
—
14.0
18.7
7.0
5.0
7.6
—
—
—
—
—
—
—
—
—
—
8.5
10.1
8.0
13.7
1.3
10.9
14.0
7.5
9.7
4.1
—
—
—
1.2
4.1
—
—
—
5.6
8.6
4.1
13.2
6.1
3.2
6.2
1995
1996
1997
1998
1999
8.3
-9.5
-4.9
11.0
17.4
4.6
-1.1
8.0
13.1
16.2
11.7
9.2
5.8
9.7
14.6
—
—
—
25.8
22.5
8.2
-9.1
17.7
13.9
18.4
—
—
—
—
—
—
—
—
—
—
11.5
6.9
13.2
-0.2
16.3
10.0
-0.3
15.1
5.8
17.2
1.9
-4.1
-9.2
6.1
6.6
2.2
-0.3
-6.7
7.2
4.6
2.1
-2.3
-8.0
6.6
5.6
-3.6
(Annual Percentage Change)
2000
21.2
1.4
19.1
24.3
21.3
—
—
12.0
16.3
-4.3
-2.9
2001
16.4
9.0
20.1
11.5
15.2
—
—
8.1
11.5
4.4
1.7
3.0
2002
9.2
15.8
13.5
17.1
11.1
—
—
11.6
11.4
2.3
2.0
2.2
2003
6.2
12.7
16.4
32.5
12.3
—
—
7.5
9.9
0.4
-0.7
-0.2
2004
8.3
4.7
16.4
5.8
7.6
—
—
9.8
8.7
5.2
2.8
4.0
2005
2006
2007
2008
2009
6.5
8.2
9.9
5.2
2.6
6.3
8.1
5.6
6.7
-3.6
8.3
14.2
11.0
9.9
9.0
-0.1
7.6
5.7
7.9
3.2
4.8
8.1
8.8
6.0
2.7
—
—
—
—
—
—
—
—
—
—
5.1
8.1
6.1
3.4
4.9
4.9
8.1
7.5
4.7
3.7
14.0
2.6
4.9
5.1
8.5
8.6
3.2
0.1
4.0
3.5
11.3
2.9
2.6
4.6
6.2
2010
2011f
2012f
-0.4
2.0
1.5
-3.3
-5.3
-2.7
6.3
6.9
4.9
3.6
-2.3
0.3
0.6
0.8
1.1
—
—
—
—
—
—
10.7
4.7
4.9
5.6
2.8
3.1
-1.2
6.4
3.7
-0.2
3.9
3.4
-0.8
5.2
3.6
1985
1986
1987
1988
1989
—
12.7
8.7
9.6
7.8
—
4.9
3.2
16.0
13.9
—
23.6
13.1
-4.4
1.2
—
—
—
—
—
—
12.6
8.5
9.6
7.9
—
—
—
—
—
—
—
—
—
—
—
31.5
-5.1
6.7
5.3
—
23.3
0.3
8.0
6.4
—
—
—
—
—
—
—
—
—
—
—
9.7
10.0
15.7
15.1
1990
1991
1992
1993
1994
10.8
16.3
5.8
3.3
6.5
14.9
5.7
6.3
14.5
7.1
16.4
12.9
1.4
-2.2
10.1
—
—
—
—
—
10.9
16.0
5.8
3.6
6.5
—
—
—
—
—
—
—
—
—
—
5.5
7.3
6.8
12.3
0.2
7.9
11.2
6.3
8.2
3.0
—
—
—
-0.2
3.0
—
—
—
4.1
7.5
1.1
10.4
4.9
1.8
5.2
1995
1996
1997
1998
1999
6.0
-11.1
-5.9
11.5
15.6
2.2
-2.7
7.0
13.5
14.4
9.3
7.6
4.8
10.1
12.8
—
—
—
26.3
20.7
5.9
-10.8
16.7
14.3
16.6
—
—
—
—
—
—
—
—
—
—
9.2
5.3
12.2
0.2
14.5
7.7
-2.0
14.1
6.2
15.4
-0.4
-5.7
-10.2
6.5
4.8
-0.1
-2.0
-7.7
7.6
2.8
-0.3
-3.9
-9.0
7.1
3.8
2000
17.1
-2.7
15.0
20.2
17.2
—
—
7.9
12.2
-8.4
-7.0
-7.7
2001
2002
2003
2004
15.1
8.2
3.3
5.7
7.6
14.8
9.8
2.1
18.8
12.5
13.5
13.8
10.1
16.1
29.6
3.2
13.9
10.0
9.4
5.0
—
—
—
—
—
—
—
—
6.7
10.6
4.6
7.2
10.1
10.3
7.0
6.1
3.0
1.3
-2.5
2.6
0.4
1.0
-3.6
0.2
1.7
1.1
-3.1
1.4
2005
2006
2007
2008
2009
3.5
5.4
6.2
0.2
5.4
3.3
5.3
1.9
1.6
-0.8
5.3
11.4
7.4
4.9
11.8
-3.1
4.8
2.0
2.9
5.9
1.8
5.3
5.1
0.9
5.4
—
—
—
—
—
—
—
—
—
—
2.1
5.3
2.5
-1.6
7.6
1.9
5.3
3.8
-0.3
6.5
11.0
-0.2
1.2
0.0
11.2
5.6
0.4
-3.6
-1.1
6.3
8.3
0.1
-1.1
-0.5
8.9
2010
2011f
2012f
-3.7
-1.4
-0.3
-6.6
-8.7
-4.4
3.0
3.5
3.2
0.3
-5.8
-1.4
-2.7
-2.6
-0.6
—
—
—
—
—
—
7.4
1.2
3.2
2.3
-0.6
1.4
-4.5
2.9
2.0
-3.5
0.5
1.7
-4.0
1.8
1.8
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
42
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Que.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Quebec, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
39.00
45.00
50.98
58.20
65.44
85.97
107.92
113.42
130.18
148.26
124.97
152.93
164.40
188.37
213.70
1,189.31
1,200.16
1,273.33
1,378.61
1,458.95
315.70
370.59
388.08
416.85
459.21
1,505.01
1,570.76
1,661.41
1,795.46
1,918.16
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
74.58
88.56
94.78
99.55
107.16
158.07
176.07
188.75
206.20
213.01
232.66
264.62
283.53
305.75
320.17
1,544.02
1,672.46
1,721.23
1,741.32
1,762.32
499.35
540.63
582.66
621.16
647.05
2,043.36
2,213.09
2,303.89
2,362.48
2,409.37
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
116.00
105.46
124.09
141.28
167.23
229.23
236.87
249.53
254.56
286.77
345.22
342.33
373.62
395.84
454.00
1,759.73
1,690.17
1,791.60
1,935.72
1,974.04
645.98
652.41
684.03
692.27
766.97
2,405.71
2,342.58
2,475.62
2,627.99
2,741.01
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
202.85
233.69
259.59
291.60
313.71
306.95
327.28
356.76
376.53
408.14
509.80
560.97
616.35
668.13
721.85
2,133.98
2,296.37
2,399.05
2,523.31
2,665.54
811.16
895.20
959.16
1,023.61
1,044.95
2,945.14
3,191.58
3,358.21
3,546.92
3,710.50
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
328.74
355.52
386.69
409.75
420.70
434.82
464.57
489.18
507.12
533.36
763.56
820.09
875.88
916.87
954.07
2,792.44
2,952.03
3,110.17
3,303.32
3,512.68
1,127.63
1,193.61
1,243.78
1,323.67
1,376.09
3,920.08
4,145.65
4,353.96
4,626.99
4,888.77
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
423.24
426.75
431.57
576.13
603.75
631.47
999.37
1,030.50
1,063.04
3,617.39
3,708.18
3,791.91
1,508.64
1,596.42
1,677.32
5,126.03
5,304.60
5,469.23
132.1
136.6
139.0
1985
1986
1987
1988
1989
—
15.4
13.3
14.1
12.4
—
25.5
5.1
14.8
13.9
—
22.4
7.5
14.6
13.4
—
0.9
6.1
8.3
5.8
—
17.4
4.7
7.4
10.2
—
4.4
5.8
8.1
6.8
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
14.0
18.7
7.0
5.0
7.6
6.6
11.4
7.2
9.2
3.3
8.9
13.7
7.1
7.8
4.7
5.8
8.3
2.9
1.2
1.2
8.7
8.3
7.8
6.6
4.2
6.5
8.3
4.1
2.5
2.0
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
8.2
-9.1
17.7
13.9
18.4
7.6
3.3
5.3
2.0
12.7
7.8
-0.8
9.1
5.9
14.7
-0.1
-4.0
6.0
8.0
2.0
-0.2
1.0
4.8
1.2
10.8
-0.2
-2.6
5.7
6.2
4.3
2.3
1.7
1.0
-0.4
1.8
2000
21.3
7.0
12.3
8.1
5.8
7.4
4.1
2001
15.2
6.6
10.0
7.6
10.4
8.4
1.4
2002
11.1
9.0
9.9
4.5
7.1
5.2
1.0
2003
12.3
5.5
8.4
5.2
6.7
5.6
2.9
2004
7.6
8.4
8.0
5.6
2.1
4.6
2.6
2005
2006
2007
2008
2009
4.8
8.1
8.8
6.0
2.7
6.5
6.8
5.3
3.7
5.2
5.8
7.4
6.8
4.7
4.1
4.8
5.7
5.4
6.2
6.3
7.9
5.9
4.2
6.4
4.0
5.6
5.8
5.0
6.3
5.7
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
0.6
0.8
1.1
8.0
4.8
4.6
4.7
3.1
3.2
3.0
2.5
2.3
9.6
5.8
5.1
4.9
3.5
3.1
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
12.6
8.5
9.6
7.9
—
22.7
0.4
10.3
9.3
—
19.6
2.8
10.1
8.9
—
-1.9
1.4
3.7
1.3
—
14.6
0.0
2.9
5.6
—
1.6
1.0
3.5
2.3
1990
1991
1992
1993
1994
10.9
16.0
5.8
3.6
6.5
3.6
8.6
5.9
7.8
2.2
5.8
11.0
5.9
6.4
3.6
2.8
5.6
1.7
-0.3
0.1
5.7
5.5
6.5
5.2
3.1
3.5
5.5
2.8
1.1
0.9
1995
1996
1997
1998
1999
5.9
-10.8
16.7
14.3
16.6
5.3
1.7
4.4
2.5
10.8
5.5
-2.5
8.1
6.4
12.9
-2.5
-5.6
5.0
8.5
0.2
-2.5
-0.7
3.9
1.6
9.0
-2.5
-4.3
4.7
6.6
2.5
2000
17.2
2.9
8.2
4.0
1.7
3.3
2001
2002
2003
2004
13.9
10.0
9.4
5.0
5.3
8.0
2.6
5.8
8.7
8.8
5.5
5.5
6.3
3.4
2.3
3.0
9.0
6.1
3.8
-0.5
7.0
4.2
2.7
2.0
2005
2006
2007
2008
2009
1.8
5.3
5.1
0.9
5.4
3.5
4.0
1.6
-1.4
7.9
2.8
4.6
3.1
-0.3
6.8
1.8
2.9
1.7
1.2
9.1
4.9
3.1
0.5
1.4
6.7
2.6
3.0
1.3
1.2
8.4
2010
2011f
2012f
-2.7
-2.6
-0.6
4.8
1.4
2.9
1.5
-0.3
1.4
-0.3
-0.9
0.5
6.4
2.4
3.4
1.6
0.1
1.4
Que.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
43
Drug Expenditure in Canada, 1985 to 2012
Table B Ont.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Ontario, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
Ont.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
399.4
481.2
574.4
663.8
749.5
13.8
14.5
15.4
24.5
30.7
7.2
8.8
10.1
12.0
13.5
—
—
—
—
—
420.5
504.5
599.9
700.4
793.8
—
—
—
—
—
—
—
—
—
—
579.4
706.8
748.2
845.3
951.9
999.9
1,211.2
1,348.1
1,545.6
1,745.7
—
—
—
—
—
—
—
—
—
—
487.9
552.4
640.6
711.0
789.2
1990
1991
1992
1993
1994
881.2
1,012.7
1,183.6
1,248.0
1,235.8
36.2
37.9
41.0
46.7
50.7
16.2
20.2
23.3
24.2
18.5
—
—
—
—
—
933.6
1,070.8
1,247.8
1,318.9
1,305.1
—
—
—
—
—
—
—
—
—
—
1,089.7
1,201.1
1,376.9
1,482.1
1,508.7
2,023.3
2,271.9
2,624.8
2,801.0
2,813.7
—
—
521.5
558.9
616.3
—
—
455.3
478.5
516.1
816.5
883.5
976.7
1,037.5
1,132.4
1995
1996
1997
1998
1999
1,379.6
1,362.7
1,407.6
1,550.0
1,700.0
52.9
53.9
57.6
65.9
73.7
19.5
21.6
22.3
23.9
25.4
—
—
—
—
—
1,452.0
1,438.2
1,487.5
1,639.8
1,799.2
—
—
—
—
—
—
—
—
—
—
1,660.0
1,735.3
2,103.4
2,466.3
2,387.7
3,112.0
3,173.5
3,590.9
4,106.1
4,186.9
615.7
641.2
710.3
750.6
799.7
528.8
540.5
603.4
646.0
679.7
1,144.5
1,181.7
1,313.7
1,396.6
1,479.4
2000
2001
2002
2003
2004
1,943.4
2,212.6
2,536.2
2,829.4
3,143.1
72.6
83.0
94.5
106.6
108.8
31.1
35.4
41.4
51.9
63.3
—
—
—
—
—
2,047.0
2,330.9
2,672.1
2,987.8
3,315.1
—
—
—
—
—
—
—
—
—
—
2,719.9
3,016.0
3,344.4
3,766.1
4,034.1
4,767.0
5,346.9
6,016.5
6,753.9
7,349.2
824.7
840.5
887.8
910.1
954.0
699.8
719.6
740.5
728.3
750.1
1,524.6
1,560.1
1,628.3
1,638.4
1,704.1
2005
2006
2007
2008
2009
3,439.8
3,693.4
3,813.7
4,063.1
4,405.8
121.4
131.2
135.1
135.8
138.1
71.7
79.4
83.5
88.8
93.6
—
—
—
—
—
3,632.8
3,904.0
4,032.3
4,287.6
4,637.5
—
—
—
—
—
—
—
—
—
—
4,290.8
4,637.8
4,905.2
5,353.2
5,471.8
7,923.6
8,541.8
8,937.5
9,640.9
10,109.3
978.4
1,017.9
1,104.2
1,101.9
1,165.9
770.5
800.6
852.7
842.6
869.1
1,748.9
1,818.4
1,956.9
1,944.5
2,035.0
2010
2011f
2012f
4,354.7
4,480.7
4,560.2
133.8
126.8
124.1
100.5
107.9
115.3
—
—
—
4,589.1
4,715.4
4,799.6
—
—
—
—
—
—
5,585.0
5,715.7
5,840.3
10,174.0
10,431.1
10,639.9
1,169.2
1,262.7
1,309.5
887.3
923.4
976.6
2,056.5
2,186.1
2,286.1
1985
1986
1987
1988
1989
—
20.5
19.4
15.6
12.9
—
4.8
5.9
59.4
25.3
—
20.8
15.2
19.2
12.6
—
—
—
—
—
—
20.0
18.9
16.7
13.3
—
—
—
—
—
—
—
—
—
—
—
22.0
5.9
13.0
12.6
—
21.1
11.3
14.6
12.9
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
11.0
11.0
1990
1991
1992
1993
1994
17.6
14.9
16.9
5.4
-1.0
18.0
4.8
8.0
13.9
8.7
19.8
24.4
15.4
3.9
-23.3
—
—
—
—
—
17.6
14.7
16.5
5.7
-1.0
—
—
—
—
—
—
—
—
—
—
14.5
10.2
14.6
7.6
1.8
15.9
12.3
15.5
6.7
0.5
—
—
—
7.2
10.3
—
—
—
5.1
7.8
3.5
8.2
10.6
6.2
9.1
1995
1996
1997
1998
1999
11.6
-1.2
3.3
10.1
9.7
4.3
1.8
7.0
14.4
11.9
5.1
10.9
2.9
7.4
6.3
—
—
—
—
—
11.3
-1.0
3.4
10.2
9.7
—
—
—
—
—
—
—
—
—
—
10.0
4.5
21.2
17.3
-3.2
10.6
2.0
13.2
14.3
2.0
-0.1
4.1
10.8
5.7
6.5
2.5
2.2
11.6
7.1
5.2
1.1
3.3
11.2
6.3
5.9
2000
2001
2002
2003
2004
14.3
13.9
14.6
11.6
11.1
-1.6
14.3
13.9
12.8
2.0
22.3
13.8
17.0
25.2
22.0
—
—
—
—
—
13.8
13.9
14.6
11.8
11.0
—
—
—
—
—
—
—
—
—
—
13.9
10.9
10.9
12.6
7.1
13.9
12.2
12.5
12.3
8.8
3.1
1.9
5.6
2.5
4.8
3.0
2.8
2.9
-1.6
3.0
3.1
2.3
4.4
0.6
4.0
2005
2006
2007
2008
2009
9.4
7.4
3.3
6.5
8.4
11.6
8.1
3.0
0.5
1.7
13.3
10.7
5.2
6.3
5.5
—
—
—
—
—
9.6
7.5
3.3
6.3
8.2
—
—
—
—
—
—
—
—
—
—
6.4
8.1
5.8
9.1
2.2
7.8
7.8
4.6
7.9
4.9
2.6
4.0
8.5
-0.2
5.8
2.7
3.9
6.5
-1.2
3.1
2.6
4.0
7.6
-0.6
4.7
2010
2011f
2012f
-1.2
2.9
1.8
-3.1
-5.3
-2.1
7.4
7.4
6.8
—
—
—
-1.0
2.8
1.8
—
—
—
—
—
—
2.1
2.3
2.2
0.6
2.5
2.0
0.3
8.0
3.7
2.1
4.1
5.8
1.1
6.3
4.6
1985
1986
1987
1988
1989
26.8
27.3
28.9
29.4
29.6
0.9
0.8
0.8
1.1
1.2
0.5
0.5
0.5
0.5
0.5
—
—
—
—
—
28.3
28.6
30.2
31.0
31.3
—
—
—
—
—
—
—
—
—
—
38.9
40.1
37.6
37.5
37.6
67.2
68.7
67.8
68.5
68.9
—
—
—
—
—
—
—
—
—
—
32.8
31.3
32.2
31.5
31.1
1990
1991
1992
1993
1994
31.0
32.1
32.9
32.5
31.3
1.3
1.2
1.1
1.2
1.3
0.6
0.6
0.6
0.6
0.5
—
—
—
—
—
32.9
33.9
34.6
34.4
33.1
—
—
—
—
—
—
—
—
—
—
38.4
38.1
38.2
38.6
38.2
71.2
72.0
72.9
73.0
71.3
—
—
14.5
14.6
15.6
—
—
12.6
12.5
13.1
28.8
28.0
27.1
27.0
28.7
1995
1996
1997
1998
1999
32.4
31.3
28.7
28.2
30.0
1.2
1.2
1.2
1.2
1.3
0.5
0.5
0.5
0.4
0.4
—
—
—
—
—
34.1
33.0
30.3
29.8
31.8
—
—
—
—
—
—
—
—
—
—
39.0
39.8
42.9
44.8
42.1
73.1
72.9
73.2
74.6
73.9
14.5
14.7
14.5
13.6
14.1
12.4
12.4
12.3
11.7
12.0
26.9
27.1
26.8
25.4
26.1
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
44
2000
30.9
1.2
0.5
—
32.5
—
—
43.2
75.8
13.1
11.1
24.2
2001
2002
2003
2004
32.0
33.2
33.7
34.7
1.2
1.2
1.3
1.2
0.5
0.5
0.6
0.7
—
—
—
—
33.7
35.0
35.6
36.6
—
—
—
—
—
—
—
—
43.7
43.7
44.9
44.6
77.4
78.7
80.5
81.2
12.2
11.6
10.8
10.5
10.4
9.7
8.7
8.3
22.6
21.3
19.5
18.8
2005
2006
2007
2008
2009
35.6
35.6
35.0
35.1
36.3
1.3
1.3
1.2
1.2
1.1
0.7
0.8
0.8
0.8
0.8
—
—
—
—
—
37.6
37.7
37.0
37.0
38.2
—
—
—
—
—
—
—
—
—
—
44.4
44.8
45.0
46.2
45.1
81.9
82.4
82.0
83.2
83.2
10.1
9.8
10.1
9.5
9.6
8.0
7.7
7.8
7.3
7.2
18.1
17.6
18.0
16.8
16.8
2010
35.6
1.1
0.8
35.5
1.0
0.9
2011f
2012f
35.3
1.0
0.9
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
37.5
37.4
37.1
—
—
—
—
—
—
45.7
45.3
45.2
83.2
82.7
82.3
9.6
10.0
10.1
7.3
7.3
7.6
16.8
17.3
17.7
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Ont.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Ontario, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Year
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Public
($ Millions)
Total
(Percentage Share)
1985
1986
1987
1988
1989
420.5
504.5
599.9
700.4
793.8
1,067.2
1,259.2
1,388.9
1,556.3
1,741.1
1,487.7
1,763.7
1,988.8
2,256.7
2,534.9
10,443.3
11,730.2
13,011.9
14,497.9
16,093.9
3,999.5
4,367.1
4,854.5
5,321.9
5,876.9
14,442.8
16,097.2
17,866.4
19,819.8
21,970.8
4.0
4.3
4.6
4.8
4.9
26.7
28.8
28.6
29.2
29.6
10.3
11.0
11.1
11.4
11.5
1990
1991
1992
1993
1994
933.6
1,070.8
1,247.8
1,318.9
1,305.1
1,906.2
2,084.6
2,353.7
2,519.6
2,641.0
2,839.8
3,155.4
3,601.5
3,838.5
3,946.1
17,332.8
19,156.1
20,001.5
19,821.7
20,008.4
6,466.2
7,038.2
7,573.7
8,253.2
8,740.7
23,799.1
26,194.3
27,575.2
28,074.9
28,749.1
5.4
5.6
6.2
6.7
6.5
29.5
29.6
31.1
30.5
30.2
11.9
12.0
13.1
13.7
13.7
1995
1996
1997
1998
1999
1,452.0
1,438.2
1,487.5
1,639.8
1,799.2
2,804.5
2,917.0
3,417.2
3,862.9
3,867.1
4,256.5
4,355.2
4,904.7
5,502.8
5,666.3
19,875.0
20,038.3
20,481.1
22,030.1
23,344.6
9,411.7
9,655.3
10,314.0
11,095.5
12,094.6
29,286.7
29,693.7
30,795.1
33,125.6
35,439.2
7.3
7.2
7.3
7.4
7.7
29.8
30.2
33.1
34.8
32.0
14.5
14.7
15.9
16.6
16.0
2000
2001
2002
2003
2004
2,047.0
2,330.9
2,672.1
2,987.8
3,315.1
4,244.5
4,576.2
4,972.6
5,404.4
5,738.2
6,291.5
6,907.1
7,644.8
8,392.3
9,053.3
25,957.7
27,606.2
29,563.0
33,141.3
36,005.2
13,082.2
14,186.0
15,841.5
16,447.8
17,727.8
39,040.0
41,792.2
45,404.6
49,589.1
53,733.0
7.9
8.4
9.0
9.0
9.2
32.4
32.3
31.4
32.9
32.4
16.1
16.5
16.8
16.9
16.8
2005
2006
2007
2008
2009
3,632.8
3,904.0
4,032.3
4,287.6
4,637.5
6,039.7
6,456.3
6,862.1
7,297.7
7,506.8
9,672.5
10,360.3
10,894.4
11,585.4
12,144.3
37,936.8
40,087.8
42,882.0
45,957.4
49,010.8
18,760.6
19,991.2
21,052.9
21,821.9
22,651.7
56,697.4
60,079.0
63,934.9
67,779.3
71,662.5
9.6
9.7
9.4
9.3
9.5
32.2
32.3
32.6
33.4
33.1
17.1
17.2
17.0
17.1
16.9
2010
2011f
2012f
4,589.1
4,715.4
4,799.6
7,641.5
7,901.8
8,126.3
12,230.6
12,617.2
12,926.0
51,053.1
52,471.1
53,619.5
23,710.9
24,641.1
25,517.2
74,764.0
77,112.1
79,136.7
9.0
9.0
9.0
32.2
32.1
31.8
16.4
16.4
16.3
1985
1986
1987
1988
1989
—
20.0
18.9
16.7
13.3
—
18.0
10.3
12.1
11.9
—
18.6
12.8
13.5
12.3
—
12.3
10.9
11.4
11.0
—
9.2
11.2
9.6
10.4
—
11.5
11.0
10.9
10.9
1990
1991
1992
1993
1994
17.6
14.7
16.5
5.7
-1.0
9.5
9.4
12.9
7.0
4.8
12.0
11.1
14.1
6.6
2.8
7.7
10.5
4.4
-0.9
0.9
10.0
8.8
7.6
9.0
5.9
8.3
10.1
5.3
1.8
2.4
1995
1996
1997
1998
1999
11.3
-1.0
3.4
10.2
9.7
6.2
4.0
17.1
13.0
0.1
7.9
2.3
12.6
12.2
3.0
-0.7
0.8
2.2
7.6
6.0
7.7
2.6
6.8
7.6
9.0
1.9
1.4
3.7
7.6
7.0
2000
2001
2002
2003
2004
13.8
13.9
14.6
11.8
11.0
9.8
7.8
8.7
8.7
6.2
11.0
9.8
10.7
9.8
7.9
11.2
6.4
7.1
12.1
8.6
8.2
8.4
11.7
3.8
7.8
10.2
7.0
8.6
9.2
8.4
2005
2006
2007
2008
2009
9.6
7.5
3.3
6.3
8.2
5.3
6.9
6.3
6.3
2.9
6.8
7.1
5.2
6.3
4.8
5.4
5.7
7.0
7.2
6.6
5.8
6.6
5.3
3.7
3.8
5.5
6.0
6.4
6.0
5.7
2010
2011f
2012f
-1.0
2.8
1.8
1.8
3.4
2.8
0.7
3.2
2.4
4.2
2.8
2.2
4.7
3.9
3.6
4.3
3.1
2.6
Ont.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
28.3
28.6
30.2
31.0
31.3
71.7
71.4
69.8
69.0
68.7
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
32.9
33.9
34.6
34.4
33.1
67.1
66.1
65.4
65.6
66.9
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
34.1
33.0
30.3
29.8
31.8
65.9
67.0
69.7
70.2
68.2
100.0
100.0
100.0
100.0
100.0
2000
32.5
67.5
100.0
2001
2002
2003
2004
33.7
35.0
35.6
36.6
66.3
65.0
64.4
63.4
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
37.6
37.7
37.0
37.0
38.2
62.4
62.3
63.0
63.0
61.8
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
37.5
37.4
37.1
62.5
62.6
62.9
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
45
Drug Expenditure in Canada, 1985 to 2012
Table B Ont.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Ontario, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
Ont.
