Fraser Institute
Policymakers in Ottawa and Edmonton maintain broken health-care system
From the Fraser Institute
What’s preventing these reforms? In a word, Ottawa.
To say Albertans, and indeed all Canadians, are getting poor value for their health-care dollars is a gross understatement. In reality, Canada remains among the highest spenders on health care in the developed world, in exchange for one of the least accessible universal health-care systems. And while Canadians are increasingly open to meaningful reform, policymakers largely cling to their stale approach of more money, platitudes and little actual change.
In 2021 (the latest year of available data), among high-income universal health-care countries, Canada spent the highest share of its economy on health care (after adjusting for age differences between countries). For that world-class level of spending, Canada ranked 28th in the availability of physicians, 23rd in hospital beds, 25th in MRI scanners and 26th in CT scanners. And we ranked dead last on wait times for specialist care and non-emergency surgeries.
This abysmal performance has been consistent since at least the early 2000s with Canada regularly posting top-ranked spending alongside bottom-ranked performance in access to health-care.
On a provincial basis, Albertans are no better off. Alberta’s health-care system ranks as one of the most expensive in Canada on a per-person basis (after adjusting for population age and sex) while wait times in Alberta were 21 per cent longer than the national average in 2023.
And what are governments doing about our failing health-care system? Not much it seems, other than yet another multi-billion-dollar federal spending commitment (from the Trudeau government) and some bureaucratic shuffling (by the Smith government) paired with grandiose statements of how this will finally solve the health-care crisis.
But people aren’t buying it anymore. Canadians increasingly understand that more money for an already expensive and failing system is not the answer, and are increasingly open to reforms based on higher-performing universal health-care countries where the public system relies more on private firms and entrepreneurs to deliver publicly-funded services. Indeed, according to one recent poll, more than six in 10 Canadians agree that Canada should emulate other countries that allow private management of public hospitals, and more than half of those polled would like increased access to care provided by entrepreneurs.
What’s preventing these reforms?
In a word, Ottawa. The large and expanding federal cash transfers so often applauded by premiers actually prevent provinces from innovating and experimenting with more successful health-care policies. Why? Because to receive federal transfers, provinces must abide by the terms and conditions of the Canada Health Act (CHA), which prescribes often vaguely defined federal preferences for health policy and explicitly disallows certain reforms such as cost-sharing (where patients pay fees for some services, with protections for low-income people).
That threat of financial penalty discourages the provinces from following the examples of countries that provide more timely universal access to quality care such as Germany, Switzerland, Australia and the Netherlands. These countries follow the same blueprint, which includes patient cost-sharing for physician and hospital services (again, with protections for vulnerable populations including low-income individuals), private competition in the delivery of universally accessible services with money following patients to hospitals and surgical clinics, and allowing private purchases of care. Yet if Alberta adopted this blueprint, which has served patients in these other countries so well, it would risk losing billions in health-care transfers from Ottawa.
Finally, provinces have seemingly forgot the lesson from Saskatchewan’s surgical initiative, which ran between 2010 and 2014. That initiative, which included contracting out publicly financed surgeries to private clinics, reduced wait lists in Saskatchewan from among the highest in the country to among the shortest. And when the initiative ended, wait times began to grow again.
The simple reality of health care in every province including Alberta is that the government system is failing despite a world-class price tag. The solutions to this problem are known and increasingly desired by Canadians. Ottawa just needs to get out of the way and allow the provinces to genuinely reform the way we finance and deliver universal health care.
Author:
Business
Policy uncertainty continues to damage Canada’s mining potential
From the Fraser Institute
By Julio Mejía and Elmira Aliakbari
According to a new survey of mining investors, despite the rich mineral potential of many Canadian jurisdictions, government policies are deterring investment
Canada is renowned for its abundant minerals and network of engineering firms with mining experience. These advantages, coupled with the rising global demand for copper, lithium, nickel, cobalt and rare-earth elements, should spur growing interest in our mining sector among investors. Yet, mining investment in Canada is on the wane.
In nominal terms, exploration investment alone fell from $4.4 billion in 2022 to $4.2 billion in 2023, with preliminary numbers for 2024 suggesting a further 2 per cent drop. And several leading exploration companies including Solaris Resources Inc., Falcon Energy Materials and Barrick Mining Corporation (the world’s second-largest mining company) have either moved their headquarters out of Canada or are considering doing so.
