The challenges that come with an abundant supply of resource wealth present difficult fiscal decisions for the Alberta government. One highly publicized concern is the need for the province to devise a long-run plan for resource revenue savings.

Modern health systems, like Canada’s, face similar pressures. Populations are aging, government revenues are dwindling, and the scope for new services is increasing as new technologies develop. However, each country is responding to these pressures in unique ways. Arguably, Canadians pay too...

When provinces raise royalties charged on oil and gas production, the result can be less, not more tax revenues. The authors show how resource-rich provinces would be better off relying more on auctions for exploration and development rights and relying less on royalties levied on output. Oil...

Physician compensation accounts for about one-fifth of all Canadian healthcare spending. But physicians’ decisions, particularly those made by primary care doctors, are the conduit for the majority of the system’s costs. The incentives physicians have to promote efficiency, therefore, affect...

As Canada’s society ages, more personal care and health support will be needed for people who, either as a consequence of disability or aging, require assistance to function independently. As this happens, policymakers face the daunting challenge of balancing the fiscal burden on taxpayers...

The adoption of new health technologies brings potential improvements to quality of life as well as new costs for provincial healthcare systems. An appropriate evidence-based framework for adoption decisions therefore can go a long way to improving value for money in our health systems. While...

Each spring, Canada’s federal, provincial and territorial legislatures vote budgets that set out their spending and revenue goals for the fiscal year. Budget votes are critical for holding governments accountable to legislators, and in turn to voters and taxpayers. Over the last decade,...

With annual spending of about $4.5 billion dollars in 2010, Canada’s largest drug plan – the Ontario Drug Program (ODB) – will become harder to afford as the babyboomers age and workforce growth slows. A business-as-usual approach to funding the plan, which provides publicly funded drug...

Canada’s governments have regularly missed budget spending and revenue targets during the last decade. Taken together, the spending overruns of federal, provincial and territorial governments have surpassed $53 billion in the last 10 years. If budget targets were met more accurately, current...