Private
Out of
Pocket
1985
1986
1987
1988
1989
42.96
50.99
59.56
67.45
74.16
1.49
1.54
1.59
2.49
3.04
0.78
0.93
1.05
1.22
1.34
—
—
—
—
—
45.23
53.45
62.20
71.16
78.53
—
—
—
—
—
—
—
—
—
—
62.31
74.88
77.58
85.88
94.18
107.54
128.33
139.78
157.04
172.71
—
—
—
—
—
—
—
—
—
—
52.47
58.53
66.43
72.24
78.08
1990
1991
1992
1993
1994
85.57
97.11
111.98
116.76
114.23
3.52
3.64
3.88
4.37
4.69
1.58
1.93
2.20
2.26
1.71
—
—
—
—
—
90.66
102.68
118.06
123.39
120.64
—
—
—
—
—
—
—
—
—
—
105.82
115.18
130.27
138.67
139.46
196.48
217.86
248.33
262.06
260.09
—
—
49.33
52.29
56.97
—
—
43.07
44.77
47.71
79.29
84.72
92.41
97.06
104.67
1995
1996
1997
1998
1999
125.99
122.95
125.36
136.36
147.75
4.83
4.86
5.13
5.80
6.41
1.78
1.95
1.98
2.10
2.21
—
—
—
—
—
132.60
129.76
132.48
144.26
156.37
—
—
—
—
—
—
—
—
—
—
151.60
156.57
187.33
216.97
207.51
284.20
286.34
319.81
361.23
363.88
56.23
57.86
63.26
66.04
69.50
48.29
48.77
53.74
56.83
59.07
104.52
106.63
117.00
122.87
128.57
2000
2001
2002
2003
2004
166.31
185.97
209.57
230.73
253.06
6.21
6.97
7.81
8.69
8.76
2.66
2.97
3.42
4.23
5.09
—
—
—
—
—
175.18
195.91
220.80
243.65
266.91
—
—
—
—
—
—
—
—
—
—
232.76
253.50
276.35
307.12
324.80
407.94
449.41
497.15
550.77
591.71
70.58
70.64
73.36
74.22
76.81
59.89
60.49
61.19
59.39
60.39
130.47
131.13
134.54
133.61
137.20
2005
2006
2007
2008
2009
273.75
291.62
298.11
314.13
337.02
9.66
10.36
10.56
10.50
10.56
5.71
6.27
6.53
6.86
7.16
—
—
—
—
—
289.11
308.24
315.20
331.49
354.75
—
—
—
—
—
—
—
—
—
—
341.47
366.18
383.43
413.87
418.57
630.59
674.42
698.63
745.36
773.31
77.86
80.37
86.31
85.19
89.19
61.32
63.21
66.65
65.14
66.48
139.18
143.58
152.97
150.33
155.67
2010
2011f
2012f
329.21
335.06
337.07
10.12
9.48
9.18
7.60
8.07
8.52
—
—
—
346.93
352.61
354.77
—
—
—
—
—
—
422.21
427.40
431.69
769.14
780.01
786.46
88.39
94.42
96.79
67.08
69.05
72.19
155.47
163.47
168.98
1985
1986
1987
1988
1989
—
18.7
16.8
13.2
9.9
—
3.3
3.6
56.2
22.0
—
19.0
12.8
16.8
9.6
—
—
—
—
—
—
18.2
16.4
14.4
10.4
—
—
—
—
—
—
—
—
—
—
—
20.2
3.6
10.7
9.7
—
19.3
8.9
12.3
10.0
—
—
—
—
—
—
—
—
—
—
—
11.6
13.5
8.8
8.1
1990
1991
1992
1993
1994
15.4
13.5
15.3
4.3
-2.2
15.8
3.5
6.5
12.6
7.4
17.6
22.8
13.8
2.7
-24.2
—
—
—
—
—
15.4
13.3
15.0
4.5
-2.2
—
—
—
—
—
—
—
—
—
—
12.4
8.8
13.1
6.4
0.6
13.8
10.9
14.0
5.5
-0.8
—
—
—
6.0
8.9
—
—
—
3.9
6.6
1.5
6.9
9.1
5.0
7.8
1995
1996
1997
1998
1999
10.3
-2.4
2.0
8.8
8.4
3.1
0.6
5.6
13.0
10.5
3.9
9.6
1.6
6.1
5.0
—
—
—
—
—
9.9
-2.1
2.1
8.9
8.4
—
—
—
—
—
—
—
—
—
—
8.7
3.3
19.6
15.8
-4.4
9.3
0.8
11.7
13.0
0.7
-1.3
2.9
9.3
4.4
5.2
1.2
1.0
10.2
5.7
3.9
-0.1
2.0
9.7
5.0
4.6
2000
12.6
-3.1
20.4
—
12.0
—
—
12.2
12.1
1.5
1.4
1.5
2001
11.8
12.3
11.8
—
11.8
—
—
8.9
10.2
0.1
1.0
2002
12.7
12.0
15.1
—
12.7
—
—
9.0
10.6
3.8
1.2
2.6
2003
10.1
11.3
23.6
—
10.4
—
—
11.1
10.8
1.2
-2.9
-0.7
2004
9.7
0.7
20.5
—
9.5
—
—
5.8
7.4
3.5
1.7
2.7
2005
2006
2007
2008
2009
8.2
6.5
2.2
5.4
7.3
10.3
7.3
1.9
-0.6
0.6
12.0
9.8
4.2
5.1
4.4
—
—
—
—
—
8.3
6.6
2.3
5.2
7.0
—
—
—
—
—
—
—
—
—
—
5.1
7.2
4.7
7.9
1.1
6.6
7.0
3.6
6.7
3.8
1.4
3.2
7.4
-1.3
4.7
1.5
3.1
5.4
-2.3
2.1
1.4
3.2
6.5
-1.7
3.5
2010
2011f
2012f
-2.3
1.8
0.6
-4.2
-6.3
-3.2
6.1
6.2
5.6
—
—
—
-2.2
1.6
0.6
—
—
—
—
—
—
0.9
1.2
1.0
-0.5
1.4
0.8
-0.9
6.8
2.5
0.9
2.9
4.5
-0.1
5.1
3.4
1985
1986
1987
1988
1989
—
15.9
12.1
8.7
5.4
—
0.5
-1.1
51.6
17.4
—
16.2
8.0
12.3
5.0
—
—
—
—
—
—
15.4
11.6
9.9
5.8
—
—
—
—
—
—
—
—
—
—
—
17.4
-1.1
6.2
5.1
—
16.5
4.2
7.8
5.4
—
—
—
—
—
—
—
—
—
—
—
8.8
8.7
4.2
3.5
1990
1991
1992
1993
1994
12.4
10.7
14.1
2.8
-3.3
12.8
0.7
5.3
11.2
6.3
14.6
20.0
12.6
1.3
-25.3
—
—
—
—
—
12.4
10.5
13.7
3.1
-3.3
—
—
—
—
—
—
—
—
—
—
9.3
6.1
11.8
5.0
-0.5
10.7
8.1
12.7
4.1
-1.8
—
—
—
4.6
7.8
—
—
—
2.5
5.5
-1.5
4.1
7.8
3.6
6.7
1995
1996
1997
1998
1999
8.0
-4.1
1.0
9.2
6.5
0.7
-1.1
4.6
13.4
8.7
1.5
7.9
0.6
6.6
3.2
—
—
—
—
—
7.6
-3.8
1.1
9.3
6.6
—
—
—
—
—
—
—
—
—
—
6.4
1.6
18.7
16.3
-6.2
6.9
-0.9
10.7
13.4
-1.1
-3.6
1.2
8.3
4.8
3.4
-1.1
-0.7
9.2
6.2
2.1
-2.5
0.3
8.7
5.5
2.8
(Annual Percentage Change)
0.5
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
8.5
-7.2
16.3
—
7.9
—
—
8.1
8.0
-2.6
-2.7
-2.6
2001
2002
2003
2004
10.5
11.6
7.2
7.1
10.9
10.9
8.4
-1.9
10.4
14.0
20.7
17.9
—
—
—
—
10.5
11.7
7.5
7.0
—
—
—
—
—
—
—
—
7.6
8.0
8.2
3.2
8.8
9.6
7.9
4.8
-1.3
2.8
-1.7
0.9
-0.4
0.1
-5.8
-0.9
-0.8
1.6
-3.6
0.1
2005
2006
2007
2008
2009
5.2
3.7
-1.5
0.4
10.0
7.3
4.5
-1.7
-5.6
3.4
9.0
7.0
0.5
0.1
7.1
—
—
—
—
—
5.3
3.8
-1.4
0.1
9.8
—
—
—
—
—
—
—
—
—
—
2.1
4.4
1.0
2.9
3.9
3.6
4.2
-0.1
1.7
6.5
-1.6
0.4
3.7
-6.3
7.4
-1.5
0.3
1.8
-7.3
4.8
-1.6
0.4
2.9
-6.7
6.3
2010
2011f
2012f
-5.6
-1.7
-1.1
-7.5
-9.7
-4.9
2.8
2.8
3.9
—
—
—
-5.5
-1.8
-1.1
—
—
—
—
—
—
-2.4
-2.2
-0.7
-3.8
-2.0
-0.9
-4.2
3.4
0.8
-2.4
-0.5
2.8
-3.4
1.7
1.7
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
46
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Ont.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Ontario, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
45.23
53.45
62.20
71.16
78.53
114.79
133.42
144.01
158.13
172.26
160.01
186.87
206.21
229.28
250.79
1,123.23
1,242.85
1,349.18
1,473.03
1,592.27
430.17
462.71
503.36
540.72
581.43
1,553.40
1,705.55
1,852.54
2,013.75
2,173.70
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
90.66
102.68
118.06
123.39
120.64
185.11
199.90
222.68
235.73
244.13
275.77
302.58
340.74
359.12
364.76
1,683.15
1,836.97
1,892.32
1,854.51
1,849.50
627.92
674.92
716.54
772.16
807.95
2,311.07
2,511.89
2,608.87
2,626.67
2,657.46
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
132.60
129.76
132.48
144.26
156.37
256.12
263.20
304.34
339.84
336.08
388.72
392.96
436.81
484.10
492.45
1,815.07
1,808.02
1,824.07
1,938.07
2,028.84
859.52
871.18
918.57
976.12
1,051.12
2,674.59
2,679.20
2,742.64
2,914.19
3,079.97
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
175.18
195.91
220.80
243.65
266.91
363.23
384.63
410.89
440.73
462.00
538.41
580.54
631.69
684.38
728.91
2,221.39
2,320.31
2,442.81
2,702.64
2,898.90
1,119.54
1,192.33
1,309.00
1,341.31
1,427.33
3,340.92
3,512.64
3,751.81
4,043.95
4,326.22
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
289.11
308.24
315.20
331.49
354.75
480.66
509.76
536.39
564.21
574.24
769.77
818.00
851.59
895.69
928.98
3,019.14
3,165.15
3,352.00
3,553.09
3,749.09
1,493.03
1,578.42
1,645.67
1,687.11
1,732.74
4,512.17
4,743.57
4,997.67
5,240.20
5,481.83
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
346.93
352.61
354.77
577.68
590.88
600.67
924.61
943.49
955.44
3,859.53
3,923.66
3,963.35
1,792.51
1,842.60
1,886.14
5,652.04
5,766.26
5,849.49
132.08
136.61
138.96
1985
1986
1987
1988
1989
—
18.2
16.4
14.4
10.4
—
16.2
7.9
9.8
8.9
—
16.8
10.4
11.2
9.4
—
10.6
8.6
9.2
8.1
—
7.6
8.8
7.4
7.5
—
9.8
8.6
8.7
7.9
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
15.4
13.3
15.0
4.5
-2.2
7.5
8.0
11.4
5.9
3.6
10.0
9.7
12.6
5.4
1.6
5.7
9.1
3.0
-2.0
-0.3
8.0
7.5
6.2
7.8
4.6
6.3
8.7
3.9
0.7
1.2
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
9.9
-2.1
2.1
8.9
8.4
4.9
2.8
15.6
11.7
-1.1
6.6
1.1
11.2
10.8
1.7
-1.9
-0.4
0.9
6.3
4.7
6.4
1.4
5.4
6.3
7.7
0.6
0.2
2.4
6.3
5.7
2.3
1.7
1.0
-0.4
1.8
2000
12.0
8.1
9.3
9.5
6.5
8.5
4.1
2001
11.8
5.9
7.8
4.5
6.5
5.1
1.4
2002
12.7
6.8
8.8
5.3
9.8
6.8
1.0
2003
10.4
7.3
8.3
10.6
2.5
7.8
2.9
2004
9.5
4.8
6.5
7.3
6.4
7.0
2.6
2005
2006
2007
2008
2009
8.3
6.6
2.3
5.2
7.0
4.0
6.1
5.2
5.2
1.8
5.6
6.3
4.1
5.2
3.7
4.1
4.8
5.9
6.0
5.5
4.6
5.7
4.3
2.5
2.7
4.3
5.1
5.4
4.9
4.6
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
-2.2
1.6
0.6
0.6
2.3
1.7
-0.5
2.0
1.3
2.9
1.7
1.0
3.4
2.8
2.4
3.1
2.0
1.4
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
15.4
11.6
9.9
5.8
—
13.4
3.2
5.3
4.4
—
14.0
5.6
6.7
4.8
—
7.8
3.8
4.7
3.5
—
4.8
4.0
2.9
3.0
—
7.0
3.9
4.2
3.4
1990
1991
1992
1993
1994
12.4
10.5
13.7
3.1
-3.3
4.4
5.2
10.1
4.4
2.5
6.9
7.0
11.3
4.0
0.5
2.7
6.4
1.8
-3.4
-1.4
5.0
4.7
4.9
6.3
3.5
3.3
5.9
2.6
-0.8
0.1
1995
1996
1997
1998
1999
7.6
-3.8
1.1
9.3
6.6
2.6
1.1
14.6
12.1
-2.9
4.2
-0.6
10.2
11.3
-0.1
-4.2
-2.1
-0.1
6.7
2.9
4.0
-0.3
4.4
6.7
5.9
-1.7
-1.5
1.4
6.7
3.9
2000
7.9
4.0
5.2
5.4
2.4
4.4
2001
2002
2003
2004
10.5
11.7
7.5
7.0
4.5
5.8
4.4
2.2
6.5
7.8
5.4
3.9
3.1
4.2
7.7
4.7
5.1
8.7
-0.4
3.8
3.8
5.8
4.9
4.4
2005
2006
2007
2008
2009
5.3
3.8
-1.4
0.1
9.8
1.0
3.3
1.5
0.2
4.5
2.6
3.5
0.4
0.2
6.5
1.1
2.0
2.2
1.0
8.3
1.6
2.9
0.6
-2.5
5.5
1.3
2.3
1.7
-0.2
7.4
2010
2011f
2012f
-5.5
-1.8
-1.1
-2.7
-1.1
-0.1
-3.7
-1.4
-0.4
-0.3
-1.8
-0.7
0.2
-0.6
0.6
-0.2
-1.4
-0.3
Ont.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
47
Drug Expenditure in Canada, 1985 to 2012
Table B Man.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Manitoba, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
Man.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
32.5
34.6
42.3
47.5
45.5
6.5
7.2
7.7
9.3
11.5
0.3
0.4
0.4
0.5
0.6
—
—
—
—
—
39.2
42.2
50.4
57.3
57.6
—
—
—
—
—
—
—
—
—
—
60.0
68.2
61.9
68.1
74.9
99.2
110.4
112.3
125.4
132.5
—
—
—
—
—
—
—
—
—
—
61.0
69.1
80.1
75.4
70.9
1990
1991
1992
1993
1994
48.5
55.4
68.1
68.1
61.1
13.8
16.2
18.6
21.9
24.6
0.7
0.7
0.8
0.7
0.8
—
—
—
—
—
62.9
72.4
87.5
90.7
86.5
—
—
—
—
—
—
—
—
—
—
86.2
95.8
101.6
118.5
129.1
149.1
168.2
189.1
209.2
215.6
—
—
51.5
50.4
52.3
—
—
41.6
41.9
42.5
75.3
81.5
93.2
92.2
94.8
1995
1996
1997
1998
1999
79.6
73.8
73.7
85.9
105.6
27.8
28.6
31.3
33.7
36.9
0.8
0.9
1.0
1.0
1.1
—
—
—
—
—
108.3
103.2
106.0
120.5
143.6
—
—
—
—
—
—
—
—
—
—
148.0
163.4
186.7
189.0
180.5
256.3
266.7
292.7
309.5
324.2
50.8
54.2
48.1
55.3
58.4
41.7
47.3
43.7
50.9
50.8
92.5
101.5
91.8
106.3
109.3
2000
2001
2002
2003
2004
130.9
160.8
189.6
217.7
234.6
38.4
44.5
52.0
60.7
65.3
1.3
1.6
1.7
2.1
2.3
—
—
—
—
—
170.7
207.0
243.3
280.4
302.2
—
—
—
—
—
—
—
—
—
—
205.3
212.3
239.4
266.7
277.2
376.0
419.3
482.7
547.1
579.4
60.8
64.0
65.6
68.3
71.9
52.6
53.6
54.8
56.3
58.0
113.3
117.6
120.4
124.6
129.9
2005
2006
2007
2008
2009
249.5
260.2
271.6
279.6
287.2
70.9
79.4
83.8
85.9
87.7
2.4
2.6
2.7
3.2
3.3
—
—
—
—
—
322.7
342.3
358.2
368.6
378.1
—
—
—
—
—
—
—
—
—
—
293.3
344.8
362.5
375.1
436.9
616.1
687.0
720.6
743.7
815.0
74.2
78.5
82.0
87.5
96.7
60.3
63.2
62.8
66.0
70.9
134.4
141.7
144.7
153.5
167.6
2010
2011f
2012f
295.0
300.6
308.5
88.6
83.4
81.2
3.6
3.6
3.6
—
—
—
387.1
387.6
393.3
—
—
—
—
—
—
468.8
501.4
524.4
855.9
888.9
917.7
100.1
104.4
107.7
72.5
74.8
78.0
172.6
179.2
185.7
1985
1986
1987
1988
1989
—
6.6
22.2
12.4
-4.1
—
11.1
7.4
19.8
24.1
—
23.4
10.2
25.2
8.5
—
—
—
—
—
—
7.4
19.6
13.6
0.5
—
—
—
—
—
—
—
—
—
—
—
13.7
-9.3
10.1
10.1
—
11.3
1.7
11.7
5.7
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
-5.9
-5.9
1990
1991
1992
1993
1994
6.5
14.3
22.9
-0.1
-10.2
19.7
17.8
14.4
17.9
12.1
16.1
7.1
17.9
-10.4
5.3
—
—
—
—
—
9.3
15.0
20.9
3.6
-4.7
—
—
—
—
—
—
—
—
—
—
15.0
11.2
6.1
16.6
8.9
12.5
12.8
12.5
10.6
3.0
—
—
—
-2.3
3.8
—
—
—
0.6
1.6
6.2
8.2
14.4
-1.0
2.8
1995
1996
1997
1998
1999
30.2
-7.3
-0.1
16.5
22.9
13.3
2.8
9.6
7.4
9.7
9.2
4.7
7.9
2.5
13.8
—
—
—
—
—
25.2
-4.6
2.7
13.7
19.2
—
—
—
—
—
—
—
—
—
—
14.6
10.4
14.2
1.2
-4.5
18.9
4.1
9.7
5.7
4.7
-2.9
6.7
-11.2
15.0
5.6
-1.9
13.3
-7.6
16.6
-0.2
-2.4
9.7
-9.5
15.8
2.8
2000
2001
2002
2003
2004
24.0
22.8
17.9
14.8
7.7
4.0
16.0
16.7
16.7
7.7
20.6
18.0
7.9
19.9
13.0
—
—
—
—
—
18.8
21.3
17.6
15.3
7.8
—
—
—
—
—
—
—
—
—
—
13.7
3.4
12.8
11.4
4.0
16.0
11.5
15.1
13.3
5.9
4.1
5.3
2.4
4.1
5.3
3.4
2.0
2.2
2.8
3.0
3.7
3.8
2.3
3.5
4.3
2005
2006
2007
2008
2009
6.4
4.3
4.4
2.9
2.7
8.5
12.1
5.5
2.6
2.1
1.4
10.9
5.2
15.0
3.7
—
—
—
—
—
6.8
6.0
4.6
2.9
2.6
—
—
—
—
—
—
—
—
—
—
5.8
17.5
5.1
3.5
16.5
6.3
11.5
4.9
3.2
9.6
3.2
5.9
4.4
6.8
10.5
3.8
4.8
-0.6
5.1
7.4
3.5
5.4
2.2
6.1
9.2
2010
2011f
2012f
2.7
1.9
2.6
1.0
-5.9
-2.6
8.9
0.4
0.2
—
—
—
2.4
0.1
1.5
—
—
—
—
—
—
7.3
7.0
4.6
5.0
3.9
3.2
3.5
4.3
3.1
2.3
3.3
4.2
3.0
3.9
3.6
1985
1986
1987
1988
1989
20.3
19.3
22.0
23.7
22.4
4.1
4.0
4.0
4.6
5.7
0.2
0.2
0.2
0.3
0.3
—
—
—
—
—
24.5
23.5
26.2
28.5
28.3
—
—
—
—
—
—
—
—
—
—
37.4
38.0
32.2
33.9
36.8
61.9
61.5
58.4
62.5
65.1
—
—
—
—
—
—
—
—
—
—
38.1
38.5
41.6
37.5
34.9
1990
1991
1992
1993
1994
21.6
22.2
24.1
22.6
19.7
6.1
6.5
6.6
7.3
7.9
0.3
0.3
0.3
0.2
0.2
—
—
—
—
—
28.0
29.0
31.0
30.1
27.9
—
—
—
—
—
—
—
—
—
—
38.4
38.4
36.0
39.3
41.6
66.4
67.4
67.0
69.4
69.5
—
—
18.3
16.7
16.8
—
—
14.7
13.9
13.7
33.6
32.6
33.0
30.6
30.5
1995
1996
1997
1998
1999
22.8
20.0
19.2
20.7
24.4
8.0
7.8
8.2
8.1
8.5
0.2
0.2
0.2
0.2
0.3
—
—
—
—
—
31.0
28.0
27.6
29.0
33.1
—
—
—
—
—
—
—
—
—
—
42.4
44.4
48.6
45.4
41.7
73.5
72.4
76.1
74.4
74.8
14.6
14.7
12.5
13.3
13.5
12.0
12.8
11.4
12.2
11.7
26.5
27.6
23.9
25.6
25.2
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
48
2000
26.8
7.8
0.3
—
34.9
—
—
42.0
76.8
12.4
10.7
23.2
2001
2002
2003
2004
30.0
31.4
32.4
33.1
8.3
8.6
9.0
9.2
0.3
0.3
0.3
0.3
—
—
—
—
38.5
40.3
41.7
42.6
—
—
—
—
—
—
—
—
39.5
39.7
39.7
39.1
78.1
80.0
81.4
81.7
11.9
10.9
10.2
10.1
10.0
9.1
8.4
8.2
21.9
20.0
18.6
18.3
2005
2006
2007
2008
2009
33.2
31.4
31.4
31.2
29.2
9.4
9.6
9.7
9.6
8.9
0.3
0.3
0.3
0.4
0.3
—
—
—
—
—
43.0
41.3
41.4
41.1
38.5
—
—
—
—
—
—
—
—
—
—
39.1
41.6
41.9
41.8
44.5
82.1
82.9
83.3
82.9
82.9
9.9
9.5
9.5
9.8
9.8
8.0
7.6
7.3
7.4
7.2
17.9
17.1
16.7
17.1
17.1
2010
28.7
8.6
0.3
28.1
7.8
0.3
2011f
2012f
28.0
7.4
0.3
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
37.6
36.3
35.6
—
—
—
—
—
—
45.6
46.9
47.5
83.2
83.2
83.2
9.7
9.8
9.8
7.0
7.0
7.1
16.8
16.8
16.8
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Man.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Manitoba, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Year
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
39.2
42.2
50.4
57.3
57.6
121.0
137.3
141.9
143.4
145.8
160.2
179.4
192.4
200.7
203.4
1,310.9
1,425.8
1,530.2
1,634.3
1,773.2
415.6
463.9
449.9
435.4
484.2
1,726.5
1,889.7
1,980.2
2,069.6
2,257.4
3.0
3.0
3.3
3.5
3.2
29.1
29.6
31.5
32.9
30.1
9.3
9.5
9.7
9.7
9.0
1990
1991
1992
1993
1994
62.9
72.4
87.5
90.7
86.5
161.5
177.3
194.8
210.8
223.9
224.4
249.6
282.3
301.5
310.4
1,951.1
2,006.0
2,099.3
2,088.9
2,115.7
533.2
570.0
602.6
660.2
689.2
2,484.3
2,576.0
2,701.9
2,749.1
2,804.9
3.2
3.6
4.2
4.3
4.1
30.3
31.1
32.3
31.9
32.5
9.0
9.7
10.4
11.0
11.1
1995
1996
1997
1998
1999
108.3
103.2
106.0
120.5
143.6
240.5
264.9
278.5
295.2
289.8
348.8
368.2
384.5
415.8
433.4
2,179.4
2,185.3
2,251.9
2,388.6
2,714.9
736.1
786.8
848.6
897.7
985.9
2,915.5
2,972.1
3,100.5
3,286.3
3,700.8
5.0
4.7
4.7
5.0
5.3
32.7
33.7
32.8
32.9
29.4
12.0
12.4
12.4
12.7
11.7
2000
2001
2002
2003
2004
170.7
207.0
243.3
280.4
302.2
318.6
329.9
359.8
391.3
407.1
489.3
536.9
603.1
671.7
709.4
3,005.3
3,184.5
3,360.1
3,645.3
3,889.2
1,058.2
1,197.1
1,247.1
1,282.1
1,345.3
4,063.6
4,381.6
4,607.2
4,927.3
5,234.5
5.7
6.5
7.2
7.7
7.8
30.1
27.6
28.8
30.5
30.3
12.0
12.3
13.1
13.6
13.6
2005
2006
2007
2008
2009
322.7
342.3
358.2
368.6
378.1
427.8
486.5
507.2
528.6
604.4
750.5
828.7
865.4
897.2
982.6
4,188.8
4,429.5
4,682.4
5,021.1
5,472.5
1,429.5
1,547.1
1,600.0
1,726.8
1,830.0
5,618.3
5,976.7
6,282.4
6,747.8
7,302.4
7.7
7.7
7.6
7.3
6.9
29.9
31.4
31.7
30.6
33.0
13.4
13.9
13.8
13.3
13.5
2010
2011f
2012f
387.1
387.6
393.3
641.4
680.6
710.1
1,028.5
1,068.2
1,103.3
5,691.2
5,886.6
6,078.9
1,973.0
2,055.7
2,147.2
7,664.2
7,942.3
8,226.1
6.8
6.6
6.5
32.5
33.1
33.1
13.4
13.4
13.4
1985
1986
1987
1988
1989
—
7.4
19.6
13.6
0.5
—
13.5
3.4
1.1
1.7
—
12.0
7.2
4.4
1.4
—
8.8
7.3
6.8
8.5
—
11.6
-3.0
-3.2
11.2
—
9.5
4.8
4.5
9.1
1990
1991
1992
1993
1994
9.3
15.0
20.9
3.6
-4.7
10.7
9.8
9.9
8.2
6.2
10.3
11.2
13.1
6.8
3.0
10.0
2.8
4.7
-0.5
1.3
10.1
6.9
5.7
9.6
4.4
10.1
3.7
4.9
1.7
2.0
1995
1996
1997
1998
1999
25.2
-4.6
2.7
13.7
19.2
7.4
10.1
5.1
6.0
-1.8
12.4
5.6
4.4
8.1
4.3
3.0
0.3
3.0
6.1
13.7
6.8
6.9
7.9
5.8
9.8
3.9
1.9
4.3
6.0
12.6
2000
2001
2002
2003
2004
18.8
21.3
17.6
15.3
7.8
10.0
3.5
9.0
8.8
4.1
12.9
9.7
12.3
11.4
5.6
10.7
6.0
5.5
8.5
6.7
7.3
13.1
4.2
2.8
4.9
9.8
7.8
5.1
6.9
6.2
2005
2006
2007
2008
2009
6.8
6.0
4.6
2.9
2.6
5.1
13.7
4.3
4.2
14.3
5.8
10.4
4.4
3.7
9.5
7.7
5.7
5.7
7.2
9.0
6.3
8.2
3.4
7.9
6.0
7.3
6.4
5.1
7.4
8.2
2010
2011f
2012f
2.4
0.1
1.5
6.1
6.1
4.3
4.7
3.9
3.3
4.0
3.4
3.3
7.8
4.2
4.4
5.0
3.6
3.6
Man.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
24.5
23.5
26.2
28.5
28.3
75.5
76.5
73.8
71.5
71.7
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
28.0
29.0
31.0
30.1
27.9
72.0
71.0
69.0
69.9
72.1
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
31.0
28.0
27.6
29.0
33.1
69.0
72.0
72.4
71.0
66.9
100.0
100.0
100.0
100.0
100.0
2000
34.9
65.1
100.0
2001
2002
2003
2004
38.5
40.3
41.7
42.6
61.5
59.7
58.3
57.4
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
43.0
41.3
41.4
41.1
38.5
57.0
58.7
58.6
58.9
61.5
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
37.6
36.3
35.6
62.4
63.7
64.4
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
49
Drug Expenditure in Canada, 1985 to 2012
Table B Man.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Manitoba, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
Man.
Private
Out of
Pocket
1985
1986
1987
1988
1989
29.98
31.68
38.48
43.10
41.26
6.00
6.60
7.05
8.42
10.44
0.28
0.34
0.38
0.47
0.51
—
—
—
—
—
36.26
38.62
45.91
51.99
52.20
—
—
—
—
—
—
—
—
—
—
55.40
62.48
56.33
61.78
67.91
91.67
101.10
102.25
113.77
120.11
—
—
—
—
—
—
—
—
—
—
56.35
63.26
72.94
68.38
64.25
1990
1991
1992
1993
1994
43.87
49.95
61.22
60.90
54.43
12.47
14.63
16.69
19.59
21.86
0.59
0.63
0.74
0.66
0.69
—
—
—
—
—
56.92
65.21
78.65
81.15
76.99
—
—
—
—
—
—
—
—
—
—
77.93
86.34
91.33
106.06
114.94
134.85
151.55
169.98
187.21
191.92
—
—
46.32
45.06
46.55
—
—
37.42
37.46
37.86
68.11
73.41
83.73
82.52
84.41
1995
1996
1997
1998
1999
70.49
65.03
64.88
75.51
92.43
24.65
25.22
27.59
29.60
32.32
0.75
0.78
0.84
0.86
0.98
—
—
—
—
—
95.89
91.03
93.31
105.97
125.72
—
—
—
—
—
—
—
—
—
—
131.08
144.10
164.30
166.11
158.03
226.97
235.13
257.61
272.09
283.75
44.97
47.77
42.34
48.64
51.13
36.96
41.69
38.45
44.77
44.50
81.93
89.46
80.79
93.41
95.63
2000
2001
2002
2003
2004
114.11
139.70
164.09
187.38
200.39
33.47
38.69
45.00
52.22
55.82
1.17
1.38
1.48
1.77
1.98
—
—
—
—
—
148.75
179.77
210.57
241.36
258.19
—
—
—
—
—
—
—
—
—
—
178.93
184.40
207.17
229.51
236.82
327.68
364.18
417.74
470.87
495.01
52.97
55.61
56.75
58.77
61.42
45.82
46.57
47.43
48.48
49.58
98.79
102.18
104.18
107.26
111.00
2005
2006
2007
2008
2009
212.51
219.78
227.59
231.91
235.53
60.36
67.07
70.19
71.28
71.92
2.00
2.20
2.30
2.61
2.68
—
—
—
—
—
274.87
289.06
300.08
305.80
310.14
—
—
—
—
—
—
—
—
—
—
249.84
291.19
303.69
311.16
358.32
524.71
580.25
603.77
616.96
668.46
63.18
66.33
68.67
72.63
79.33
51.32
53.35
52.60
54.72
58.12
114.50
119.68
121.28
127.35
137.45
2010
2011f
2012f
238.92
240.40
244.45
71.77
66.66
64.31
2.88
2.86
2.84
—
—
—
313.58
309.91
311.59
—
—
—
—
—
—
379.73
400.91
415.50
693.30
710.83
727.08
81.11
83.49
85.31
58.70
59.84
61.79
139.81
143.33
147.09
1985
1986
1987
1988
1989
—
5.6
21.5
12.0
-4.3
—
10.1
6.8
19.4
23.9
—
22.4
9.5
24.8
8.3
—
—
—
—
—
—
6.5
18.9
13.2
0.4
—
—
—
—
—
—
—
—
—
—
—
12.8
-9.8
9.7
9.9
—
10.3
1.1
11.3
5.6
—
—
—
—
—
—
—
—
—
—
—
12.3
15.3
-6.3
-6.0
1990
1991
1992
1993
1994
6.3
13.9
22.6
-0.5
-10.6
19.5
17.3
14.1
17.4
11.6
15.9
6.8
17.5
-10.8
4.8
—
—
—
—
—
9.0
14.6
20.6
3.2
-5.1
—
—
—
—
—
—
—
—
—
—
14.8
10.8
5.8
16.1
8.4
12.3
12.4
12.2
10.1
2.5
—
—
—
-2.7
3.3
—
—
—
0.1
1.1
6.0
7.8
14.1
-1.4
2.3
1995
1996
1997
1998
1999
29.5
-7.7
-0.2
16.4
22.4
12.7
2.3
9.4
7.3
9.2
8.7
4.2
7.8
2.4
13.3
—
—
—
—
—
24.6
-5.1
2.5
13.6
18.6
—
—
—
—
—
—
—
—
—
—
14.0
9.9
14.0
1.1
-4.9
18.3
3.6
9.6
5.6
4.3
-3.4
6.2
-11.4
14.9
5.1
-2.4
12.8
-7.8
16.4
-0.6
-2.9
9.2
-9.7
15.6
2.4
3.3
(Annual Percentage Change)
2000
23.5
3.5
20.1
—
18.3
—
—
13.2
15.5
3.6
3.0
2001
22.4
15.6
17.6
—
20.9
—
—
3.1
11.1
5.0
1.6
3.4
2002
17.5
16.3
7.5
—
17.1
—
—
12.3
14.7
2.0
1.8
2.0
2003
14.2
16.1
19.2
—
14.6
—
—
10.8
12.7
3.6
2.2
3.0
2004
6.9
6.9
12.1
—
7.0
—
—
3.2
5.1
4.5
2.3
3.5
2005
2006
2007
2008
2009
6.0
3.4
3.6
1.9
1.6
8.1
11.1
4.6
1.6
0.9
1.1
9.9
4.3
13.8
2.6
—
—
—
—
—
6.5
5.2
3.8
1.9
1.4
—
—
—
—
—
—
—
—
—
—
5.5
16.6
4.3
2.5
15.2
6.0
10.6
4.1
2.2
8.3
2.9
5.0
3.5
5.8
9.2
3.5
3.9
-1.4
4.0
6.2
3.2
4.5
1.3
5.0
7.9
2010
2011f
2012f
1.4
0.6
1.7
-0.2
-7.1
-3.5
7.6
-0.9
-0.7
—
—
—
1.1
-1.2
0.5
—
—
—
—
—
—
6.0
5.6
3.6
3.7
2.5
2.3
2.2
2.9
2.2
1.0
1.9
3.3
1.7
2.5
2.6
1985
1986
1987
1988
1989
—
2.8
16.7
7.5
-8.8
—
7.3
2.0
14.9
19.4
—
19.6
4.8
20.2
3.8
—
—
—
—
—
—
3.7
14.1
8.7
-4.2
—
—
—
—
—
—
—
—
—
—
—
10.0
-14.6
5.1
5.3
—
7.5
-3.6
6.7
1.0
—
—
—
—
—
—
—
—
—
—
—
9.5
10.6
-10.8
-10.6
1990
1991
1992
1993
1994
3.3
11.1
21.3
-2.0
-11.7