This downward trend extends beyond just exploration investment. In 2023 (the latest year of available data) investment in Canada’s mining sector totalled $15.2 billion, 26 per cent below the record-high $20.5 billion in 2012 (inflation-adjusted).
So, why is one of the most mineral-rich countries on Earth losing investor interest?
According to a new survey of mining investors, despite the rich mineral potential of many Canadian jurisdictions, government policies are deterring investment.
Take British Columbia, Yukon and Manitoba, for example. Although all three rank among the world’s top 10 most attractive jurisdictions for their mineral endowment, all three fall far behind in policy perception, ranking 32nd, 40th and 43rd out of 82 jurisdictions, respectively. The Northwest Territories (56th), Nunavut (59th) and Nova Scotia (76th) also rank low in terms of policy, while Saskatchewan (3rd), Newfoundland and Labrador (6th) and Alberta (9th) are the only Canadian jurisdictions that perform well.
Indeed, in multiple editions of the mining survey over many years, investors have cited policy uncertainty as a key deterrent to investment in many Canadian jurisdictions. In particular, uncertainty around disputed land claims, protected areas and environmental regulations.
Of course, Canadian jurisdictions compete with jurisdictions around the world including in the United States. And the differences in investor perception are striking. While a strong majority of survey respondents for B.C. (76 per cent), Manitoba (75 per cent) and the Yukon (69 per cent) say uncertainty around disputed land claims deters investment, the percentages are much smaller for Nevada (13 per cent) and Arizona (16 per cent). Similarly, the percentage of respondents who say uncertainty around protected areas deters investment for B.C. (76 per cent), the Yukon (76 per cent) and Manitoba (63 per cent) was much larger than for Wyoming (11 per cent) and Nevada (27 per cent).
To build new mining projects, develop technologies that improve productivity, create jobs and help spread prosperity, Canadian jurisdictions must attract investment. In 2023, mining was Canada’s second-leading export, trailing only energy, and contributed $117 billion to Canada’s total economic output. More importantly, that same year the industry provided a livelihood for 711,000 Canadians while paying wages that nearly double the average of other industries. And according to a 2021 census, the sector provided jobs to more than 17,300 First Nations people, making it one of the largest employers of Indigenous workers in the country.
Bad policies create uncertainty and deter investment. If policymakers are serious about unleashing Canada’s mining potential, they must eliminate regulatory uncertainty and establish a predictable policy framework. Otherwise, the country will keep declining in the eyes of investors.
Elmira Aliakbari
Business
Virtue-signalling devotion to reconciliation will not end well
From the Fraser Institute
By Bruce Pardy
In September, the British Columbia Supreme Court threw private property into turmoil. Aboriginal title in Richmond, a suburb of Vancouver, is “prior and senior” to fee simple interests, the court said. That means it trumps the property you have in your house, farm or factory. If the decision holds up on appeal, it would mean private property is not secure anywhere a claim for Aboriginal title is made out.
If you thought things couldn’t get worse, you thought wrong. On Dec. 5, the B.C. Court of Appeal delivered a different kind of upheaval. Gitxaala and Ehattesaht First Nations claimed that B.C.’s mining regime was unlawful because it allowed miners to register claims on Crown land without consulting with them. In a 2-to-1 split decision, the court agreed. The mining permitting regime is inconsistent with the United Nations Declaration on the Rights of Indigenous People (UNDRIP). And B.C. legislation, the court said, has made UNDRIP the law of B.C.
UNDRIP is a declaration of the United Nations General Assembly. It consists of pages and pages of Indigenous rights and entitlements. If UNDRIP is the law in B.C., then Indigenous peoples are entitled to everything—and to have other people pay for it. If you suspect that is an exaggeration, take a spin through UNDRIP for yourself.
Indigenous peoples, it says, “have the right to the lands, territories and resources which they have traditionally owned, occupied or otherwise used or acquired… to own, use, develop and control, as well as the right to “redress” for these lands, through either “restitution” or “just, fair and equitable compensation.” It says that states “shall consult and cooperate in good faith” in order to “obtain free and informed consent prior to the approval of any project affecting their lands or territories and other resources,” and that they have the right to “autonomy or self-government in matters relating to their internal and local affairs, as well as ways and means for financing their autonomous functions.”
