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Total health expenditure was expected to reach $219.1 billion or $6105 per Canadian in 2015,1 with orthopedic care accounting for approximately 12% of total hospital acute care costs.2 In 2012–13, providing health care in Ontario consumed 42 cents of every tax dollar. Without modification, health spending would account for up to 70 per cent of the provincial budget by 2025.3

Continuous quality improvement in orthopedic surgery: changes and implications with health system funding reform