16.4
14.6
12.8
16.0
10.5
12.9
4.0
16.3
-12.2
3.7
—
—
—
—
—
6.0
11.8
19.4
1.7
-6.2
—
—
—
—
—
—
—
—
—
—
11.7
8.0
4.5
14.7
7.3
9.3
9.6
10.9
8.7
1.4
—
—
—
-4.2
2.2
—
—
—
-1.3
0.0
3.0
5.0
12.8
-2.9
1.2
1995
1996
1997
1998
1999
27.2
-9.4
-1.2
16.8
20.6
10.4
0.6
8.4
7.7
7.4
6.3
2.6
6.8
2.8
11.5
—
—
—
—
—
22.2
-6.7
1.5
14.0
16.8
—
—
—
—
—
—
—
—
—
—
11.7
8.3
13.0
1.5
-6.7
15.9
1.9
8.6
6.1
2.5
-5.7
4.6
-12.4
15.3
3.3
-4.7
11.1
-8.8
16.9
-2.4
-5.3
7.5
-10.7
16.1
0.6
2000
19.4
-0.6
16.0
—
14.2
—
—
9.1
11.4
-0.5
-1.2
-0.8
2001
2002
2003
2004
21.1
16.4
11.3
4.4
14.3
15.2
13.2
4.3
16.2
6.4
16.3
9.6
—
—
—
—
19.5
16.1
11.7
4.4
—
—
—
—
—
—
—
—
1.7
11.3
7.9
0.6
9.8
13.7
9.8
2.5
3.6
1.0
0.7
1.9
0.3
0.8
-0.7
-0.3
2.1
0.9
0.1
0.9
2005
2006
2007
2008
2009
3.0
0.6
-0.1
-3.1
4.3
5.1
8.3
1.0
-3.5
3.7
-1.9
7.2
0.6
8.8
5.3
—
—
—
—
—
3.5
2.4
0.1
-3.1
4.2
—
—
—
—
—
—
—
—
—
—
2.5
13.8
0.6
-2.6
17.9
3.0
7.8
0.4
-2.8
11.1
-0.1
2.2
-0.1
0.7
12.0
0.5
1.2
-5.1
-1.0
9.0
0.1
1.7
-2.3
0.0
10.7
2010
2011f
2012f
-1.8
-2.8
0.0
-3.5
-10.6
-5.2
4.3
-4.3
-2.5
—
—
—
-2.2
-4.6
-1.2
—
—
—
—
—
—
2.7
2.2
1.9
0.5
-0.9
0.6
-1.0
-0.5
0.5
-2.3
-1.5
1.5
-1.6
-0.9
0.9
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
50
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Man.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Manitoba, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
36.26
38.62
45.91
51.99
52.20
111.76
125.74
129.27
130.16
132.15
148.02
164.36
175.18
182.14
184.35
1,211.28
1,306.04
1,393.62
1,482.95
1,606.82
383.98
424.97
409.78
395.06
438.77
1,595.25
1,731.01
1,803.40
1,878.01
2,045.59
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
56.92
65.21
78.65
81.15
76.99
146.04
159.76
175.06
188.58
199.34
202.96
224.97
253.71
269.73
276.33
1,764.67
1,807.82
1,886.70
1,869.05
1,883.55
482.25
513.71
541.56
590.76
613.62
2,246.92
2,321.53
2,428.27
2,459.81
2,497.17
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
95.89
91.03
93.31
105.97
125.72
213.01
233.57
245.09
259.52
253.66
308.90
324.60
338.40
365.50
379.38
1,930.11
1,926.73
1,982.07
2,099.82
2,376.29
651.90
693.69
746.91
789.20
862.92
2,582.01
2,620.42
2,728.98
2,889.02
3,239.21
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
148.75
179.77
210.57
241.36
258.19
277.72
286.58
311.35
336.76
347.82
426.47
466.36
521.92
578.13
606.02
2,619.32
2,766.07
2,907.70
3,137.33
3,322.55
922.32
1,039.77
1,079.23
1,103.43
1,149.28
3,541.64
3,805.84
3,986.93
4,240.76
4,471.83
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
274.87
289.06
300.08
305.80
310.14
364.34
410.87
424.96
438.50
495.78
639.21
699.92
725.04
744.30
805.92
3,567.48
3,741.08
3,923.07
4,165.21
4,488.65
1,217.48
1,306.65
1,340.51
1,432.45
1,500.98
4,784.96
5,047.72
5,263.58
5,597.66
5,989.62
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
313.58
309.91
311.59
519.54
544.25
562.59
833.11
854.16
874.18
4,610.02
4,707.11
4,816.40
1,598.19
1,643.82
1,701.23
6,208.21
6,350.93
6,517.63
132.08
136.61
138.96
1985
1986
1987
1988
1989
—
6.5
18.9
13.2
0.4
—
12.5
2.8
0.7
1.5
—
11.0
6.6
4.0
1.2
—
7.8
6.7
6.4
8.4
—
10.7
-3.6
-3.6
11.1
—
8.5
4.2
4.1
8.9
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
9.0
14.6
20.6
3.2
-5.1
10.5
9.4
9.6
7.7
5.7
10.1
10.8
12.8
6.3
2.4
9.8
2.4
4.4
-0.9
0.8
9.9
6.5
5.4
9.1
3.9
9.8
3.3
4.6
1.3
1.5
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
24.6
-5.1
2.5
13.6
18.6
6.9
9.7
4.9
5.9
-2.3
11.8
5.1
4.3
8.0
3.8
2.5
-0.2
2.9
5.9
13.2
6.2
6.4
7.7
5.7
9.3
3.4
1.5
4.1
5.9
12.1
2.3
1.7
1.0
-0.4
1.8
2000
18.3
9.5
12.4
10.2
6.9
9.3
4.1
2001
20.9
3.2
9.4
5.6
12.7
7.5
1.4
2002
17.1
8.6
11.9
5.1
3.8
4.8
1.0
2003
14.6
8.2
10.8
7.9
2.2
6.4
2.9
2004
7.0
3.3
4.8
5.9
4.2
5.4
2.6
2005
2006
2007
2008
2009
6.5
5.2
3.8
1.9
1.4
4.7
12.8
3.4
3.2
13.1
5.5
9.5
3.6
2.7
8.3
7.4
4.9
4.9
6.2
7.8
5.9
7.3
2.6
6.9
4.8
7.0
5.5
4.3
6.3
7.0
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
1.1
-1.2
0.5
4.8
4.8
3.4
3.4
2.5
2.3
2.7
2.1
2.3
6.5
2.9
3.5
3.6
2.3
2.6
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
3.7
14.1
8.7
-4.2
—
9.7
-1.9
-3.8
-3.0
—
8.2
1.8
-0.5
-3.4
—
5.0
2.0
1.9
3.8
—
7.9
-8.3
-8.1
6.5
—
5.7
-0.6
-0.4
4.4
1990
1991
1992
1993
1994
6.0
11.8
19.4
1.7
-6.2
7.5
6.6
8.3
6.3
4.6
7.1
8.1
11.5
4.9
1.3
6.8
-0.3
3.1
-2.4
-0.3
6.9
3.8
4.2
7.6
2.8
6.8
0.6
3.3
-0.1
0.4
1995
1996
1997
1998
1999
22.2
-6.7
1.5
14.0
16.8
4.5
8.0
3.9
6.3
-4.1
9.4
3.4
3.3
8.4
2.0
0.1
-1.8
1.9
6.4
11.4
3.9
4.7
6.7
6.1
7.5
1.1
-0.2
3.2
6.3
10.3
2000
14.2
5.4
8.3
6.1
2.8
5.2
2001
2002
2003
2004
19.5
16.1
11.7
4.4
1.8
7.6
5.3
0.7
8.0
10.9
7.9
2.2
4.2
4.1
5.0
3.3
11.4
2.8
-0.7
1.6
6.1
3.7
3.5
2.9
2005
2006
2007
2008
2009
3.5
2.4
0.1
-3.1
4.2
1.7
10.0
-0.3
-1.8
15.8
2.5
6.7
-0.1
-2.4
11.0
4.4
2.1
1.2
1.2
10.5
2.9
4.5
-1.1
1.8
7.5
4.0
2.7
0.6
1.3
9.8
2010
2011f
2012f
-2.2
-4.6
-1.2
1.5
1.3
1.7
0.1
-0.9
0.6
-0.6
-1.3
0.6
3.2
-0.6
1.8
0.4
-1.1
0.9
Man.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
51
Drug Expenditure in Canada, 1985 to 2012
Table B Sask.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Saskatchewan, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
Sask.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
67.6
81.1
67.8
63.0
74.8
6.3
7.1
7.7
9.7
12.2
0.1
0.1
0.2
0.3
0.2
—
—
—
—
—
74.0
88.3
75.7
73.1
87.2
—
—
—
—
—
—
—
—
—
—
26.8
33.8
42.5
53.5
67.3
100.8
122.1
118.2
126.5
154.5
—
—
—
—
—
—
—
—
—
—
35.3
40.0
46.4
58.3
73.2
1990
1991
1992
1993
1994
88.7
93.5
85.0
57.8
56.2
14.5
16.8
19.0
22.4
25.0
0.3
0.3
0.3
0.4
0.4
—
—
—
—
—
103.5
110.6
104.3
80.6
81.6
—
—
—
—
—
—
—
—
—
—
79.5
89.2
99.5
126.7
141.3
183.0
199.8
203.8
207.3
222.9
—
—
40.6
49.9
51.7
—
—
35.6
44.9
45.5
74.4
73.0
76.2
94.8
97.2
1995
1996
1997
1998
1999
63.8
66.6
69.3
78.9
89.1
28.0
28.8
31.2
33.7
38.8
0.5
0.8
0.8
0.9
1.1
—
—
—
—
—
92.2
96.2
101.3
113.6
129.0
—
—
—
—
—
—
—
—
—
—
146.8
148.1
161.2
167.4
174.0
239.0
244.3
262.5
280.9
303.0
50.1
47.4
48.9
47.6
52.8
44.7
44.8
47.3
46.7
48.7
94.8
92.2
96.2
94.4
101.5
2000
2001
2002
2003
2004
100.2
116.3
133.9
151.4
168.1
42.3
48.1
55.2
62.5
64.9
1.3
1.6
1.9
2.2
2.5
—
—
—
—
—
143.8
165.9
191.0
216.1
235.5
—
—
—
—
—
—
—
—
—
—
185.6
216.1
222.5
252.3
274.1
329.4
382.1
413.6
468.4
509.6
55.9
57.1
58.1
57.4
60.4
51.0
50.5
51.3
50.0
51.8
106.9
107.7
109.4
107.4
112.3
2005
2006
2007
2008
2009
185.4
201.9
241.0
269.0
286.2
68.2
73.1
75.7
78.5
80.9
2.6
2.8
3.0
3.4
3.5
—
—
—
—
—
256.2
277.9
319.7
350.9
370.7
—
—
—
—
—
—
—
—
—
—
286.1
282.5
300.9
289.2
322.3
542.3
560.4
620.7
640.1
693.0
61.7
63.0
65.2
69.1
74.9
53.4
54.0
53.3
54.5
57.5
115.2
117.0
118.5
123.6
132.4
2010
2011f
2012f
300.7
318.1
318.7
82.3
78.1
76.1
4.1
4.3
4.4
—
—
—
387.1
400.6
399.3
—
—
—
—
—
—
351.4
381.0
411.0
738.4
781.6
810.3
77.4
80.7
85.6
58.7
60.6
63.0
136.1
141.3
148.5
1985
1986
1987
1988
1989
—
20.0
-16.4
-7.1
18.7
—
13.1
8.9
26.1
25.3
—
2.4
42.4
58.9
-28.9
—
—
—
—
—
—
19.3
-14.2
-3.5
19.4
—
—
—
—
—
—
—
—
—
—
—
25.8
25.8
25.8
25.8
—
21.1
-3.2
7.0
22.1
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
25.6
25.6
1990
1991
1992
1993
1994
18.7
5.4
-9.1
-32.0
-2.8
18.6
16.1
12.9
18.1
11.7
9.8
5.4
20.3
32.9
-2.2
—
—
—
—
—
18.6
6.9
-5.7
-22.7
1.3
—
—
—
—
—
—
—
—
—
—
18.2
12.2
11.5
27.3
11.5
18.5
9.2
2.0
1.7
7.5
—
—
—
22.7
3.6
—
—
—
26.3
1.3
1.6
-1.9
4.5
24.4
2.5
1995
1996
1997
1998
1999
13.6
4.4
4.0
13.9
12.9
11.7
3.0
8.3
8.1
15.1
16.1
63.1
4.3
9.6
22.0
—
—
—
—
—
13.0
4.3
5.3
12.1
13.6
—
—
—
—
—
—
—
—
—
—
3.9
0.9
8.8
3.9
3.9
7.2
2.2
7.4
7.0
7.8
-3.0
-5.4
3.1
-2.5
10.8
-1.9
0.4
5.5
-1.2
4.1
-2.5
-2.7
4.3
-1.9
7.5
2000
2001
2002
2003
2004
12.4
16.1
15.1
13.1
11.0
9.0
13.8
14.9
13.1
3.8
16.4
18.5
20.9
14.4
17.3
—
—
—
—
—
11.4
15.4
15.1
13.1
9.0
—
—
—
—
—
—
—
—
—
—
6.7
16.4
3.0
13.4
8.6
8.7
16.0
8.2
13.2
8.8
5.8
2.2
1.7
-1.3
5.3
4.9
-1.0
1.5
-2.6
3.7
5.4
0.7
1.6
-1.9
4.5
2005
2006
2007
2008
2009
10.3
8.9
19.4
11.6
6.4
5.1
7.3
3.5
3.7
3.1
2.2
9.3
6.1
13.8
3.2
—
—
—
—
—
8.8
8.5
15.1
9.7
5.6
—
—
—
—
—
—
—
—
—
—
4.4
-1.3
6.5
-3.9
11.4
6.4
3.3
10.8
3.1
8.3
2.2
2.1
3.5
5.9
8.5
3.1
1.1
-1.4
2.4
5.5
2.6
1.6
1.2
4.3
7.2
2010
2011f
2012f
5.0
5.8
0.2
1.6
-5.0
-2.5
16.6
4.7
3.1
—
—
—
4.4
3.5
-0.3
—
—
—
—
—
—
9.0
8.4
7.9
6.5
5.8
3.7
3.3
4.3
6.0
2.0
3.3
3.9
2.7
3.9
5.1
1985
1986
1987
1988
1989
49.6
50.0
41.2
34.1
32.8
4.6
4.4
4.7
5.3
5.4
0.1
0.1
0.1
0.2
0.1
—
—
—
—
—
54.4
54.5
46.0
39.5
38.3
—
—
—
—
—
—
—
—
—
—
19.7
20.8
25.8
28.9
29.5
74.1
75.3
71.8
68.5
67.9
—
—
—
—
—
—
—
—
—
—
25.9
24.7
28.2
31.5
32.1
1990
1991
1992
1993
1994
34.5
34.3
30.3
19.1
17.5
5.6
6.2
6.8
7.4
7.8
0.1
0.1
0.1
0.1
0.1
—
—
—
—
—
40.2
40.5
37.2
26.7
25.5
—
—
—
—
—
—
—
—
—
—
30.9
32.7
35.5
41.9
44.1
71.1
73.3
72.8
68.6
69.6
—
—
14.5
16.5
16.1
—
—
12.7
14.9
14.2
28.9
26.7
27.2
31.4
30.4
1995
1996
1997
1998
1999
19.1
19.8
19.3
21.0
22.0
8.4
8.6
8.7
9.0
9.6
0.1
0.2
0.2
0.2
0.3
—
—
—
—
—
27.6
28.6
28.2
30.3
31.9
—
—
—
—
—
—
—
—
—
—
44.0
44.0
44.9
44.6
43.0
71.6
72.6
73.2
74.9
74.9
15.0
14.1
13.6
12.7
13.1
13.4
13.3
13.2
12.4
12.0
28.4
27.4
26.8
25.1
25.1
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
52
2000
23.0
9.7
0.3
—
32.9
—
—
42.5
75.5
12.8
11.7
24.5
2001
2002
2003
2004
23.7
25.6
26.3
27.0
9.8
10.6
10.9
10.4
0.3
0.4
0.4
0.4
—
—
—
—
33.9
36.5
37.5
37.9
—
—
—
—
—
—
—
—
44.1
42.6
43.8
44.1
78.0
79.1
81.3
81.9
11.7
11.1
10.0
9.7
10.3
9.8
8.7
8.3
22.0
20.9
18.7
18.1
2005
2006
2007
2008
2009
28.2
29.8
32.6
35.2
34.7
10.4
10.8
10.2
10.3
9.8
0.4
0.4
0.4
0.4
0.4
—
—
—
—
—
39.0
41.0
43.3
45.9
44.9
—
—
—
—
—
—
—
—
—
—
43.5
41.7
40.7
37.9
39.0
82.5
82.7
84.0
83.8
84.0
9.4
9.3
8.8
9.0
9.1
8.1
8.0
7.2
7.1
7.0
17.5
17.3
16.0
16.2
16.0
2010
34.4
9.4
0.5
34.5
8.5
0.5
2011f
2012f
33.2
7.9
0.5
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
44.3
43.4
41.6
—
—
—
—
—
—
40.2
41.3
42.9
84.4
84.7
84.5
8.9
8.7
8.9
6.7
6.6
6.6
15.6
15.3
15.5
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Sask.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Saskatchewan, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Year
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
74.0
88.3
75.7
73.1
87.2
62.1
73.7
88.9
111.7
140.4
136.1
162.0
164.6
184.8
227.7
1,195.5
1,325.9
1,372.2
1,468.3
1,629.2
333.2
377.7
395.5
369.3
423.7
1,528.8
1,703.6
1,767.8
1,837.6
2,052.9
6.2
6.7
5.5
5.0
5.4
18.6
19.5
22.5
30.2
33.1
8.9
9.5
9.3
10.1
11.1
1990
1991
1992
1993
1994
103.5
110.6
104.3
80.6
81.6
153.9
162.2
175.8
221.5
238.5
257.4
272.8
280.1
302.1
320.1
1,792.1
1,828.9
1,819.5
1,727.8
1,778.8
460.1
490.9
505.8
574.1
606.4
2,252.2
2,319.8
2,325.4
2,301.9
2,385.2
5.8
6.0
5.7
4.7
4.6
33.4
33.0
34.7
38.6
39.3
11.4
11.8
12.0
13.1
13.4
1995
1996
1997
1998
1999
92.2
96.2
101.3
113.6
129.0
241.6
240.4
257.4
261.8
275.4
333.8
336.6
358.6
375.3
404.5
1,820.8
1,862.3
1,976.1
2,103.5
2,250.4
621.5
627.7
680.1
674.7
727.0
2,442.3
2,490.0
2,656.2
2,778.2
2,977.4
5.1
5.2
5.1
5.4
5.7
38.9
38.3
37.8
38.8
37.9
13.7
13.5
13.5
13.5
13.6
2000
2001
2002
2003
2004
143.8
165.9
191.0
216.1
235.5
292.5
323.8
332.0
359.7
386.3
436.3
489.7
523.0
575.8
621.8
2,381.2
2,581.5
2,719.3
2,898.0
3,100.9
778.6
875.5
903.8
975.0
1,025.7
3,159.8
3,457.0
3,623.1
3,873.0
4,126.7
6.0
6.4
7.0
7.5
7.6
37.6
37.0
36.7
36.9
37.7
13.8
14.2
14.4
14.9
15.1
2005
2006
2007
2008
2009
256.2
277.9
319.7
350.9
370.7
401.3
399.5
419.4
412.8
454.7
657.5
677.4
739.2
763.7
825.5
3,365.4
3,600.8
3,876.0
4,213.2
4,467.3
1,054.1
1,164.3
1,217.3
1,223.3
1,344.7
4,419.5
4,765.0
5,093.4
5,436.4
5,812.0
7.6
7.7
8.2
8.3
8.3
38.1
34.3
34.5
33.7
33.8
14.9
14.2
14.5
14.0
14.2
2010
2011f
2012f
387.1
400.6
399.3
487.4
522.3
559.5
874.5
922.9
958.8
4,761.9
5,122.8
5,297.6
1,471.7
1,547.7
1,635.6
6,233.6
6,670.5
6,933.2
8.1
7.8
7.5
33.1
33.7
34.2
14.0
13.8
13.8
1985
1986
1987
1988
1989
—
19.3
-14.2
-3.5
19.4
—
18.7
20.5
25.7
25.7
—
19.0
1.6
12.3
23.2
—
10.9
3.5
7.0
11.0
—
13.4
4.7
-6.6
14.7
—
11.4
3.8
4.0
11.7
1990
1991
1992
1993
1994
18.6
6.9
-5.7
-22.7
1.3
9.6
5.4
8.4
26.0
7.7
13.0
6.0
2.7
7.9
5.9
10.0
2.1
-0.5
-5.0
3.0
8.6
6.7
3.0
13.5
5.6
9.7
3.0
0.2
-1.0
3.6
1995
1996
1997
1998
1999
13.0
4.3
5.3
12.1
13.6
1.3
-0.5
7.1
1.7
5.2
4.3
0.8
6.6
4.6
7.8
2.4
2.3
6.1
6.4
7.0
2.5
1.0
8.3
-0.8
7.8
2.4
2.0
6.7
4.6
7.2
2000
2001
2002
2003
2004
11.4
15.4
15.1
13.1
9.0
6.2
10.7
2.5
8.3
7.4
7.9
12.2
6.8
10.1
8.0
5.8
8.4
5.3
6.6
7.0
7.1
12.4
3.2
7.9
5.2
6.1
9.4
4.8
6.9
6.5
2005
2006
2007
2008
2009
8.8
8.5
15.1
9.7
5.6
3.9
-0.4
5.0
-1.6
10.2
5.7
3.0
9.1
3.3
8.1
8.5
7.0
7.6
8.7
6.0
2.8
10.5
4.6
0.5
9.9
7.1
7.8
6.9
6.7
6.9
2010
2011f
2012f
4.4
3.5
-0.3
7.2
7.2
7.1
5.9
5.5
3.9
6.6
7.6
3.4
9.4
5.2
5.7
7.3
7.0
3.9
Sask.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
54.4
54.5
46.0
39.5
38.3
45.6
45.5
54.0
60.5
61.7
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
40.2
40.5
37.2
26.7
25.5
59.8
59.5
62.8
73.3
74.5
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
27.6
28.6
28.2
30.3
31.9
72.4
71.4
71.8
69.7
68.1
100.0
100.0
100.0
100.0
100.0
2000
32.9
67.1
100.0
2001
2002
2003
2004
33.9
36.5
37.5
37.9
66.1
63.5
62.5
62.1
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
39.0
41.0
43.3
45.9
44.9
61.0
59.0
56.7
54.1
55.1
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
44.3
43.4
41.6
55.7
56.6
58.4
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
53
Drug Expenditure in Canada, 1985 to 2012
Table B Sask.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Saskatchewan, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
Sask.
Private
Out of
Pocket
1985
1986
1987
1988
1989
65.90
78.76
65.64
61.28
73.37
6.11
6.89
7.48
9.47
11.97
0.14
0.14
0.20
0.32
0.23
—
—
—
—
—
72.15
85.79
73.32
71.08
85.58
—
—
—
—
—
—
—
—
—
—
26.16
32.80
41.13
52.00
66.00
98.31
118.59
114.45
123.08
151.57
—
—
—
—
—
—
—
—
—
—
34.43
38.85
44.90
56.67
71.80
1990
1991
1992
1993
1994
88.11
93.26
84.66
57.37
55.63
14.37
16.75
18.90
22.26
24.80
0.26
0.27
0.33
0.44
0.43
—
—
—
—
—
102.73
110.29
103.88
80.07
80.85
—
—
—
—
—
—
—
—
—
—
78.97
89.00
99.15
125.84
139.94
181.70
199.30
203.03
205.90
220.79
—
—
40.47
49.53
51.18
—
—
35.45
44.64
45.12
73.85
72.76
75.92
94.17
96.29
1995
1996
1997
1998
1999
62.89
65.33
68.04
77.57
87.81
27.57
28.25
30.62
33.12
38.23
0.49
0.80
0.83
0.91
1.12
—
—
—
—
—
90.94
94.39
99.49
111.61
127.15
—
—
—
—
—
—
—
—
—
—
144.72
145.37
158.31
164.51
171.45
235.66
239.76
257.80
276.12
298.60
49.43
46.51
48.02
46.83
52.05
44.05
44.00
46.46
45.92
47.95
93.48
90.51
94.48
92.75
100.01
2000
2001
2002
2003
2004
99.38
116.26
134.44
152.23
168.98
41.95
48.10
55.48
62.83
65.19
1.31
1.56
1.90
2.18
2.55
—
—
—
—
—
142.64
165.92
191.82
217.24
236.72
—
—
—
—
—
—
—
—
—
—
184.19
216.10
223.47
253.61
275.48
326.83
382.02
415.28
470.85
512.20
55.45
57.12
58.36
57.69
60.72
50.65
50.52
51.52
50.26
52.11
106.09
107.64
109.88
107.95
112.84
2005
2006
2007
2008
2009
187.28
203.49
240.98
265.29
278.09
68.87
73.72
75.67
77.41
78.64
2.62
2.86
3.01
3.38
3.44
—
—
—
—
—
258.76
280.07
319.66
346.08
360.16
—
—
—
—
—
—
—
—
—
—
289.02
284.76
300.87
285.25
313.12
547.79
564.83
620.53
631.34
673.28
62.36
63.51
65.20
68.12
72.80
53.97
54.44
53.24
53.77
55.87
116.33
117.95
118.45
121.90
128.67
2010
2011f
2012f
288.0
300.7
298.0
78.8
73.9
71.2
3.9
4.1
4.2
—
—
—
370.7
378.7
373.3
—
—
—
—
—
—
336.5
360.1
384.2
707.3
738.8
757.5
74.1
76.3
80.0
56.2
57.3
58.9
130.3
133.6
138.9
1985
1986
1987
1988
1989
—
19.5
-16.7
-6.6
19.7
—
12.7
8.5
26.6
26.4
—
2.1
41.9
59.6
-28.3
—
—
—
—
—
—
18.9
-14.5
-3.1
20.4
—
—
—
—
—
—
—
—
—
—
—
25.4
25.4
26.4
26.9
—
20.6
-3.5
7.5
23.2
—
—
—
—
—
—
—
—
—
—
—
12.8
15.6
26.2
26.7
1990
1991
1992
1993
1994
20.1
5.9
-9.2
-32.2
-3.0
20.0
16.6
12.8
17.8
11.4
11.1
5.9
20.1
32.6
-2.4
—
—
—
—
—
20.0
7.4
-5.8
-22.9
1.0
—
—
—
—
—
—
—
—
—
—
19.7
12.7
11.4
26.9
11.2
19.9
9.7
1.9
1.4
7.2
—
—
—
22.4
3.3
—
—
—
25.9
1.1
2.8
-1.5
4.3
24.0
2.3
1995
1996
1997
1998
1999
13.1
3.9
4.1
14.0
13.2
11.1
2.5
8.4
8.2
15.4
15.6
62.3
4.4
9.7
22.3
—
—
—
—
—
12.5
3.8
5.4
12.2
13.9
—
—
—
—
—
—
—
—
—
—
3.4
0.5
8.9
3.9
4.2
6.7
1.7
7.5
7.1
8.1
-3.4
-5.9
3.3
-2.5
11.1
-2.4
-0.1
5.6
-1.2
4.4
-2.9
-3.2
4.4
-1.8
7.8
(Annual Percentage Change)
2000
13.2
9.8
17.2
—
12.2
—
—
7.4
9.5
6.5
5.6
6.1
2001
17.0
14.6
19.4
—
16.3
—
—
17.3
16.9
3.0
-0.3
1.5
15.6
15.3
—
15.6
—
3.4
8.7
2.2
2.0
2.1
2003
13.2
13.3
14.6
—
13.3
—
—
13.5
13.4
-1.2
-2.4
-1.8
2004
2002
11.0
3.7
17.2
21.4
—
9.0
—
—
—
8.6
8.8
5.3
3.7
4.5
2005
2006
2007
2008
2009
10.8
8.7
18.4
10.1
4.8
5.6
7.1
2.6
2.3
1.6
2.7
9.1
5.2
12.3
1.7
—
—
—
—
—
9.3
8.2
14.1
8.3
4.1
—
—
—
—
—
—
—
—
—
—
4.9
-1.5
5.7
-5.2
9.8
6.9
3.1
9.9
1.7
6.6
2.7
1.8
2.7
4.5
6.9
3.6
0.9
-2.2
1.0
3.9
3.1
1.4
0.4
2.9
5.6
2010
2011f
2012f
3.6
4.4
-0.9
0.2
-6.3
-3.6
14.9
3.3
1.9
—
—
—
2.9
2.1
-1.4
—
—
—
—
—
—
7.5
7.0
6.7
5.0
4.5
2.5
1.8
2.9
4.8
0.6
1.9
2.7
1.3
2.5
3.9
1985
1986
1987
1988
1989
—
16.7
-21.4
-11.2
15.2
—
9.9
3.7
22.1
21.9
—
-0.7
37.2
55.1
-32.9
—
—
—
—
—
—
16.1
-19.3
-7.6
15.8
—
—
—
—
—
—
—
—
—
—
—
22.6
20.7
21.9
22.4
—
17.8
-8.2
3.0
18.6
—
—
—
—
—
—
—
—
—
—
—
10.0
10.8
21.7
22.1
1990
1991
1992
1993
1994
17.1
3.1
-10.5
-33.7
-4.1
17.0
13.8
11.5
16.3
10.3
8.1
3.1
18.9
31.1
-3.5
—
—
—
—
—
17.0
4.6
-7.1
-24.4
-0.1
—
—
—
—
—
—
—
—
—
—
16.6
10.0
10.1
25.5
10.1
16.8
6.9
0.6
0.0
6.1
—
—
—
20.9
2.2
—
—
—
24.5
0.0
-0.2
-4.2
3.1
22.6
1.2
1995
1996
1997
1998
1999
10.7
2.2
3.2
14.4
11.4
8.8
0.8
7.4
8.6
13.6
13.3
60.6
3.4
10.1
20.5
—
—
—
—
—
10.1
2.1
4.4
12.6
12.1
—
—
—
—
—
—
—
—
—
—
1.1
-1.2
7.9
4.4
2.4
4.4
0.1
6.5
7.5
6.3
-5.7
-7.6
2.3
-2.0
9.3
-4.7
-1.8
4.6
-0.7
2.6
-5.3
-4.8
3.4
-1.4
6.0
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
9.1
5.7
13.1
—
8.1
—
—
3.3
5.4
2.4
1.5
2.0
2001
2002
2003
2004
15.6
14.6
10.3
8.4
13.3
14.3
10.4
1.2
18.0
20.4
11.7
14.6
—
—
—
—
15.0
14.6
10.4
6.4
—
—
—
—
—
—
—
—
16.0
2.4
10.6
6.0
15.5
7.7
10.5
6.2
1.7
1.1
-4.0
2.7
-1.6
0.9
-5.3
1.1
0.1
1.0
-4.7
1.9
2005
2006
2007
2008
2009
7.8
5.9
14.7
5.1
7.6
2.6
4.3
-1.0
-2.7
4.3
-0.3
6.3
1.6
7.3
4.5
—
—
—
—
—
6.3
5.4
10.5
3.2
6.8
—
—
—
—
—
—
—
—
—
—
1.9
-4.3
2.0
-10.2
12.5
3.9
0.3
6.2
-3.3
9.4
-0.3
-1.0
-1.0
-0.5
9.6
0.6
-1.9
-5.9
-4.0
6.7
0.1
-1.4
-3.3
-2.1
8.3
2010
2011f
2012f
0.3
1.0
-2.6
-3.1
-9.7
-5.3
11.7
-0.1
0.2
—
—
—
-0.3
-1.3
-3.1
—
—
—
—
—
—
4.2
3.6
5.0
1.8
1.0
0.8
-1.4
-0.5
3.1
-2.7
-1.5
1.0
-2.0
-0.9
2.2
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
54
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Sask.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Saskatchewan, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
72.15
85.79
73.32
71.08
85.58
60.60
71.65
86.03
108.66
137.80
132.75
157.44
159.35
179.74
223.37
1,165.85
1,288.21
1,328.72
1,428.29
1,598.43
324.93
366.97
383.01
359.28
415.71
1,490.78
1,655.19
1,711.73
1,787.57
2,014.15
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
102.73
110.29
103.88
80.07
80.85
152.81
161.76
175.07
220.01
236.23
255.54
272.06
278.95
300.07
317.09
1,779.42
1,824.01
1,812.37
1,716.06
1,762.05
456.84
489.59
503.84
570.20
600.67
2,236.27
2,313.60
2,316.20
2,286.26
2,362.72
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
90.94
94.39
99.49
111.61
127.15
238.20
235.89
252.79
257.26
271.46
329.14
330.27
352.28
368.86
398.61
1,795.42
1,827.39
1,941.00
2,067.33
2,217.76
612.84
615.97
668.05
663.07
716.46
2,408.26
2,443.36
2,609.05
2,730.40
2,934.22
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
142.64
165.92
191.82
217.24
236.72
290.28
323.74
333.35
361.56
388.31
432.93
489.66
525.17
578.80
625.04
2,362.85
2,581.17
2,730.52
2,913.38
3,116.84
772.58
875.38
907.57
980.13
1,030.97
3,135.42
3,456.55
3,638.10
3,893.51
4,147.82
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
258.76
280.07
319.66
346.08
360.16
405.36
402.71
419.31
407.15
441.79
664.12
682.78
738.98
753.23
801.95
3,399.22
3,629.35
3,875.05
4,155.34
4,340.04
1,064.72
1,173.53
1,217.00
1,206.46
1,306.38
4,463.93
4,802.88
5,092.05
5,361.80
5,646.42
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
370.7
378.7
373.3
466.9
493.7
523.0
837.6
872.4
896.3
4,561.1
4,842.5
4,952.2
1,409.6
1,463.0
1,528.9
5,970.7
6,305.5
6,481.2
132.1
136.6
139.0
1985
1986
1987
1988
1989
—
18.9
-14.5
-3.1
20.4
—
18.2
20.1
26.3
26.8
—
18.6
1.2
12.8
24.3
—
10.5
3.1
7.5
11.9
—
12.9
4.4
-6.2
15.7
—
11.0
3.4
4.4
12.7
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
20.0
7.4
-5.8
-22.9
1.0
10.9
5.9
8.2
25.7
7.4
14.4
6.5
2.5
7.6
5.7
11.3
2.5
-0.6
-5.3
2.7
9.9
7.2
2.9
13.2
5.3
11.0
3.5
0.1
-1.3
3.3
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
12.5
3.8
5.4
12.2
13.9
0.8
-1.0
7.2
1.8
5.5
3.8
0.3
6.7
4.7
8.1
1.9
1.8
6.2
6.5
7.3
2.0
0.5
8.5
-0.7
8.1
1.9
1.5
6.8
4.7
7.5
2.3
1.7
1.0
-0.4
1.8
Sask.
