Alberta
Canada’s health-care wait times hit 27.7 weeks in 2023—longest ever recorded
From the Fraser Institute
By Mackenzie Moir and Bacchus Barua
Canadian patients waited longer than ever this year for medical treatment, finds a new study released by the Fraser Institute, an independent, non-partisan Canadian public policy think-tank.
The study, an annual survey of physicians across Canada, reports a median wait time of 27.7 weeks—the longest ever recorded, longer than the wait of 27.4 weeks reported in 2022—and 198 per cent higher than the 9.3 weeks Canadians waited in 1993, when the Fraser Institute began tracking wait times.

“COVID-19 and related hospital closures have exacerbated, but are not the cause, of Canada’s historic wait times challenges,” said Bacchus Barua, director of the Fraser Institute’s Centre for Health Policy Studies and co-author of Waiting Your Turn: Wait Times for Health Care in Canada, 2023.
“Previous results revealed that patients waited an estimated 20.9 weeks for medically necessary elective care in 2019—long before the pandemic started.”
The study examines the total wait time faced by patients across 12 medical specialties from referral by a general practitioner (i.e. family doctor) to consultation with a specialist, to when the patient ultimately receives treatment.
More than 1,200 responses were received across the 12 specialties and 10 provinces. Among the provinces, Ontario recorded the shortest wait time at 21.6 weeks—still up from 20.3 weeks in 2022. Nova Scotia recorded the longest wait time in Canada at 56.7 weeks.
Among the various specialties, national wait times were longest between a referral by a GP and plastic (52.4 weeks), orthopedic (44.3) neurosurgery (43.5). Wait times were shortest for radiation (4.4 weeks) and medical oncology treatments (4.8 weeks). Patients also experience significant waiting times for various diagnostic technologies. This year, Canadians could expect to wait 6.6 weeks for a computed tomography (CT) scan, 12.9 weeks for a magnetic resonance imaging (MRI) scan, and 5.3 weeks for an ultrasound.
Crucially, physicians report that their patients are waiting over four and a half weeks longer for treatment (after seeing a specialist) than what they consider to be clinically reasonable.
“Excessively long wait times remain a defining characteristic of Canada’s health-care system” said Mackenzie Moir, Fraser Institute policy analyst and co-author of the report. “And they aren’t simply minor inconveniences, they can result in increased suffering for patients, lost productivity at work, a decreased quality of life, and in the worst cases, disability or death.”
Median wait times by province (in weeks)
PROVINCE 2022 2023
British Columbia 25.8 27.7
Alberta 33.3 33.5
Saskatchewan 30.1 31.0
Manitoba 41.3 29.1
Ontario 20.3 21.6
Quebec 29.4 27.6
New Brunswick 43.3 52.6
Nova Scotia 58.2 56.7
P.E.I. 64.7 55.2
Newfoundland and Labrador 32.1 33.3

Each year, the Fraser Institute surveys physicians across twelve specialties and the ten provinces in order to document the queues for visits to specialists and for diagnostic and surgical procedures in Canada. Waiting Your Turn: Wait Times for Health Care in Canada, 2023 Report reports the results of this year’s survey.
In 2023, physicians report a median wait time of 27.7 weeks between a referral from a general practitioner and receipt of treatment. This represents the longest delay in the survey’s history and is 198% longer than the 9.3 weeks Canadian patients could expect to wait in 1993.
Overall, Ontario reports the shortest wait across Canada (21.6 weeks) while Nova Scotia had the longest (56.7 weeks).
The 27.7 week total wait time that patients face can be examined in two consecutive segments:
- referral by a general practitioner to consultation with a specialist: 14.6 weeks;
- consultation with a specialist to receipt of treatment: 13.1 weeks.
After seeing a specialist, Canadian patients were waiting 4.6 weeks longer than what physicians consider clinically reasonable (8.5 weeks).
Across the ten provinces, the study also estimates that there were 1,209,194 procedures for which patients—3% of the Canadian population—were waiting in 2023.
