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Health committee The estimates that are available for Canada are not great. We don't have gold standard science at present, so they range from $1 billion to $9 billion, depending on which study you look at. In using studies that have been done in the United States about the effect of getting ac
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee I think it's safe to say we do have a fairly good idea of people who can't access medicines. It is people with lower income, and not having coverage is the most significant determinant of whether or not you are going to fill a prescription. In fact, a high-income person without i
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee Most of the universal public systems that we would compare to—the U.K., Sweden, Norway, Australia, New Zealand—have fairly limited copayments, with the exception of Australia. Australia has about a $35-per-prescription copay for general beneficiaries. If you're disabled, low-inco
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee It would be very similar to the way that our drug benefit programs work in most provinces for populations that are eligible for public plans that exist today. Most of them they present their CareCard and pay their copayment. If they were exempt, they would pay nothing and get the
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee Your member companies haven't obtained those savings for the last number of decades, so how can you tell us you can get the savings now? What are you waiting for?
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee Yes. Just to be clear and to correct Stephen Frank, if you were to raise $9 billion in new taxes to pay for this system, the federal government would be a net winner by $5 billion a year on that system. You'd be bringing in money that would be paying for other federal programs.
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee Yes. At the end of the day, every reasonable analysis shows that you'll save billions of dollars. There's no question. Most importantly, getting back to the original purpose, you will provide access to medicines that Canadians need. That is a fundamental human right, and Canada i
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee This has been a long line: no pharmacare until there's cost control. I think the evidence is fairly consistent, both in terms of the analysis that's been done by the PBO and independent academics and from the international experience, whether it's the VA in the United States, t
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee If I fell back on the medicare formula at a 25% contribution, the federal government would put $5 billion into a $20-billion plan and the provinces would come up with the balance necessary to get themselves to $15 billion and you'd be there. In reality, I think the PBO report u
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee Best estimates are that the private sector would get $2 back for every dollar it puts into a more efficient publicly run system. The thing about this is if we do it right and if we budget appropriately—not being cheap and making sure the system can be reasonably comprehensive—the
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee There's no doubt it will save Canadians money at the end of the day, because there's only one taxpayer. Only one source of money goes into buying drugs today. In the provinces there has been talk about catastrophic drug coverage as being at least a minimum safety net. That requi
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee I'll wade into this one. I think this is the territory in which you need to sit down with representatives of employers and unions and talk about what would be a fair bargain. Eric Hoskins and Kathleen Wynne suggested that they will be doing this in Ontario with OHIP+. That's a m
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee The leading therapeutic categories are drugs to treat cardiovascular risks, drugs to treat anxiety and depression, drugs for diabetes management, and drugs for asthma and COPD, or airway diseases. There are a handful of therapeutic categories that dominate.
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee We're already paying for it. In fact, we're already paying billions of dollars more than—
October 19th, 2017Committee meeting
Prof. Steven Morgan
Health committee This program will cost billions of dollars less than Canadians are already paying for prescription drugs. What we need is to find a revenue tool to move some of the money that is in the private sector—some of the money for publicly financed private drug benefits for people like m
October 19th, 2017Committee meeting
Prof. Steven Morgan