(Annual Percentage Change)
2000
12.2
6.9
8.6
6.5
7.8
6.9
4.1
2001
16.3
11.5
13.1
9.2
13.3
10.2
1.4
2002
15.6
3.0
7.3
2003
13.3
8.5
10.2
6.7
8.0
7.0
2.9
2004
9.0
7.4
8.0
7.0
5.8
5.2
3.7
6.5
5.3
2.6
1.0
2005
2006
2007
2008
2009
9.3
8.2
14.1
8.3
4.1
4.4
-0.7
4.1
-2.9
8.5
6.3
2.8
8.2
1.9
6.5
9.1
6.8
6.8
7.2
4.4
3.3
10.2
3.7
-0.9
8.3
7.6
7.6
6.0
5.3
5.3
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
2.9
2.1
-1.4
5.7
5.8
5.9
4.4
4.2
2.7
5.1
6.2
2.3
7.9
3.8
4.5
5.7
5.6
2.8
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
16.1
-19.3
-7.6
15.8
—
15.4
15.3
21.8
22.2
—
15.8
-3.5
8.3
19.7
—
7.7
-1.6
3.0
7.3
—
10.1
-0.4
-10.7
11.1
—
8.2
-1.3
-0.1
8.1
1990
1991
1992
1993
1994
17.0
4.6
-7.1
-24.4
-0.1
7.9
3.1
7.0
24.2
6.3
11.4
3.7
1.3
6.1
4.6
8.3
-0.3
-1.9
-6.8
1.6
6.9
4.4
1.6
11.7
4.2
8.0
0.7
-1.1
-2.7
2.2
1995
1996
1997
1998
1999
10.1
2.1
4.4
12.6
12.1
-1.5
-2.6
6.2
2.2
3.7
1.5
-1.3
5.7
5.1
6.3
-0.4
0.1
5.2
6.9
5.5
-0.3
-1.2
7.5
-0.3
6.2
-0.4
-0.2
5.8
5.1
5.7
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
8.1
2.8
4.5
2.4
3.7
2.8
2001
2002
2003
2004
15.0
14.6
10.4
6.4
10.2
1.9
5.6
4.8
11.8
6.2
7.3
5.4
7.9
4.7
3.8
4.4
12.0
2.6
5.1
2.6
8.9
4.2
4.1
3.9
2005
2006
2007
2008
2009
6.3
5.4
10.5
3.2
6.8
1.4
-3.4
0.4
-7.9
11.3
3.2
0.0
4.5
-3.1
9.2
6.1
4.0
3.1
2.2
7.2
0.3
7.4
0.0
-5.9
11.0
4.6
4.8
2.3
0.3
8.1
2010
2011f
2012f
-0.3
-1.3
-3.1
2.4
2.3
4.2
1.2
0.7
1.0
1.8
2.7
0.6
4.6
0.4
2.8
2.5
2.2
1.1
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
55
Drug Expenditure in Canada, 1985 to 2012
Table B Alta.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Alberta, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
Alta.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
69.5
83.2
95.7
108.0
159.7
6.4
7.0
7.4
9.1
11.1
0.9
1.2
1.5
1.6
1.8
—
—
—
—
—
76.7
91.4
104.6
118.7
172.7
—
—
—
—
—
—
—
—
—
—
134.5
147.9
153.1
172.6
194.5
211.2
239.3
257.7
291.3
367.2
—
—
—
—
—
—
—
—
—
—
113.1
128.1
148.5
163.3
179.6
1990
1991
1992
1993
1994
179.5
189.2
205.6
205.8
208.1
13.2
15.3
17.1
20.4
22.8
2.2
2.7
3.0
3.7
3.3
—
—
—
—
—
194.9
207.1
225.6
229.9
234.2
—
—
—
—
—
—
—
—
—
—
219.0
241.2
256.8
297.0
309.4
413.9
448.3
482.4
526.9
543.7
—
—
103.3
114.2
119.3
—
—
91.2
98.7
106.1
184.3
192.8
194.4
213.0
225.4
1995
1996
1997
1998
1999
212.5
232.6
254.8
278.1
328.2
26.0
26.3
29.3
32.8
41.2
3.1
3.5
3.5
4.2
5.2
—
—
—
—
—
241.5
262.4
287.6
315.0
374.6
—
—
—
—
—
—
—
—
—
—
323.6
360.2
403.5
430.1
494.4
565.1
622.6
691.1
745.1
869.1
119.8
128.3
144.5
153.1
167.1
108.9
112.5
125.9
135.0
136.7
228.6
240.8
270.4
288.1
303.8
2000
2001
2002
2003
2004
387.1
451.0
515.2
588.2
646.8
45.1
51.4
57.7
64.9
67.8
5.7
7.7
8.7
10.2
10.9
—
—
—
—
—
437.8
510.1
581.7
663.2
725.5
—
—
—
—
—
—
—
—
—
—
556.5
617.5
686.9
754.3
800.9
994.3
1,127.7
1,268.6
1,417.5
1,526.4
173.4
190.6
199.0
220.0
236.8
150.0
160.8
169.6
177.3
187.2
323.4
351.4
368.6
397.3
424.0
2005
2006
2007
2008
2009
709.3
758.9
792.5
827.7
1,015.4
71.6
75.3
76.8
77.0
77.9
10.9
11.6
11.3
11.4
10.9
—
—
—
—
—
791.7
845.8
880.6
916.0
1,104.2
—
—
—
—
—
—
—
—
—
—
848.5
995.1
1,045.1
1,118.0
1,205.5
1,640.2
1,840.9
1,925.7
2,034.0
2,309.7
240.8
270.6
292.0
302.1
320.3
194.9
212.9
222.7
227.6
231.7
435.6
483.6
514.7
529.7
552.1
2010
2011f
2012f
1,145.7
1,225.4
1,274.2
78.2
74.3
72.5
11.2
11.3
11.4
—
—
—
1,235.1
1,311.0
1,358.2
—
—
—
—
—
—
1,272.8
1,342.4
1,397.2
2,507.9
2,653.4
2,755.4
327.2
340.5
352.1
231.1
237.9
255.7
558.3
578.3
607.8
1985
1986
1987
1988
1989
—
19.8
15.1
12.7
48.0
—
9.8
6.1
22.8
22.5
—
33.7
23.4
13.0
10.2
—
—
—
—
—
—
19.1
14.5
13.5
45.5
—
—
—
—
—
—
—
—
—
—
—
10.0
3.5
12.7
12.7
—
13.3
7.7
13.0
26.1
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
10.0
10.0
1990
1991
1992
1993
1994
12.4
5.4
8.7
0.1
1.1
18.0
16.1
11.8
19.6
11.9
22.6
19.6
11.9
23.9
-11.4
—
—
—
—
—
12.9
6.3
8.9
1.9
1.9
—
—
—
—
—
—
—
—
—
—
12.6
10.1
6.5
15.7
4.2
12.7
8.3
7.6
9.2
3.2
—
—
—
10.6
4.5
—
—
—
8.3
7.4
2.7
4.6
0.8
9.5
5.8
1995
1996
1997
1998
1999
2.1
9.5
9.6
9.1
18.0
13.7
1.3
11.5
11.8
25.8
-5.1
11.9
-0.3
21.3
22.9
—
—
—
—
—
3.1
8.6
9.6
9.5
18.9
—
—
—
—
—
—
—
—
—
—
4.6
11.3
12.0
6.6
15.0
3.9
10.2
11.0
7.8
16.6
0.4
7.1
12.6
6.0
9.2
2.6
3.3
11.9
7.2
1.3
1.4
5.3
12.3
6.5
5.5
2000
2001
2002
2003
2004
17.9
16.5
14.2
14.2
10.0
9.2
14.1
12.2
12.4
4.5
9.8
36.1
13.6
16.2
6.9
—
—
—
—
—
16.9
16.5
14.0
14.0
9.4
—
—
—
—
—
—
—
—
—
—
12.6
11.0
11.2
9.8
6.2
14.4
13.4
12.5
11.7
7.7
3.8
9.9
4.4
10.5
7.6
9.7
7.3
5.4
4.6
5.6
6.4
8.7
4.9
7.8
6.7
2005
2006
2007
2008
2009
9.7
7.0
4.4
4.4
22.7
5.6
5.2
2.0
0.3
1.2
0.1
6.7
-2.6
0.6
-4.2
—
—
—
—
—
9.1
6.8
4.1
4.0
20.5
—
—
—
—
—
—
—
—
—
—
5.9
17.3
5.0
7.0
7.8
7.5
12.2
4.6
5.6
13.6
1.7
12.4
7.9
3.4
6.1
4.1
9.3
4.6
2.2
1.8
2.7
11.0
6.4
2.9
4.2
2010
2011f
2012f
12.8
7.0
4.0
0.4
-5.0
-2.4
2.8
1.1
1.0
—
—
—
11.9
6.1
3.6
—
—
—
—
—
—
5.6
5.5
4.1
8.6
5.8
3.8
2.1
4.0
3.4
-0.3
2.9
7.5
1.1
3.6
5.1
1985
1986
1987
1988
1989
21.4
22.6
23.6
23.7
29.2
2.0
1.9
1.8
2.0
2.0
0.3
0.3
0.4
0.4
0.3
—
—
—
—
—
23.7
24.9
25.8
26.1
31.6
—
—
—
—
—
—
—
—
—
—
41.5
40.3
37.7
38.0
35.6
65.1
65.1
63.4
64.1
67.2
—
—
—
—
—
—
—
—
—
—
34.9
34.9
36.6
35.9
32.8
1990
1991
1992
1993
1994
30.0
29.5
30.4
27.8
27.1
2.2
2.4
2.5
2.8
3.0
0.4
0.4
0.4
0.5
0.4
—
—
—
—
—
32.6
32.3
33.3
31.1
30.5
—
—
—
—
—
—
—
—
—
—
36.6
37.6
37.9
40.1
40.2
69.2
69.9
71.3
71.2
70.7
—
—
15.3
15.4
15.5
—
—
13.5
13.3
13.8
30.8
30.1
28.7
28.8
29.3
1995
1996
1997
1998
1999
26.8
26.9
26.5
26.9
28.0
3.3
3.0
3.1
3.2
3.5
0.4
0.4
0.4
0.4
0.4
—
—
—
—
—
30.4
30.4
29.9
30.5
31.9
—
—
—
—
—
—
—
—
—
—
40.8
41.7
42.0
41.6
42.2
71.2
72.1
71.9
72.1
74.1
15.1
14.9
15.0
14.8
14.2
13.7
13.0
13.1
13.1
11.7
28.8
27.9
28.1
27.9
25.9
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
56
2000
29.4
3.4
0.4
—
33.2
—
—
42.2
75.5
13.2
11.4
24.5
2001
2002
2003
2004
30.5
31.5
32.4
33.2
3.5
3.5
3.6
3.5
0.5
0.5
0.6
0.6
—
—
—
—
34.5
35.5
36.5
37.2
—
—
—
—
—
—
—
—
41.7
42.0
41.6
41.1
76.2
77.5
78.1
78.3
12.9
12.2
12.1
12.1
10.9
10.4
9.8
9.6
23.8
22.5
21.9
21.7
2005
2006
2007
2008
2009
34.2
32.6
32.5
32.3
35.5
3.4
3.2
3.1
3.0
2.7
0.5
0.5
0.5
0.4
0.4
—
—
—
—
—
38.1
36.4
36.1
35.7
38.6
—
—
—
—
—
—
—
—
—
—
40.9
42.8
42.8
43.6
42.1
79.0
79.2
78.9
79.3
80.7
11.6
11.6
12.0
11.8
11.2
9.4
9.2
9.1
8.9
8.1
21.0
20.8
21.1
20.7
19.3
2010
37.4
2.6
0.4
37.9
2.3
0.4
2011f
2012f
37.9
2.2
0.3
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
40.3
40.6
40.4
—
—
—
—
—
—
41.5
41.5
41.5
81.8
82.1
81.9
10.7
10.5
10.5
7.5
7.4
7.6
18.2
17.9
18.1
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Alta.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Alberta, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Year
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
76.7
91.4
104.6
118.7
172.7
247.6
276.0
301.6
335.9
374.0
324.3
367.4
406.2
454.6
546.7
3,239.1
3,537.9
3,514.4
3,645.6
4,031.0
831.3
910.6
985.5
1,184.9
1,318.8
4,070.4
4,448.5
4,499.9
4,830.6
5,349.8
2.4
2.6
3.0
3.3
4.3
29.8
30.3
30.6
28.3
28.4
8.0
8.3
9.0
9.4
10.2
1990
1991
1992
1993
1994
194.9
207.1
225.6
229.9
234.2
403.4
434.0
451.2
510.0
534.8
598.3
641.1
676.9
739.8
769.1
4,326.9
4,557.5
4,846.4
4,800.5
4,527.8
1,422.5
1,505.1
1,584.2
1,719.9
1,785.7
5,749.4
6,062.5
6,430.7
6,520.4
6,313.4
4.5
4.5
4.7
4.8
5.2
28.4
28.8
28.5
29.7
30.0
10.4
10.6
10.5
11.3
12.2
1995
1996
1997
1998
1999
241.5
262.4
287.6
315.0
374.6
552.2
601.0
673.9
718.1
798.3
793.8
863.4
961.5
1,033.2
1,172.9
4,283.5
4,466.5
4,942.0
5,354.0
6,140.2
1,809.0
1,854.2
2,140.1
2,265.9
2,561.6
6,092.5
6,320.6
7,082.1
7,619.8
8,701.7
5.6
5.9
5.8
5.9
6.1
30.5
32.4
31.5
31.7
31.2
13.0
13.7
13.6
13.6
13.5
2000
2001
2002
2003
2004
437.8
510.1
581.7
663.2
725.5
879.9
968.9
1,055.5
1,151.6
1,224.9
1,317.7
1,479.1
1,637.2
1,814.8
1,950.4
6,792.9
7,744.0
8,456.3
9,108.3
9,950.6
2,808.8
3,218.4
3,337.4
3,522.5
3,882.3
9,601.8
10,962.4
11,793.7
12,630.7
13,832.9
6.4
6.6
6.9
7.3
7.3
31.3
30.1
31.6
32.7
31.6
13.7
13.5
13.9
14.4
14.1
2005
2006
2007
2008
2009
791.7
845.8
880.6
916.0
1,104.2
1,284.1
1,478.7
1,559.8
1,647.7
1,757.5
2,075.8
2,324.5
2,440.4
2,563.7
2,861.7
11,040.8
12,157.0
13,355.9
14,849.4
15,714.6
4,129.9
4,835.8
5,118.2
5,546.5
5,821.2
15,170.7
16,992.8
18,474.1
20,395.9
21,535.8
7.2
7.0
6.6
6.2
7.0
31.1
30.6
30.5
29.7
30.2
13.7
13.7
13.2
12.6
13.3
2010
2011f
2012f
1,235.1
1,311.0
1,358.2
1,831.1
1,920.7
2,005.0
3,066.2
3,231.7
3,363.2
17,627.9
18,111.1
18,863.5
6,290.3
6,781.1
7,157.1
23,918.2
24,892.2
26,020.5
7.0
7.2
7.2
29.1
28.3
28.0
12.8
13.0
12.9
1985
1986
1987
1988
1989
—
19.1
14.5
13.5
45.5
—
11.5
9.3
11.3
11.4
—
13.3
10.6
11.9
20.3
—
9.2
-0.7
3.7
10.6
—
9.5
8.2
20.2
11.3
—
9.3
1.2
7.3
10.7
1990
1991
1992
1993
1994
12.9
6.3
8.9
1.9
1.9
7.8
7.6
4.0
13.0
4.9
9.4
7.2
5.6
9.3
4.0
7.3
5.3
6.3
-0.9
-5.7
7.9
5.8
5.3
8.6
3.8
7.5
5.4
6.1
1.4
-3.2
1995
1996
1997
1998
1999
3.1
8.6
9.6
9.5
18.9
3.3
8.8
12.1
6.6
11.2
3.2
8.8
11.4
7.5
13.5
-5.4
4.3
10.6
8.3
14.7
1.3
2.5
15.4
5.9
13.1
-3.5
3.7
12.0
7.6
14.2
2000
2001
2002
2003
2004
16.9
16.5
14.0
14.0
9.4
10.2
10.1
8.9
9.1
6.4
12.3
12.2
10.7
10.8
7.5
10.6
14.0
9.2
7.7
9.2
9.7
14.6
3.7
5.5
10.2
10.3
14.2
7.6
7.1
9.5
2005
2006
2007
2008
2009
9.1
6.8
4.1
4.0
20.5
4.8
15.2
5.5
5.6
6.7
6.4
12.0
5.0
5.1
11.6
11.0
10.1
9.9
11.2
5.8
6.4
17.1
5.8
8.4
5.0
9.7
12.0
8.7
10.4
5.6
2010
2011f
2012f
11.9
6.1
3.6
4.2
4.9
4.4
7.1
5.4
4.1
12.2
2.7
4.2
8.1
7.8
5.5
11.1
4.1
4.5
Alta.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
23.7
24.9
25.8
26.1
31.6
76.3
75.1
74.2
73.9
68.4
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
32.6
32.3
33.3
31.1
30.5
67.4
67.7
66.7
68.9
69.5
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
30.4
30.4
29.9
30.5
31.9
69.6
69.6
70.1
69.5
68.1
100.0
100.0
100.0
100.0
100.0
2000
33.2
66.8
100.0
2001
2002
2003
2004
34.5
35.5
36.5
37.2
65.5
64.5
63.5
62.8
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
38.1
36.4
36.1
35.7
38.6
61.9
63.6
63.9
64.3
61.4
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
40.3
40.6
40.4
59.7
59.4
59.6
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
57
Drug Expenditure in Canada, 1985 to 2012
Table B Alta.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Alberta, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
Alta.
Private
Out of
Pocket
1985
1986
1987
1988
1989
28.91
34.23
39.32
43.98
64.01
2.65
2.87
3.04
3.71
4.47
0.37
0.48
0.60
0.67
0.73
—
—
—
—
—
31.93
37.59
42.96
48.36
69.20
—
—
—
—
—
—
—
—
—
—
55.96
60.86
62.87
70.31
77.94
87.89
98.44
105.83
118.67
147.14
—
—
—
—
—
—
—
—
—
—
47.07
52.69
60.99
66.53
71.96
1990
1991
1992
1993
1994
70.48
72.98
78.09
77.14
77.07
5.16
5.89
6.48
7.65
8.46
0.87
1.02
1.13
1.38
1.21
—
—
—
—
—
76.52
79.89
85.70
86.18
86.74
—
—
—
—
—
—
—
—
—
—
86.00
93.03
97.53
111.35
114.58
162.51
172.92
183.24
197.53
201.32
—
—
39.22
42.82
44.18
—
—
34.62
37.01
39.28
72.36
74.37
73.84
79.83
83.46
1995
1996
1997
1998
1999
77.70
83.81
90.05
95.90
111.14
9.50
9.49
10.37
11.31
13.97
1.13
1.25
1.22
1.45
1.74
—
—
—
—
—
88.33
94.55
101.64
108.66
126.85
—
—
—
—
—
—
—
—
—
—
118.34
129.79
142.56
148.33
167.42
206.67
224.34
244.20
256.98
294.27
43.80
46.23
51.05
52.80
56.59
39.81
40.53
44.49
46.55
46.29
83.62
86.77
95.55
99.36
102.88
2000
2001
2002
2003
2004
128.81
147.55
165.33
186.05
201.62
15.00
16.82
18.51
20.52
21.13
1.88
2.52
2.81
3.22
3.39
—
—
—
—
—
145.69
166.89
186.65
209.79
226.14
—
—
—
—
—
—
—
—
—
—
185.19
202.01
220.43
238.59
249.65
330.88
368.91
407.08
448.38
475.78
57.71
62.35
63.86
69.59
73.81
49.90
52.62
54.41
56.09
58.34
107.62
114.96
118.28
125.68
132.16
2005
2006
2007
2008
2009
216.20
221.83
225.61
230.43
276.54
21.81
22.00
21.85
21.43
21.22
3.31
3.39
3.22
3.17
2.97
—
—
—
—
—
241.33
247.22
250.68
255.03
300.73
—
—
—
—
—
—
—
—
—
—
258.63
290.87
297.53
311.27
328.31
499.96
538.09
548.22
566.30
629.04
73.38
79.10
83.13
84.10
87.25
59.40
62.24
63.39
63.36
63.11
132.78
141.34
146.52
147.46
150.36
2010
2011f
2012f
307.92
324.24
330.73
21.02
19.65
18.82
3.01
2.99
2.97
—
—
—
331.94
346.89
352.52
—
—
—
—
—
—
342.06
355.19
362.66
674.00
702.08
715.18
87.94
90.08
91.39
62.10
62.94
66.37
150.04
153.02
157.76
1985
1986
1987
1988
1989
—
18.4
14.9
11.9
45.5
—
8.6
5.9
21.8
20.5
—
32.2
23.2
12.1
8.4
—
—
—
—
—
—
17.7
14.3
12.6
43.1
—
—
—
—
—
—
—
—
—
—
—
8.7
3.3
11.8
10.9
—
12.0
7.5
12.1
24.0
—
—
—
—
—
—
—
—
—
—
—
11.9
15.8
9.1
8.2
1990
1991
1992
1993
1994
10.1
3.5
7.0
-1.2
-0.1
15.6
14.0
10.1
18.0
10.5
20.1
17.5
10.2
22.3
-12.5
—
—
—
—
—
10.6
4.4
7.3
0.6
0.6
—
—
—
—
—
—
—
—
—
—
10.3
8.2
4.8
14.2
2.9
10.4
6.4
6.0
7.8
1.9
—
—
—
9.2
3.2
—
—
—
6.9
6.1
0.6
2.8
-0.7
8.1
4.5
1995
1996
1997
1998
1999
0.8
7.9
7.4
6.5
15.9
12.3
-0.2
9.3
9.1
23.5
-6.3
10.3
-2.2
18.4
20.6
—
—
—
—
—
1.8
7.0
7.5
6.9
16.7
—
—
—
—
—
—
—
—
—
—
3.3
9.7
9.8
4.0
12.9
2.7
8.6
8.9
5.2
14.5
-0.8
5.5
10.4
3.4
7.2
1.4
1.8
9.8
4.6
-0.6
0.2
3.8
10.1
4.0
3.6
(Annual Percentage Change)
2000
15.9
7.4
7.9
—
14.9
—
—
10.6
12.4
2.0
7.8
4.6
2001
14.6
12.2
33.8
—
14.6
—
—
9.1
11.5
8.0
5.4
6.8
2002
12.0
10.1
11.4
—
11.8
—
9.1
10.3
2003
12.5
10.8
14.6
—
12.4
—
—
8.2
10.1
9.0
3.1
6.3
2004
8.4
3.0
5.4
—
7.8
—
—
—
4.6
6.1
6.1
2.4
4.0
3.4
5.2
2.9
2005
2006
2007
2008
2009
7.2
2.6
1.7
2.1
20.0
3.3
0.8
-0.7
-1.9
-1.0
-2.2
2.3
-5.1
-1.6
-6.3
—
—
—
—
—
6.7
2.4
1.4
1.7
17.9
—
—
—
—
—
—
—
—
—
—
3.6
12.5
2.3
4.6
5.5
5.1
7.6
1.9
3.3
11.1
-0.6
7.8
5.1
1.2
3.7
1.8
4.8
1.9
0.0
-0.4
0.5
6.4
3.7
0.6
2.0
2010
2011f
2012f
11.3
5.3
2.0
-0.9
-6.5
-4.2
1.4
-0.5
-0.9
—
—
—
10.4
4.5
1.6
—
—
—
—
—
—
4.2
3.8
2.1
7.1
4.2
1.9
0.8
2.4
1.5
-1.6
1.4
5.4
-0.2
2.0
3.1
1985
1986
1987
1988
1989
—
15.6
10.1
7.3
41.0
—
5.8
1.1
17.3
15.9
—
29.4
18.5
7.6
3.8
—
—
—
—
—
—
14.9
9.5
8.1
38.5
—
—
—
—
—
—
—
—
—
—
—
5.9
-1.4
7.3
6.3
—
9.2
2.8
7.6
19.4
—
—
—
—
—
—
—
—
—
—
—
9.1
11.0
4.6
3.6
1990
1991
1992
1993
1994
7.1
0.8
5.7
-2.6
-1.2
12.6
11.3
8.8
16.6
9.4
17.1
14.8
8.9
20.8
-13.6
—
—
—
—
—
7.5
1.6
6.0
-0.9
-0.4
—
—
—
—
—
—
—
—
—
—
7.3
5.4
3.6
12.7
1.8
7.4
3.6
4.7
6.4
0.8
—
—
—
7.7
2.1
—
—
—
5.5
5.0
-2.5
0.0
-2.0
6.7
3.4
1995
1996
1997
1998
1999
-1.5
6.2
6.5
6.9
14.1
10.0
-1.9
8.3
9.5
21.7
-8.6
8.6
-3.2
18.8
18.8
—
—
—
—
—
-0.5
5.4
6.5
7.3
14.9
—
—
—
—
—
—
—
—
—
—
0.9
8.0
8.8
4.5
11.1
0.3
6.9
7.9
5.7
12.7
-3.2
3.9
9.4
3.9
5.4
-1.0
0.1
8.8
5.1
-2.4
-2.1
2.1
9.1
4.4
1.7
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
11.8
3.3
3.8
—
10.7
—
—
6.5
8.3
-2.1
3.7
0.5
2001
2002
2003
2004
13.2
11.0
9.6
5.8
10.8
9.0
7.9
0.4
32.4
10.4
11.7
2.8
—
—
—
—
13.2
10.8
9.5
5.2
—
—
—
—
—
—
—
—
7.7
8.1
5.3
2.0
10.1
9.3
7.2
3.5
6.7
1.4
6.1
3.5
4.1
2.4
0.2
1.4
5.5
1.8
3.4
2.6
2005
2006
2007
2008
2009
4.2
-0.2
-2.0
-2.9
22.8
0.2
-1.9
-4.4
-6.9
1.8
-5.2
-0.5
-8.8
-6.7
-3.5
—
—
—
—
—
3.7
-0.4
-2.3
-3.3
20.7
—
—
—
—
—
—
—
—
—
—
0.6
9.7
-1.4
-0.4
8.2
2.1
4.8
-1.8
-1.7
13.8
-3.6
5.0
1.4
-3.9
6.5
-1.2
2.0
-1.8
-5.1
2.4
-2.5
3.6
0.0
-4.4
4.7
2010
2011f
2012f
8.1
1.9
0.3
-4.2
-9.9
-5.9
-1.8
-3.9
-2.6
—
—
—
7.1
1.1
-0.1
—
—
—
—
—
—
0.9
0.4
0.4
3.9
0.7
0.2
-2.5
-1.0
-0.3
-4.9
-2.1
3.7
-3.5
-1.4
1.4
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
58
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Alta.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Alberta, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
31.93
37.59
42.96
48.36
69.20
103.03
113.54
123.86
136.84
149.90
134.95
151.13
166.81
185.20
219.10
1,347.98
1,455.36
1,443.08
1,485.33
1,615.48
345.94
374.58
404.68
482.78
528.50
1,693.92
1,829.95
1,847.76
1,968.11
2,143.98
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
76.52
79.89
85.70
86.18
86.74
158.36
167.40
171.37
191.18
198.04
234.87
247.29
257.08
277.36
284.78
1,698.71
1,757.86
1,840.71
1,799.67
1,676.53
558.47
580.52
601.71
644.78
661.19
2,257.18
2,338.38
2,442.42
2,444.45
2,337.72
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
88.33
94.55
101.64
108.66
126.85
201.95
216.56
238.11
247.68
270.31
290.28
311.11
339.75
356.34
397.16
1,566.45
1,609.44
1,746.27
1,846.54
2,079.12
661.54
668.13
756.21
781.48
867.37
2,227.99
2,277.57
2,502.48
2,628.02
2,946.49
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
145.69
166.89
186.65
209.79
226.14
292.81
316.98
338.71
364.28
381.80
438.50
483.87
525.36
574.06
607.94
2,260.58
2,533.41
2,713.56
2,881.11
3,101.63
934.74
1,052.90
1,070.93
1,114.22
1,210.13
3,195.32
3,586.31
3,784.49
3,995.33
4,311.76
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
241.33
247.22
250.68
255.03
300.73
391.41
432.21
444.05
458.73
478.67
632.74
679.43
694.74
713.76
779.40
3,365.36
3,553.38
3,802.19
4,134.25
4,279.94
1,258.82
1,413.46
1,457.07
1,544.23
1,585.42
4,624.18
4,966.84
5,259.26
5,678.48
5,865.36
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
331.94
346.89
352.52
492.10
508.22
520.42
824.04
855.10
872.95
4,737.49
4,792.11
4,896.17
1,690.52
1,794.25
1,857.67
6,428.01
6,586.36
6,753.84
132.08
136.61
138.96
1985
1986
1987
1988
1989
—
17.7
14.3
12.6
43.1
—
10.2
9.1
10.5
9.5
—
12.0
10.4
11.0
18.3
—
8.0
-0.8
2.9
8.8
—
8.3
8.0
19.3
9.5
—
8.0
1.0
6.5
8.9
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
10.6
4.4
7.3
0.6
0.6
5.6
5.7
2.4
11.6
3.6
7.2
5.3
4.0
7.9
2.7
5.2
3.5
4.7
-2.2
-6.8
5.7
3.9
3.7
7.2
2.5
5.3
3.6
4.4
0.1
-4.4
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
1.8
7.0
7.5
6.9
16.7
2.0
7.2
10.0
4.0
9.1
1.9
7.2
9.2
4.9
11.5
-6.6
2.7
8.5
5.7
12.6
0.1
1.0
13.2
3.3
11.0
-4.7
2.2
9.9
5.0
12.1
2.3
1.7
1.0
-0.4
1.8
2000
14.9
8.3
10.4
8.7
7.8
8.4
4.1
2001
14.6
8.3
10.3
12.1
12.6
12.2
1.4
2002
11.8
6.9
8.6
7.1
1.7
5.5
1.0
2003
12.4
7.5
9.3
6.2
4.0
5.6
2.9
2004
7.8
4.8
5.9
7.7
8.6
7.9
2.6
2005
2006
2007
2008
2009
6.7
2.4
1.4
1.7
17.9
2.5
10.4
2.7
3.3
4.3
4.1
7.4
2.3
2.7
9.2
8.5
5.6
7.0
8.7
3.5
4.0
12.3
3.1
6.0
2.7
7.2
7.4
5.9
8.0
3.3
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
10.4
4.5
1.6
2.8
3.3
2.4
5.7
3.8
2.1
10.7
1.2
2.2
6.6
6.1
3.5
9.6
2.5
2.5
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
14.9
9.5
8.1
38.5
—
7.4
4.3
6.0
5.0
—
9.2
5.6
6.5
13.7
—
5.2
-5.6
-1.6
4.2
—
5.5
3.3
14.8
4.9
—
5.2
-3.8
2.0
4.4
1990
1991
1992
1993
1994
7.5
1.6
6.0
-0.9
-0.4
2.6
3.0
1.1
10.1
2.5
4.2
2.5
2.7
6.5
1.6
2.1
0.7
3.5
-3.7
-7.9
2.6
1.2
2.4
5.7
1.4
2.3
0.8
3.2
-1.4
-5.5
1995
1996
1997
1998
1999
-0.5
5.4
6.5
7.3
14.9
-0.4
5.6
9.0
4.5
7.3
-0.4
5.5
8.2
5.3
9.6
-8.9
1.1
7.5
6.2
10.8
-2.3
-0.7
12.2
3.8
9.2
-7.0
0.6
8.9
5.5
10.3
2000
10.7
4.2
6.3
4.6
3.7
4.3
2001
2002
2003
2004
13.2
10.8
9.5
5.2
6.9
5.8
4.7
2.2
9.0
7.5
6.4
3.3
10.7
6.1
3.3
5.1
11.3
0.7
1.1
6.0
10.9
4.5
2.7
5.3
2005
2006
2007
2008
2009
3.7
-0.4
-2.3
-3.3
20.7
-0.5
7.6
-0.9
-1.7
7.1
1.1
4.6
-1.4
-2.3
12.0
5.5
2.8
3.3
3.7
6.3
1.0
9.5
-0.6
1.0
5.4
4.2
4.6
2.2
2.9
6.0
2010
2011f
2012f
7.1
1.1
-0.1
-0.5
-0.2
0.7
2.5
0.3
0.4
7.4
-2.3
0.5
3.4
2.7
1.8
6.3
-1.0
0.8
Alta.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
59
Drug Expenditure in Canada, 1985 to 2012
Table B B.C.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, British Columbia, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
B.C.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
128.5
151.4
153.5
169.8
196.5
7.8
8.6
9.2
14.0
18.0
1.4
1.5
1.7
2.0
2.1
—
—
—
—
—
137.7
161.5
164.4
185.7
216.7
—
—
—
—
—
—
—
—
—
—
121.1
105.6
134.9
159.6
188.9
258.8
267.0
299.2
345.3
405.6
—
—
—
—
—
—
—
—
—
—
157.7
178.5
207.0
219.3
232.3
1990
1991
1992
1993
1994
232.6
275.4
311.8
346.0
339.4
21.2
24.4
26.5
32.1
35.8
2.4
2.7
3.1
3.5
4.0
—
—
—
—
—
256.3
302.4
341.5
381.6
379.2
—
—
—
—
—
—
—
—
—
—
216.8
241.1
268.1
303.1
323.2
473.0
543.5
609.5
684.7
702.5
—
—
149.5
164.4
183.5
—
—
134.7
146.0
156.9
248.6
266.2
284.2
310.4
340.4
1995
1996
1997
1998
1999
349.5
379.4
418.7
457.8
515.6
40.5
44.2
45.3
49.5
54.2
4.2
3.9
4.0
5.1
5.9
—
—
—
—
—
394.1
427.5
468.0
512.4
575.7
—
—
—
—
—
—
—
—
—
—
353.5
374.9
412.2
480.0
505.7
747.6
802.4
880.2
992.4
1,081.5
186.0
192.2
196.5
208.5
226.4
163.8
166.3
172.7
185.0
196.7
349.7
358.4
369.2
393.5
423.1
2000
2001
2002
2003
2004
595.4
659.1
670.3
657.7
700.4
58.2
65.6
76.0
88.0
92.6
6.8
7.4
7.2
7.6
9.0
—
—
—
—
—
660.4
732.1
753.4
753.3
801.9
—
—
—
—
—
—
—
—
—
—
570.1
641.0
759.4
881.4
1,009.6
1,230.5
1,373.1
1,512.8
1,634.7
1,811.5
235.6
245.1
257.5
278.3
295.6
199.6
209.6
220.3
225.5
231.6
435.3
454.7
477.8
503.7
527.2
2005
2006
2007
2008
2009
750.0
793.8
825.6
856.0
883.1
96.6
101.4
104.5
107.2
109.0
9.8
10.8
11.3
12.0
11.5
—
—
—
—
—
856.3
906.0
941.4
975.2
1,003.5
—
—
—
—
—
—
—
—
—
—
1,035.5
1,224.0
1,232.4
1,375.4
1,443.7
1,891.8
2,130.0
2,173.8
2,350.6
2,447.2
299.1
308.1
286.1
292.7
308.0
239.4
244.2
221.3
224.2
231.3
538.5
552.3
507.4
516.8
539.3
2010
2011f
2012f
929.3
941.9
969.8
106.9
101.7
99.5
13.6
12.8
12.7
—
—
—
1,049.8
1,056.5
1,082.0
—
—
—
—
—
—
1,557.3
1,665.9
1,748.9
2,607.1
2,722.4
2,830.8
327.4
337.4
351.7
236.7
229.9
235.5
564.2
567.3
587.2
1985
1986
1987
1988
1989
—
17.8
1.4
10.6
15.8
—
9.6
7.3
51.5
29.1
—
4.7
15.5
16.5
9.0
—
—
—
—
—
—
17.2
1.8
13.0
16.7
—
—
—
—
—
—
—
—
—
—
—
-12.8
27.8
18.4
18.4
—
3.2
12.1
15.4
17.5
—
—
—
—
—
—
—
—
—
—
—
13.2
16.0
5.9
5.9
1990
1991
1992
1993
1994
18.3
18.4
13.2
11.0
-1.9
17.9
14.6
9.0
21.0
11.6
14.0
10.1
16.1
11.6
14.1
—
—
—
—
—
18.2
18.0
12.9
11.7
-0.6
—
—
—
—
—
—
—
—
—
—
14.7
11.3
11.2
13.1
6.6
16.6
14.9
12.1
12.3
2.6
—
—
—
10.0
11.6
—
—
—
8.4
7.4
7.1
7.1
6.8
9.2
9.7
1995
1996
1997
1998
1999
3.0
8.6
10.3
9.4
12.6
12.9
9.1
2.6
9.2
9.6
5.7
-6.0
2.1
25.6
17.2
—
—
—
—
—
3.9
8.5
9.5
9.5
12.4
—
—
—
—
—
—
—
—
—
—
9.4
6.1
10.0
16.4
5.4
6.4
7.3
9.7
12.7
9.0
1.4
3.3
2.3
6.1
8.6
4.4
1.5
3.9
7.1
6.3
2.7
2.5
3.0
6.6
7.5
2000
2001
2002
2003
2004
15.5
10.7
1.7
-1.9
6.5
7.3
12.7
15.8
15.8
5.1
15.1
8.3
-3.0
6.4
17.9
—
—
—
—
—
14.7
10.9
2.9
0.0
6.4
—
—
—
—
—
—
—
—
—
—
12.7
12.4
18.5
16.1
14.5
13.8
11.6
10.2
8.1
10.8
4.1
4.0
5.1
8.1
6.2
1.5
5.0
5.1
2.3
2.7
2.9
4.5
5.1
5.4
4.7
2005
2006
2007
2008
2009
7.1
5.8
4.0
3.7
3.2
4.3
5.0
3.1
2.6
1.7
8.8
10.4
4.9
5.7
-4.3
—
—
—
—
—
6.8
5.8
3.9
3.6
2.9
—
—
—
—
—
—
—
—
—
—
2.6
18.2
0.7
11.6
5.0
4.4
12.6
2.1
8.1
4.1
1.2
3.0
-7.2
2.3
5.2
3.3
2.0
-9.4
1.3
3.2
2.1
2.6
-8.1
1.9
4.3
2010
2011f
2012f
5.2
1.4
3.0
-1.9
-4.9
-2.2
18.29
-5.37
-0.93
—
—
—
4.6
0.6
2.4
—
—
—
—
—
—
7.9
7.0
5.0
6.5
4.4
4.0
6.3
3.0
4.2
2.3
-2.9
2.4
4.6
0.6
3.5
1985
1986
1987
1988
1989
30.9
34.0
30.3
30.1
30.8
1.9
1.9
1.8
2.5
2.8
0.3
0.3
0.3
0.3
0.3
—
—
—
—
—
33.1
36.2
32.5
32.9
34.0
—
—
—
—
—
—
—
—
—
—
29.1
23.7
26.6
28.3
29.6
62.1
59.9
59.1
61.2
63.6
—
—
—
—
—
—
—
—
—
—
37.9
40.1
40.9
38.8
36.4
1990
1991
1992
1993
1994
32.2
34.0
34.9
34.8
32.5
2.9
3.0
3.0
3.2
3.4
0.3
0.3
0.3
0.3
0.4
—
—
—
—
—
35.5
37.3
38.2
38.3
36.4
—
—
—
—
—
—
—
—
—
—
30.0
29.8
30.0
30.5
31.0
65.5
67.1
68.2
68.8
67.4
—
—
16.7
16.5
17.6
—
—
15.1
14.7
15.0
34.5
32.9
31.8
31.2
32.6
1995
1996
1997
1998
1999
31.8
32.7
33.5
33.0
34.3
3.7
3.8
3.6
3.6
3.6
0.4
0.3
0.3
0.4
0.4
—
—
—
—
—
35.9
36.8
37.5
37.0
38.3
—
—
—
—
—
—
—
—
—
—
32.2
32.3
33.0
34.6
33.6
68.1
69.1
70.5
71.6
71.9
16.9
16.6
15.7
15.0
15.0
14.9
14.3
13.8
13.4
13.1
31.9
30.9
29.5
28.4
28.1
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
60
2000
35.7
3.5
0.4
—
39.6
—
—
34.2
73.9
14.1
12.0
26.1
2001
2002
2003
2004
36.1
33.7
30.8
29.9
3.6
3.8
4.1
4.0
0.4
0.4
0.4
0.4
—
—
—
—
40.1
37.8
35.2
34.3
—
—
—
—
—
—
—
—
35.1
38.1
41.2
43.2
75.1
76.0
76.4
77.5
13.4
12.9
13.0
12.6
11.5
11.1
10.5
9.9
24.9
24.0
23.6
22.5
2005
2006
2007
2008
2009
30.9
29.6
30.8
29.9
29.6
4.0
3.8
3.9
3.7
3.6
0.4
0.4
0.4
0.4
0.4
—
—
—
—
—
35.2
33.8
35.1
34.0
33.6
—
—
—
—
—
—
—
—
—
—
42.6
45.6
46.0
48.0
48.3
77.8
79.4
81.1
82.0
81.9
12.3
11.5
10.7
10.2
10.3
9.9
9.1
8.3
7.8
7.7
22.2
20.6
18.9
18.0
18.1
2010
29.3
3.4
0.43
28.6
3.1
0.39
2011f
2012f
28.4
2.9
0.37
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
—
—
—
33.1
32.1
31.7
—
—
—
—
—
—
49.1
50.6
51.2
82.2
82.8
82.8
10.3
10.3
10.3
7.5
7.0
6.9
17.8
17.2
17.2
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B B.C.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, British Columbia, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Year
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
137.7
161.5
164.4
185.7
216.7
278.8
284.1
341.9
378.9
421.2
416.5
445.6
506.3
564.6
637.9
3,410.8
3,666.9
3,896.4
4,242.0
4,736.8
1,227.1
1,317.2
1,444.9
1,597.1
1,773.0
4,637.9
4,984.1
5,341.3
5,839.1
6,509.7
4.0
4.4
4.2
4.4
4.6
22.7
21.6
23.7
23.7
23.8
9.0
8.9
9.5
9.7
9.8
1990
1991
1992
1993
1994
256.3
302.4
341.5
381.6
379.2
465.4
507.3
552.2
613.5
663.6
721.7
809.7
893.7
995.1
1,042.9
5,390.4
5,967.8
6,478.5
6,870.4
7,238.1
1,986.0
2,159.5
2,291.2
2,427.0
2,533.2
7,376.3
8,127.4
8,769.7
9,297.4
9,771.3
4.8
5.1
5.3
5.6
5.2
23.4
23.5
24.1
25.3
26.2
9.8
10.0
10.2
10.7
10.7
1995
1996
1997
1998
1999
394.1
427.5
468.0
512.4
575.7
703.2
733.3
781.4
873.5
928.8
1,097.3
1,160.9
1,249.4
1,385.9
1,504.6
7,538.9
7,688.7
7,942.6
8,304.5
8,969.4
2,574.3
2,689.4
2,889.4
3,109.8
3,310.3
10,113.2
10,378.1
10,832.0
11,414.3
12,279.7
5.2
5.6
5.9
6.2
6.4
27.3
27.3
27.0
28.1
28.1
10.9
11.2
11.5
12.1
12.3
2000
2001
2002
2003
2004
660.4
732.1
753.4
753.3
801.9
1,005.4
1,095.7
1,237.2
1,385.1
1,536.8
1,665.8
1,827.7
1,990.6
2,138.4
2,338.7
9,825.8
10,819.7
11,452.1
11,924.8
12,228.9
3,586.8
3,860.3
4,218.0
4,466.5
4,893.7
13,412.6
14,680.1
15,670.2
16,391.3
17,122.6
6.7
6.8
6.6
6.3
6.6
28.0
28.4
29.3
31.0
31.4
12.4
12.5
12.7
13.0
13.7
2005
2006
2007
2008
2009
856.3
906.0
941.4
975.2
1,003.5
1,574.0
1,776.3
1,739.7
1,892.2
1,983.0
2,430.3
2,682.3
2,681.2
2,867.4
2,986.5
12,999.4
13,542.1
14,361.5
15,682.4
16,312.4
5,098.4
5,902.5
5,915.1
6,611.5
6,673.1
18,097.9
19,444.6
20,276.6
22,293.9
22,985.5
6.6
6.7
6.6
6.2
6.2
30.9
30.1
29.4
28.6
29.7
13.4
13.8
13.2
12.9
13.0
2010
2011f
2012f
1,049.8
1,056.5
1,082.0
2,121.5
2,233.2
2,336.1
3,171.3
3,289.7
3,418.0
17,154.2
17,662.2
18,292.7
7,242.1
7,793.6
8,192.9
24,396.2
25,455.9
26,485.6
6.1
6.0
5.9
29.3
28.7
28.5
13.0
12.9
12.9
1985
1986
1987
1988
1989
—
17.2
1.8
13.0
16.7
—
1.9
20.3
10.8
11.2
—
7.0
13.6
11.5
13.0
—
7.5
6.3
8.9
11.7
—
7.3
9.7
10.5
11.0
—
7.5
7.2
9.3
11.5
1990
1991
1992
1993
1994
18.2
18.0
12.9
11.7
-0.6
10.5
9.0
8.9
11.1
8.2
13.1
12.2
10.4
11.3
4.8
13.8
10.7
8.6
6.0
5.4
12.0
8.7
6.1
5.9
4.4
13.3
10.2
7.9
6.0
5.1
1995
1996
1997
1998
1999
3.9
8.5
9.5
9.5
12.4
6.0
4.3
6.6
11.8
6.3
5.2
5.8
7.6
10.9
8.6
4.2
2.0
3.3
4.6
8.0
1.6
4.5
7.4
7.6
6.4
3.5
2.6
4.4
5.4
7.6
2000
2001
2002
2003
2004
14.7
10.9
2.9
0.0
6.4
8.2
9.0
12.9
12.0
11.0
10.7
9.7
8.9
7.4
9.4
9.5
10.1
5.8
4.1
2.6
8.4
7.6
9.3
5.9
9.6
9.2
9.4
6.7
4.6
4.5
2005
2006
2007
2008
2009
6.8
5.8
3.9
3.6
2.9
2.4
12.9
-2.1
8.8
4.8
3.9
10.4
0.0
6.9
4.2
6.3
4.2
6.1
9.2
4.0
4.2
15.8
0.2
11.8
0.9
5.7
7.4
4.3
9.9
3.1
2010
2011f
2012f
4.6
0.6
2.4
7.0
5.3
4.6
6.2
3.7
3.9
5.2
3.0
3.6
8.5
7.6
5.1
6.1
4.3
4.0
B.C.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
33.1
36.2
32.5
32.9
34.0
66.9
63.8
67.5
67.1
66.0
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
35.5
37.3
38.2
38.3
36.4
64.5
62.7
61.8
61.7
63.6
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
35.9
36.8
37.5
37.0
38.3
64.1
63.2
62.5
63.0
61.7
100.0
100.0
100.0
100.0
100.0
2000
39.6
60.4
100.0
2001
2002
2003
2004
40.1
37.8
35.2
34.3
59.9
62.2
64.8
65.7
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
35.2
33.8
35.1
34.0
33.6
64.8
66.2
64.9
66.0
66.4
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
33.1
32.1
31.7
66.9
67.9
68.3
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
61
Drug Expenditure in Canada, 1985 to 2012
Table B B.C.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, British Columbia, 1985 to 2012
Prescribed Drugs
Provincial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
B.C.
