By Sheryl Smolkin

If you haven’t seriously thought about the possible impact of health care costs on your retirement budget and lifestyle, you may find recent research from the University of British Columbia as disturbing as I did.

The study reveals that one in 12 Canadians age 55 and older skipped prescriptions due to cost in 2014, the second-highest rate among comparable countries. The ten years before provincial drug plans kick in for most seniors at age 65 is the period of time when the highest percentage of older people can’t afford the drugs they need to stay healthy.

In order to “stretch” their drugs some people skip doses, while others may split pills or try to manage their conditions without drugs. “When patients stop filling their prescriptions, their conditions get worse and they often end up in hospital requiring more care which in the long run costs us more money,” says Steve Morgan, senior author of the study and professor in UBC’s school of population and public health.

The research draws on the 2014 Commonwealth Fund International Health Policy Survey of Older Adults (persons aged 55 years or older) in 11 high-income countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. Among countries with publicly-funded health-care systems, Canada is the only one without coverage for prescription medications.

In an analysis of survey responses from all 11 countries, the researchers found that Canada had the second-highest prevalence of skipped prescriptions due to cost, at
8.3%.  Access was worse only in the United States, where 16.8% of respondents reported such financial barriers to filling prescriptions. In contrast, fewer than 4% of the populations in most other comparable countries reported skipping prescriptions due to cost.

In a separate analysis of the Canadian survey responses, researchers found that Canadians aged 55 to 64 face the greatest barriers to filling their prescriptions. One in eight Canadians aged 55 to 64 reported that they did not fill prescriptions because of cost in 2014, in comparison to one in 20 Canadians aged 65 and older – who, by way of age, qualify for comprehensive public drug coverage in many provinces.

Morgan points to gaps in drug coverage available to Canadians as a problem. Unlike other countries with universal public health care, public drug plans in Canada generally only cover select groups, such as social assistance recipients and people over age 65. Other Canadians may receive drug coverage from private insurance through their workplaces or none at all.

The survey found that Canadians who did not have insurance were twice as likely to report not filling prescriptions because of cost. It also showed that low-income Canadians were three times more likely to report financial barriers to filling prescription medicines than high-income respondents.

Morgan said the 2014 findings were consistent with studies that date back a decade, indicating affordability of prescription drugs is still a public health issue in Canada.

“Our problem hasn’t gone away. Financial barriers to prescription drugs are still high, both in absolute terms and relative to our peer countries.”

The research was described in two studies published in BMJ Open and CMAJ Open.

By Sheryl Smolkin

If you always wanted to go to college or university and life got in the way, it may not be too late. Some schools like Vancouver’s Simon Fraser University have eliminated tuition waivers for seniors due to provincial budget cuts. However, at least one Saskatchewan University plus several other well-known Canadian schools do not charge seniors for tuition.

For example, the University of Saskatchewan waives tuition fees for people 65 years of age or older, who are provincial residents and who register in the following types of courses and programs:

• Regular sessions: To a maximum of 15 credits
• Evening or off-campus courses: To a maximum of 15 credits
• Intersession and summer session: To a maximum of 6 credits
• Non-Credit extension programs

At the University of British Columbia, BC residents who are Canadian citizens or permanent residents aged 65 years or over during the session in which they are registered are not assessed application, tuition, or student fees. However, there are tuition fees levied for some programs where facilities and resources are limited.

Tuition and fee waivers apply for seniors who meet residency and age requirements at the University of Manitoba.  Although most of costs are waived for senior students, they still must to submit an application form and meet entrance requirements.

York University’s deal applies to Canadian citizens or permanent residents whether they are registered in a degree course, as a visiting student or simply auditing a program.

Ryerson also offers free tuition to students over 60 for four-year undergraduate programs and McMaster University in Hamilton has a similar program for undergraduates over 65. In addition, McMaster reduces fees by 50 per cent for seniors registered in Continuing Education courses.  However, you are out of luck if the program you want is at University of Toronto, as only nominal ancillary fees are waived for older students.

Dalhousie University encourages learning opportunities and professional development by offering senior students 65 years of age or over who are Canadian citizens or permanent residents at the time of registration and are enrolled in an undergraduate non-professional degree program a senior citizen waiver. This waives only the tuition portion of the fees. The student must pay any incidental fees.

Other colleges and universities across country also offer seniors a tuition break. For more information, contact the school of your choice.

I got an LLM. in the mid-90s, 20 years after I was called to the Bar, so embarking on another rigorous degree program at this stage is not at the top of my “To Do list.”  But if I ever get around to retiring and have some time on my hands, I will definitely be tempted to audit opera, music, theatre and other general interest courses.

Do you have tips for seniors who want to fulfill their lifelong dream to get a university degree? Share your tips with us at http://wp.me/P1YR2T-JR and your name will be entered in a quarterly draw for a gift card. And remember to put a dollar in the retirement savings jar every time you use one of our money-saving ideas.

If you would like to send us other money saving ideas, here are the themes for the next three weeks:

10-Oct	Thanksgiving	Paying it forward: Volunteer opportunities
17-Oct	Halloween	Cheap and cheerful costumes, snacks
24-Oct	Charity	How to raise money for almost anything on Indiegogo