The province is giving smokers more help to quit. But the health minister is also talking about higher fees to punish them.

B.C. eyes higher fees to push smokers to quit

Controversial MSP premium surcharge on table: de Jong

Smokers may be forced to pay higher Medical Services Plan premiums to reflect the heavier burden they put on B.C.’s health care system, Health Minister Mike de Jong says.

He offered no details, calling it a concept under consideration at this point.

“It’s something I’m seriously looking at,” de Jong said in an interview after floating the idea in a panel discussion at the Union of B.C. Municipalities convention.

An MSP surcharge on smokers would be a new stick to persuade smokers to quit, on top of existing taxes on cigarettes and a growing plethora of restrictions on where tobacco addicts can light up.

“I think smokers would be upset to be singled out,” de Jong said. “But we want them to be upset because they are engaged in a behaviour that is costing the rest of society billions of dollars.

“These are controversial steps. If you’re a non-smoker, they’re less controversial.”

A higher MSP premium on smokers could help raise extra money for the embattled health system, de Jong added.

The minister warned the government plans to carve money out of existing health spending to fund new initiatives to prevent chronic illness and reduce long-term costs.

B.C. already spends nearly $100 million a year on health promotion and disease prevention.

Victoria’s latest move is to fully fund nicotine patches and other smoking cessation aids.

Smokers will no longer have the excuse of not being able to afford to pay for help to quit smoking, de Jong said, adding the $15 million required will come from other parts of the health budget.

“We think it’s a good investment,” he said.

Smokers make up just 14 per cent of the B.C. population – the lowest rate in Canada – but de Jong said cutting that to 12 or 10 per cent would still save billions of dollars.

The province intends to go considerably further in promoting prevention and primary care, de Jong said, in areas ranging from weight loss and exercise to salt avoidance and the risks of sugary drinks.

But there’s no new money to pay for such initiatives, he said, so cash must come out of existing health care spending in other areas.

De Jong wouldn’t say what types of programs may be cut to raise more for prevention, but said he expects the choices will be difficult.

“The transition is not going to be easy,” he said.

B.C.’s health budget has climbed from $4.8 billion in 1990, when it made up 32 per cent of all government spending, to $16 billion now or 45 per cent.

“We keep plundering other budgets to feed an insatiable appetite in health care,” de Jong said. “We are going to have to live within our means in health care and actually shift the emphasis.”

@jeffnagel

Just Posted

Support the Cause proceeds assist children with cancer

There were plenty of smiling faces at Western Financial Group on Friday… Continue reading

Second Avenue location home for Coal Town Goods

Fernie’s own Coal Town Goods moved to a new location on Second… Continue reading

City of Fernie flips the switch on holiday cheer

Residents of Fernie gathered at the courthouse on Friday night to watch… Continue reading

Judgement Night III seeking locals to step in the ring and take a hit for charity

Are you ready to rumble? If not, it’s time to start training.… Continue reading

New general director for francophone association

Exciting things are on the horizon for the Association Francophone des Rocheuses… Continue reading

VIDEO: Led by ‘Marriage Story,’ Netflix dominates Golden Globe noms

Netflix flexed its muscles across all categories, just as it is girding for battle with a host of new streaming services

Lawyer competence includes knowledge of Indigenous-Crown history: B.C. law society

All practising lawyers in B.C. will be required to take a six-hour online course covering these areas

Wealth of Canadians divided along racial lines, says report on income inequality

One interesting finding was that racialized men have a higher employment rate than non-racialized men

B.C. universities post $340 million worth of surpluses thanks to international student tuition

Students call for spending as international enrolment produces huge surpluses at many universities

Conservatives urge Morneau to deliver ‘urgent’ fall economic update

Morneau says the first thing the Liberals plan to do is bring in their promised tax cut for the middle class

INFOGRAPHIC: How much money did your local university or college make last year?

B.C. university and colleges posted a combined $340 million surplus in 2018/19

B.C. creates $8.5M organization to improve safety for health care workers

Group will bring together unions, province, health care organizations

Kovrig clings to humour as ‘two Michaels’ near one year in Chinese prison

Their detention is widely viewed as retaliation for Canada’s arrest of Chinese high-tech scion Meng Wanzhou

Most Read