Private
Out of
Pocket
1985
1986
1987
1988
1989
43.21
50.41
50.32
54.50
61.46
2.63
2.86
3.02
4.48
5.64
0.47
0.49
0.55
0.63
0.67
—
—
—
—
—
46.31
53.75
53.89
59.62
67.77
—
—
—
—
—
—
—
—
—
—
40.72
35.14
44.21
51.23
59.07
87.03
88.89
98.11
110.85
126.84
—
—
—
—
—
—
—
—
—
—
53.01
59.43
67.88
70.39
72.63
1990
1991
1992
1993
1994
70.67
81.63
89.90
96.98
92.34
6.46
7.22
7.65
9.01
9.75
0.74
0.79
0.90
0.97
1.08
—
—
—
—
—
77.87
89.64
98.45
106.96
103.18
—
—
—
—
—
—
—
—
—
—
65.87
71.48
77.29
84.97
87.94
143.74
161.12
175.73
191.93
191.11
—
—
43.10
46.07
49.92
—
—
38.83
40.93
42.69
75.56
78.90
81.93
87.01
92.60
1995
1996
1997
1998
1999
92.52
97.94
106.03
114.95
128.53
10.72
11.40
11.47
12.42
13.52
1.11
1.02
1.02
1.27
1.48
—
—
—
—
—
104.35
110.35
118.52
128.63
143.52
—
—
—
—
—
—
—
—
—
—
93.59
96.76
104.40
120.51
126.07
197.94
207.12
222.92
249.15
269.60
49.24
49.60
49.77
52.34
56.44
43.36
42.91
43.73
46.45
49.04
92.59
92.51
93.50
98.79
105.48
2000
2001
2002
2003
2004
147.40
161.60
162.87
158.27
166.60
14.41
16.09
18.47
21.19
22.02
1.69
1.81
1.74
1.83
2.14
—
—
—
—
—
163.50
179.50
183.07
181.29
190.76
—
—
—
—
—
—
—
—
—
—
141.14
157.17
184.53
212.11
240.15
304.64
336.66
367.60
393.40
430.91
58.34
60.09
62.57
66.96
70.31
49.42
51.39
53.53
54.26
55.10
107.76
111.48
116.10
121.22
125.41
2005
2006
2007
2008
2009
176.04
187.07
191.58
195.26
198.01
22.66
23.89
24.24
24.45
24.44
2.29
2.54
2.63
2.73
2.57
—
—
—
—
—
201.00
213.50
218.45
222.44
225.01
—
—
—
—
—
—
—
—
—
—
243.07
288.43
285.96
313.72
323.70
444.07
501.93
504.41
536.16
548.71
70.20
72.61
66.38
66.75
69.06
56.19
57.55
51.35
51.14
51.87
126.39
130.16
117.73
117.89
120.92
2010
2011f
2012f
205.16
205.97
208.72
23.61
22.24
21.41
2.99
2.80
2.73
—
—
—
231.76
231.01
232.87
—
—
—
—
—
—
343.80
364.26
376.41
575.56
595.27
609.28
72.28
73.77
75.70
52.27
50.27
50.69
124.55
124.04
126.38
1985
1986
1987
1988
1989
—
16.7
-0.2
8.3
12.8
—
8.5
5.7
48.3
25.7
—
3.7
13.7
14.1
6.2
—
—
—
—
—
—
16.1
0.3
10.6
13.7
—
—
—
—
—
—
—
—
—
—
—
-13.7
25.8
15.9
15.3
—
2.1
10.4
13.0
14.4
—
—
—
—
—
—
—
—
—
—
—
12.1
14.2
3.7
3.2
1990
1991
1992
1993
1994
15.0
15.5
10.1
7.9
-4.8
14.5
11.8
6.0
17.7
8.3
10.8
7.4
12.9
8.5
10.7
—
—
—
—
—
14.9
15.1
9.8
8.6
-3.5
—
—
—
—
—
—
—
—
—
—
11.5
8.5
8.1
9.9
3.5
13.3
12.1
9.1
9.2
-0.4
—
—
—
6.9
8.3
—
—
—
5.4
4.3
4.0
4.4
3.8
6.2
6.4
1995
1996
1997
1998
1999
0.2
5.9
8.3
8.4
11.8
9.9
6.4
0.6
8.2
8.9
2.8
-8.4
0.2
24.5
16.4
—
—
—
—
—
1.1
5.8
7.4
8.5
11.6
—
—
—
—
—
—
—
—
—
—
6.4
3.4
7.9
15.4
4.6
3.6
4.6
7.6
11.8
8.2
-1.4
0.7
0.3
5.2
7.8
1.6
-1.0
1.9
6.2
5.6
0.0
-0.1
1.1
5.7
6.8
2000
14.7
6.6
14.3
—
13.9
—
—
11.9
13.0
3.4
0.8
2.2
2001
9.6
11.6
7.3
—
9.8
—
—
11.4
10.5
3.0
4.0
3.4
2002
0.8
14.8
-3.9
—
2.0
—
—
17.4
9.2
4.1
4.2
4.1
2003
-2.8
14.7
5.3
—
-1.0
—
—
14.9
7.0
7.0
1.3
4.4
2004
5.3
3.9
16.6
—
5.2
—
—
13.2
9.5
5.0
1.6
3.5
2005
2006
2007
2008
2009
5.7
6.3
2.4
1.9
1.4
2.9
5.4
1.5
0.9
-0.1
7.3
10.9
3.3
3.9
-5.9
—
—
—
—
—
5.4
6.2
2.3
1.8
1.2
—
—
—
—
—
—
—
—
—
—
1.2
18.7
-0.9
9.7
3.2
3.1
13.0
0.5
6.3
2.3
-0.2
3.4
-8.6
0.6
3.5
2.0
2.4
-10.8
-0.4
1.4
0.8
3.0
-9.6
0.1
2.6
2010
2011f
2012f
3.6
0.4
1.3
-3.4
-5.8
-3.7
16.47
-6.28
-2.48
—
—
—
3.0
-0.3
0.8
—
—
—
—
—
—
6.2
6.0
3.3
4.9
3.4
2.4
4.7
2.1
2.6
0.8
-3.8
0.8
3.0
-0.4
1.9
1985
1986
1987
1988
1989
—
13.9
-4.9
3.8
8.2
—
5.7
1.0
43.8
21.2
—
0.9
9.0
9.6
1.6
—
—
—
—
—
—
13.3
-4.5
6.1
9.1
—
—
—
—
—
—
—
—
—
—
—
-16.5
21.1
11.4
10.7
—
-0.7
5.6
8.5
9.9
—
—
—
—
—
—
—
—
—
—
—
9.3
9.5
-0.8
-1.4
1990
1991
1992
1993
1994
12.0
12.7
8.9
6.4
-5.9
11.5
9.0
4.8
16.3
7.2
7.8
4.6
11.6
7.0
9.6
—
—
—
—
—
11.9
12.4
8.6
7.2
-4.6
—
—
—
—
—
—
—
—
—
—
8.5
5.8
6.9
8.5
2.4
10.3
9.3
7.8
7.8
-1.5
—
—
—
5.5
7.2
—
—
—
4.0
3.2
1.0
1.7
2.6
4.8
5.3
1995
1996
1997
1998
1999
-2.1
4.2
7.3
8.8
10.0
7.6
4.7
-0.4
8.7
7.1
0.5
-10.1
-0.8
25.0
14.6
—
—
—
—
—
-1.2
4.1
6.4
9.0
9.8
—
—
—
—
—
—
—
—
—
—
4.1
1.7
6.9
15.9
2.8
1.2
3.0
6.6
12.2
6.4
-3.7
-0.9
-0.7
5.6
6.0
-0.8
-2.7
0.9
6.7
3.8
-2.3
-1.8
0.1
6.1
5.0
2000
10.6
2.5
10.2
—
9.8
—
—
7.8
8.9
-0.7
-3.3
-1.9
2001
2002
2003
2004
8.3
-0.3
-5.7
2.7
10.3
13.8
11.8
1.3
5.9
-4.9
2.4
14.0
—
—
—
—
8.4
0.9
-3.9
2.6
—
—
—
—
—
—
—
—
10.0
16.4
12.1
10.6
9.2
8.1
4.1
6.9
1.6
3.1
4.1
2.4
2.6
3.1
-1.5
-1.0
2.1
3.1
1.5
0.9
2005
2006
2007
2008
2009
2.7
3.5
-1.3
-3.1
4.2
-0.1
2.6
-2.2
-4.2
2.7
4.3
8.1
-0.4
-1.1
-3.2
—
—
—
—
—
2.4
3.4
-1.4
-3.2
3.9
—
—
—
—
—
—
—
—
—
—
-1.8
15.9
-4.5
4.7
5.9
0.0
10.2
-3.2
1.3
5.1
-3.2
0.6
-12.3
-4.5
6.2
-1.0
-0.4
-14.4
-5.4
4.2
-2.2
0.2
-13.2
-4.9
5.3
2010
2011f
2012f
0.3
-3.0
-0.4
-6.7
-9.2
-5.4
13.20
-9.70
-4.20
—
—
—
-0.3
-3.8
-0.9
—
—
—
—
—
—
2.9
2.5
1.6
1.6
0.0
0.6
1.4
-1.4
0.9
-2.5
-7.2
-0.9
-0.3
-3.8
0.2
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
* Confidentiality precludes reporting provincial-level insurance data.
f: forecast.
62
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B B.C.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, British Columbia, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
46.31
53.75
53.89
59.62
67.77
93.73
94.57
112.09
121.62
131.70
140.04
148.32
165.99
181.24
199.47
1,146.76
1,220.62
1,277.43
1,361.65
1,481.22
412.58
438.48
473.72
512.66
554.42
1,559.34
1,659.09
1,751.15
1,874.31
2,035.64
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
77.87
89.64
98.45
106.96
103.18
141.42
150.38
159.22
171.97
180.54
219.29
240.03
257.66
278.93
283.72
1,638.00
1,769.05
1,867.85
1,925.89
1,969.18
603.48
640.15
660.58
680.33
689.18
2,241.49
2,409.20
2,528.43
2,606.22
2,658.36
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
104.35
110.35
118.52
128.63
143.52
186.18
189.28
197.90
219.30
231.55
290.53
299.63
316.42
347.94
375.08
1,996.01
1,984.56
2,011.53
2,084.94
2,236.02
681.57
694.17
731.75
780.76
825.22
2,677.58
2,678.72
2,743.29
2,865.71
3,061.24
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
163.50
179.50
183.07
181.29
190.76
248.90
268.64
300.63
333.33
365.57
412.40
448.14
483.70
514.61
556.32
2,432.62
2,652.91
2,782.74
2,869.73
2,909.00
887.99
946.52
1,024.93
1,074.87
1,164.12
3,320.61
3,599.43
3,807.68
3,944.61
4,073.12
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
201.00
213.50
218.45
222.44
225.01
369.46
418.59
403.69
431.61
444.62
570.46
632.09
622.14
654.05
669.64
3,051.34
3,191.19
3,332.42
3,577.15
3,657.53
1,196.74
1,390.93
1,372.54
1,508.08
1,496.23
4,248.08
4,582.13
4,704.96
5,085.23
5,153.76
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
231.76
231.01
232.87
468.35
488.30
502.79
700.11
719.31
735.66
3,787.06
3,862.02
3,937.10
1,598.81
1,704.15
1,763.34
5,385.87
5,566.17
5,700.44
132.1
136.6
139.0
1985
1986
1987
1988
1989
—
16.1
0.3
10.6
13.7
—
0.9
18.5
8.5
8.3
—
5.9
11.9
9.2
10.1
—
6.4
4.7
6.6
8.8
—
6.3
8.0
8.2
8.1
—
6.4
5.5
7.0
8.6
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
14.9
15.1
9.8
8.6
-3.5
7.4
6.3
5.9
8.0
5.0
9.9
9.5
7.3
8.3
1.7
10.6
8.0
5.6
3.1
2.2
8.8
6.1
3.2
3.0
1.3
10.1
7.5
4.9
3.1
2.0
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
1.1
5.8
7.4
8.5
11.6
3.1
1.7
4.6
10.8
5.6
2.4
3.1
5.6
10.0
7.8
1.4
-0.6
1.4
3.6
7.2
-1.1
1.8
5.4
6.7
5.7
0.7
0.0
2.4
4.5
6.8
2.3
1.7
1.0
-0.4
1.8
2000
13.9
7.5
9.9
8.8
7.6
8.5
4.1
2001
9.8
7.9
8.7
9.1
6.6
8.4
2002
2.0
11.9
7.9
4.9
8.3
5.8
1.0
2003
-1.0
10.9
6.4
3.1
4.9
3.6
2.9
2004
5.2
9.7
8.1
1.4
8.3
3.3
2.6
2005
2006
2007
2008
2009
5.4
6.2
2.3
1.8
1.2
1.1
13.3
-3.6
6.9
3.0
2.5
10.8
-1.6
5.1
2.4
4.9
4.6
4.4
7.3
2.2
2.8
16.2
-1.3
9.9
-0.8
4.3
7.9
2.7
8.1
1.3
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
3.0
-0.3
0.8
5.3
4.3
3.0
4.6
2.7
2.3
3.5
2.0
1.9
6.9
6.6
3.5
4.5
3.3
2.4
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
13.3
-4.5
6.1
9.1
—
-1.9
13.8
4.0
3.7
—
3.1
7.2
4.7
5.5
—
3.6
-0.1
2.1
4.2
—
3.5
3.3
3.7
3.6
—
3.6
0.8
2.5
4.0
1990
1991
1992
1993
1994
11.9
12.4
8.6
7.2
-4.6
4.4
3.6
4.6
6.6
3.9
6.9
6.7
6.1
6.8
0.6
7.6
5.2
4.3
1.7
1.1
5.8
3.3
1.9
1.6
0.2
7.1
4.7
3.7
1.6
0.9
1995
1996
1997
1998
1999
-1.2
4.1
6.4
9.0
9.8
0.8
0.0
3.6
11.3
3.8
0.1
1.5
4.6
10.4
6.0
-1.0
-2.2
0.4
4.1
5.4
-3.4
0.2
4.4
7.1
3.9
-1.6
-1.6
1.4
4.9
5.0
2000
9.8
3.4
5.8
4.7
3.5
4.4
2001
2002
2003
2004
8.4
0.9
-3.9
2.6
6.6
10.9
8.0
7.1
7.3
6.9
3.5
5.5
7.7
3.8
0.2
-1.2
5.2
7.2
2.0
5.7
7.0
4.7
0.7
0.7
2005
2006
2007
2008
2009
2.4
3.4
-1.4
-3.2
3.9
-1.9
10.5
-7.2
1.9
5.8
-0.5
8.0
-5.3
0.1
5.1
1.9
1.8
0.7
2.3
5.0
-0.2
13.4
-5.0
4.9
2.0
1.3
5.1
-1.0
3.1
4.1
2010
2011f
2012f
-0.3
-3.8
-0.9
2.1
0.8
1.3
1.3
-0.7
0.6
0.3
-1.5
0.2
3.6
3.2
1.8
1.2
-0.1
0.7
B.C.
(Annual Percentage Change)
1.4
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
63
Drug Expenditure in Canada, 1985 to 2012
Table B Y.T.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Yukon, 1985 to 2012
Prescribed Drugs
Territorial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
Y.T.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
0.2
0.3
0.7
1.0
1.2
0.3
0.3
0.4
0.6
0.8
0.0
0.0
0.0
0.0
0.0
—
—
—
—
—
0.5
0.7
1.1
1.7
2.1
—
—
—
—
—
—
—
—
—
—
1.3
1.2
1.2
1.0
1.0
1.8
1.9
2.3
2.7
3.1
—
—
—
—
—
—
—
—
—
—
1.3
1.3
1.2
1.1
1.1
1990
1991
1992
1993
1994
1.3
1.6
2.0
2.3
2.1
1.0
1.2
1.3
1.5
1.7
0.0
0.0
0.0
0.0
0.0
—
—
—
—
—
2.3
2.8
3.4
3.8
3.8
—
—
—
—
—
—
—
—
—
—
1.0
1.2
1.2
2.3
1.6
3.3
4.0
4.5
6.1
5.4
—
—
1.2
1.3
1.4
—
—
1.1
1.1
1.1
1.0
1.3
2.3
2.4
2.4
1995
1996
1997
1998
1999
1.5
1.5
1.9
2.2
2.7
1.8
1.9
2.0
2.1
3.1
0.0
0.0
0.0
0.0
0.0
—
—
—
—
—
3.4
3.4
4.0
4.4
5.8
—
—
—
—
—
—
—
—
—
—
1.7
2.2
3.4
2.9
3.0
5.1
5.6
7.4
7.3
8.8
1.4
1.7
1.7
1.8
1.9
1.2
1.5
1.5
1.6
1.7
2.6
3.1
3.3
3.4
3.6
2000
2001
2002
2003
2004
3.3
3.9
4.5
5.1
5.9
3.0
3.0
3.5
3.8
3.8
0.1
0.1
0.1
0.1
0.1
—
—
—
—
—
6.4
7.0
8.1
9.0
9.8
—
—
—
—
—
—
—
—
—
—
3.2
3.6
3.9
4.8
4.9
9.6
10.5
12.1
13.8
14.7
1.9
2.0
2.0
2.2
2.4
2.0
2.1
2.1
1.9
2.0
3.9
4.0
4.1
4.1
4.3
2005
2006
2007
2008
2009
6.5
7.2
7.0
7.6
8.1
4.1
4.2
5.0
4.6
4.7
0.1
0.1
0.1
0.1
0.1
—
—
—
—
—
10.7
11.5
12.1
12.4
12.9
—
—
—
—
—
—
—
—
—
—
5.2
5.9
6.6
6.5
7.5
15.9
17.3
18.7
18.9
20.4
2.5
2.7
2.5
2.6
2.7
2.0
2.2
2.0
2.0
2.0
4.4
4.9
4.5
4.6
4.7
2010
2011f
2012f
8.4
7.5
7.3
5.1
4.9
4.8
0.1
0.1
0.1
—
—
—
13.7
12.5
12.1
—
—
—
—
—
—
8.0
8.5
9.0
21.6
21.0
21.1
2.7
2.8
2.9
2.0
2.1
2.1
4.7
4.8
5.0
1985
1986
1987
1988
1989
—
53.7
126.4
41.8
15.4
—
10.9
6.7
72.7
37.4
—
-18.3
32.5
32.5
-42.2
—
—
—
—
—
—
27.7
65.5
51.6
23.0
—
—
—
—
—
—
—
—
—
—
—
-6.2
-2.6
-13.2
-0.3
—
3.5
21.4
18.0
14.1
—
—
—
—
—
—
—
—
—
—
—
-5.0
-1.6
-12.6
0.2
1990
1991
1992
1993
1994
5.9
26.2
23.5
13.2
-8.4
17.1
16.5
15.7
14.3
10.1
98.0
-54.9
303.9
-7.9
-5.0
—
—
—
—
—
10.8
21.5
21.0
13.5
-1.0
—
—
—
—
—
—
—
—
—
—
-6.5
25.0
-4.1
95.5
-29.3
5.1
22.5
13.4
34.5
-11.5
—
—
—
6.7
4.3
—
—
—
2.4
-0.1
-6.2
25.2
77.9
4.7
2.3
1995
1996
1997
1998
1999
-26.3
-2.3
26.0
17.8
21.9
9.1
3.8
7.0
4.0
44.5
42.5
4.8
-2.3
-0.1
27.1
—
—
—
—
—
-10.1
1.1
15.2
10.5
32.9
—
—
—
—
—
—
—
—
—
—
8.0
27.6
55.4
-15.6
4.6
-4.7
10.0
30.9
-1.6
21.6
2.1
19.9
3.3
3.3
7.5
13.0
20.2
3.9
4.6
4.7
7.0
20.0
3.6
3.9
6.2
2000
2001
2002
2003
2004
21.4
17.7
17.6
12.1
15.0
-0.9
0.4
14.9
10.0
-1.2
6.6
64.3
15.3
6.9
3.1
—
—
—
—
—
9.6
9.8
16.4
11.1
8.0
—
—
—
—
—
—
—
—
—
—
6.1
10.7
10.8
20.7
3.0
8.4
10.1
14.5
14.3
6.3
-2.0
5.9
2.9
9.0
6.8
22.0
0.5
1.7
-10.4
4.3
9.2
3.1
2.3
-0.8
5.7
2005
2006
2007
2008
2009
11.1
10.2
-2.9
9.7
5.5
8.7
1.2
19.6
-7.2
1.7
-2.0
4.6
-2.9
42.9
-28.4
—
—
—
—
—
10.0
6.7
5.3
3.0
3.7
—
—
—
—
—
—
—
—
—
—
5.1
13.7
13.1
-2.4
15.3
8.4
9.0
7.9
1.1
7.7
3.6
10.2
-6.2
2.7
3.2
0.7
11.6
-9.1
1.8
0.0
2.3
10.8
-7.5
2.3
1.8
2010
2011f
2012f
4.5
-11.1
-2.5
8.8
-4.8
-2.7
-6.33
-10.64
-2.38
—
—
—
6.0
-8.8
-2.6
—
—
—
—
—
—
6.5
6.9
5.3
6.2
-3.0
0.6
-0.5
3.9
2.6
0.2
1.4
2.9
-0.2
2.8
2.7
1985
1986
1987
1988
1989
6.7
10.3
20.9
27.6
28.9
9.5
10.6
10.0
16.2
20.2
0.3
0.3
0.3
0.4
0.2
—
—
—
—
—
16.6
21.2
31.2
44.1
49.3
—
—
—
—
—
—
—
—
—
—
41.3
38.8
33.6
27.2
24.6
57.8
59.9
64.9
71.4
73.9
—
—
—
—
—
—
—
—
—
—
42.2
40.1
35.1
28.6
26.1
1990
1991
1992
1993
1994
30.0
30.7
29.4
26.7
26.5
23.1
21.9
19.6
18.0
21.5
0.4
0.1
0.4
0.3
0.3
—
—
—
—
—
53.5
52.7
49.4
45.1
48.3
—
—
—
—
—
—
—
—
—
—
22.6
22.9
17.0
26.7
20.5
76.1
75.7
66.5
71.8
68.8
—
—
17.9
15.4
17.4
—
—
15.6
12.8
13.9
23.9
24.3
33.5
28.2
31.2
1995
1996
1997
1998
1999
19.8
17.0
17.7
20.8
21.8
23.7
21.7
19.1
19.9
24.6
0.5
0.4
0.4
0.3
0.4
—
—
—
—
—
43.9
39.1
37.2
41.1
46.7
—
—
—
—
—
—
—
—
—
—
22.3
25.1
32.3
27.2
24.4
66.2
64.3
69.4
68.3
71.1
17.9
18.9
16.2
16.7
15.4
15.9
16.8
14.4
15.1
13.5
33.8
35.7
30.6
31.7
28.9
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
64
2000
24.3
22.5
0.4
—
47.2
—
—
23.8
71.0
13.9
15.2
29.0
2001
2002
2003
2004
26.5
28.0
28.5
30.9
20.8
21.6
21.5
20.0
0.6
0.6
0.6
0.6
—
—
—
—
47.9
50.2
50.5
51.4
—
—
—
—
—
—
—
—
24.4
24.3
26.6
25.8
72.3
74.5
77.1
77.2
13.6
12.6
12.4
12.5
14.1
12.9
10.5
10.3
27.7
25.5
22.9
22.8
2005
2006
2007
2008
2009
32.0
32.3
30.0
32.5
32.1
20.3
18.8
21.5
19.7
18.8
0.5
0.5
0.5
0.6
0.4
—
—
—
—
—
52.9
51.6
51.9
52.8
51.4
—
—
—
—
—
—
—
—
—
—
25.4
26.4
28.5
27.5
29.8
78.2
77.9
80.5
80.3
81.2
12.1
12.2
10.9
11.1
10.7
9.7
9.9
8.6
8.6
8.1
21.8
22.1
19.5
19.7
18.8
2010
32.0
19.5
0.38
29.0
18.9
0.35
2011f
2012f
28.0
18.2
0.34
* Confidentiality precludes reporting territorial-level insurance data.
f: forecast.
—
—
—
51.9
48.3
46.6
—
—
—
—
—
—
30.2
32.9
34.3
82.1
81.2
80.9
10.2
10.8
10.9
7.7
8.0
8.2
17.9
18.8
19.1
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Y.T.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Yukon, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Year
Health Expenditure
Private
Public
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
0.5
0.7
1.1
1.7
2.1
2.6
2.5
2.4
2.1
2.1
3.2
3.2
3.5
3.8
4.2
32.9
37.0
39.1
40.6
44.2
6.8
5.6
5.6
5.2
5.3
39.7
42.6
44.7
45.8
49.5
1.6
1.8
2.8
4.1
4.7
38.9
44.4
43.3
40.8
40.3
8.0
7.4
7.9
8.3
8.5
1990
1991
1992
1993
1994
2.3
2.8
3.4
3.8
3.8
2.0
2.5
3.4
4.7
4.0
4.3
5.3
6.8
8.5
7.8
48.5
56.5
60.6
69.5
84.1
5.0
6.1
6.9
10.6
9.9
53.6
62.6
67.5
80.1
94.0
4.7
4.9
5.6
5.5
4.5
39.6
41.0
49.7
44.1
40.7
8.0
8.4
10.1
10.6
8.3
1995
1996
1997
1998
1999
3.4
3.4
4.0
4.4
5.8
4.3
5.3
6.7
6.3
6.6
7.7
8.8
10.6
10.6
12.4
85.2
92.0
86.0
87.8
92.4
10.5
18.2
17.3
16.3
16.9
95.8
110.2
103.3
104.1
109.2
4.0
3.7
4.6
5.0
6.3
41.2
29.3
38.7
38.4
39.2
8.1
8.0
10.3
10.2
11.4
2000
2001
2002
2003
2004
6.4
7.0
8.1
9.0
9.8
7.1
7.6
8.1
8.9
9.2
13.5
14.6
16.2
17.9
19.0
98.4
115.3
122.3
124.0
132.0
24.7
27.5
33.2
32.3
35.5
123.2
142.7
155.5
156.3
167.5
6.5
6.1
6.7
7.3
7.4
28.8
27.7
24.3
27.4
26.0
11.0
10.2
10.4
11.4
11.3
2005
2006
2007
2008
2009
10.7
11.5
12.1
12.4
12.9
9.6
10.8
11.2
11.1
12.2
20.3
22.2
23.2
23.5
25.1
148.7
173.9
175.5
187.2
222.7
36.6
39.6
51.9
50.3
56.0
185.3
213.5
227.5
237.6
278.7
7.2
6.6
6.9
6.6
5.8
26.2
27.2
21.5
22.1
21.8
11.0
10.4
10.2
9.9
9.0
2010
2011f
2012f
13.7
12.5
12.1
12.7
13.4
13.9
26.3
25.8
26.1
228.8
247.6
242.7
60.5
65.5
70.0
289.3
313.1
312.7
6.0
5.0
5.0
20.9
20.4
19.9
9.1
8.2
8.3
1985
1986
1987
1988
1989
—
27.7
65.5
51.6
23.0
—
-5.6
-2.1
-12.9
-0.1
—
-0.1
12.2
7.3
10.1
—
12.3
5.8
3.8
9.1
—
-17.3
0.4
-7.5
1.2
—
7.2
5.1
2.3
8.2
1990
1991
1992
1993
1994
10.8
21.5
21.0
13.5
-1.0
-6.3
25.1
38.2
35.3
-13.1
2.1
23.2
29.1
24.5
-7.6
9.7
16.4
7.2
14.7
20.9
-4.8
20.9
14.1
52.5
-6.0
8.2
16.8
7.9
18.6
17.4
1995
1996
1997
1998
1999
-10.1
1.1
15.2
10.5
32.9
7.4
23.0
25.0
-6.1
5.5
-1.1
13.4
21.2
0.1
16.7
1.4
7.9
-6.5
2.0
5.2
6.1
73.0
-5.2
-5.4
3.2
1.9
15.1
-6.3
0.8
4.9
2000
2001
2002
2003
2004
9.6
9.8
16.4
11.1
8.0
7.8
6.5
6.3
9.7
4.2
8.6
8.1
11.1
10.4
6.1
6.5
17.1
6.1
1.4
6.4
46.7
10.9
20.8
-2.6
10.0
12.7
15.9
8.9
0.5
7.2
2005
2006
2007
2008
2009
10.0
6.7
5.3
3.0
3.7
3.8
12.4
3.7
-0.5
9.7
7.0
9.4
4.5
1.3
6.5
12.7
16.9
0.9
6.6
18.9
2.9
8.3
31.2
-3.0
11.3
10.6
15.2
6.6
4.4
17.3
2010
2011f
2012f
6.0
-8.8
-2.6
3.9
5.4
4.4
5.0
-2.0
1.0
2.7
8.2
-2.0
8.0
8.2
6.9
3.8
8.2
-0.1
Y.T.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
16.6
21.2
31.2
44.1
49.3
83.4
78.8
68.8
55.9
50.7
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
53.5
52.7
49.4
45.1
48.3
46.5
47.3
50.6
54.9
51.7
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
43.9
39.1
37.2
41.1
46.7
56.1
60.9
62.8
58.9
53.3
100.0
100.0
100.0
100.0
100.0
2000
47.2
52.8
100.0
2001
2002
2003
2004
47.9
50.2
50.5
51.4
52.1
49.8
49.5
48.6
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
52.9
51.6
51.9
52.8
51.4
47.1
48.4
48.1
47.2
48.6
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
51.9
48.3
46.6
48.1
51.7
53.4
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
65
Drug Expenditure in Canada, 1985 to 2012
Table B Y.T.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Yukon, 1985 to 2012
Prescribed Drugs
Territorial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
Y.T.