Patients also face considerable delays for diagnostic technology. This year, Canadians could expect to wait 6.6 weeks for a CT scan, 12.9 for an MRI scan, and 5.3 weeks for an ultrasound.
Survey results suggest that, despite provincial strategies to reduce wait times, Canadian patients continue to wait too long for medically necessary treatment.
Data were collected from the week of January 16 to July 1, 2023, longer than the period of collection in years before the COVID19 pandemic. A total of 1,269 responses were received across the 12 specialties surveyed. However, this year’s response rate was 10.3% (lower than in some previous years). As a result, the findings in this report should be interpreted with caution.
Research has repeatedly indicated that wait times for medically necessary treatment are not benign inconveniences. Wait times can, and do, have serious consequences such as increased pain, suffering, and mental anguish. In certain instances, they can also result in poorer medical outcomes—
transforming potentially reversible illnesses or injuries into chronic, irreversible conditions, or even permanent disabilities. In many instances, patients may also have to forgo their wages while they wait for treatment, resulting in an economic cost to the individuals themselves and the economy in general.
The results of this year’s survey indicate that despite provincial strategies to reduce wait times and high levels of health expenditure, it is clear that patients in Canada continue to wait too long to receive medically necessary treatment.
Waiting Your Turn: Wait Times for Health Care in Canada, 2023 Report
By Mackenzie Moir and Bacchus Barua, with Hani Wannamaker
www.fraserinstitute.org
Authors:
Alberta
Alberta project would be “the biggest carbon capture and storage project in the world”
Pathways Alliance CEO Kendall Dilling is interviewed at the World Petroleum Congress in Calgary, Monday, Sept. 18, 2023.THE CANADIAN PRESS/Jeff McIntosh
From Resource Works
Carbon capture gives biggest bang for carbon tax buck CCS much cheaper than fuel switching: report
Canada’s climate change strategy is now joined at the hip to a pipeline. Two pipelines, actually — one for oil, one for carbon dioxide.
The MOU signed between Ottawa and Alberta two weeks ago ties a new oil pipeline to the Pathways Alliance, which includes what has been billed as the largest carbon capture proposal in the world.
One cannot proceed without the other. It’s quite possible neither will proceed.
The timing for multi-billion dollar carbon capture projects in general may be off, given the retreat we are now seeing from industry and government on decarbonization, especially in the U.S., our biggest energy customer and competitor.
But if the public, industry and our governments still think getting Canada’s GHG emissions down is a priority, decarbonizing Alberta oil, gas and heavy industry through CCS promises to be the most cost-effective technology approach.
New modelling by Clean Prosperity, a climate policy organization, finds large-scale carbon capture gets the biggest bang for the carbon tax buck.
Which makes sense. If oil and gas production in Alberta is Canada’s single largest emitter of CO2 and methane, it stands to reason that methane abatement and sequestering CO2 from oil and gas production is where the biggest gains are to be had.
A number of CCS projects are already in operation in Alberta, including Shell’s Quest project, which captures about 1 million tonnes of CO2 annually from the Scotford upgrader.
What is CO2 worth?
Clean Prosperity estimates industrial carbon pricing of $130 to $150 per tonne in Alberta and CCS could result in $90 billion in investment and 70 megatons (MT) annually of GHG abatement or sequestration. The lion’s share of that would come from CCS.
To put that in perspective, 70 MT is 10% of Canada’s total GHG emissions (694 MT).
The report cautions that these estimates are “hypothetical” and gives no timelines.
All of the main policy tools recommended by Clean Prosperity to achieve these GHG reductions are contained in the Ottawa-Alberta MOU.
One important policy in the MOU includes enhanced oil recovery (EOR), in which CO2 is injected into older conventional oil wells to increase output. While this increases oil production, it also sequesters large amounts of CO2.
Under Trudeau era policies, EOR was excluded from federal CCS tax credits. The MOU extends credits and other incentives to EOR, which improves the value proposition for carbon capture.
Under the MOU, Alberta agrees to raise its industrial carbon pricing from the current $95 per tonne to a minimum of $130 per tonne under its TIER system (Technology Innovation and Emission Reduction).
