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Framing the issue of ageing and health care spending in Canada, the United Kingdom and the United States

Published online by Cambridge University Press:  23 April 2014

Michael K. Gusmano  and
Sara Allin
Michael K. Gusmano*
Affiliation:
Research Scholar, The Hastings Center and Lecturer, Yale University, USA
Sara Allin
Affiliation:
Assistant Professor, School of Public Policy and Governance, University of Toronto and the Canadian Institute for Health Information, Canada
*
*Correspondence to: Michael K. Gusmano, Hastings Centre, 21 Malcolm Gordon Road, Garrison, NY, 10524 USA, Email: mkg2104@columbia.edu
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Abstract

Political debates about the affordability of health care programmes in high-income countries often point to population ageing as a threat to sustainability. Debates in the United States, in particular, highlight concerns about intergenerational equity, whereby spending on older people is perceived as a threat to spending on the young. This paper compares how the problem of health spending is defined in Canada, the United Kingdom and the United States by presenting the results of a content analysis of print media during the period 2005–2010. We found that population ageing was cited as an important source of health care cost increases in all three countries but was cited less frequently in Canadian newspapers than in the UK or US papers. Direct claims about intergenerational equity are infrequent among the articles we coded, but newspaper articles in the United States were more likely than those in Canada and the United Kingdom to claim that of high health care spending on older people takes resources away from younger people. In Canada a much larger percentage of articles in our sample either claimed that high health care spending is crowding out other types of government expenditure. Finally, we found that almost no articles in the United States challenged the view that population ageing causes health care spending, whereas in both Canada and the United Kingdom a small, but steady stream of articles challenged the idea that population ageing is to blame for health care spending increases.

Type
Special Section
Information
Health Economics, Policy and Law , Volume 9 , Issue 3 , July 2014 , pp. 313 - 328
Copyright
© Cambridge University Press 2014 

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