Quote:
Originally Posted by Capital Shaun
Our governments have known for decades that the babyboomers would eventually all get old, retire, require more healthcare and other social services.
But planning 20 years ahead doesn't get you votes so we really aren't ready for any of this.
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Sure, but even with perfect planning, it still costs more to deliver more services to more people; which is the phenomenon we're facing all over the developed world. Just looking at primary health care delivery: there are lots of ways to keep people out of hospitals, group practices with extended hours and wide spectra of services so you can see a nurse or GP essentially on-demand; home care; hospice care; telehealth; death councils;* video-links for remote communities; etc. But all of these are still expensive, they're just less expensive than hospitals.
Even if through good planning, we had all of these options in place and fully utilized (which, I agree with you, we should have been planning for), usage of these services/facilities would still be increasing faster than general inflation because our population is getting older, fatter, living longer, popping more Rx pills, etc., leading to health care spending increasing at above-inflation rates. Governments as a result have to pare back other budgets to keep overall spending in check. This problem would less acute if we'd been planning better, and had a more robust system in place with more low-cost options available to people (and hey, maybe more high-cost options too, like private MRI and surgical clinics where patients can pay full freight for on-demand care, a controversial option that I'm not advocating for here, but noting that it has been done elsewhere with positive results in reducing wait times, and costs, for fully-insured services), but it would still be a problem. We know this is the case, because Northern European countries that have these more robust/diverse/flexible systems in place are still struggling with unsustainable growth in these budget line items.
* kidding!