The biggest bang for the buck
Using a price of $130 to $150 per tonne, Clean Prosperity looked at two main pathways to GHG reductions: fuel switching in the power sector and CCS.
Fuel switching would involve replacing natural gas power generation with renewables, nuclear power, renewable natural gas or hydrogen.
“We calculated that fuel switching is more expensive,” Brendan Frank, director of policy and strategy for Clean Prosperity, told me.
Achieving the same GHG reductions through fuel switching would require industrial carbon prices of $300 to $1,000 per tonne, Frank said.
Clean Prosperity looked at five big sectoral emitters: oil and gas extraction, chemical manufacturing, pipeline transportation, petroleum refining, and cement manufacturing.
“We find that CCUS represents the largest opportunity for meaningful, cost-effective emissions reductions across five sectors,” the report states.

Fuel switching requires higher carbon prices than CCUS.
Measures like energy efficiency and methane abatement are included in Clean Prosperity’s calculations, but again CCS takes the biggest bite out of Alberta’s GHGs.
“Efficiency and (methane) abatement are a portion of it, but it’s a fairly small slice,” Frank said. “The overwhelming majority of it is in carbon capture.”

From left, Alberta Minister of Energy Marg McCuaig-Boyd, Shell Canada President Lorraine Mitchelmore, CEO of Royal Dutch Shell Ben van Beurden, Marathon Oil Executive Brian Maynard, Shell ER Manager, Stephen Velthuizen, and British High Commissioner to Canada Howard Drake open the valve to the Quest carbon capture and storage facility in Fort Saskatchewan Alta, on Friday November 6, 2015. Quest is designed to capture and safely store more than one million tonnes of CO2 each year an equivalent to the emissions from about 250,000 cars. THE CANADIAN PRESS/Jason Franson
Credit where credit is due
Setting an industrial carbon price is one thing. Putting it into effect through a workable carbon credit market is another.
“A high headline price is meaningless without higher credit prices,” the report states.
“TIER credit prices have declined steadily since 2023 and traded below $20 per tonne as of November 2025. With credit prices this low, the $95 per tonne headline price has a negligible effect on investment decisions and carbon markets will not drive CCUS deployment or fuel switching.”
Clean Prosperity recommends a kind of government-backstopped insurance mechanism guaranteeing carbon credit prices, which could otherwise be vulnerable to political and market vagaries.
Specifically, it recommends carbon contracts for difference (CCfD).
“A straight-forward way to think about it is insurance,” Frank explains.
Carbon credit prices are vulnerable to risks, including “stroke-of-pen risks,” in which governments change or cancel price schedules. There are also market risks.
CCfDs are contractual agreements between the private sector and government that guarantees a specific credit value over a specified time period.
“The private actor basically has insurance that the credits they’ll generate, as a result of making whatever low-carbon investment they’re after, will get a certain amount of revenue,” Frank said. “That certainty is enough to, in our view, unlock a lot of these projects.”
From the perspective of Canadian CCS equipment manufacturers like Vancouver’s Svante, there is one policy piece still missing from the MOU: eligibility for the Clean Technology Manufacturing (CTM) Investment tax credit.
“Carbon capture was left out of that,” said Svante co-founder Brett Henkel said.
Svante recently built a major manufacturing plant in Burnaby for its carbon capture filters and machines, with many of its prospective customers expected to be in the U.S.
The $20 billion Pathways project could be a huge boon for Canadian companies like Svante and Calgary’s Entropy. But there is fear Canadian CCS equipment manufacturers could be shut out of the project.
“If the oil sands companies put out for a bid all this equipment that’s needed, it is highly likely that a lot of that equipment is sourced outside of Canada, because the support for Canadian manufacturing is not there,” Henkel said.
Henkel hopes to see CCS manufacturing added to the eligibility for the CTM investment tax credit.
“To really build this eco-system in Canada and to support the Pathways Alliance project, we need that amendment to happen.”
