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June 24, 2019

Climate change puts health at risk and economists have the right prescription

Courtney Howard, Cumming School of Medicine, writing in Conversation Canada
A smokey haze from wildfires burning in the region blankets Vancouver, B.C.
A smokey haze from wildfires burning in the region blankets Vancouver, B.C. Shutterstock

Doctors and economists may seem like strange partners. We spend our days working on very different problems in very different settings. But climate change has injected a common and urgent vocabulary into our work. We find ourselves agreeing both about the nature of the problem and the best solution. It鈥檚 .

For doctors across Canada, the evidence at the bedside is increasingly hard to ignore: climate change poses a serious health risk.

Emergency physician Edward Xie has worked in Toronto for over 10 years. Lately, he鈥檚 seen more patients anxious about . It鈥檚 no wonder. A shows a fivefold increase in Lyme disease cases in Ontario between 2012 and 2017 as ticks expand their habitat northward.

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Dr. Xie also notices more cases of heat exhaustion and dehydration in summer months 鈥 particularly among elderly and low-income individuals who lack adequate housing. In Toronto alone, heat already contributes to an estimated 120 deaths each year. that number to grow.

We鈥檙e paying for climate change with our health

The risks aren鈥檛 always obvious or intuitive.

In an interview, Dr. Sarah Chapelsky, an Edmonton internist, recalled patients who were hospitalized because they fled the Fort McMurray fires in May 2016 without taking their inhalers or prescriptions. Although it takes time to connect individual events to climate change, there is a linking climate change and wildfires.

Fort McMurray鈥檚 hospital itself was evacuated, demonstrating the threat climate change poses not only to health, but to health systems.

Burnt trees in Fort McMurray, Alta., in May 2016. THE CANADIAN PRESS/Jason Franson

From Lyme disease and heat stroke to heightened risk of premature death, climate change puts the wellbeing of all Canadians at risk. The symptoms vary, but they share a root cause.

There鈥檚 more than our health at stake. Economists now view 鈥 disruptive events that , and our .

The Fort McMurray wildfires , about 2.5 per cent of provincial GDP. British Columbia鈥檚 2018 wildfire season was its worst ever, breaking the record set in 2017. The asthma-aggravating smoke travelled across the Prairies. Millions of Canadians inhaled poor-quality air .

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Flooding, already Canada鈥檚 costliest extreme weather event, . The recent floods in New Brunswick, Qu茅bec and Ontario established .

A growing consensus

One way or another, we are paying the costs of climate change 鈥 in sick days and lost wages, rising health care costs and home insurance rates, and a less stable climate for the next generation. And we鈥檙e still adding new charges to our bill.

Both professions agree: we must act. issued a call to all federal political parties to act on climate change, urging serious treatment for what the World Health Organization calls 鈥.鈥

In a new open letter, more than 3,500 economists state that climate change is 鈥溾 calling for immediate action. The Lancet Countdown on Health and Climate Change research collaborative, which includes doctors and economists, agrees that adequately pricing carbon could be the for climate change.

Economics has a very clear prescription for these challenges: carbon pricing. In the same way that penicillin treats an infection, carbon pricing can help fight climate change. It effectively targets the root of the problem and there鈥檚 a mountain of evidence that it works.

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Carbon pricing mobilizes market forces, creating incentives for businesses and individuals alike to seek out low-carbon alternatives. It encourages innovation, creating demand for non-polluting technologies and the industries that supply them. And it provides a clear signal to polluters that .

Following doctor鈥檚 orders

There is good evidence that carbon pricing will slow climate change. It has reduced carbon emissions in , , and across for more than a decade. It was pivotal in the 鈥檚 move away from . A price on pollution was a of the effort to eliminate acid rain in the 1990s. Like , it encourages a gradual shift towards healthier behaviours.

While climate change harms vulnerable and low-income Canadians the most, carbon pricing in Canada is designed to immunize them from increased costs. By returning the revenues through household rebates, tax cuts and low-carbon investments like public transit, governments are using the revenues from carbon pricing to make the transition to a cleaner economy more affordable. When designed well, carbon pricing is a progressive policy. Canadian governments have designed their carbon pricing policies well.

Doctors and economists agree. Climate change is here, it鈥檚 getting worse, and the best time to do something about it is right now. For healthier families, a healthier economy, and a healthier planet, carbon pricing is just what the doctor (and the economist) ordered.The Conversation

, Director, Max Bell School of Public Policy, and , Clinical associate professor, Department of Family Medicine, Cumming School of Medicine,

This article is republished from under a Creative Commons license. Read the .