Private
Out of
Pocket
1985
1986
1987
1988
1989
8.73
13.36
28.81
39.46
44.68
12.38
13.65
13.87
23.14
31.20
0.40
0.33
0.41
0.53
0.30
—
—
—
—
—
21.51
27.34
43.10
63.12
76.17
—
—
—
—
—
—
—
—
—
—
53.66
50.07
46.44
38.94
38.08
75.17
77.41
89.54
102.06
114.25
—
—
—
—
—
—
—
—
—
—
54.79
51.78
48.51
40.97
40.28
1990
1991
1992
1993
1994
46.19
56.02
66.44
74.64
69.86
35.65
39.91
44.31
50.24
56.56
0.58
0.25
0.97
0.88
0.86
—
—
—
—
—
82.41
96.18
111.72
125.76
127.27
—
—
—
—
—
—
—
—
—
—
34.77
41.78
38.47
74.59
53.92
117.18
137.95
150.19
200.35
181.20
—
—
40.52
42.89
45.73
—
—
35.28
35.83
36.58
36.89
44.38
75.80
78.72
82.32
1995
1996
1997
1998
1999
50.23
47.63
59.26
71.27
87.87
60.17
60.58
63.97
67.89
99.30
1.19
1.21
1.17
1.19
1.54
—
—
—
—
—
111.60
109.43
124.40
140.35
188.71
—
—
—
—
—
—
—
—
—
—
56.82
70.33
107.92
93.02
98.45
168.42
179.76
232.32
233.37
287.16
45.56
53.00
54.06
57.00
62.00
40.31
47.00
48.20
51.46
54.53
85.88
100.00
102.26
108.45
116.54
2000
2001
2002
2003
2004
107.91
128.25
150.84
166.67
189.79
99.59
100.91
115.93
125.70
122.99
1.66
2.75
3.17
3.34
3.41
—
—
—
—
—
209.16
231.91
269.94
295.72
316.19
—
—
—
—
—
—
—
—
—
—
105.64
118.12
130.82
155.61
158.79
314.79
350.04
400.76
451.33
474.98
61.44
65.69
67.55
72.57
76.78
67.31
68.33
69.46
61.37
63.36
128.76
134.02
137.01
133.94
140.14
2005
2006
2007
2008
2009
209.60
222.31
213.85
230.79
239.37
132.99
129.49
153.43
140.02
140.05
3.32
3.34
3.22
4.52
3.18
—
—
—
—
—
345.92
355.14
370.50
375.33
382.60
—
—
—
—
—
—
—
—
—
—
165.98
181.62
203.62
195.54
221.73
511.90
536.76
574.12
570.87
604.33
79.09
83.88
77.96
78.73
79.91
63.45
68.11
61.36
61.43
60.42
142.54
151.98
139.32
140.16
140.32
2010
2011f
2012f
243.90
216.10
208.26
148.58
140.97
135.57
2.91
2.59
2.50
—
—
—
395.38
359.65
346.33
—
—
—
—
—
—
230.21
245.31
255.45
625.59
604.97
601.78
77.47
80.21
81.37
59.01
59.65
60.68
136.49
139.86
142.05
1985
1986
1987
1988
1989
—
52.9
115.7
36.9
13.2
—
10.3
1.6
66.8
34.8
—
-18.7
26.2
28.0
-43.3
—
—
—
—
—
—
27.1
57.6
46.5
20.7
—
—
—
—
—
—
—
—
—
—
—
-6.7
-7.2
-16.2
-2.2
—
3.0
15.7
14.0
12.0
—
—
—
—
—
—
—
—
—
—
—
-5.5
-6.3
-15.5
-1.7
1990
1991
1992
1993
1994
3.4
21.3
18.6
12.3
-6.4
14.3
11.9
11.0
13.4
12.6
93.3
-56.6
287.7
-8.6
-2.8
—
—
—
—
—
8.2
16.7
16.2
12.6
1.2
—
—
—
—
—
—
—
—
—
—
-8.7
20.1
-7.9
93.9
-27.7
2.6
17.7
8.9
33.4
-9.6
—
—
—
5.8
6.6
—
—
—
1.6
2.1
-8.4
20.3
70.8
3.9
4.6
1995
1996
1997
1998
1999
-28.1
-5.2
24.4
20.3
23.3
6.4
0.7
5.6
6.1
46.3
39.0
1.7
-3.5
2.0
28.6
—
—
—
—
—
-12.3
-1.9
13.7
12.8
34.5
—
—
—
—
—
—
—
—
—
—
5.4
23.8
53.5
-13.8
5.8
-7.1
6.7
29.2
0.5
23.0
-0.4
16.3
2.0
5.4
8.8
10.2
16.6
2.6
6.7
6.0
4.3
16.4
2.3
6.1
7.5
10.5
(Annual Percentage Change)
2000
22.8
0.3
7.8
—
10.8
—
—
7.3
9.6
-0.9
23.4
2001
18.9
1.3
65.9
—
10.9
—
—
11.8
11.2
6.9
1.5
2002
17.6
14.9
15.2
—
16.4
—
—
10.8
14.5
2.8
1.7
2.2
2003
10.5
8.4
5.4
—
9.5
—
—
19.0
12.6
7.4
-11.6
-2.2
4.1
2004
13.9
-2.2
2.1
—
6.9
—
—
2.0
5.2
5.8
3.2
4.6
2005
2006
2007
2008
2009
10.4
6.1
-3.8
7.9
3.7
8.1
-2.6
18.5
-8.7
0.0
-2.5
0.6
-3.7
40.5
-29.6
—
—
—
—
—
9.4
2.7
4.3
1.3
1.9
—
—
—
—
—
—
—
—
—
—
4.5
9.4
12.1
-4.0
13.4
7.8
4.9
7.0
-0.6
5.9
3.0
6.0
-7.1
1.0
1.5
0.1
7.3
-9.9
0.1
-1.7
1.7
6.6
-8.3
0.6
0.1
2010
2011f
2012f
1.9
-11.4
-3.6
6.1
-5.1
-3.8
-8.70
-10.92
-3.50
—
—
—
3.3
-9.0
-3.7
—
—
—
—
—
—
3.8
6.6
4.1
3.5
-3.3
-0.5
-3.0
3.5
1.4
-2.3
1.1
1.7
-2.7
2.5
1.6
1985
1986
1987
1988
1989
—
50.1
110.9
32.4
8.7
—
7.5
-3.2
62.3
30.3
—
-21.5
21.5
23.5
-47.9
—
—
—
—
—
—
24.3
52.9
41.9
16.1
—
—
—
—
—
—
—
—
—
—
—
-9.5
-12.0
-20.7
-6.8
—
0.2
10.9
9.5
7.4
—
—
—
—
—
—
—
—
—
—
—
-8.3
-11.1
-20.1
-6.2
1990
1991
1992
1993
1994
0.4
18.5
17.3
10.9
-7.5
11.2
9.2
9.8
11.9
11.5
90.3
-59.4
286.5
-10.1
-3.9
—
—
—
—
—
5.2
13.9
14.9
11.1
0.1
—
—
—
—
—
—
—
—
—
—
-11.7
17.4
-9.2
92.5
-28.8
-0.5
15.0
7.6
32.0
-10.7
—
—
—
4.4
5.5
—
—
—
0.1
1.0
-11.4
17.5
69.5
2.4
3.5
1995
1996
1997
1998
1999
-30.4
-6.9
23.4
20.7
21.5
4.1
-1.0
4.6
6.6
44.4
36.6
0.0
-4.5
2.4
26.8
—
—
—
—
—
-14.7
-3.6
12.7
13.3
32.6
—
—
—
—
—
—
—
—
—
—
3.0
22.1
52.5
-13.4
4.0
-9.4
5.1
28.2
0.9
21.2
-2.7
14.6
1.0
5.9
7.0
7.9
14.9
1.6
7.2
4.2
2.0
14.8
1.3
6.5
5.6
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
18.7
-3.8
3.7
—
6.7
—
—
3.2
5.5
-5.0
19.3
6.4
2001
2002
2003
2004
17.5
16.6
7.6
11.3
0.0
13.8
5.5
-4.7
64.6
14.2
2.5
-0.5
—
—
—
—
9.5
15.4
6.7
4.3
—
—
—
—
—
—
—
—
10.5
9.7
16.1
-0.6
9.8
13.4
9.7
2.7
5.6
1.8
4.5
3.2
0.2
0.6
-14.5
0.6
2.7
1.2
-5.1
2.0
2005
2006
2007
2008
2009
7.4
3.3
-7.5
2.9
6.5
5.1
-5.4
14.8
-13.8
2.8
-5.6
-2.2
-7.4
35.5
-26.8
—
—
—
—
—
6.4
-0.1
0.6
-3.7
4.7
—
—
—
—
—
—
—
—
—
—
1.5
6.6
8.4
-9.0
16.1
4.8
2.1
3.3
-5.6
8.6
0.0
3.3
-10.7
-4.0
4.2
-2.9
4.5
-13.6
-4.9
1.1
-1.3
3.8
-12.0
-4.4
2.9
2010
2011f
2012f
-1.4
-14.8
-5.3
2.8
-8.6
-5.5
-11.96
-14.35
-5.22
—
—
—
0.1
-12.5
-5.4
—
—
—
—
—
—
0.6
3.1
2.4
0.3
-6.7
-2.2
-6.3
0.1
-0.3
-5.6
-2.4
0.0
-6.0
-1.0
-0.1
* Confidentiality precludes reporting territorial-level insurance data.
f: forecast.
66
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Y.T.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Yukon, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
21.51
27.34
43.10
63.12
76.17
108.45
101.85
94.95
79.90
78.36
129.96
129.19
138.05
143.03
154.53
1,351.18
1,510.29
1,521.49
1,524.93
1,632.10
278.89
229.51
219.52
196.03
194.61
1,630.07
1,739.80
1,741.02
1,720.95
1,826.71
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
82.41
96.18
111.72
125.76
127.27
71.66
86.16
114.27
153.32
136.24
154.07
182.33
225.99
279.07
263.51
1,747.95
1,954.71
2,011.98
2,290.11
2,831.14
180.81
210.04
230.03
347.90
334.47
1,928.76
2,164.74
2,242.01
2,638.01
3,165.61
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
111.60
109.43
124.40
140.35
188.71
142.69
170.33
210.18
201.47
214.99
254.29
279.76
334.58
341.83
403.69
2,799.51
2,930.96
2,705.48
2,818.35
3,001.00
346.09
580.94
543.38
524.83
548.19
3,145.60
3,511.90
3,248.86
3,343.18
3,549.19
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
209.16
231.91
269.94
295.72
316.19
234.39
252.14
267.83
289.56
298.92
443.55
484.05
537.77
585.28
615.12
3,234.92
3,826.04
4,058.32
4,055.76
4,274.60
813.55
911.33
1,100.75
1,056.96
1,151.06
4,048.47
4,737.37
5,159.07
5,112.72
5,425.66
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
345.92
355.14
370.50
375.33
382.60
308.52
333.60
342.94
335.70
362.05
654.44
688.74
713.44
711.03
744.65
4,788.82
5,387.89
5,389.97
5,653.86
6,610.83
1,177.29
1,226.05
1,593.80
1,520.52
1,663.75
5,966.11
6,613.94
6,983.77
7,174.38
8,274.58
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
395.38
359.65
346.33
366.70
385.17
397.50
762.08
744.82
743.83
6,620.21
7,143.24
6,919.79
1,751.35
1,888.77
1,996.40
8,371.57
9,032.01
8,916.19
132.08
136.61
138.96
1985
1986
1987
1988
1989
—
27.1
57.6
46.5
20.7
—
-6.1
-6.8
-15.8
-1.9
—
-0.6
6.9
3.6
8.0
—
11.8
0.7
0.2
7.0
—
-17.7
-4.4
-10.7
-0.7
—
6.7
0.1
-1.2
6.1
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
8.2
16.7
16.2
12.6
1.2
-8.5
20.2
32.6
34.2
-11.1
-0.3
18.3
23.9
23.5
-5.6
7.1
11.8
2.9
13.8
23.6
-7.1
16.2
9.5
51.2
-3.9
5.6
12.2
3.6
17.7
20.0
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
-12.3
-1.9
13.7
12.8
34.5
4.7
19.4
23.4
-4.1
6.7
-3.5
10.0
19.6
2.2
18.1
-1.1
4.7
-7.7
4.2
6.5
3.5
67.9
-6.5
-3.4
4.5
-0.6
11.6
-7.5
2.9
6.2
2.3
1.7
1.0
-0.4
1.8
2000
10.8
9.0
9.9
7.8
48.4
14.1
4.1
2001
10.9
7.6
9.1
18.3
12.0
17.0
1.4
2002
16.4
6.2
11.1
6.1
20.8
8.9
1.0
2003
9.5
8.1
8.8
-0.1
-4.0
-0.9
2.9
2004
6.9
3.2
5.1
5.4
8.9
6.1
2.6
2005
2006
2007
2008
2009
9.4
2.7
4.3
1.3
1.9
3.2
8.1
2.8
-2.1
7.8
6.4
5.2
3.6
-0.3
4.7
12.0
12.5
0.0
4.9
16.9
2.3
4.1
30.0
-4.6
9.4
10.0
10.9
5.6
2.7
15.3
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
3.3
-9.0
-3.7
1.3
5.0
3.2
2.3
-2.3
-0.1
0.1
7.9
-3.1
5.3
7.8
5.7
1.2
7.9
-1.3
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
24.3
52.9
41.9
16.1
—
-8.9
-11.5
-20.4
-6.5
—
-3.4
2.1
-0.9
3.5
—
9.0
-4.0
-4.3
2.5
—
-20.5
-9.1
-15.2
-5.3
—
3.9
-4.7
-5.7
1.6
1990
1991
1992
1993
1994
5.2
13.9
14.9
11.1
0.1
-11.6
17.5
31.4
32.7
-12.2
-3.3
15.6
22.7
22.0
-6.7
4.1
9.1
1.7
12.4
22.5
-10.1
13.4
8.3
49.8
-5.0
2.6
9.5
2.3
16.2
18.9
1995
1996
1997
1998
1999
-14.7
-3.6
12.7
13.3
32.6
2.4
17.7
22.4
-3.7
4.9
-5.8
8.3
18.6
2.6
16.3
-3.5
3.0
-8.7
4.6
4.7
1.1
66.2
-7.5
-3.0
2.6
-3.0
10.0
-8.5
3.3
4.4
2000
6.7
4.9
5.8
3.7
44.3
10.0
2001
2002
2003
2004
9.5
15.4
6.7
4.3
6.2
5.2
5.2
0.6
7.8
10.1
5.9
2.5
16.9
5.0
-3.0
2.8
10.7
19.7
-6.9
6.3
15.7
7.9
-3.8
3.5
2005
2006
2007
2008
2009
6.4
-0.1
0.6
-3.7
4.7
0.2
5.3
-0.9
-7.1
10.6
3.4
2.4
-0.1
-5.4
7.5
9.0
9.7
-3.6
-0.1
19.7
-0.7
1.3
26.3
-9.6
12.2
7.0
8.1
1.9
-2.3
18.1
2010
2011f
2012f
0.1
-12.5
-5.4
-2.0
1.6
1.5
-0.9
-5.7
-1.8
-3.1
4.5
-4.8
2.0
4.4
4.0
-2.1
4.5
-3.0
Y.T.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
67
Drug Expenditure in Canada, 1985 to 2012
Table B N.W.T.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Northwest Territories, 1985 to 2012
Prescribed Drugs
Territorial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ Millions)
Year
N.W.T.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
1.1
1.4
1.7
1.9
2.1
2.4
2.7
3.0
3.2
3.7
0.0
0.0
0.0
0.0
0.0
—
—
—
—
—
3.5
4.1
4.7
5.1
5.8
—
—
—
—
—
—
—
—
—
—
2.3
2.7
3.0
3.4
3.9
5.8
6.8
7.7
8.6
9.7
—
—
—
—
—
—
—
—
—
—
4.1
4.4
4.7
5.1
5.4
1990
1991
1992
1993
1994
2.4
3.0
3.6
2.5
1.2
4.3
4.9
5.7
6.4
7.1
0.0
0.0
0.0
0.0
0.1
—
—
—
—
—
6.6
7.9
9.3
8.9
8.3
—
—
—
—
—
—
—
—
—
—
3.9
5.0
4.9
4.7
3.5
10.6
12.9
14.2
13.6
11.8
—
—
2.4
2.6
2.8
—
—
2.1
2.2
2.3
5.1
6.0
4.5
4.7
5.1
1995
1996
1997
1998
1999
1.1
1.3
1.4
1.7
1.8
7.7
8.0
8.5
8.8
7.6
0.1
0.0
0.0
0.0
0.0
—
—
—
—
—
8.9
9.3
10.0
10.5
9.4
—
—
—
—
—
—
—
—
—
—
3.8
3.5
4.4
4.5
3.3
12.6
12.8
14.4
15.0
12.7
2.9
2.7
3.1
3.2
2.3
2.5
2.4
2.8
2.9
2.1
5.4
5.1
5.9
6.2
4.4
2000
2001
2002
2003
2004
1.9
2.2
2.4
3.2
3.6
7.6
8.8
10.7
9.0
8.1
0.0
0.0
0.0
0.0
0.1
—
—
—
—
—
9.5
11.0
13.1
12.3
11.8
—
—
—
—
—
—
—
—
—
—
3.4
3.6
4.0
5.3
5.4
13.0
14.7
17.2
17.5
17.2
2.3
2.2
2.3
2.2
2.2
1.4
1.4
1.5
1.5
1.4
3.7
3.6
3.7
3.7
3.5
2005
2006
2007
2008
2009
3.7
4.3
4.9
5.1
5.4
6.2
6.3
8.3
8.5
9.6
0.1
0.1
0.1
0.1
0.1
—
—
—
—
—
10.0
10.6
13.2
13.8
15.1
—
—
—
—
—
—
—
—
—
—
7.0
7.9
8.6
8.4
8.9
17.0
18.5
21.8
22.1
24.0
2.0
2.0
2.5
2.5
2.8
1.4
1.4
1.9
1.9
2.1
3.4
3.4
4.4
4.4
5.0
2010
2011f
2012f
5.5
5.5
5.5
10.7
10.2
9.9
0.1
0.1
0.1
—
—
—
16.3
15.8
15.5
—
—
—
—
—
—
9.2
9.5
9.8
25.5
25.2
25.2
3.1
3.2
3.2
2.3
2.3
2.5
5.4
5.5
5.7
1985
1986
1987
1988
1989
—
30.3
22.0
12.6
7.6
—
12.3
8.5
6.9
17.3
—
-5.7
6.9
67.7
-6.6
—
—
—
—
—
—
17.7
13.1
9.2
13.5
—
—
—
—
—
—
—
—
—
—
—
14.6
12.7
15.4
14.2
—
16.5
12.9
11.6
13.8
—
—
—
—
—
—
—
—
—
—
—
8.2
6.2
8.6
7.2
1990
1991
1992
1993
1994
13.9
25.2
21.7
-31.8
-50.0
14.8
16.0
14.9
13.3
10.0
-0.9
13.9
1.0
27.0
32.1
—
—
—
—
—
14.4
19.2
17.4
-4.2
-6.5
—
—
—
—
—
—
—
—
—
—
0.2
25.8
-1.1
-4.2
-25.9
8.7
21.7
10.3
-4.2
-13.2
—
—
—
7.3
9.0
—
—
—
3.0
4.3
-6.0
17.8
-25.1
5.3
6.9
1995
1996
1997
1998
1999
-8.1
15.1
9.9
16.1
9.8
9.1
3.3
6.5
3.3
-13.7
0.9
-15.9
-3.6
1.1
-14.2
—
—
—
—
—
6.5
4.7
7.0
5.1
-10.0
—
—
—
—
—
—
—
—
—
—
7.8
-6.7
27.0
1.6
-27.4
6.9
1.3
12.4
4.1
-15.2
1.5
-6.2
15.7
4.2
-27.8
12.3
-6.0
16.3
5.4
-29.6
6.3
-6.1
16.0
4.8
-28.7
2000
2001
2002
2003
2004
6.6
13.6
7.4
34.8
12.8
-0.1
16.2
21.8
-15.7
-9.6
0.1
22.9
4.0
1.7
56.6
—
—
—
—
—
1.2
15.7
18.9
-6.5
-3.5
—
—
—
—
—
—
—
—
—
—
5.1
5.8
11.0
30.6
1.7
2.2
13.1
16.9
2.2
-1.9
-0.9
-6.5
4.2
-2.3
-1.9
-32.0
2.7
3.0
1.4
-8.7
-15.5
-3.0
3.7
-0.8
-4.6
2005
2006
2007
2008
2009
3.7
13.6
14.2
5.6
5.0
-24.4
2.4
31.2
3.2
12.9
-14.4
-2.7
13.3
16.0
9.1
—
—
—
—
—
-15.7
6.6
24.3
4.2
9.9
—
—
—
—
—
—
—
—
—
—
30.9
11.7
10.0
-3.1
6.1
-1.2
8.7
18.2
1.3
8.5
-8.4
1.1
22.7
1.3
13.4
1.0
4.4
33.8
0.4
9.9
-4.8
2.5
27.4
0.9
11.8
2010
2011f
2012f
1.7
-0.3
-0.2
11.1
-4.8
-2.8
5.59
6.13
2.78
—
—
—
7.7
-3.2
-1.8
—
—
—
—
—
—
3.1
3.2
3.0
6.0
-0.9
0.0
8.5
3.2
1.8
9.3
0.7
5.9
8.9
2.1
3.6
1985
1986
1987
1988
1989
10.9
12.6
13.9
14.2
13.7
24.5
24.3
23.9
23.2
24.4
0.2
0.1
0.1
0.2
0.2
—
—
—
—
—
35.6
37.1
38.0
37.6
38.3
—
—
—
—
—
—
—
—
—
—
23.4
23.7
24.2
25.3
25.9
59.0
60.7
62.2
62.8
64.2
—
—
—
—
—
—
—
—
—
—
41.0
39.3
37.8
37.2
35.8
1990
1991
1992
1993
1994
15.1
15.7
19.3
13.4
7.3
27.1
26.1
30.3
34.9
41.8
0.2
0.2
0.2
0.2
0.3
—
—
—
—
—
42.4
41.9
49.7
48.6
49.4
—
—
—
—
—
—
—
—
—
—
25.1
26.2
26.2
25.6
20.6
67.5
68.2
75.9
74.1
70.0
—
—
12.9
14.1
16.7
—
—
11.2
11.8
13.3
32.5
31.8
24.1
25.9
30.0
1995
1996
1997
1998
1999
6.3
7.3
7.1
7.9
10.7
42.7
44.5
41.8
41.4
44.2
0.3
0.2
0.2
0.2
0.2
—
—
—
—
—
49.3
52.1
49.1
49.5
55.1
—
—
—
—
—
—
—
—
—
—
20.8
19.6
21.9
21.4
19.2
70.1
71.6
71.0
70.9
74.3
15.9
15.0
15.3
15.3
13.7
14.0
13.3
13.7
13.8
12.0
29.9
28.4
29.0
29.1
25.7
2000
11.7
45.2
0.2
—
57.1
—
—
20.6
77.8
13.9
8.4
22.2
2001
2002
2003
2004
12.1
11.4
15.1
17.4
48.0
51.2
42.4
39.3
0.2
0.2
0.2
0.3
—
—
—
—
60.4
62.8
57.7
57.0
—
—
—
—
—
—
—
—
19.9
19.4
24.9
25.9
80.3
82.1
82.6
83.0
11.8
10.8
10.4
10.4
7.9
7.1
7.1
6.6
19.7
17.9
17.4
17.0
2005
2006
2007
2008
2009
18.4
19.4
18.5
19.3
18.6
30.3
28.8
31.5
32.2
33.3
0.3
0.3
0.3
0.3
0.3
—
—
—
—
—
48.9
48.4
50.3
51.8
52.2
—
—
—
—
—
—
—
—
—
—
34.5
35.8
33.0
31.5
30.7
83.5
84.3
83.3
83.3
82.9
9.7
9.1
9.4
9.4
9.7
6.8
6.6
7.4
7.3
7.4
16.5
15.7
16.7
16.7
17.1
2010
17.8
34.7
0.30
17.8
33.2
0.32
2011f
2012f
17.6
32.1
0.32
* Confidentiality precludes reporting territorial-level insurance data.
f: forecast.
—
—
—
52.8
51.3
50.0
—
—
—
—
—
—
29.7
30.8
31.5
82.5
82.1
81.6
9.9
10.3
10.4
7.6
7.6
8.0
17.5
17.9
18.4
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
68
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B N.W.T.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Northwest Territories, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
Year
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
3.5
4.1
4.7
5.1
5.8
6.4
7.0
7.7
8.5
9.4
9.9
11.2
12.3
13.6
15.2
118.9
145.2
157.4
183.9
203.6
19.6
21.7
23.9
27.3
29.3
138.5
166.9
181.3
211.2
232.9
3.0
2.9
3.0
2.8
2.9
32.4
32.5
32.1
31.2
31.9
7.1
6.7
6.8
6.5
6.5
1990
1991
1992
1993
1994
6.6
7.9
9.3
8.9
8.3
9.0
11.0
9.4
9.4
8.6
15.7
18.9
18.7
18.4
16.9
218.5
247.2
249.9
258.7
259.5
28.4
32.3
29.7
28.3
26.8
246.8
279.5
279.6
287.1
286.3
3.0
3.2
3.7
3.4
3.2
31.9
34.0
31.7
33.3
32.0
6.4
6.8
6.7
6.4
5.9
1995
1996
1997
1998
1999
8.9
9.3
10.0
10.5
9.4
9.1
8.6
10.3
10.7
7.7
18.0
17.9
20.3
21.1
17.1
270.3
250.9
262.6
283.8
201.9
24.7
26.7
26.4
26.0
21.1
295.0
277.7
289.0
309.8
223.1
3.3
3.7
3.8
3.7
4.7
37.0
32.0
39.1
41.0
36.3
6.1
6.4
7.0
6.8
7.7
2000
2001
2002
2003
2004
9.5
11.0
13.1
12.3
11.8
7.2
7.2
7.8
9.0
8.9
16.7
18.3
20.9
21.2
20.7
188.9
213.6
237.0
233.5
253.9
19.6
26.3
28.7
29.9
30.3
208.5
240.0
265.7
263.4
284.3
5.0
5.2
5.5
5.2
4.7
36.5
27.5
27.1
30.1
29.4
8.0
7.6
7.9
8.1
7.3
2005
2006
2007
2008
2009
10.0
10.6
13.2
13.8
15.1
10.4
11.3
13.0
12.8
13.8
20.4
21.9
26.2
26.6
29.0
268.4
286.1
316.3
344.9
372.6
50.4
58.3
68.9
62.0
67.4
318.8
344.4
385.2
406.9
440.1
3.7
3.7
4.2
4.0
4.1
20.6
19.4
18.9
20.7
20.5
6.4
6.4
6.8
6.5
6.6
2010
2011f
2012f
16.3
15.8
15.5
14.6
15.0
15.5
30.8
30.7
30.9
366.2
381.0
370.4
68.2
62.9
63.8
434.4
444.0
434.2
4.4
4.1
4.2
21.4
23.8
24.2
7.1
6.9
7.1
1985
1986
1987
1988
1989
—
17.7
13.1
9.2
13.5
—
10.5
8.7
11.3
10.0
—
13.1
10.3
10.5
11.3
—
22.2
8.4
16.8
10.7
—
10.5
10.0
14.4
7.5
—
20.5
8.6
16.5
10.3
1990
1991
1992
1993
1994
14.4
19.2
17.4
-4.2
-6.5
-3.4
21.3
-14.2
0.3
-9.4
3.4
20.4
-1.0
-1.9
-8.0
7.3
13.2
1.1
3.5
0.3
-3.3
13.7
-7.9
-4.7
-5.5
6.0
13.2
0.1
2.7
-0.3
1995
1996
1997
1998
1999
6.5
4.7
7.0
5.1
-10.0
6.9
-6.4
20.5
3.4
-28.1
6.7
-0.9
13.4
4.3
-19.1
4.1
-7.2
4.6
8.1
-28.9
-7.8
8.3
-1.4
-1.4
-18.8
3.0
-5.9
4.1
7.2
-28.0
2000
2001
2002
2003
2004
1.2
15.7
18.9
-6.5
-3.5
-6.7
1.2
7.4
15.5
-0.9
-2.3
9.5
14.3
1.7
-2.4
-6.5
13.1
10.9
-1.5
8.7
-7.0
34.1
9.0
4.1
1.4
-6.5
15.1
10.7
-0.9
7.9
2005
2006
2007
2008
2009
-15.7
6.6
24.3
4.2
9.9
16.8
8.7
15.3
-1.7
8.1
-1.8
7.7
19.6
1.2
9.0
5.7
6.6
10.6
9.1
8.0
66.1
15.7
18.2
-10.1
8.8
12.2
8.0
11.9
5.6
8.1
2010
2011f
2012f
7.7
-3.2
-1.8
5.2
2.8
3.2
6.5
-0.4
0.6
-1.7
4.0
-2.8
1.1
-7.7
1.4
-1.3
2.2
-2.2
N.W.T.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
35.6
37.1
38.0
37.6
38.3
64.4
62.9
62.0
62.4
61.7
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
42.4
41.9
49.7
48.6
49.4
57.6
58.1
50.3
51.4
50.6
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
49.3
52.1
49.1
49.5
55.1
50.7
47.9
50.9
50.5
44.9
100.0
100.0
100.0
100.0
100.0
2000
57.1
42.9
100.0
2001
2002
2003
2004
60.4
62.8
57.7
57.0
39.6
37.2
42.3
43.0
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
48.9
48.4
50.3
51.8
52.2
51.1
51.6
49.7
48.2
47.8
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
52.8
51.3
50.0
47.2
48.7
50.0
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
69
Drug Expenditure in Canada, 1985 to 2012
Table B N.W.T.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Northwest Territories, 1985 to 2012
Prescribed Drugs
Territorial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Total
Prescribed
Drugs
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
($ per Capita)
Year
N.W.T.
Private
Out of
Pocket
1985
1986
1987
1988
1989
19.87
25.75
31.22
34.75
36.51
44.58
49.79
53.68
56.71
64.93
0.30
0.29
0.30
0.50
0.46
—
—
—
—
—
64.76
75.83
85.21
91.96
101.90
—
—
—
—
—
—
—
—
—
—
42.52
48.45
54.27
61.91
69.02
107.28
124.28
139.47
153.87
170.93
—
—
—
—
—
—
—
—
—
—
74.63
80.32
84.79
91.01
95.30
1990
1991
1992
1993
1994
40.26
48.72
57.90
38.77
18.92
72.19
80.93
90.80
101.02
108.39
0.44
0.48
0.48
0.60
0.77
—
—
—
—
—
112.88
130.14
149.18
140.39
128.08
—
—
—
—
—
—
—
—
—
—
66.93
81.44
78.63
73.95
53.43
179.82
211.58
227.81
214.34
181.52
—
—
38.63
40.71
43.27
—
—
33.63
34.01
34.62
86.68
98.76
72.26
74.73
77.89
1995
1996
1997
1998
1999
17.01
19.28
21.15
24.75
44.90
115.69
117.78
125.16
130.34
185.89
0.76
0.63
0.60
0.62
0.87
—
—
—
—
—
133.46
137.69
146.92
155.71
231.66
—
—
—
—
—
—
—
—
—
—
56.36
51.79
65.59
67.20
80.63
189.82
189.48
212.51
222.91
312.29
43.00
39.74
45.87
48.16
57.48
38.04
35.24
40.90
43.48
50.56
81.04
74.98
86.77
91.64
108.04
2000
2001
2002
2003
2004
48.07
54.18
57.23
75.78
84.28
186.46
215.04
257.78
213.37
190.26
0.88
1.07
1.10
1.09
1.69
—
—
—
—
—
235.41
270.29
316.11
290.24
276.23
—
—
—
—
—
—
—
—
—
—
85.11
89.29
97.55
125.19
125.54
320.51
359.58
413.66
415.44
401.76
57.16
53.05
54.38
52.20
50.49
34.51
35.15
35.62
35.49
31.97
91.67
88.20
90.01
87.70
82.47
2005
2006
2007
2008
2009
87.63
98.49
111.54
117.47
123.40
144.25
146.08
190.07
195.62
221.00
1.45
1.39
1.57
1.81
1.98
—
—
—
—
—
233.33
245.96
303.18
314.89
346.38
—
—
—
—
—
—
—
—
—
—
164.70
181.98
198.55
191.86
203.77
398.02
427.94
501.73
506.75
550.15
46.35
46.34
56.41
56.97
64.65
32.37
33.44
44.40
44.45
48.88
78.73
79.78
100.81
101.42
113.54
2010
2011f
2012f
124.99
125.03
123.72
244.34
233.39
224.92
2.08
2.22
2.26
—
—
—
371.41
360.64
350.90
—
—
—
—
—
—
209.26
216.68
221.24
580.68
577.32
572.14
69.85
72.31
72.96
53.20
53.78
56.47
123.05
126.09
129.42
1985
1986
1987
1988
1989
—
29.6
21.2
11.3
5.1
—
11.7
7.8
5.6
14.5
—
-6.3
6.3
65.8
-8.8
—
—
—
—
—
—
17.1
12.4
7.9
10.8
—
—
—
—
—
—
—
—
—
—
—
14.0
12.0
14.1
11.5
—
15.8
12.2
10.3
11.1
—
—
—
—
—
—
—
—
—
—
—
7.6
5.6
7.3
4.7
1990
1991
1992
1993
1994
10.3
21.0
18.8
-33.0
-51.2
11.2
12.1
12.2
11.3
7.3
-4.0
10.2
-1.4
24.8
28.8
—
—
—
—
—
10.8
15.3
14.6
-5.9
-8.8
—
—
—
—
—
—
—
—
—
—
-3.0
21.7
-3.4
-6.0
-27.7
5.2
17.7
7.7
-5.9
-15.3
—
—
—
5.4
6.3
—
—
—
1.1
1.8
-9.1
13.9
-26.8
3.4
4.2
1995
1996
1997
1998
1999
-10.1
13.4
9.7
17.0
81.4
6.7
1.8
6.3
4.1
42.6
-1.3
-17.1
-3.8
1.9
41.8
—
—
—
—
—
4.2
3.2
6.7
6.0
48.8
—
—
—
—
—
—
—
—
—
—
5.5
-8.1
26.7
2.5
20.0
4.6
-0.2
12.2
4.9
40.1
-0.6
-7.6
15.4
5.0
19.3
9.9
-7.4
16.1
6.3
16.3
4.0
-7.5
15.7
5.6
17.9
(Annual Percentage Change)
2000
7.1
0.3
0.5
—
1.6
—
—
5.6
2.6
-0.6
-31.7
-15.2
2001
12.7
15.3
22.0
—
14.8
—
—
4.9
12.2
-7.2
1.9
-3.8
2002
5.6
19.9
2.3
—
17.0
—
—
9.2
15.0
2.5
1.3
2003
32.4
-17.2
-0.1
—
-8.2
—
—
28.3
0.4
-4.0
-0.4
-2.6
2004
11.2
-10.8
54.5
—
-4.8
—
—
0.3
-3.3
-3.3
-9.9
-6.0
2.0
2005
2006
2007
2008
2009
4.0
12.4
13.3
5.3
5.1
-24.2
1.3
30.1
2.9
13.0
-14.3
-3.8
12.4
15.7
9.3
—
—
—
—
—
-15.5
5.4
23.3
3.9
10.0
—
—
—
—
—
—
—
—
—
—
31.2
10.5
9.1
-3.4
6.2
-0.9
7.5
17.2
1.0
8.6
-8.2
0.0
21.7
1.0
13.5
1.3
3.3
32.8
0.1
10.0
-4.5
1.3
26.4
0.6
11.9
2010
2011f
2012f
1.3
0.0
-1.0
10.6
-4.5
-3.6
5.13
6.50
1.86
—
—
—
7.2
-2.9
-2.7
—
—
—
—
—
—
2.7
3.5
2.1
5.5
-0.6
-0.9
8.0
3.5
0.9
8.8
1.1
5.0
8.4
2.5
2.6
1985
1986
1987
1988
1989
—
26.8
16.5
6.8
0.5
—
8.9
3.1
1.1
9.9
—
-9.1
1.5
61.2
-13.4
—
—
—
—
—
—
14.3
7.6
3.4
6.2
—
—
—
—
—
—
—
—
—
—
—
11.2
7.3
9.6
6.9
—
13.0
7.5
5.8
6.5
—
—
—
—
—
—
—
—
—
—
—
4.8
0.8
2.8
0.1
1990
1991
1992
1993
1994
7.2
18.3
17.6
-34.5
-52.3
8.1
9.4
10.9
9.8
6.2
-7.1
7.4
-2.6
23.3
27.7
—
—
—
—
—
7.7
12.5
13.4
-7.3
-9.9
—
—
—
—
—
—
—
—
—
—
-6.1
18.9
-4.7
-7.4
-28.8
2.2
14.9
6.4
-7.4
-16.4
—
—
—
4.0
5.2
—
—
—
-0.3
0.7
-12.1
11.2
-28.1
2.0
3.1
1995
1996
1997
1998
1999
-12.4
11.7
8.7
17.5
79.6
4.4
0.1
5.3
4.6
40.8
-3.6
-18.8
-4.8
2.3
40.0
—
—
—
—
—
1.9
1.5
5.7
6.4
47.0
—
—
—
—
—
—
—
—
—
—
3.1
-9.8
25.7
2.9
18.2
2.2
-1.9
11.2
5.3
38.3
-3.0
-9.3
14.4
5.4
17.5
7.6
-9.0
15.1
6.7
14.5
1.7
-9.1
14.7
6.1
16.1
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
3.0
-3.8
-3.6
—
-2.5
—
—
1.4
-1.5
-4.7
-35.8
-19.3
2001
2002
2003
2004
11.4
4.6
29.5
8.6
14.0
18.8
-20.1
-13.4
20.6
1.2
-3.0
51.9
—
—
—
—
13.5
15.9
-11.1
-7.4
—
—
—
—
—
—
—
—
3.6
8.2
25.4
-2.3
10.8
14.0
-2.5
-5.9
-8.5
1.5
-6.9
-5.9
0.5
0.3
-3.3
-12.5
-5.1
1.0
-5.5
-8.6
2005
2006
2007
2008
2009
1.0
9.6
9.6
0.3
7.8
-27.2
-1.5
26.4
-2.1
15.7
-17.3
-6.6
8.7
10.6
12.0
—
—
—
—
—
-18.5
2.6
19.6
-1.2
12.8
—
—
—
—
—
—
—
—
—
—
28.2
7.7
5.4
-8.4
9.0
-3.9
4.7
13.6
-4.0
11.3
-11.2
-2.8
18.1
-4.0
16.2
-1.8
0.5
29.1
-4.9
12.7
-7.5
-1.5
22.7
-4.4
14.7
2010
2011f
2012f
-2.0
-3.4
-2.8
7.3
-7.9
-5.3
1.86
3.07
0.14
—
—
—
4.0
-6.3
-4.4
—
—
—
—
—
—
-0.6
0.1
0.4
2.3
-4.0
-2.6
4.8
0.1
-0.8
5.6
-2.4
3.3
5.1
-1.0
0.9
* Confidentiality precludes reporting territorial-level insurance data.
f: forecast.
