Figure 1:

Schematic of current cost sharing relevant to Medicare in Canada, projected for 2019/20. Note: CHA = Canada Health Act, CHT = Canada Health Transfer, GoC = Government of Canada, PT = provincial/territorial. All values are in millions of Canadian dollars. (A) Total public and private health spending in calendar year 2019. (B and C) Breakdown of A into private and public sector shares for calendar year 2019. (D) Total provincial and territorial spending on health care. (E) The CHT is the annual federal cash transfer to provinces and territories. It is calculated only for fiscal years (2019/20), thus all totals for (D) to (I) are on that basis. Differences are minimal (e.g., the calendar/fiscal ratio is above 99% where both numbers are available). (F) Imputed value in 2019/20 dollars of tax points first transferred to provinces and territories in 1977, based on Department of Finance Canada escalators of federal tax points transferred to provinces and territories in 1977. (G) Combines the components in (E) and (F), showing the total support provided by the GoC. (H) Provincial and territorial spending on services not covered by the conditions set out in the 1985 CHA. (I) Services covered by the 1985 CHA, specifically physicians’ services and general hospital care with related diagnostic services.