Kazanjian A, Hanvelt R
UBC Centre for Health Services and Policy Research, British Columbia, Canada.
Leadersh Health Serv. 1996 May-Jun;5(3):15-9.
The Canada Health and Social Transfer was finally given shape in the 1996 federal budget. Like most contemporary fiscal policy, the budget's measures are designed to control federal spending on social programs, including healthcare, with an eye toward controlling the federal deficit. Yet cutbacks like these may be misguided. Research suggests that real healthcare expenditures have not increased unduly; rather it is the faltering Canadian economy and the resulting drop in tax revenues which contribute most of the deficit. Promoting a stronger economy by fostering the growth of jobs would reduce the demand for social programs while providing greater tax revenue with which to fund such programs. Surely this is a sounder course of action for Canada.
加拿大卫生与社会转移支付最终在1996年联邦预算中成形。与大多数当代财政政策一样,该预算措施旨在控制联邦政府在包括医疗保健在内的社会项目上的支出,着眼于控制联邦赤字。然而,这样的削减可能是错误的。研究表明,实际医疗保健支出并未过度增加;相反,是加拿大经济的疲软以及由此导致的税收下降造成了大部分赤字。通过促进就业增长来推动经济更强劲发展,将减少对社会项目的需求,同时提供更多税收来为这些项目提供资金。对加拿大来说,这无疑是一个更明智的行动方针。