70
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B N.W.T.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Northwest Territories, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
64.76
75.83
85.21
91.96
101.90
117.15
128.77
139.05
152.93
164.33
181.91
204.59
224.26
244.89
266.23
2,185.68
2,655.45
2,859.77
3,302.40
3,570.18
361.05
396.69
433.59
490.09
514.33
2,546.73
3,052.14
3,293.37
3,792.49
4,084.51
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
112.88
130.14
149.18
140.39
128.08
153.61
180.20
150.89
148.68
131.32
266.49
310.34
300.07
289.07
259.40
3,708.35
4,057.16
4,004.30
4,071.51
3,983.42
481.64
529.44
476.22
445.89
410.95
4,190.00
4,586.61
4,480.52
4,517.40
4,394.37
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
133.46
137.69
146.92
155.71
231.66
137.40
126.77
152.36
158.85
188.67
270.86
264.46
299.28
314.56
420.33
4,060.01
3,713.59
3,876.75
4,224.37
4,967.45
370.96
395.82
389.36
387.12
519.53
4,430.96
4,109.41
4,266.11
4,611.49
5,486.98
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
235.41
270.29
316.11
290.24
276.23
176.78
177.49
187.55
212.89
208.00
412.19
447.78
503.67
503.13
484.23
4,664.19
5,232.80
5,711.56
5,529.05
5,929.69
484.88
645.24
692.18
708.13
708.29
5,149.06
5,878.03
6,403.74
6,237.18
6,637.98
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
233.33
245.96
303.18
314.89
346.38
243.42
261.76
299.36
293.28
317.31
476.75
507.72
602.54
608.17
663.69
6,282.52
6,623.26
7,264.05
7,896.98
8,539.08
1,179.43
1,349.38
1,582.90
1,419.37
1,545.39
7,461.96
7,972.64
8,846.94
9,316.34
10,084.47
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
371.41
360.64
350.90
332.32
342.77
350.66
703.73
703.42
701.56
8,355.77
8,724.07
8,405.05
1,556.13
1,440.97
1,447.88
9,911.90
10,165.05
9,852.93
132.08
136.61
138.96
1985
1986
1987
1988
1989
—
17.1
12.4
7.9
10.8
—
9.9
8.0
10.0
7.5
—
12.5
9.6
9.2
8.7
—
21.5
7.7
15.5
8.1
—
9.9
9.3
13.0
4.9
—
19.8
7.9
15.2
7.7
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
10.8
15.3
14.6
-5.9
-8.8
-6.5
17.3
-16.3
-1.5
-11.7
0.1
16.5
-3.3
-3.7
-10.3
3.9
9.4
-1.3
1.7
-2.2
-6.4
9.9
-10.1
-6.4
-7.8
2.6
9.5
-2.3
0.8
-2.7
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
4.2
3.2
6.7
6.0
48.8
4.6
-7.7
20.2
4.3
18.8
4.4
-2.4
13.2
5.1
33.6
1.9
-8.5
4.4
9.0
17.6
-9.7
6.7
-1.6
-0.6
34.2
0.8
-7.3
3.8
8.1
19.0
2.3
1.7
1.0
-0.4
1.8
2000
1.6
-6.3
-1.9
-6.1
-6.7
-6.2
4.1
2001
14.8
0.4
8.6
12.2
33.1
14.2
1.4
2002
17.0
5.7
12.5
9.1
7.3
8.9
1.0
2003
-8.2
13.5
-0.1
-3.2
2.3
-2.6
2.9
2004
-4.8
-2.3
-3.8
7.2
0.0
6.4
2.6
2005
2006
2007
2008
2009
-15.5
5.4
23.3
3.9
10.0
17.0
7.5
14.4
-2.0
8.2
-1.5
6.5
18.7
0.9
9.1
6.0
5.4
9.7
8.7
8.1
66.5
14.4
17.3
-10.3
8.9
12.4
6.8
11.0
5.3
8.2
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
7.2
-2.9
-2.7
4.7
3.1
2.3
6.0
0.0
-0.3
-2.1
4.4
-3.7
0.7
-7.4
0.5
-1.7
2.6
-3.1
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
14.3
7.6
3.4
6.2
—
7.1
3.2
5.5
2.9
—
9.7
4.9
4.7
4.2
—
18.7
3.0
11.0
3.5
—
7.1
4.6
8.5
0.4
—
17.0
3.2
10.6
3.1
1990
1991
1992
1993
1994
7.7
12.5
13.4
-7.3
-9.9
-9.5
14.5
-17.5
-2.9
-12.8
-2.9
13.7
-4.6
-5.1
-11.4
0.8
6.6
-2.6
0.2
-3.3
-9.4
7.2
-11.3
-7.8
-8.9
-0.4
6.7
-3.6
-0.6
-3.8
1995
1996
1997
1998
1999
1.9
1.5
5.7
6.4
47.0
2.3
-9.4
19.2
4.7
17.0
2.1
-4.0
12.2
5.5
31.8
-0.4
-10.2
3.4
9.4
15.8
-12.1
5.0
-2.6
-0.1
32.4
-1.5
-8.9
2.8
8.5
17.2
2000
-2.5
-10.4
-6.0
-10.2
-10.8
-10.3
2001
2002
2003
2004
13.5
15.9
-11.1
-7.4
-0.9
4.6
10.6
-4.9
7.3
11.4
-3.0
-6.3
10.8
8.1
-6.1
4.7
31.7
6.2
-0.6
-2.6
12.8
7.9
-5.5
3.8
2005
2006
2007
2008
2009
-18.5
2.6
19.6
-1.2
12.8
14.0
4.7
10.7
-7.1
10.9
-4.6
3.7
15.0
-4.1
11.9
2.9
2.6
6.0
3.7
10.9
63.5
11.6
13.6
-15.4
11.6
9.4
4.0
7.3
0.3
11.0
2010
2011f
2012f
4.0
-6.3
-4.4
1.5
-0.3
0.6
2.8
-3.5
-2.0
-5.4
1.0
-5.4
-2.6
-10.8
-1.2
-5.0
-0.9
-4.8
N.W.T.
(Annual Percentage Change)
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
71
Drug Expenditure in Canada, 1985 to 2012
Table B Nun.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Nunavut, 1985 to 2012
Prescribed Drugs
Territorial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Subtotal
Private
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
Total
Prescribed
Drugs
($ Millions)
Year
Nun.
Private
Out of
Pocket
Insurers*
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
1.0
—
—
—
—
0.0
—
—
—
—
0.0
—
—
—
—
—
—
—
—
—
1.1
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1.3
—
—
—
—
2.4
—
—
—
—
1.5
—
—
—
—
1.3
—
—
—
—
2.9
2000
2001
2002
2003
2004
1.2
1.2
1.5
2.1
2.2
0.2
0.4
0.8
4.1
5.1
0.0
0.0
0.0
0.0
0.1
—
—
—
—
—
1.4
1.7
2.4
6.3
7.4
—
—
—
—
—
—
—
—
—
—
1.5
1.5
2.1
3.3
4.1
2.8
3.2
4.5
9.6
11.5
1.6
1.5
1.6
1.5
1.5
0.9
1.0
1.0
1.0
0.9
2.5
2.5
2.6
2.6
2.4
2005
2006
2007
2008
2009
2.4
2.8
2.9
2.1
2.5
7.7
8.9
7.7
8.8
8.0
0.0
0.0
0.0
0.1
0.1
—
—
—
—
—
10.2
11.7
10.7
11.0
10.6
—
—
—
—
—
—
—
—
—
—
3.7
4.3
5.1
4.9
6.2
14.0
16.1
15.8
15.9
16.8
1.4
1.4
1.8
1.8
2.1
1.0
1.0
1.4
1.4
1.6
2.4
2.5
3.2
3.2
3.7
2010
2011f
2012f
2.6
2.5
2.6
8.1
7.7
7.5
0.1
0.1
0.1
—
—
—
10.8
10.3
10.1
—
—
—
—
—
—
6.7
7.2
7.7
17.4
17.4
17.8
2.3
2.4
2.5
1.7
1.8
1.9
4.0
4.2
4.4
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
2000
2001
2002
2003
2004
21.7
3.7
23.4
36.7
6.3
290.0
174.4
88.4
421.2
22.9
3.1
24.7
4.5
1.4
56.9
—
—
—
—
—
31.3
23.1
39.2
165.5
17.5
—
—
—
—
—
—
—
—
—
—
9.2
4.7
36.0
56.7
25.1
18.9
13.6
37.7
114.5
20.1
1.1
-4.8
6.0
-2.7
-1.6
-30.6
4.5
4.7
1.0
-8.4
-13.7
-1.3
5.5
-1.3
-4.4
2005
2006
2007
2008
2009
8.6
17.2
3.3
-27.0
18.1
52.0
14.3
-13.3
14.9
-9.0
-13.1
-1.2
14.1
17.0
11.4
—
—
—
—
—
38.4
14.9
-9.2
3.4
-3.6
—
—
—
—
—
—
—
—
—
—
-8.5
15.4
19.0
-4.5
26.1
21.7
15.0
-1.6
0.8
5.5
-7.1
2.6
23.6
2.1
15.7
2.5
6.0
34.8
1.3
12.1
-3.4
4.0
28.3
1.8
14.1
2010
2011f
2012f
2.6
-3.5
2.1
0.7
-5.0
-2.8
7.1
2.6
0.8
—
—
—
1.2
-4.5
-1.5
—
—
—
—
—
—
7.7
7.3
7.1
3.6
0.0
2.0
10.0
5.1
2.2
10.8
2.6
8.1
10.4
4.0
4.7
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
18.7
—
—
—
—
0.7
—
—
—
—
0.4
—
—
—
—
—
—
—
—
—
19.9
—
—
—
—
—
—
—
—
—
—
—
—
—
—
25.4
—
—
—
—
45.3
—
—
—
—
29.1
—
—
—
—
25.6
—
—
—
—
54.7
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
72
2000
22.6
2.9
0.5
—
25.9
—
—
27.4
53.3
29.1
17.6
46.7
2001
2002
2003
2004
21.9
21.9
17.4
16.1
7.4
11.3
34.2
36.6
0.5
0.4
0.3
0.4
—
—
—
—
29.9
33.6
51.9
53.1
—
—
—
—
—
—
—
—
26.9
29.6
27.0
29.4
56.8
63.2
78.9
82.4
26.0
22.2
12.6
10.8
17.2
14.6
8.5
6.8
43.2
36.8
21.1
17.6
2005
2006
2007
2008
2009
14.9
15.4
15.5
11.2
12.4
47.5
47.8
40.5
46.1
39.2
0.3
0.2
0.3
0.3
0.3
—
—
—
—
—
62.6
63.4
56.3
57.6
51.9
—
—
—
—
—
—
—
—
—
—
22.9
23.3
27.1
25.6
30.2
85.5
86.7
83.4
83.2
82.1
8.5
7.7
9.3
9.4
10.2
6.0
5.6
7.3
7.3
7.7
14.5
13.3
16.6
16.8
17.9
2010
12.1
37.7
0.3
11.6
35.5
0.3
2011f
2012f
11.6
33.7
0.3
* Confidentiality precludes reporting territorial-level insurance data.
f: forecast.
—
—
—
50.1
47.5
45.6
—
—
—
—
—
—
31.1
33.1
34.6
81.2
80.6
80.1
10.7
11.1
11.1
8.1
8.3
8.7
18.8
19.4
19.9
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Nun.—Total
Expenditure on Drugs by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditure, Nunavut, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Year
Health Expenditure
Private
Public
Share of Drugs in Public, Private and
Total Health Expenditure
Private
Total
Total
Public
($ Millions)
(Percentage Share)
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
1.1
—
—
—
—
4.2
—
—
—
—
5.3
—
—
—
—
133.6
—
—
—
—
9.1
—
—
—
—
142.6
—
—
—
—
0.8
—
—
—
—
46.5
—
—
—
—
3.7
2000
2001
2002
2003
2004
1.4
1.7
2.4
6.3
7.4
4.0
4.0
4.7
5.8
6.5
5.3
5.7
7.0
12.1
13.9
159.2
173.7
203.8
279.4
294.1
9.3
10.6
11.2
13.3
13.9
168.5
184.3
215.0
292.7
308.0
0.9
1.0
1.2
2.2
2.5
42.5
37.5
41.9
43.8
47.0
3.2
3.1
3.3
4.1
4.5
2005
2006
2007
2008
2009
10.2
11.7
10.7
11.0
10.6
6.1
6.8
8.3
8.1
9.8
16.3
18.5
19.0
19.1
20.5
288.0
317.8
333.1
346.6
365.9
16.7
17.6
21.0
21.0
24.9
304.6
335.4
354.1
367.6
390.8
3.6
3.7
3.2
3.2
2.9
36.6
38.4
39.6
38.6
39.5
5.4
5.5
5.4
5.2
5.2
2010
2011f
2012f
10.8
10.3
10.1
10.7
11.4
12.1
21.5
21.6
22.2
375.2
387.8
419.1
27.5
29.9
27.8
402.7
417.7
446.9
2.9
2.6
2.4
39.0
37.9
43.4
5.3
5.2
5.0
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
2000
2001
2002
2003
2004
31.3
23.1
39.2
165.5
17.5
-6.5
0.9
17.2
24.6
12.1
1.1
6.6
23.8
71.9
14.9
19.2
9.1
17.4
37.1
5.3
2.4
14.4
4.9
19.2
4.5
18.1
9.4
16.6
36.1
5.3
2005
2006
2007
2008
2009
38.4
14.9
-9.2
3.4
-3.6
-6.6
11.0
22.4
-2.1
21.4
17.3
13.4
2.4
1.0
7.0
-2.1
10.3
4.8
4.1
5.6
20.0
5.7
18.8
0.4
18.5
-1.1
10.1
5.6
3.8
6.3
2010
2011f
2012f
1.2
-4.5
-1.5
8.7
6.1
6.2
4.8
0.8
2.5
2.5
3.4
8.1
10.2
8.9
-7.2
3.0
3.7
7.0
Nun.
(Annual Percentage Change)
(Percentage Share of Total Drug Expenditure)
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
19.9
—
—
—
—
80.1
—
—
—
—
100.0
2000
25.9
74.1
100.0
2001
2002
2003
2004
29.9
33.6
51.9
53.1
70.1
66.4
48.1
46.9
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
62.6
63.4
56.3
57.6
51.9
37.4
36.6
43.7
42.4
48.1
100.0
100.0
100.0
100.0
100.0
2010
2011f
2012f
50.1
47.5
45.6
49.9
52.5
54.4
100.0
100.0
100.0
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
73
Drug Expenditure in Canada, 1985 to 2012
Table B Nun.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Nunavut, 1985 to 2012
Prescribed Drugs
Territorial
Public
Social Security Funds
WCBs
Drug Insurance
Funds
(Premium Component)
Federal
Subtotal
Public
Insurers*
Subtotal
Private
Non-Prescribed Drugs
Private (Out of Pocket)
OverPersonal
Total
theHealth
Non-Presc.
Counter
Supplies
Drugs
Drugs
Total
Prescribed
Drugs
($ per Capita)
Year
Nun.
Private
Out of
Pocket
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
36.87
—
—
—
—
1.47
—
—
—
—
0.87
—
—
—
—
—
—
—
—
—
39.22
—
—
—
—
—
—
—
—
—
—
—
—
—
—
49.98
—
—
—
—
89.20
—
—
—
—
57.22
—
—
—
—
50.33
—
—
—
—
107.55
2000
2001
2002
2003
2004
43.76
44.37
53.59
72.19
75.53
5.60
15.02
27.68
142.15
172.02
0.88
1.07
1.10
1.09
1.69
—
—
—
—
—
50.24
60.46
82.36
215.44
249.24
—
—
—
—
—
—
—
—
—
—
53.24
54.52
72.56
112.06
137.95
103.47
114.97
154.92
327.50
387.20
56.42
52.52
54.45
52.19
50.53
34.07
34.80
35.67
35.49
32.00
90.49
87.32
90.12
87.68
82.53
2005
2006
2007
2008
2009
80.98
92.52
94.11
67.91
78.70
258.19
287.53
245.41
278.86
248.92
1.45
1.39
1.57
1.81
1.98
—
—
—
—
—
340.62
381.44
341.09
348.58
329.60
—
—
—
—
—
—
—
—
—
—
124.68
140.20
164.37
155.18
191.96
465.30
521.65
505.46
503.76
521.56
46.35
46.34
56.41
56.97
64.65
32.37
33.44
44.40
44.45
48.88
78.73
79.78
100.81
101.42
113.54
2010
2011f
2012f
79.30
75.43
76.08
246.04
230.41
221.39
2.08
2.10
2.10
—
—
—
327.42
307.95
299.57
—
—
—
—
—
—
202.95
214.64
227.12
530.37
522.59
526.69
69.85
72.31
73.05
53.20
53.78
57.44
123.05
126.09
130.49
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
2000
18.7
280.3
0.5
—
28.1
—
—
6.5
16.0
-1.4
-32.3
-15.9
2001
1.4
168.4
22.0
—
20.3
—
—
2.4
11.1
-6.9
2.2
(Annual Percentage Change)
-3.5
2002
20.8
84.3
2.3
—
36.2
—
—
33.1
34.7
3.7
2.5
3.2
2003
34.7
413.6
-0.1
—
161.6
—
—
54.4
111.4
-4.1
-0.5
-2.7
2004
4.6
21.0
54.5
—
15.7
—
—
23.1
18.2
-3.2
-9.8
-5.9
2005
2006
2007
2008
2009
7.2
14.2
1.7
-27.8
15.9
50.1
11.4
-14.6
13.6
-10.7
-14.3
-3.8
12.4
15.7
9.3
—
—
—
—
—
36.7
12.0
-10.6
2.2
-5.4
—
—
—
—
—
—
—
—
—
—
-9.6
12.5
17.2
-5.6
23.7
20.2
12.1
-3.1
-0.3
3.5
-8.3
0.0
21.7
1.0
13.5
1.2
3.3
32.8
0.1
10.0
-4.6
1.3
26.4
0.6
11.9
2010
2011f
2012f
0.8
-4.9
0.9
-1.2
-6.4
-3.9
5.1
1.1
-0.4
—
—
—
-0.7
-5.9
-2.7
—
—
—
—
—
—
5.7
5.8
5.8
1.7
-1.5
0.8
8.0
3.5
1.0
8.8
1.1
6.8
8.4
2.5
3.5
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
2000
14.6
276.2
-3.6
—
24.0
—
—
2.4
11.9
-5.5
-36.4
-20.0
2001
2002
2003
2004
0.0
19.7
31.8
2.0
167.0
83.3
410.7
18.4
20.6
1.2
-3.0
51.9
—
—
—
—
19.0
35.2
158.7
13.1
—
—
—
—
—
—
—
—
1.0
32.1
51.5
20.5
9.8
33.7
108.5
15.6
-8.3
2.6
-7.0
-5.8
0.8
1.4
-3.4
-12.4
-4.9
2.2
-5.6
-8.5
2005
2006
2007
2008
2009
4.2
11.4
-2.0
-32.9
18.6
47.1
8.6
-18.3
8.6
-8.0
-17.3
-6.6
8.7
10.6
12.0
—
—
—
—
—
33.7
9.2
-14.3
-2.8
-2.7
—
—
—
—
—
—
—
—
—
—
-12.6
9.7
13.6
-10.6
26.5
17.2
9.3
-6.8
-5.4
6.3
-11.3
-2.8
18.1
-4.0
16.2
-1.8
0.5
29.1
-4.9
12.7
-7.6
-1.5
22.7
-4.4
14.7
2010
2011f
2012f
-2.5
-8.3
-0.9
-4.4
-9.8
-5.6
1.9
-2.4
-2.2
—
—
—
-3.9
-9.4
-4.4
—
—
—
—
—
—
2.5
2.3
4.1
-1.6
-4.9
-0.9
4.8
0.1
-0.7
5.6
-2.4
5.1
5.1
-1.0
1.8
* Confidentiality precludes reporting territorial-level insurance data.
f: forecast.
74
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
Drug Expenditure in Canada, 1985 to 2012
Table B Nun.—per Capita
Expenditure on Drugs per Capita by Type, by Source of Finance and Public, Private and
Total Health Expenditure, Nunavut, 1985 to 2012 (cont’d)
All Drugs
Private
Public
Total
Health Expenditure
Private
Public
GDP Implicit
Price Index—Canada
Total
($ per Capita)
Year
(1997 = 100)
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
73.6
75.6
79.2
82.8
86.6
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
89.2
91.6
92.8
94.1
95.2
1995
1996
1997
1998
1999
—
—
—
—
39.22
—
—
—
—
157.54
—
—
—
—
196.75
—
—
—
—
4,979.32
—
—
—
—
338.68
—
—
—
—
5,317.99
97.4
99.0
100.0
99.6
101.4
2000
2001
2002
2003
2004
50.24
60.46
82.36
215.44
249.24
143.73
141.83
162.68
199.74
220.48
193.96
202.29
245.04
415.18
469.73
5,787.58
6,175.93
7,091.92
9,579.09
9,926.96
338.32
378.42
388.44
456.07
469.23
6,125.90
6,554.35
7,480.36
10,035.17
10,396.19
105.5
106.9
108.1
111.2
114.1
2005
2006
2007
2008
2009
340.62
381.44
341.09
348.58
329.60
203.40
219.98
265.18
256.60
305.50
544.03
601.43
606.27
605.18
635.10
9,594.32
10,317.10
10,651.74
10,958.13
11,348.47
556.12
573.00
670.40
665.26
773.43
10,150.44
10,890.10
11,322.14
11,623.39
12,121.90
117.5
120.8
125.2
131.5
127.9
2010
2011f
2012f
327.42
307.95
299.57
326.00
340.73
357.61
653.42
648.68
657.18
11,427.46
11,638.86
12,427.02
836.87
897.88
823.08
12,264.33
12,536.74
13,250.10
132.08
136.61
138.96
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
2.8
4.7
4.5
4.6
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
3.0
2.8
1.3
1.4
1.1
1995
1996
1997
1998
1999
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
2.3
1.7
1.0
-0.4
1.8
2000
28.1
-8.8
-1.4
16.2
-0.1
15.2
4.1
2001
20.3
-1.3
4.3
6.7
11.9
7.0
Nun.
(Annual Percentage Change)
1.4
2002
36.2
14.7
21.1
14.8
2.6
14.1
1.0
2003
161.6
22.8
69.4
35.1
17.4
34.2
2.9
2004
15.7
10.4
13.1
3.6
2.9
3.6
2.6
2005
2006
2007
2008
2009
36.7
12.0
-10.6
2.2
-5.4
-7.7
8.2
20.5
-3.2
19.1
15.8
10.6
0.8
-0.2
4.9
-3.4
7.5
3.2
2.9
3.6
18.5
3.0
17.0
-0.8
16.3
-2.4
7.3
4.0
2.7
4.3
3.0
2.8
3.7
5.0
-2.8
2010
2011f
2012f
-0.7
-5.9
-2.7
6.7
4.5
5.0
2.9
-0.7
1.3
0.7
1.8
6.8
8.2
7.3
-8.3
1.2
2.2
5.7
3.3
3.4
1.7
1985
1986
1987
1988
1989
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1990
1991
1992
1993
1994
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
1995
1996
1997
1998
1999
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
2000
24.0
-12.9
-5.5
12.1
-4.2
11.1
2001
2002
2003
2004
19.0
35.2
158.7
13.1
-2.7
13.7
19.9
7.8
2.9
20.1
66.5
10.5
5.4
13.8
32.2
1.0
10.5
1.6
14.5
0.3
5.6
13.1
31.3
1.0
2005
2006
2007
2008
2009
33.7
9.2
-14.3
-2.8
-2.7
-10.8
5.4
16.9
-8.3
21.8
12.8
7.8
-2.9
-5.2
7.7
-6.4
4.7
-0.4
-2.1
6.3
15.5
0.2
13.3
-5.8
19.0
-5.4
4.5
0.3
-2.4
7.0
2010
2011f
2012f
-3.9
-9.4
-4.4
3.4
1.1
3.2
-0.4
-4.2
-0.4
-2.6
-1.6
5.1
4.9
3.9
-10.0
-2.1
-1.2
4.0
(Annual Percentage Change in Excess of Inflation in the Canadian Economy)
f: forecast.
National Health Expenditure Database, 2012, Canadian Institute for Health Information.
75
Series C—International Comparisons
Drug Expenditure in Canada, 1985 to 2012
Table C.1
Share of Pharmaceutical Goods* in Total Expenditure on Health,
Descending Order, OECD Countries Reporting, 1985, 2000, 2009, 2010
1985
Portugal
Korea
Spain
Japan
Iceland
France
Belgium
Luxembourg
United Kingdom
Germany
New Zealand
Turkey
Switzerland
Ireland
Finland
Canada
Netherlands
Norway
Australia
United States
Sweden
Denmark
2000
(%)
25.4
23.2
20.3
18.0
16.6
16.2
15.7
14.7
14.1
13.8
13.3
13.0
11.3
9.9
9.7
9.6
9.3
9.1
9.0
8.7
7.0
6.6
Slovak Republic
Turkey
Korea
Czech Republic
Estonia
Italy
Spain
Portugal
Mexico
Greece
Japan
France
Canada
Finland
Australia
Iceland
United Kingdom
Ireland
Sweden
Germany
Austria
Netherlands
United States
Switzerland
Norway
Luxembourg
Denmark
2009
(%)
34.0
26.6
24.3
23.4
22.3
22.0
21.3
19.9
19.4
18.9
18.4
16.5
15.9
15.2
14.8
14.5
14.2
14.1
13.8
13.5
12.1
11.7
11.3
10.8
9.5
9.1
8.7
Hungary
Mexico
Slovak Republic
Estonia
Poland
Korea
Japan
Czech Republic
Portugal
Slovenia
Spain
Italy
Canada
Ireland
France
Belgium
Iceland
Germany
Australia
Finland
Sweden
United States
Austria
Chile
Switzerland
Netherlands
New Zealand
Denmark
Norway
2010
(%)
32.5
27.1
26.6
23.5
22.9
22.5
20.8
19.4
19.4
18.6
18.3
17.6
17.0
16.8
16.1
16.0
15.7
14.9
14.7
14.2
12.7
12.2
12.1
11.1
10.1
9.7
9.5
7.3
7.3
Hungary
Slovak Republic
Poland
Estonia
Korea
Czech Republic
Slovenia
Portugal
Ireland
Spain
Italy
Canada
France
Iceland
Belgium
Germany
Finland
Sweden
Austria
United States
Switzerland
Netherlands
New Zealand
Denmark
Norway
(%)
33.6
26.4
22.7
21.8
21.6
19.9
19.4
18.6
18.5
18.4
17.2
16.7
16.0
15.8
15.8
14.8
13.9
12.6
12.0
11.9
9.7
9.5
9.4
7.4
7.3
OECD
Notes
* The OECD proposes the following standard definition: Includes prescribed medicines and self-medication, often referred to
as over-the-counter (OTC) products. Also includes other medical non-durables comprising a wide range of items such as
bandages, elasticated stockings, incontinence articles, condoms and other mechanical contraceptive devices.
Excludes pharmaceutical consumption in hospitals.
Country-specific definitions differ from the OECD’s proposed standard definition as follows:
Excludes other medical non-durables.
Greece:
Excludes subsidies from local governments.
Hungary:
Includes cost of care provided in prison and military facilities; excludes subsidies from charitable
New Zealand:
not-for-profit organizations and regional and local governments.
Norway:
Public expenditure includes expenditure by hospitals and the National Insurance Administration
(Rikstrygdeverket, RTV) only.
Excludes other medical non-durables.
Switzerland:
Includes pharmaceutical consumption in hospitals.
Turkey:
Source
Organisation for Economic Co-operation and Development and IRDES. OECD Health Data 2012 . Paris, France: OECD and
IRDES; June 2012.
79
Drug Expenditure in Canada, 1985 to 2012
Table C.2
Share of Public Expenditure in Total Expenditure on Pharmaceutical
Goods and Other Medical Non-Durables,* OECD Reporting
Countries, 1985, 2000, 2009, 2010
1985
OECD
Turkey
Luxembourg
New Zealand
Germany
Sweden
France
Portugal
United Kingdom
Netherlands
Spain
Iceland
Ireland
Japan
Belgium
Australia
Denmark
Finland
Norway
Canada
Korea
United States
2000
(%)
90.0
86.0
80.4
71.9
70.1
67.1
64.7
64.1
63.3
62.5
61.9
60.8
60.6
51.0
47.2
45.5
44.5
43.2
29.4
15.4
8.4
Slovak Republic
Luxembourg
United Kingdom
Czech Republic
Spain
Germany
Sweden
Austria
France
Japan
Ireland
Greece
Switzerland
Turkey
Iceland
Netherlands
Norway
Portugal
Australia
Denmark
Finland
Estonia
Italy
Korea
Canada
United States
Mexico
2009
(%)
82.6
82.2
78.4
76.5
73.5
72.5
70.0
68.7
66.9
66.6
63.9
62.9
60.8
60.2
59.0
58.3
58.1
56.8
55.6
50.6
46.6
44.6
44.6
36.0
35.0
18.1
0.3
Netherlands
Germany
Ireland
Japan
Spain
Slovak Republic
Czech Republic
Switzerland
France
Austria
New Zealand
Belgium
Korea
Portugal
Sweden
Slovenia
Finland
Australia
Norway
Denmark
Italy
Iceland
Hungary
Estonia
Canada
Poland
United States
Mexico
2010
(%)
78.8
77.6
74.7
72.9
72.8
69.8
68.7
68.5
67.7
66.9
65.6
62.2
59.3
59.3
58.7
57.9
55.4
54.3
54.3
53.3
49.2
48.8
48.4
41.4
39.0
38.6
30.3
18.9
Netherlands
Germany
Ireland
Spain
Slovak Republic
Switzerland
France
Austria
New Zealand
Czech Republic
Belgium
Portugal
Korea
Sweden
Slovenia
Norway
Finland
Denmark
Estonia
Italy
Hungary
Iceland
Poland
Canada
United States
(%)
78.9
76.4
76.3
72.3
69.3
68.8
68.2
66.9
65.9
63.7
63.3
62.2
59.4
57.4
55.9
55.8
55.0
52.7
49.0
48.4
48.2
43.7
40.0
38.3
31.7
Notes
* The OECD proposes the following standard definition: Includes prescribed medicines and self-medication, often referred to
as over-the-counter (OTC) products. Also includes other medical non-durables comprising a wide range of items such as
bandages, elasticated stockings, incontinence articles, condoms and other mechanical contraceptive devices.
Excludes pharmaceutical consumption in hospitals.
Country-specific definitions differ from the OECD’s proposed standard definition as follows:
Greece:
Excludes other medical non-durables.
Hungary:
Excludes subsidies from local governments.
New Zealand:
Includes cost of care provided in prison and military facilities; excludes subsidies from charitable
not-for-profit organizations and regional and local governments.
Norway:
Public expenditure includes expenditure by hospitals and the National Insurance Administration
(Rikstrygdeverket, RTV) only.
Switzerland:
Excludes other medical non-durables.
Turkey:
Includes pharmaceutical consumption in hospitals.
Source
Organisation for Economic Co-operation and Development and IRDES. OECD Health Data 2012. Paris, France: OECD and
IRDES; June 2012.
80
Drug Expenditure in Canada, 1985 to 2012
Table C.3
Share of Pharmaceutical Goods* in Public Expenditure on Health,
Descending Order, OECD Countries Reporting, 1985, 2000, 2009, 2010
1985
Portugal
Turkey
Spain
Japan
Luxembourg
France
Germany
New Zealand
Iceland
Korea
United Kingdom
Netherlands
Ireland
Australia
Finland
Sweden
Norway
Canada
Denmark
United States
2000
(%)
30.1
23.1
15.7
15.4
14.2
13.8
12.8
12.3
11.8
11.3
10.5
8.3
7.9
6.0
5.5
5.4
4.6
3.8
3.5
1.8
Slovak Republic
Turkey
Hungary
Spain
Greece
Czech Republic
Korea
Portugal
Poland
Japan
United Kingdom
France
Italy
Estonia
Germany
Australia
Ireland
Switzerland
Sweden
Austria
Netherlands
Iceland
Finland
Luxembourg
Canada
Norway
Denmark
United States
Mexico
2009
(%)
31.4
25.4
24.9
21.8
19.8
19.8
18.0
17.0
15.7
15.2
14.1
13.9
13.5
12.9
12.3
12.3
12.0
11.9
11.4
11.0
10.8
10.5
10.0
8.8
7.9
6.7
5.2
4.8
0.1
Slovak Republic
Hungary
Korea
Japan
Spain
Ireland
Portugal
Czech Republic
Germany
Slovenia
France
Belgium
Estonia
Poland
Australia
Italy
Austria
Switzerland
Mexico
Finland
Iceland
Canada
Sweden
United States
New Zealand
Norway
Denmark
2010
(%)
28.2
24.0
22.9
18.8
17.8
17.4
17.3
15.8
15.0
14.7
14.2
13.1
12.9
12.3
11.7
10.9
10.6
10.6
10.6
10.5
9.3
9.3
9.2
7.8
7.5
4.7
4.6
Slovak Republic
Hungary
Korea
Ireland
Spain
Portugal
Czech Republic
Slovenia
Germany
France
Estonia
Belgium
Poland
Austria
Italy
Finland
Switzerland
Canada
Sweden
Iceland
United States
New Zealand
Norway
Denmark
(%)
28.4
25.1
22.0
20.3
17.9
17.6
15.1
14.9
14.7
14.1
13.5
13.2
12.7
10.5
10.5
10.3
10.2
9.0
8.9
8.6
7.9
7.5
4.8
4.6
OECD
Notes
* The OECD proposes the following standard definition: Includes prescribed medicines and self-medication, often referred to
as over-the-counter (OTC) products. Also includes other medical non-durables comprising a wide range of items such as
bandages, elasticated stockings, incontinence articles, condoms and other mechanical contraceptive devices.
Excludes pharmaceutical consumption in hospitals.
Country-specific definitions differ from the OECD’s proposed standard definition as follows:
Greece:
Excludes other medical non-durables.
Hungary:
Excludes subsidies from local governments.
New Zealand:
Includes cost of care provided in prison and military facilities; excludes subsidies from charitable
not-for-profit organizations and regional and local governments.
