Low earners likely to benefit most from planned changes

The National Health Plan promises universal access to basic health coverage, including primary care, but contributions will be based on “an individual’s ability to pay”.

Health Minister Zane DeSilva said: “This is the best practice globally. It is the recommendation of the World Health Organization and innumerable health system experts worldwide.”

The Plan states in 2008/9 Bermuda’s per capita health expenditure was $8,661 — 9.2 per cent of national wealth.

“Comparison to OECD countries places our health system as the second most expensive, while failing to achieve universal coverage.

“Indeed all but four OECD countries provide health insurance coverage to more than 98 per cent of their population and spend less on healthcare than Bermuda.

“This highlights concerns about the cost-effectiveness of our system.

“In addition, the level of expenditure is not affordable for a significant number of people.

“In 2008 it was reported that 11 per cent of households were below the low-income threshold of $36,605; for these households a per capita health expenditure of $8,661 would represent a substantial financial challenge.

“In 2004 well-off households spent 4.5 per cent of their income on healthcare, while poor households spent 10.3 per cent. Likewise, white households spent 6.3 per cent versus black households at 8.1 per cent.

“These differences result in inequitable access to healthcare and inequitable outcomes.”

Mr. DeSilva said yesterday five to 10 per cent of the population do not have health insurance.

“The system we have now is totally unfair. Why should someone who earns $5,000 a week pay the same standard health benefit as someone earning $500?” the Minister asked.

National Health Plan 2011

• Major shake-up for health care
• Equality a key aim of sweeping health reform
• Low earners likely to benefit most from planned changes
• National Health Plan 2011: Public Consultation Paper