Population aging has led to demands for subsidization of home care for the elderly, and many countries now provide such help. In this article, we investigate analytically and with simulation the fiscal incidence of a cost-sharing price subsidy for home care. Our focus is on incidence and benefit...

We analyze the expected impact of the new Canada Health Transfer (CHT) on the capacity of Canadian provinces to provide universal Medicare coverage. We found the new CHT formula, recently redesigned by the federal government, fails to address the differing capacity of provinces to provide...

This paper investigates the determinants of public health expenditure in a public-private mixed health care system, where a longer wait time for public care is the major difference between public and private sectors. Voter preferences for health care vary according to their age and by income,...

This study investigates the factors that may have influenced the public–private mix of health expenditure in 13 OECD countries from 1981 to 2007. The degree to which health services are socialized is regarded as the product of a trade-off between the desire to redistribute income through the...

Debates about the size of government, which are often debates about what government should or should not do, need to be joined by a concern for the relative cost of government. Since 1981, the price in the public sector has grown faster than the price for GDP. We decompose the ratio between the...

The paper examines the application of the concept of economic efficiency to collective decision processes and public sector institutions. We show that the existence of transactions costs and of collective decision-making procedures requires a broader framework for judging policy processes and...