Out of pocket payment for drugs vary among provinces.Drug plans are not a universal aspect of Canada's health care system, a research report points out.
The drugs covered by the provincial government varies widely from province to province and therefore the out of pocket amounts expended ex·pend
tr.v. ex·pend·ed, ex·pend·ing, ex·pends
1. To lay out; spend: expending tax revenues on government operations. See Synonyms at spend.
2. by individuals range widely. A study, headed by Dr. Louise Pilote of McGill University McGill University, at Montreal, Que., Canada; coeducational; chartered 1821, opened 1829. It was named for James McGill, who left a bequest to establish it. Its real development dates from 1855 when John W. Dawson became principal. and reported in the Canadian Medical Association Journal The Canadian Medical Association Journal (CMAJ) is a general medical journal that is published biweekly by the Canadian Medical Association (CMA).
It is considered to be one of the top six general medical journals; the others being the (Feb. 14/08), describes the variation. "A revised pharmaceutical strategy might reduce these major inequities," the researchers state.
Reimbursement for outpatient prescription drugs is not mandated by the Canada Health Act The Canada Health Act is a piece of Canadian federal legislation, adopted in 1984, that lists the conditions and criteria to which the provinces and territories must conform in order to receive the full amount of negotiated transfer payments relating to health care. or any other federal legislation. Provincial governments independently establish reimbursement plans, usually for seniors, low-income earners and for special cases of catastrophic drug costs.
The researchers found that:
* the eligibility criteria and cost-sharing details of the publicly funded prescription drug plans differed markedly across Canada Across Canada was an afternoon program that formerly aired on The Weather Network. The segment ran from early 1999 until mid 2002. The show ran from 3:00PM ET until 7:00 PM ET. , as did the personal financial burden due to prescription drug costs;
* seniors pay 35% or less of their prescription costs in 2 provinces, but elsewhere they may pay as much as 100%;
* with few exceptions, non-seniors pay more than 35% of their prescription costs in every province;
* most social assistance recipients pay 35% or less of their prescription costs in 5 provinces and pay no costs in the other 5.
A patient with congestive heart failure congestive heart failure, inability of the heart to expel sufficient blood to keep pace with the metabolic demands of the body. In the healthy individual the heart can tolerate large increases of workload for a considerable length of time. , facing out of pocket costs for a prescription burden of $1,283, would have to pay between $74 and $1,332 across the provinces.
While there are wide differences in the eligibility and coverage across the country, prescription drug coverage is universally available to one group: social assistance recipients.