Norway:
Public expenditure includes expenditure by hospitals and the National Insurance Administration
(Rikstrygdeverket, RTV) only.
Switzerland:
Excludes other medical non-durables.
Turkey:
Includes pharmaceutical consumption in hospitals.
Source
Organisation for Economic Co-operation and Development and IRDES. OECD Health Data 2012 . Paris, France: OECD and
IRDES; June 2012.
81
Drug Expenditure in Canada, 1985 to 2012
Table C.4
Total Expenditure on Pharmaceutical Goods* per Capita,
Descending Order, OECD Countries Reporting, 1985, 2000, 2009, 2010
1985
2000
†
OECD
(CAD, PPP)
Iceland
237.69
Germany
237.32
France
202.37
Switzerland
200.62
United States
192.35
Japan
186.76
Belgium
183.62
Canada
147.13
Greece
129.78
Spain
121.84
Portugal
121.72
United Kingdom 117.77
Netherlands
108.09
Finland
107.92
Sweden
107.69
Norway
103.18
Denmark
99.77
Australia
99.30
New Zealand
99.05
Ireland
78.67
Korea
44.77
Turkey
10.73
2009
†
(CAD, PPP)
United States
665.51
Italy
559.48
France
517.01
Canada
493.52
Iceland
488.35
Japan
448.11
Germany
446.18
Austria
432.02
Switzerland
429.95
Australia
413.26
Portugal
405.37
Spain
403.11
Sweden
389.14
Luxembourg
367.97
Norway
356.70
Finland
348.05
Greece
338.36
Netherlands
336.59
United Kingdom 320.01
Ireland
305.34
Czech Republic
283.05
Denmark
267.54
Slovak Republic 253.26
Korea
230.47
Estonia
143.58
Turkey
141.77
Mexico
121.80
2010
†
(CAD, PPP)
United States
1,170.80
Canada
876.74
Ireland
791.71
France
757.55
Japan
754.95
Germany
753.44
Belgium
749.58
Spain
678.90
Iceland
664.01
Slovak Republic 657.46
Australia
647.99
Italy
635.20
Austria
631.98
Portugal
625.63
Switzerland
623.33
Hungary
607.19
Netherlands
567.00
Sweden
566.63
Slovenia
563.68
Finland
556.89
Korea
502.28
Czech Republic
475.35
Norway
465.96
Estonia
389.83
Denmark
384.86
Poland
374.54
New Zealand
334.17
Mexico
299.33
Chile
161.31
Notes
* The OECD proposes the following standard definition: Includes prescribed medicines and self-medication, often referred to
as over-the-counter (OTC) products. Also includes other medical non-durables comprising a wide range of items such as
bandages, elasticated stockings, incontinence articles, condoms and other mechanical contraceptive devices.
Excludes pharmaceutical consumption in hospitals.
Country-specific definitions differ from the OECD’s proposed standard definition as follows:
Greece:
Excludes other medical non-durables.
Hungary:
Excludes subsidies from local governments.
New Zealand:
Includes cost of care provided in prison and military facilities; excludes subsidies from charitable
not-for-profit organizations and regional and local governments.
Norway:
Public expenditure includes expenditure by hospitals and the National Insurance Administration
(Rikstrygdeverket, RTV) only.
Switzerland:
Excludes other medical non-durables.
Turkey:
Includes pharmaceutical consumption in hospitals.
† Converted to Canadian dollars (CAD) using purchasing power parities (PPPs) for gross domestic product (GDP).
Canadian data reported by the OECD is as of November 2011.
In November 2012, updated and revised Canadian data was released in Canada. This updated information will not be
incorporated into the OECD database until the summer of 2013.
Source
Organisation for Economic Co-operation and Development and IRDES. OECD Health Data 2012 . Paris, France: OECD and
IRDES; June 2012.
82
†
(CAD, PPP)
United States
1,198.48
Canada
903.02
Ireland
836.76
Germany
780.26
France
773.46
Belgium
763.44
Spain
684.10
Slovak Republic 675.65
Hungary
656.32
Austria
640.43
Iceland
637.97
Italy
622.67
Switzerland
622.20
Portugal
619.46
Netherlands
586.63
Sweden
578.30
Slovenia
575.31
Finland
551.06
Korea
536.16
Norway
481.44
Czech Republic
456.84
Denmark
403.45
Poland
383.77
New Zealand
347.96
Estonia
343.53
Drug Expenditure in Canada, 1985 to 2012
Appendix A: Factors That May Influence Drug
Use and Expenditure in Canada
Prices
 Unit prices of drugs (both patented and non-patented)
 Retail and wholesale markups and professional fees
 Availability of generics
 International prices
 Inflation
Volume of Drug Use
 Population-related
̶
Population size
̶
Population structure/distribution
̶
Age, gender and ethnicity
̶
Health status of a population
̶
Emergence of new diseases
̶
Epidemics
̶
Prevalence and severity of disease
 System-related
̶
Changes and transition associated with health system reform
̶
Availability of and access to third-party insurance coverage
̶
Policies and programs
̶
Extent of formulary listings
̶
Eligibility and copayments
 Research- and technology-related
̶
New treatment approaches
̶
Drugs replacing surgery
̶
Drug therapy for previously untreatable or undertreated diseases
̶
Availability of more and/or improved diagnostic technology
̶
Outcomes research, evidence-based preventive or curative approaches in diagnosis
or treatment
̶
Use of programs and technology in monitoring patients
83
Drug Expenditure in Canada, 1985 to 2012
 Pharmaceutical industry
̶
Entry of new drugs
̶
Development of new formulations (for example, new strengths,
forms and presentations of existing drugs)
̶
Promotion of drugs to physicians
̶
Drug sampling
̶
Direct-to-consumer advertising
 Practice- and people-related (health care providers and consumers)
84
̶
Prescribing and dispensing practices
̶
Number and mix of prescribers (specialists, general practitioners,
nurse practitioners and others)
̶
Consumers’ expectations and behaviours
̶
Adherence to treatment
Drug Expenditure in Canada, 1985 to 2012
Appendix B: Comparison of Provincial and
Territorial Drug Subsidy Programs
Table 3 gives an overview of provincial and territorial drug subsidy programs as of December 31, 2012.
The table was verified for accuracy with provincial/territorial programs. Information is also available
from the following websites:
British Columbia PharmaCare
www.health.gov.bc.ca/pharmacare/
Alberta Prescription Drug Program
www.health.alberta.ca/services/prescription-program.html
Saskatchewan Drug Plan
www.health.gov.sk.ca/prescription-drugs
Manitoba Pharmacare Program
www.gov.mb.ca/health/pharmacare/index.html
Ontario Drug Benefits
www.health.gov.on.ca/en/public/programs/drugs/default.aspx
Régime général d’assurance médicaments du Québec (RGAM)
www.ramq.gouv.qc.ca/en/citoyens/assurancemedicaments/index.shtml
New Brunswick Prescription Drug Program
www.gnb.ca/0212/intro-e.asp
Nova Scotia Pharmacare
www.gov.ns.ca/health/pharmacare/
Prince Edward Island Pharmacy Services
www.healthpei.ca/index.php3?number=1026180&lang=E
Newfoundland and Labrador Prescription Drug Program
www.health.gov.nl.ca/health/prescription/nlpdp_plan_overview.html
Yukon Pharmacare
www.hss.gov.yk.ca/insured_services.php
Northwest Territories
www.hss.gov.nt.ca/health/nwt-health-care-plan
Nunavut
http://www.drugcoverage.ca/en-ca/Provincial-Coverage/nunavut/drug-benefit-programs.aspx
85
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of December 2012
86
Province/
Territory
Program/
Plan
British
Columbia
Maximum
Annual
Copay
Beneficiary
Premium
Deductible
Copay
Fair
PharmaCare
Enhanced
Assistance
Families in which
at least one family
member was born
in 1939 or earlier
and is not covered
by other plans
None
Based on
family net
income:
0%: <$33K
1%: $33K
to $50K
2%: >$50K
PharmaCare
pays 75%
1.25%:
<$33K
2%: $33K
to $50K
3%: >$50K
Fair
PharmaCare
Families in
which all family
members were
born in 1940
or later and are
not covered by
other plans
None
Based on
family net
income:
0%: <$15K
2%: $15K
to $30K
3%: >$30K
PharmaCare
pays 70%
2%: <$15K
3%: $15K
to $30K
4%: >$30K
PharmaCare
Plan B
Permanent
None
residents of
licensed residential
care facilities
None
None
N/A
PharmaCare
Plan C
Recipients of
B.C. Income
Assistance
None
None
None
N/A
PharmaCare
Plan D
Cystic fibrosis
None
patients registered
with a provincial
cystic fibrosis clinic
None
None
N/A
PharmaCare
Plan F
Severely disabled None
children registered
in the At Home
Program
None
None
N/A
PharmaCare
Plan G
Clients of mental
health service
centres meeting
clinical and lowincome criteria
None
None
None
N/A
PharmaCare
Plan P
Palliative care
patients treated
at home
None
None
None
N/A
Smoking
Cessation
Program
For prescription
None
smoking
cessation drugs:
Residents of
British Columbia
must be
registered for Fair
PharmaCare or
covered by one
of the following
PharmaCare
plans: Plan B,
Plan C or Plan G
For nicotine
replacement
therapies:
All British Columbia
residents
See
applicable
PharmaCare
plans above
See applicable
PharmaCare
plans above
See
applicable
PharmaCare
plans above
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
British
Columbia
(cont’d)
Medication
Management
Plan M
Alberta
Seniors
Beneficiary
Premium
Medication
None
management
services (clinical
services,
medication
review services
and publicly
funded
vaccinations)
provided by
pharmacies: All
British Columbia
residents
Seniors age 65
None
and older and their
eligible dependants
Deductible
Copay
Maximum
Annual
Copay
None
None
N/A
None
30% of
prescription
to a maximum
of $25 per
prescription*
30% of
prescription
to a maximum
of $25 per
prescription*
N/A
Widows
Residents age 55 to None
64 who qualify for
Alberta Widows’
Pension and
eligible dependants.
No new application
since 2004.
None
Palliative
Palliative residents None
treated at home
None
30% of
prescription
to a maximum
of $25 per
prescription*
The lifetime
maximum
amount
palliative
patients pay
out of pocket
is $1,000
Non-Group
A universal plan
available to all
residents younger
than age 65 and
eligible dependants
None
30% of
prescription
to a maximum
of $25 per
prescription*
N/A
Specialized
High Cost
Drugs
(Province-Wide
Services)
Residents
None
with specific
conditions may be
eligible for highcost drugs, mostly
transplant and HIV
drugs, via Alberta
Health Services
None
None
N/A
Monthly rate
is $63.50 for
singles and
$118.00 for
families.
Subsidized
rates are
available at
$44.45 for
singles and
$82.60 for
families.
N/A
Note
* Costs incurred by the client choosing a high-cost product where cheaper alternatives are available are borne by the client.
87
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Beneficiary
Premium
Deductible
Copay
Maximum
Annual
Copay
All residents in the
cancer registry via
Alberta Health
Services
None
None
None
N/A
None
None
None
N/A
Assured
Income for
the Severely
Handicapped
(AISH)
Residents
None
receiving AISH (an
income-support
program
for adults with
a permanent
disability that
severely impairs
their ability to earn
a living) and
eligible dependants
None
None
N/A
Alberta Adult
Health Benefit
Qualified clients
and their families,
including those
leaving income
support for work,
as well as lowincome Albertans
who were either
pregnant or had
high prescription
drug costs in
relation to their
income
None
None
None
N/A
Alberta Child
Health Benefit
Children in lowincome families
None
None
None
N/A
Rare Diseases
Drug Program
Residents with
None
extremely rare
genetic disorders
(Gaucher’s
disease, Fabry
disease, MPS-I,
Hunter disease and
Pompe disease)
may be eligible for
rare disease drugs
via Alberta Health
Services
None
None
N/A
Province/
Territory
Program/
Plan
Alberta
(cont’d)
Outpatient
Cancer Drug
Program
Income Support Residents
receiving social
assistance
and eligible
dependants
88
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Saskatchewan Saskatchewan
Drug Plan—
Special Support
Program
†
Seniors’
Drug Plan
Beneficiary
Premium
Deductible
Copay
All residents with
Saskatchewan
health coverage
(application
required)
None
Income-tested
(annual
threshold
based on
3.4% of
adjusted
family income)
Income-tested
(based on
benefit drug
costs, to help
spread cost
out evenly over
the year)
N/A
None
Maximum
$20 per
prescription
N/A
$100 semiannual family
deductible
35% consumer N/A
copayment
after deductible
has been paid
$200 semiannual family
deductible
35% consumer N/A
copayment
after deductible
has been paid
None
The level of
assistance
provided is
in accordance
with the
consumer’s
ability to pay
Saskatchewan
None
residents 65 and
older. Individual
annual net income
must be below the
limit for the federal
age credit to be
eligible for the
cap of $20 per
prescription
(application required
to determine
eligibility).
Seniors Income
Plan Recipients
(Basic
Deductible
Programs)
Seniors receiving
None
the Seniors Income
Plan supplement
or receiving the
federal Guaranteed
Income
Note: May also Supplement
apply for the
and residing in a
Seniors’ Drug special care home
Plan and the
Seniors receiving
None
Special Support
the Guaranteed
Program
Income
Supplement
and living in
the community
Emergency
Assistance
Program
Maximum
Annual
Copay
Residents who
None
require immediate
treatment with
covered
prescription drugs
who are unable to
cover their share of
the cost. This is a
one-time benefit,
and individuals are
encouraged to
apply for incometested coverage for
future assistance.
N/A
Note
† To be eligible for drug plan coverage, the resident must not be covered under another provincial or federal government program,
such as the Non-Insured Health Benefits Program. For all residents who are eligible for more than one drug plan program,
the best coverage for each prescription will be applied.
89
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Deductible
Copay
$100 semiannual family
deductible
No charge
N/A
for benefit
prescriptions for
children; 35%
consumer
copayment after
deductible has
been paid for
adult benefit
prescriptions
Supplementary Persons nominated None
Health
by Saskatchewan
Social Services for
special coverage
(persons on social
assistance, wards,
inmates, etc.)
None
Up to $2 per
N/A
prescription
(some drugs
covered at
no charge;
individuals
younger than
18 and certain
other categories
receive benefit
prescriptions at
no charge)
Saskatchewan
Aids to
Independent
Living (SAIL)
Persons registered None
under the following
SAIL programs
receive formulary
and approved nonformulary drugs
at no charge:
Paraplegia
Program, Cystic
Fibrosis Program
and Chronic
End-Stage Renal
Disease Program
None
None
N/A
Palliative Care
Program
Residents who
are in the late
stages of a
terminal illness
None
None
N/A
Saskatchewan Family Health
Benefits
(cont’d)
†
Beneficiary
Premium
Maximum
Annual
Copay
Eligibility is
None
established by the
Ministry of Social
Services, based on
the number of
children in the
family and the
family’s annual
income
None
Note
† To be eligible for drug plan coverage, the resident must not be covered under another provincial or federal government program,
such as the Non-Insured Health Benefits Program. For all residents who are eligible for more than one drug plan program,
the best coverage for each prescription will be applied.
90
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Beneficiary
Premium
Deductible
Copay
Type 1 diabetic
children (younger
than 18) who
require pumps to
adequately
stabilize blood
sugar levels who
are not eligible
for benefits
under a federal
government
program (such as
the Non-Insured
Health Benefits
Program)
None
None
No charge for
N/A
insulin pump.
Insulin pump
supplies subject
to coverage
(family
deductible/
copay).
Children’s Drug Children 14 and
Plan
younger
None
None
Maximum $20 N/A
per prescription
Pharmacare
All provincial
residents who
are eligible for
benefits under
The Prescription
Drug Cost
Assistance Act
None
2.81% to
None
6.36%, based
on total
adjusted
family income.
Credit of
$3,000 for
a spouse
and each
dependant
younger
than 18.
N/A
Employment
and Income
Assistance
Program
Individual
Manitobans who
are receiving
drug benefits
pursuant to the
Employment
and Income
Assistance
Program
None
None
None
N/A
Personal Care
Home/Nursing
Home
Manitoba residents None
of personal care
homes
None
None
N/A
Palliative Care
Drug Access
Program
Residents who are None
terminally ill and
wish to remain
at home
None
None
N/A
Saskatchewan Children’s
Insulin Pump
(cont’d)
Program
†
Manitoba
Maximum
Annual
Copay
Note
† To be eligible for drug plan coverage, the resident must not be covered under another provincial or federal government program,
such as the Non-Insured Health Benefits Program. For all residents who are eligible for more than one drug plan program,
the best coverage for each prescription will be applied.
91
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
92
Province/
Territory
Program/
Plan
Ontario
Ontario Drug
Benefit
Program
Beneficiary
Premium
Maximum
Annual
Copay
Deductible
Copay
Seniors (65 and
None
older): single
seniors with annual
income ≥$16,018
or seniors in
couples with
combined annual
income of
≥$24,175
$100
per recipient
After deductible, N/A
up to $6.11 per
prescription and
$2.83 for
prescriptions
dispensed in
outpatient
hospital
pharmacies
Seniors (65 and
None
older): single
seniors with annual
income <$16,018 or
seniors in couples
with combined
annual income of
<$24,175
None
None
Up to $2 per
prescription
Residents of longterm care facilities
None
None
Up to $2 per
prescription
N/A
Residents of homes None
for special care
None
Up to $2 per
prescription
N/A
Residents receiving None
professional
services under
the home care
program
None
Up to $2 per
prescription
N/A
Residents
None
receiving social
assistance (Ontario
Disability Support
Program or Ontario
Works Program)
None
Up to $2 per
prescription
N/A
Trillium Drug
Program
Residents with valid None
Ontario health
insurance with
high drug costs in
relation to income
who are not eligible
for drug coverage
as another category
of recipient under
the Ontario Drug
Benefit Program
Income-based Up to $2 per
prescription
N/A
Special Drugs
Program
Residents with
None
valid Ontario
health insurance.
Coverage is
product-specific
for a limited number
of diseases or
conditions.
None
N/A
None
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Quebec
Régime public
Deductible
Copay
Maximum
Annual
Copay
Employment
None
assistance
(welfare) recipients
and other holders
of a claim slip
None
None
None
Seniors (65 and
older) receiving
at least 94% of
the maximum
Guaranteed
Income
Supplement (GIS)
None
None
None
None
Seniors (65 and
older) receiving
less than 94% of
the maximum GIS
$0 to $579
$16.25
per adult
per month
per year,
depending on
income
32% of
prescription
costs
$50.97 per
month
Seniors (65 and
older) without GIS
$0 to $579
per adult
per year,
depending
on income
$16.25
per month
32% of
prescription
costs
$82.66 per
month
General clientele
(residents younger
than 65 without
access to a
group plan).
Adults are subject
to a premium, a
deductible and
a copayment. Their
children (including
students age 18 to
25, under certain
conditions) are
covered free
of charge.
$0 to $579
$16.25
per adult per per month
year,
depending on
income
32% of
prescription
costs
$82.66 per
month
Beneficiary
Premium
93
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
94
Province/
Territory
Program/
Plan
New
Brunswick
Seniors
Program
Plan A
Maximum
Annual
Copay
Beneficiary
Premium
Deductible
Copay
Seniors with
Guaranteed
Income
Supplement (GIS)
None
None
$9.05 for each
prescription
$500
Seniors without
None
GIS who qualify for
benefits based on
annual income as
follows: a single
senior with an
annual income of
$17,198 or less;
a senior couple
(both 65 and older)
with a combined
annual income of
$26,955 or less; a
senior couple with
one spouse
younger than 65
with a combined
annual income of
$32,390 or less
None
$15 per
prescription
N/A
Cystic
Fibrosis
Plan B
Cystic fibrosis
$50 yearly
patients or patients registration
with juvenile or
fee
infant sclerosis of
the pancreas
None
20%
prescription
cost up to a
maximum
of $20
$500
per family
Adults in
Licensed
Residential
Facilities
Plan E
Individuals residing None
in a licensed adult
residential facility
who hold a valid
health card for
prescription drugs
issued by the
Department
of Social
Development
None
$4 per
prescription
$250 per
person
Department
of Social
Development
Plan F
Individuals holding None
a valid health card
for prescription
drugs issued by
the Department
of Social
Development
None
$4 per
$250
prescription for per family
adults (18 and
older) and $2
for children
(younger
than 18)
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Beneficiary
Premium
Deductible
Copay
Maximum
Annual
Copay
New
Brunswick
(cont’d)
Special Needs
Children
and Children
in the Care of
the Minister
of Social
Development
Plan G
Special-needs
children and
children in
the care of the
Minister of Social
Development
None
None
None
N/A
Multiple
Sclerosis
Plan H
Individuals
diagnosed with
multiple sclerosis
and in possession
of a prescription
written by a
neurologist for
the medications
Avonex, Rebif,
Betaseron or
Copaxone are
eligible to apply
for assistance
$50 yearly
registration
fee
None
Income-tested
(ranges from
0% to 100%)
N/A
Organ
Transplant
Plan R
Recipients of an
$50 yearly
organ or bone
registration
marrow transplant fee
who are registered
with and qualify for
the New Brunswick
Prescription Drug
Program (NBPDP)
None
20% of
prescription
cost up to a
maximum
of $20
$500
per family
Human
Growth
Hormone
Deficiency
Plan T
Individuals with
$50 yearly
growth hormone
registration
deficiency or
fee
hypopituitarism
who are registered
with and qualify for
the NBPDP
None
20% of
prescription
cost up to
a maximum
of $20
$500
per family
HIV/AIDS
Plan U
Individuals who are $50 yearly
HIV positive and
registration
are registered with fee
the NBPDP
None
20% of
prescription
cost up to a
maximum
of $20
$500
per family
None
None
N/A
Nursing Home Individuals
Plan V
who reside in
a registered
nursing home
None
95
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Nova Scotia
Seniors
Pharmacare
Program
Department
of Community
Services—
Pharmacare
Benefits
96
Beneficiary
Premium
Maximum
Annual
Copay
Deductible
Copay
Residents (65 and None
older) who are
receiving the
Guaranteed
Income
Supplement (GIS),
are covered by
Medical Services
Insurance (MSI)
and do not have
prescription drug
coverage through
Veterans Affairs
Canada, NonInsured Health
Benefits, Nova
Scotia Family
Pharmacare or
any other public
or private plan
None
30% of
prescription
cost
$382
Residents (65 and Up to $424
older) who are not per year
receiving the GIS,
are covered by
MSI and do not
have prescription
drug coverage
through Veterans
Affairs Canada,
Non-Insured
Health Benefits,
Nova Scotia
Family
Pharmacare
or any other public
or private plan
None
30% of
prescription
cost
$382 plus
premium
Eligible clients and None
their dependants in
receipt of income
assistance; any
client and/or
dependant having
access to another
drug plan, be it
from a public or
private entity, will
be required to use
that plan and will
not be eligible for
the Pharmacare
program
None
All incomeN/A
assistance
clients and
dependants are
required to
copay a flat fee
of $5 per
prescription
unless the
client or
dependant
is eligible
for copay
exemption
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Nova Scotia
(cont’d)
Drug
Assistance
for Cancer
Patients
Family
Pharmacare
Program
Deductible
Copay
Maximum
Annual
Copay
None
Residents with a
valid Nova Scotia
health card who
are not eligible for
any other drug
coverage, except
Nova Scotia
Family
Pharmacare; have
a diagnosis of
cancer; have a
gross family
income of no more
than $15,720;
provide a copy
of their most
recent Income
Tax Notice of
Assessment or
Reassessment
from the Canada
Revenue Agency
(CRA) for the
cancer patient, his
or her parent(s) or
guardian(s),
spouse or
common-law
partner; and agree
to family income
verification from
the CRA Notice of
Assessment or
Reassessment
None
None
N/A
Residents with a
None
valid Nova Scotia
health card who
agree to provide
family size
verification and
also agree to
family income
verification through
the CRA
Income-based 20% of the total Incomeprescription
based
cost
Beneficiary
Premium
97
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Nova Scotia
(cont’d)
Nova Scotia
Diabetes
Assistance
Program
(NSDAP)
Premium
Residents younger None
than 65 with a
valid Nova Scotia
health card who
do not have
drug coverage
through Veterans
Effective
Affairs Canada,
April 1, 2010,
the NSDAP will First Nations and
Inuit Health or any
no longer be
accepting new private drug plans
that cover diabetes
beneficiaries.
medications and
Existing
supplies; have
beneficiaries
of the NSDAP a confirmed
are required to diagnosis
of diabetes; agree
re-register by
to provide family
April 1 each
year to remain size verification;
in the program. and agree to family
Anyone newly income verification
diagnosed with through the CRA
diabetes who is
a member of a
family currently
enrolled in the
NSDAP will
be covered.
Prince
Seniors Drug
Edward Island Cost
Assistance
Plan
Children-inCare
98
Beneficiary
Deductible
Copay
Maximum
Annual
Copay
Income-based 20% of the total N/A
prescription
cost
Seniors 65 and
older who are
eligible for P.E.I.
Medicare
None
None
First $8.25
of the
medication
cost plus the
pharmacy
professional
fee for each
prescription
N/A
Persons eligible
under the Social
Assistance Act
and persons in
the temporary or
permanent care
of the Director of
Child Welfare
None
None
None
N/A
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Prince
Family Health
Edward Island Benefit
(cont’d)
Program
Beneficiary
Premium
Maximum
Annual
Copay
Deductible
Copay
Families (parents, None
guardians and
children younger
than 18 or younger
than 25 and in fulltime attendance at
a post-secondary
education
institution) who are
eligible for P.E.I.
Medicare with a
total net family
income less than
the threshold.
Families must
apply for coverage
on an annual basis
and provide
income information
to the program.
None
The pharmacy
professional
fee for each
prescription
N/A
Financial
Assistance
Program
Persons eligible
under the Social
Assistance Act
None
None
None
N/A
Erythropoietin
Program
Persons eligible
None
for P.E.I. Medicare
who have been
diagnosed with
chronic renal
failure or who are
receiving kidney
dialysis and are
registered with
the program
None
None
N/A
99
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Beneficiary
Premium
Deductible
Copay
Persons eligible
for P.E.I. Medicare
who are registered
with the diabetes
program and are
insulin-dependent
None
None
Blood glucose N/A
test strips: $11
per prescription
to a maximum
of 100 strips
every 30 days;
insulin: $10 per
10 mL or box
of 1.5 mL
cartridges or
$20 per box of
3 mL cartridges;
oral
medications
and urine
testing
materials: $11
per prescription;
high-cost
diabetes
medications:
an incomebased portion
of the
medication plus
the professional
fee for each
high-cost
medication
obtained
None
None
Income-based
portion of the
drug cost plus
the pharmacy
professional
fee for each
prescription
N/A
Community
Mental Health
Program
Approved long-term
None
psychiatric patients
living in the community
None
None
N/A
Sexually
Transmitted
Diseases
(STD) Program
Persons diagnosed
None
with sexually
transmitted diseases
or identified contacts
of a person with
a sexually transmitted
disease
None
None
N/A
Prince
Diabetes
Edward Island Control
(cont’d)
Program
High Cost
Persons eligible
Drugs Program for P.E.I. Medicare
and approved for
coverage of one
or more of the
medications included
in the program.
Patients must apply
for coverage on an
annual basis and
provide income
information to
the program.
100
Maximum
Annual
Copay
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Deductible
Copay
Maximum
Annual
Copay
None
Residents in
government
manors or private
nursing homes
eligible for
coverage under the
Long-Term Care
Subsidization Act
None
None
N/A
DiseaseSpecific
Programs
(AIDS/HIV,
cystic fibrosis,
growth
hormone,
hepatitis,
tuberculosis,
hairy cell
leukemia,
AIDS-related
Kaposi’s
sarcoma, basal
cell carcinoma,
meningitis,
phenylketonuria,
transplant drug
programs
delivered
through the
government-run
provincial
pharmacy,
Crohn’s disease
and rheumatic
fever)
Persons eligible for None
P.E.I. Medicare
who are registered
with the program
who are diagnosed
with specific
medical conditions
or are at risk for
exposure to
communicable
diseases
None
None
N/A
Quit-Smoking
Program
Persons eligible
None
for P.E.I. Medicare
who have
registered with
the program
None
Patients are
N/A
responsible for
all medication
costs approved,
except for the
first $75, which
will be paid by
the program
Nutrition
Program
Children and
None
high-risk pregnant
women diagnosed
with a nutritional
deficiency
None
None
N/A
Immunization
Program
Children and
None
persons at risk for
exposure to various
communicable
diseases
None
None
N/A
Program/
Plan
Prince
Nursing Home
Edward Island Program
(cont’d)
Beneficiary
Premium
101
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Prince
Rabies
Edward Island Program
(cont’d)
Home Oxygen
Program
Newfoundland The 65Plus
and Labrador Plan
Deductible
Copay
Maximum
Annual
Copay
Persons with
None
exposure to or at
risk of exposure to
rabies through an
animal bite
None
None
N/A
Persons eligible for None
P.E.I. Medicare
who are prescribed
oxygen by a
specialist who
meet clinical
criteria
None
P.E.I. Medicare N/A
will pay 50%
of the cost
of eligible
expenses up to
a maximum of
$200 per month
Seniors (65 and
None
older) who receive
the Guaranteed
Income
Supplement and
who are registered
for Old Age
Security benefits
None
Up to $6 per
N/A
prescription plus
markup and
professional fee
for identified
benefits
None
None
Beneficiary
The Foundation Residents of the
Plan
province who
qualify for full
benefit coverage
under the
Department
of Human
Resources,
Labour and
Employment, and
certain individuals
receiving services
through the
regional health
authorities,
including children
in the care of
Child, Youth and
Family Services
and individuals in
supervised care
102
Premium
None
N/A
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Newfoundland The Access
and Labrador Plan
(cont’d)
Maximum
Annual
Copay
Beneficiary
Premium
Deductible
Copay
Residents with
low incomes who
access eligible
prescription
medications.
The amount
of coverage
is determined
by family net
income level and
family status.
None
None
Based on family
net income:
Family (with
children)
Income
<$30,009
$31,000
$32,000
$33,000
$34,000
$35,000
$36,000
$37,000
$38,000
$39,000
$40,000
$41,000
$42,000
$42,870
Copay
20.0%
23.9%
27.7%
31.6%
35.5%
39.4%
43.3%
47.2%
51.1%
55.0%
58.8%
62.7%
66.6%
70.0%
Between 20%
and 70%,
depending
on family net
income and
family status
(single,
couple or
family)
Couple (with
no children)
Income
<$21,435
$22,000
$23,000
$24,000
$25,000
$26,000
$27,000
$28,000
$29,000
$30,000
$30,009
Copay
20.0%
23.3%
29.1%
35.0%
40.8%
46.6%
52.4%
58.3%
64.1%
69.9%
70.0%
Single
individuals
Income
<$18,577
$19,000
$20,000
$21,000
$22,000
$23,000
$24,000
$25,000
$26,000
$27,000
$27,151
Copay
20.0%
22.5%
28.3%
34.1%
40.0%
45.8%
51.6%
57.5%
63.3%
69.1%
70.0%
103
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Beneficiary
Premium
Newfoundland The Assurance Residents who
None
and Labrador Plan
experience the
(cont’d)
financial burden of
eligible high drug
costs, whether it
be from the cost of
one extremely
high-cost drug or
the combined cost
of different drugs
Yukon
104
Deductible
Copay
None
Based on a
combination
of family net
income and
eligible family
drug costs
Maximum
Annual
Copay
Based on
family net
income:
Income
<$40,000
$40,000 to
<$75,000
$75,000 to
<$150,000
The Select
Needs Plan
Residents with
cystic fibrosis or
growth hormone
deficiency
None
None
None, for
identified
benefits
N/A
Pharmacare
Seniors 65 and
None
older (and seniors’
spouses age 60
and older)
registered with
Yukon Health Care
Insurance Plan
who do not have
coverage through
First Nations
and Inuit Health.
Residents with
another third-party
or group insurance
must use that plan
first. Program
includes clients
receiving
palliative care.
None
None
N/A
Chronic
Disease
Program
Residents who
None
have a chronic
disease or a
serious functional
disability under the
Chronic Disease
and Disability
Benefits
Regulations who
do not have
coverage through
First Nations and
Inuit Health.
Residents with
another third-party
or group insurance
must use that plan
first. Program
includes clients
receiving
palliative care.
Maximum
None
$250 per year
per individual
and $500
per year per
family
(deductible
may be
waived,
depending
on income)
N/A
Max.
5.0%
7.5%
10.0%
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
Province/
Territory
Program/
Plan
Yukon
(cont’d)
Northwest
Territories
Beneficiary
Copay
Maximum
Annual
Copay
Premium
Deductible
Children’s Drug Children younger
and Optical
than 19 from lowProgram
income families
who do not have
coverage through
First Nations and
Inuit Health
None
Maximum
None
$250 per year
per child and
$500 per year
per family
(deductible
may be
waived,
depending
on income)
N/A
Extended
Health Benefits
Program for
Specified
Diseases
Resident, nonnative or Métis
who have a
specified disease
condition
None
None
None
N/A
Seniors’
Benefit
Program
Resident and non- None
native residents
who are 60 and
older
None
None
N/A
Métis Health
Benefits
Program
Resident,
None
registered with
territorial health
care plan,
descendant of
Chipewyan,
Slavey, Gwich’in,
Dogrib, Hare or
Cree peoples; and
who resided in or
used and occupied
the Mackenzie
Basin on or before
January 1, 1921,
or is a Community
Acceptance
Member, or was
adopted as
a minor
None
None
N/A
Indigent
Indigent
None
Health Benefits individuals or
Program
families resident of
the Northwest
Territories,
who meet
the eligibility
requirements
according to the
Indigent Health
Benefits Policy
None
None
N/A
105
Drug Expenditure in Canada, 1985 to 2012
Table 3: Comparison of Provincial and Territorial Drug Subsidy Programs as of
December 2012 (cont’d)
106
Premium
Deductible
Copay
Maximum
Annual
Copay
Extended
Non-Aboriginal
Health Benefits residents,
Program
including seniors,
who have a
specific chronic
condition or have
reached age 65
None
None
None
N/A
Indigent
Residents
Health Benefits receiving
Program
income support
None
None
None
N/A
Province/
Territory
Program/
Plan
Nunavut
Beneficiary
Drug Expenditure in Canada, 1985 to 2012
References
1. Canadian Institute for Health Information. Health Care Cost Drivers: The Facts. Ottawa, ON:
CIHI; 2011.
2. Health Council of Canada. Generic Drug Pricing and Access in Canada: What Are the
Implications? Toronto, ON: Health Council of Canada; 2010.
3. Alberta Health and Wellness. Alberta Pharmaceutical Strategy Phase Two. Alberta, Canada:
Alberta Health and Wellness; 2010.
4. Statistics Canada. Guide to the Income and Expenditure Accounts. Ottawa, ON: Statistics
Canada, 2008; 23
5. Organisation for Economic Co-operation and Development. OECD Health Data 2011. Paris,
France: OECD; 2011.
6. Statistics Canada. Family Expenditure in Canada. Ottawa, ON: Statistics Canada; 1996.
107
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ISBN 978-1-77109-180-0 (PDF)
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How to cite this document:
Canadian Institute for Health Information. Drug Expenditure in Canada,
1985 to 2012. Ottawa, ON: CIHI; 2013.
Cette publication est aussi disponible en français sous le titre Dépenses en
médicaments au Canada, de 1985 à 2012.
ISBN 978-1-77109-181-7 (PDF)
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