Les effets de l’équilibre budgétaire et du transfert canadien en santé sur les finances publiques du Québec

Using a simulation tool, we analyze four scenarios that allow to us to measure the effects over 20 years of 1) maintaining the budget balance for 4 years, and 2) a growth in the Canada Health Transfer (CHT) at its historical pace. In the reference scenario, which assumes structural expenditure growth rates consistent with the pre-budgetary rigour period and a CHT increasing at a slower pace than in the past, Quebec public expenditures should increase by G$166.6 by 2035, while revenue will only increase by G$106. Furthermore, a CHT growing at 6% annually would not be enough to meet budget balance and public debt objectives. Additional efforts to limit spending or enhance revenue will be required to meet these targets.