The General Assembly adopted UNDRIP in 2007. At the time, Canada sensibly voted “no,” along with New Zealand, the United States and Australia. Eleven countries abstained. But in 2016, the newly elected Trudeau government reversed Canada’s objection.
UN General Assembly resolutions are not binding in international law. Nor are they enforceable in Canadian courts. But in 2019, NDP Premier John Horgan and his Attorney General David Eby, now the Premier, introduced Bill 41, the Declaration on the Rights of Indigenous Peoples Act (DRIPA). DRIPA proposed to require the B.C. government to “take all measures necessary to ensure the laws of British Columbia are consistent with the Declaration.” The B.C. Legislature unanimously passed the bill. (The Canadian Parliament passed a similar bill in 2021.)
Two years later, the legislature passed an amendment to the B.C. Interpretation Act. Eby, still B.C.’s Attorney General, sponsored the bill. The amendment read, “Every Act and regulation must be construed as being consistent with the Declaration.”
Eby has expressed dismay about the Court of Appeal decision. It “invites further and endless litigation,” he said. “It looked at the clear statements of intent in the legislature and the law, and yet reached dramatically different conclusions about what legislators did when we voted unanimously across party lines” to pass DRIPA. He has promised to amend the legislation.
These are crocodile tears. The majority judgment from the Court of Appeal is not a rogue decision from activist judges making things up and ignoring the law. Not this time, anyway. The court said that B.C. law must be construed as being consistent with UNDRIP—which is what Eby’s 2021 amendment to the Interpretation Act says.
In fact, Eby’s government has been doing everything in its power to champion Aboriginal interests. DRIPA is its mandate. It’s been making covert agreements with specific Aboriginal groups over specific territories. These agreements promise Aboriginal title and/or grant Aboriginal management rights over land use. In April 2024, an agreement with the Haida Council recognized Haida title and jurisdiction over Haida Gwaii, an archipelago off the B.C. coast formerly known as the Queen Charlotte Islands. Eby has said that the agreement is a template for what’s possible “in other places in British Columbia, and also in Canada.” He is putting title and control of B.C. into Aboriginal hands.
But it’s not just David Eby. The Richmond decision from the B.C. Supreme Court had nothing to do with B.C. legislation. It was a predictable result of years of Supreme Court of Canada (SCC) jurisprudence under Section 35 of the Constitution. That section guarantees “existing” Aboriginal and treaty rights as of 1982. But the SCC has since championed, evolved and enlarged those rights. Legislatures can fix their own statutes, but they cannot amend Section 35 or override judicial interpretation, even using the “notwithstanding clause.”
Meanwhile, on yet another track, Aboriginal rights are expanding under the Charter of Rights and Freedoms. On the same day as the B.C. Court of Appeal decision on UNDRIP, the Federal Court released two judgments. The federal government has an actionable duty to Aboriginal groups to provide housing and drinking water, the court declared. Taxpayer funded, of course.
One week later, at the other end of the country, the New Brunswick Court of Appeal weighed in. In a claim made by Wolastoqey First Nation for the western half of the province, the court said that Aboriginal title should not displace fee simple title of private owners. Yet it confirmed that a successful claim would require compensation in lieu of land. Private property owners or taxpayers, take your pick.
Like the proverb says, make yourself into a doormat and someone will walk all over you. Obsequious devotion to reconciliation has become a pathology of Canadian character. It won’t end well.
-
Frontier Centre for Public Policy1 day agoIs Canada still worth the sacrifice for immigrants?
-
Bruce Dowbiggin1 day agoThe Olympic Shutout: No Quebec Players Invited For Canada
-
Canadian Energy Centre1 day agoFive reasons why 2026 could mark a turning point for major export expansions
-
International1 day agoNetwork of Nonprofits with Marxist and CCP Ties, and Elected Socialists Race to Counter Washington’s Narrative of the Maduro Raid
-
Business1 day agoPolicy uncertainty continues to damage Canada’s mining potential
-
Alberta1 day agoTrump’s Venezuela Geopolitical Earthquake Shakes up Canada’s Plans as a “Net Zero” Energy Superpower
-
Energy1 day agoTrump’s Venezuela Move: A $17 Trillion Reset of Global Geopolitics and a Pivotal Shift in US Energy Strategy
-
Environment1 day agoLeft-wing terrorists sabotage German power plant, causing massive power outage