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Copayments and the evidence-base paradox

Joel Lexchin
Med J Aust 2015; 202 (8): . || doi: 10.5694/mja15.00115
Published online: 4 May 2015

To the Editor: The recent perspective by Keane on the effects of copayments on low-income populations1 overlooked the results of the 1968 decision in the Canadian province of Saskatchewan to impose a fee of $1.50 (all amounts are in Canadian dollars) for office visits and $2.00 for home, emergency department or hospital outpatient visits.


  • York University, Toronto, Canada.


Correspondence: joel.lexchin@utoronto.ca

Competing interests:

No relevant disclosures.

  • 1. Keane M. Copayments and the evidence-base paradox. Med J Aust 2015; 202: 68-70. <MJA full text>
  • 2. Beck R. The effects of co-payment on the poor. J Hum Resour 1974; 9: 129-142.

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