"If social spending addresses the social determinants of health, then it is a form of preventive health spending and changes the risk distribution for the entire population rather than treating those with disease. Redirecting resources from health to social services, that is, rearranging payment without additional spending, is an efficient way to improve health outcomes," he says.
In a related commentary http://www.cmaj.ca/lookup/doi/10.1503/cmaj.171530, Dr. Paul Kershaw, School of Population and Public Health, University of British Columbia, Vancouver, BC, writes that the researchers found that increased health spending "is associated with lost opportunities to improve life expectancy and prevent avoidable mortality by comparison with a more even distribution between medical and social investments. These results add to evidence that should impel governments to seek better balance between medical and social expenditures."
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Governments have increased health spending as the aging population has expanded.
The commentary author suggests governments should allocate social spending fairly for both young and old to ensure that the younger generation is not being shortchanged.
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