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2021
Comparing Performance of
Universal Health Care Countries, 2021
Mackenzie Moir and Bacchus Barua
2021 • Fraser Institute
Comparing Performance
of Universal Health Care
Countries, 2021
by Mackenzie Moir and Bacchus Barua
Contents
Executive Summary / i
Introduction / 1
1. Method / 2
2. How much does Canada spend on health care
compared to other countries? / 8
3. How well does Canada’s health-care system perform? / 11
4 Health status and outcomes / 33
Conclusion / 39
Appendix—additional tables and data / 41
References / 50
About the Authors / 56
Acknowledgments / 57
About the Fraser Institute / 57
Publishing Information / 58
Purpose, Funding, and Independence / 59
Editorial Advisory Board / 60
Comparing Performance of Universal Health Care Countries, 2021 • Moir and Barua • i
Executive Summary
Comparing the performance of different countries’ health-care systems provides
an opportunity for policy makers and the general public to determine how well
Canada’s health-care system is performing relative to its international peers.
Overall, the data examined suggest that, although Canada’s is among the most
expensive universal-access health-care systems in the OECD, its performance
is modest to poor.
This study uses a “value for money approach” to compare the cost and
performance of 28 universal health-care systems in high-income countries. The
level of health-care expenditure is measured using two indicators, while the
performance of each country’s health-care system is measured using 40 indi-
cators, representing the four broad cat
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