Since 2004, the Fraser Institute has annually published a measurement of the financial sustainability of public health insurance in Canada called Paying More, Getting Less.

Since 2004, The Fraser Institute has annually published a measurement of the financial sustainability of public health insurance in Canada called Paying More, Getting Less . Using publicly available data, the study observes the most recent five-year trend in average annual growth rates for government health expenditures and total revenue from all sources in each of the provinces and projects this trend forward into the future without any adjustments for the expected aging of the population . The analysis essentially says that if governments continue with the policy status quo, the future will look similar to the observed trend--or worse.