Health Care is an Economic Engine, not Just a Cost Item

Canada’s public health care system, which provides essential health services without regard to ability to pay, is one of our most cherished social achievements. Indeed, public opinion polls consistently show that medicare is the single feature Canadians most associate with our national identity. Support for universal public health care is thus an important element of Canadians’ response to the challenges to our economy and sovereignty posed by U.S. President Donald Trump.

However, the medicare system is under threat from inadequate funding, long wait times for some services, and ongoing pressure from investors to privatize services. In Alberta, new laws allow parallel private provision of key health care services (including diagnostic tests and some surgeries). Other provinces (such as Ontario) are also pushing privatization. Always underlying privatization efforts is the claim that Canada simply cannot ‘afford’ the big costs of the public health care system.

At the recent summit meeting of Canadian premiers held in Charlottetown, P.E.I. in July, premiers discussed the challenges of financing health care and called on the federal government to hold a national summit on future health funding. At the summit, Centre for Future Work Director Jim Stanford made a presentation to the premiers on the economic benefits of public health care. He stressed that health care ranks as one of the most important industries in Canada: it creates jobs, generates incomes, supports widespread economic spillovers, and is one of Canada’s leading sources of innovation and new technology. These benefits have to be considered alongside the costs of providing essential health services.

Here is the presentation which Stanford gave to the premiers. It drew on findings from a recent report Stanford prepared for the Canadian Federation of Nurses’ Unions, titled The Economic Benefits of Canada’s Public Health Care System. The report quantified the important ways in which public health care supports employment, incomes, economic growth, and government revenues. Seen this way, health care should be redefined as an investment—not just a cost item on provincial budgets.

Key findings from the report include:

Health care is one of Canada’s largest and most dynamic industries.
It employs 1.9 million waged or salaried employees, and hundreds of thousands more self-employed practitioners, specialists, and contractors.
Health care production accounts for about 8% of Canada’s total value-added (GDP), and over 10% of total employment.
Health care workers earn $120 billion per year in wages and salaries.
The health care system purchases $51 billion worth of supplies and inputs from a complex and far-reaching supply chain (composed mostly of private businesses).
Health care accounts for over $7 billion in annual research spending, the second highest of any Canadian industry.
Because health care is not highly integrated in international trade, it is relatively protected from global disruptions and shocks (like the effects of U.S. trade policies).
Universal access to quality health care unlocks many other economic benefits including: more flexible labour markets (workers are able to change jobs without fear of losing health coverage), enhanced longevity and well-being (supporting more labour force participation and higher productivity), and improved ‘social capital’ (safe and inclusive communities where interactions can occur more securely and efficiently).

In sum, health care cannot be understood solely as a ‘cost.’ It is also a powerful economic engine: a source of growth, jobs, incomes, tax revenues, and well-being. Understanding and appreciating the economic benefits of the universal public health care system can reinforce public and fiscal support for its maintenance and improvement.

Please see the full report here.