Description: The Canadian public health care delivery system continues to experience growing needs for increased funding. The total health care delivery system today costs Canadians $98 billion a year or about 9.7 percent of GDP. Of that total cost, 71 percent is paid by the government, which means the taxpayers. While that may pale in comparison to the costs in the U.S., it does make the Canadian system one of the five most expensive health care delivery systems in the world. While today’s cost pressures are of major concern, of even more concern are the costs being projected by many participants in the current health care debate for the period when the Baby Boom makes higher demands on the Canadian health care delivery system. Traditional projection methods, however, do not differentiate between the elderly who survive the year versus those who die as to their use of health care systems. This paper first looks at the impact that this differentiation could have on projected costs. Second, the paper looks at the impact that the wide use of Advance Directives [also called Living Wills] might have on future health care costs and some of the issues surrounding their use. From Actuarial Research Clearing House 2004, Vol. 1.

Description: This paper reviews the recently published Canadian literature on changing Canadian demographic profiles and highlights the actuarial aspects of the information provided therein. Discussions of this paper are included.

Description: This paper discusses the rectangulatization of the survivorship curve and some related puzzling deviations between expectations and observations. From Actuarial Research Clearing House 1991, VOL. 2.

Description: Two different types of fertility are examined in this paper using the quinquennial age-specific fertility rates for years 1926-1989. The two types studied are: the total fertility rate and the generational fertility rate. The authors concluded that it is hard to predict the future trend of fertility rates using either of the ways of grouping the data. From Actuarial Research Clearing House 1993, VOL. 2.

Description: There is growing evidence of a positive correlation between income levels and longevity. In short, high-income earners live longer. That also means that high-income earners get larger retirement-income security benefits from Social Security. This correlation raises a number of questions: if Social Security contributions are a level percentage of earnings, and high-income earners live longer and receive larger Social Security benefits, then is Social Security regressive? If higher-income actually causes enhanced longevity, then would providing more Social Security benefits enhance population life expectancy? This paper analyzes both the OASDI system of the United States and the Canada/Quebec Pension Plans in Canada to see if these systems are 'a good deal' and whether they are regressive or progressive as defined above. From Actuarial Research Clearing House 1998 Vol. 1.

Description: This paper reviews and compares the Canadian and U.S. Social Security systems as to their adequacy, actuarial equity and progressiveness. It concludes that the Canadian system[s] provide larger minimum benefits and, thus, greater adequacy than the U. S. On the other hand, the analysis indicates more emphasis on actuarial equity in the U.S. system [in total] than in Canada. Finally, both systems are shown to be highly progressive in that lower-wage earners get larger benefits per dollar of contribution than do higher wage earners. The paper concludes by noting that while the systems in these two countries have remarkably different actuarial formulae for determining benefits, and remarkably different structures, that the benefits that result from the two systems are surprisingly similar. From Actuarial Research Clearing House 1999, Vol. 1.

Description: This paper explores the relationship between the Wealth Transfer Index, a statistic defined by Brown and Bilodeau 1997, and retirement age, which is the age at which the workers in an economy cease to be economically productive. There appears to be a strong positive correlation between the Wealth transfer Index and retirement age based on Canadian historical data.

Description: The paper reviews the demographic shifts, including improved life expectancy and the baby-boom/baby-bust cycle, of the past half-century and discusses their impact on the funding of pay-as-you-go paygo social security systems. From Transactions of Society of Actuaries 1995, Vol. 47.

Description: Presents a theoretical basis for a computerized methodology for estimating biological age - a measure of time to death.

Description: This paper is the final report in a project commissioned by the Society of Actuaries Social Security Committee. The paper considers a variety of possible risk classification factors that could be used in estimating the value of any mortality based benefit for retirees. As many countries consider mandatory individual retirement accounts as their answer to a secure Social Security system, the question arises as to whether all workers can get true 'market value' annuities when they retire. It is clear today that private sector life annuities are priced assuming that the applicant is healthy-very healthy. Very little underwriting or risk classification now exists in the individual annuity marketplace. This paper reviews 45 recent research papers that look at factors that affect mortality after retirement. In particular, factors that seem to be important in predicting retirement mortality include: age, gender, race and ethnicity, education, income, occupation, marital status, religion, health behaviors, smoking, alcohol, and obesity. For each factor, this paper gives highlights relative to the named factor of the impact expected from that variable as described in the 45 reviewed research papers.