OMA president Dr. Ian Warrack says the decision to reduce spending by $500 million will further limit patient access to services and jeopardize the quality of care. "This government must begin to understand that providing medical services is not like ordering government supplies," Warrack said. "It can't simply decide to purchase fewer medical services this year." The needs of an aging population, patients' higher expectations, increased demand for costly and sophisticated technology and new medical programs all contribute to greater use of medical services, he warned. In 1992 OHIP funding per resident was $366; this year it will have declined by 15%, to $312.