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

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

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Cariboo North MLA Coralee Oakes shared this photo of the binders and binders of letters and paperwork she’s received on area roads in the past few years. (Submitted photo)
Cariboo MLAs call on province to fix region’s roads

Minister Rob Fleming said more resources were on the way to the region

Have a letter? Email editor@wltribune.com
LETTER: B.C. mine permitting process needs to change to avoid layoffs

I can’t believe a permit to reopen Gib East Pit has been delayed again.

FILE PHOTO
Second doses of COVID-19 vaccine will be available, as AstraZeneca supply runs low: Interior Health

Province expecting large volumes of Pfizer BioNTech as age-based cohort immunization program ramps up

A medical worker prepares vials of the COVID-19 vaccines, Chinese Sinopharm, left, Sputnik V, center, and Pfizer at a vaccine centre, in the Usce shopping mall in Belgrade, Serbia, Thursday, May 6, 2021. Serbian authorities are looking for incentives for people to boost vaccination that has slowed down in recent weeks amid widespread anti-vaccination and conspiracy theories in the Balkan nation. The government has also promised a payment of around 25 euros to everyone who gets vaccinated by the end of May. (AP Photo/Darko Vojinovic)
38 new COVID-19 cases, more than 335k vaccines administered in Interior Health

Interior Health also to start targeted vaccinations in high transmission neighbourhoods

Williams Lake Fire Chief Erick Peterson said his department along with other fire departments in the region will be doing some wildfire urban interface training on Sunday, May 9 in the Williams Lake area. (Monica Lamb-Yorski photo - Williams Lake Tribune)
Wildfire urban interface training slated for Williams Lake area Sunday, May 9

Williams Lake, Quesnel, Miocene and 150 Mile House fire departments participating

(The Canadian Press)
Trudeau won’t say whether Canada supports patent waiver for COVID-19 vaccines

‘Canada is at the table to help find a solution’

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

A sign indicating face coverings are required by the establishment is pictured on the front door of a business in Vancouver, B.C., Friday, April 9, 2021. COVID-19 cases have been on a steady increase in the province of British Columbia over the past week. THE CANADIAN PRESS/Jonathan Hayward
A sign indicating face coverings are required by the establishment is pictured on the front door of a business in Vancouver, B.C., Friday, April 9, 2021. COVID-19 cases have been on a steady increase in the province of British Columbia over the past week. THE CANADIAN PRESS/Jonathan Hayward
B.C. to start releasing neighbourhood-specific COVID numbers after data leak

Documents obtained by the Vancouver Sun show cases broken down by neighbourhoods

Provincial health officer Dr. Bonnie Henry and Health Minister Adrian Dix update B.C.’s COVID-19 situation at the B.C. legislature, April 29, 2021. (B.C. government)
B.C.’s COVID-19 case count creeps up, seven more deaths

445 people in hospital, 157 in intensive care

Summerland’s positive test rate is much higher than surrounding local health areas, according to internal BC CDC documents. (BC CDC)
Summerland 3rd behind Surrey, Abbotsford in daily per capita COVID-19 cases

Interior Health is rolling out additional vaccine availability to the community

Amazon is pausing its Prime Day marketing event in Canada this year amid ongoing COVID-19 outbreaks at its facilities in Ontario. THE CANADIAN PRESS/Nathan Denette
Amazon Prime Day halted in Canada due to COVID-19 outbreaks in warehouses

The event was postponed to protect the health and safety of employees and customers, the company says

Ally Thomas, 12, seen in an undated family handout photo, died on April 14 from a suspected overdose. Her family says they are frustrated more public supports weren't available when they tried to get her help. THE CANADIAN PRESS
Minister says suspected overdose death of 12-year-old pushing B.C. to ‘do better’

Minister Sheila Malcolmson of Mental Health and Addictions says the government is working ‘as hard as we can’ to build a system of care for youths

At this Highway 3 check point, police officers will be asking for identification from drivers, documentation regarding the driver’s name and address, and the purpose for the driver’s travel. (RCMP)
No fines handed out at 1st COVID-19 roadblock as checks move across B.C.

Cpl. Chris Manseau says a total of 127 vehicles were stopped at a roadblock in the Manning Park area

A spectator looks on as the Olympic Caldron is relit in downtown Vancouver, Wednesday, February 12, 2020. THE CANADIAN PRESS/Jonathan Hayward
Small majority of B.C. residents in favour of a Vancouver 2030 Olympic bid: survey

A new survey shows a split over the possibility of public money being spent to organize and host the winter games

Most Read