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. 2018 Nov 26;190(47):E1384–E1388. doi: 10.1503/cmaj.180897

Table 2:

Major options for generating public funding needed to implement pharmacare in 2020*

Revenue source Total revenues expected in 2020, without pharmacare, $ billions Estimated amount of funding raised by a 1 percentage point increase in tax rate, $ billions Pros and cons of tax instrument
Personal income taxes 175.2 7.7 Pros: large revenue base; progressive
Cons: collects from households only
General and small business corporate income taxes 49.4 2.5 Pros: collects from corporations that will benefit from pharmacare; likely progressive
Cons: potential issues with tax avoidance; strong business opposition
GST 40.6 7.9 Pros: simple to administer
Cons: collects from households only; regressive; politically unpopular
Premiums Pros: transparent
Cons: collects from households only; regressive

Note: GST = Goods and Services Tax.

*

Authors’ calculations based on federal budget estimates and Parliamentary Budget Officer tools, including using the Social Policy Simulation Database and Model.1,21