Resource Works News
Alberta
The Canadian Energy Centre’s biggest stories of 2025
From the Canadian Energy Centre
Canada’s energy landscape changed significantly in 2025, with mounting U.S. economic pressures reinforcing the central role oil and gas can play in safeguarding the country’s independence.
Here are the Canadian Energy Centre’s top five most-viewed stories of the year.
5. Alberta’s massive oil and gas reserves keep growing – here’s why
The Northern Lights, aurora borealis, make an appearance over pumpjacks near Cremona, Alta., Thursday, Oct. 10, 2024. CP Images photo
Analysis commissioned this spring by the Alberta Energy Regulator increased the province’s natural gas reserves by more than 400 per cent, bumping Canada into the global top 10.
Even with record production, Alberta’s oil reserves – already fourth in the world – also increased by seven billion barrels.
According to McDaniel & Associates, which conducted the report, these reserves are likely to become increasingly important as global demand continues to rise and there is limited production growth from other sources, including the United States.
4. Canada’s pipeline builders ready to get to work
Canada could be on the cusp of a “golden age” for building major energy projects, said Kevin O’Donnell, executive director of the Mississauga, Ont.-based Pipe Line Contractors Association of Canada.
That eagerness is shared by the Edmonton-based Progressive Contractors Association of Canada (PCA), which launched a “Let’s Get Building” advocacy campaign urging all Canadian politicians to focus on getting major projects built.
“The sooner these nation-building projects get underway, the sooner Canadians reap the rewards through new trading partnerships, good jobs and a more stable economy,” said PCA chief executive Paul de Jong.
3. New Canadian oil and gas pipelines a $38 billion missed opportunity, says Montreal Economic Institute
Steel pipe in storage for the Trans Mountain Pipeline expansion in 2022. Photo courtesy Trans Mountain Corporation
In March, a report by the Montreal Economic Institute (MEI) underscored the economic opportunity of Canada building new pipeline export capacity.
MEI found that if the proposed Energy East and Gazoduq/GNL Quebec projects had been built, Canada would have been able to export $38 billion worth of oil and gas to non-U.S. destinations in 2024.
“We would be able to have more prosperity for Canada, more revenue for governments because they collect royalties that go to government programs,” said MEI senior policy analyst Gabriel Giguère.
“I believe everybody’s winning with these kinds of infrastructure projects.”
2. Keyera ‘Canadianizes’ natural gas liquids with $5.15 billion acquisition
Keyera Corp.’s natural gas liquids facilities in Fort Saskatchewan, Alta. Photo courtesy Keyera Corp.
In June, Keyera Corp. announced a $5.15 billion deal to acquire the majority of Plains American Pipelines LLP’s Canadian natural gas liquids (NGL) business, creating a cross-Canada NGL corridor that includes a storage hub in Sarnia, Ontario.
The acquisition will connect NGLs from the growing Montney and Duvernay plays in Alberta and B.C. to markets in central Canada and the eastern U.S. seaboard.
“Having a Canadian source for natural gas would be our preference,” said Sarnia mayor Mike Bradley.
“We see Keyera’s acquisition as strengthening our region as an energy hub.”
1. Explained: Why Canadian oil is so important to the United States
Enbridge’s Cheecham Terminal near Fort McMurray, Alberta is a key oil storage hub that moves light and heavy crude along the Enbridge network. Photo courtesy Enbridge
The United States has become the world’s largest oil producer, but its reliance on oil imports from Canada has never been higher.
Many refineries in the United States are specifically designed to process heavy oil, primarily in the U.S. Midwest and U.S. Gulf Coast.
According to the Alberta Petroleum Marketing Commission, the top five U.S. refineries running the most Alberta crude are:
- Marathon Petroleum, Robinson, Illinois (100% Alberta crude)
- Exxon Mobil, Joliet, Illinois (96% Alberta crude)
- CHS Inc., Laurel, Montana (95% Alberta crude)
- Phillips 66, Billings, Montana (92% Alberta crude)
- Citgo, Lemont, Illinois (78% Alberta crude)
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