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Canada has fewer doctors, hospital beds, MRIs and among longest wait times than other countries with universal health care

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From the Fraser Institute

By Mackenzie Moir and Bacchus Barua

Among a group of 31 high-income countries that have universally accessible health care, Canada has among the lowest availability of doctors, hospital beds, and most medical technologies—and some of the longest wait times, finds a new study released today by the Fraser Institute, an independent, non-partisan Canadian public policy think-tank.

“There is a clear imbalance between the high cost of Canada’s health-care system and the value Canadians receive—particularly in terms of availability of medical resources and timely access to care,” said Bacchus Barua, director of health policy studies at the Fraser Institute and co-author of Comparing Performance of Universal Health Care
Countries, 2024.

The study compares 31 universal health-care systems in developed countries using over 40 indicators.

In 2022, using the latest year of comparable data and after adjusting for age, Canada ranked among the top third of health care spenders—4th highest for spending as a share of the economy (11.5 per cent) and 9th highest for spending per person.

Despite Canada’s high level of spending, availability and access to medical resources is generally worse than in comparable countries.

For example, Canada ranked 28th (out of 30) for the availability of doctors, 25th for hospital beds, and 25th for psychiatric beds.

That same year, Canada ranked 27th (out of 31) for the number of MRI machines available per million people, and 28th for CT scanners.

Crucially, among the nine comparable universal health-care countries that measure wait times, Canada ranks 8th (second-worst) for patients who waited more than a month to see a specialist (65.2 per cent), and the worst (9th out of 9) for patients who waited two months or more for non-emergency surgery (58.3 per cent).

“Canadians are increasingly aware of the shortcomings of their health-care system,” said Mackenzie Moir, policy analyst and co-author of the report.

“To improve health care for Canadians, policymakers should learn from other countries around the world that do universal health care better.”

  • Among 31 high-income universal healthcare countries, Canada ranks among the top third of spenders but receives average to poor value in return.
  • After adjusting for differences in age between countries, Canada ranked fourth highest for spending as a percentage of GDP and ninth highest for spending per person in 2022 (the most recent year of comparable data).
  • Across over 40 indictors measured, Canada’s performance for availability and timely access to medical resources was generally below that of the average OECD country.
  • In 2022, Canada ranked 28th (of 30) for the relative availability of doctors and 25th (of 30) for hospital beds dedicated to physical care. The same year, Canada ranked 27th (of 31) for the relative availability of Magnetic Resonance Imaging (MRI) machines, and 28th (of 31) for CT scanners.
  • Canada ranked last (or close to last) on three of four indicators of timeliness of care; and ranked sixth (of nine) on the indicator measuring the percentage of patients who reported that cost was a barrier to access.
  • Notably, among the nine countries that measure wait times, Canada ranked eighth worst for the percentage of patients who waited more than one month to see a specialist (65%), and reported the highest percentage of patients (58%) who waited two months or more for non-emergency surgery.
  • Canada’s performance for use of resources and quality and clinical performance was mixed.
  • Clearly, there is an imbalance between the value Canadians receive and the relatively high amount of money they spend on their health-care system.

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Timeline: Panama Canal Politics, Policy, and Tensions

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Racket News - YouTube  By Greg Collard and James Rushmore

Hegseth’s visit to Panama includes strongly-worded speeches directed at China

While the trade war with China plays out, another war of political rhetoric is heating up again over the Panama Canal.

Defense Secretary Pete Hegseth was in Panama this week, and pointed out America’s military presence and joint training exercises with Panamanians. Though he said the U.S. doesn’t seek war and that “war with China is certainly not inevitable,” he had a strong military message for the CCP:

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Our relationship is growing in part to meet communist China’s rising challenge. China-based companies continue to control critical infrastructure in the canal area that gives China the potential to conduct surveillance activities across Panama. This makes Panama and the United States less secure, less prosperous, and less sovereign.

He said “China will not weaponize this canal,” and it will stay that way “through the deterrent power of the strongest, most effective, and most lethal fighting force in the world.”

Hegseth followed up Wednesday with a similar message to the Central American Security Conference.

The era of capitulating to coercion by the communist Chinese is over. They’re growing an adversarial control of strategic land and critical infrastructure in this hemisphere cannot and will not stand. To accomplish this, our countries cannot face these shared threats alone. We have to face them together. America will confront, will deter, and if necessary defeat these threats alongside all of you, our close and valued partners. Our mission is simple: achieve peace through strength through an America first approach. We’re doing this by restoring the warrior ethos, rebuilding our military and reestablishing deterrence.

Obviously, that didn’t go over well with China. Its embassy in Panama accuses the U.S. of hypocrisy as it “repeats ad nauseam the ‘Chinese interference and influence.’” It noted the U.S. invaded Panama in 1989 and asked: “Who represents the real threat to the Channel? People will make their own judgment.”

(In making that judgment, a reminder that the U.S. still controlled the Panama Canal in 1989, and Panama was run by dictator Manuel Noriega who had been indicted in the U.S. on drug crimes. He was also a former CIA informant, and American officials knew about his crimes — which included helping Pablo Escobar — for years before doing anything about it).

China’s influence over the Canal has grown since 2017, when Panama severed ties with Taiwan and established diplomatic relations with China. A Chinese company controls the largest port on the Atlantic side of the Canal, and a Hong Kong company, CK Hutchinson, controls ports on both ends of the Canal. Last month, BlackRock, an American investment firm, reached a deal to buy CK Hutchinson’s ports, but that deal could be in jeopardy of falling through. Chinese firms are also building a bridge across the Canal.

President Trump has said the U.S. should have never given up the canal to Panama, which occurred on Dec. 31, 1999, as agreed to in treaties that President Carter signed in 1977 and won Senate approval the following year.

While critics place a lot of blame on Carter, Presidents Nixon and Ford started the negotiations. There was bipartisan support to reach a deal (there was even a tentative deal in place in 1967, but a coup in Panama ended those negotiations) because there were tensions and sometimes violence between locals and Americans. The audio below is from a 1976 NBC story that describes life inside the barbed wire fence that surrounded the Canal Zone: “Its 40,000 American residents, both military and civilian, enjoy a suburban lifestyle.” Panamanians on the other side of the fence were resentful.

Listen now · 6:22

Ronald Reagan changed the political debate over the Canal during his primary challenge to Ford in 1976. Opposition to any deal with Panama became the focus of his campaign. Reagan says in the ad below: “We bought it, we paid for it, and General Torrijos (Panama’s dictator) should be told we’re going to keep it.”

The message was effective. Reagan won 24 states, and Ford didn’t secure the GOP nomination until the Republican National Convention.

Today’s debate over the Panama Canal

The Panama Canal was not a campaign issue in 2024. Trump first complained about passage rates charged to the Navy and U.S. shipping companies in two December 21 social media posts. Trump wrote that if the situation does not improve, “we will demand that the Panama Canal be returned to us, in full, and without question. To the Officials of Panama, please be guided accordingly!”

He repeated those criticisms and threats in a speech the following day:

It was not given for the benefit of others by a token of cooperation, but it was given to Panama and to the people of Panama, but it has provisions. You gotta treat us fairly, and they haven’t treated us fairly. If the principles, both moral and legal, of this magnanimous gesture of giving are not followed, then we demand that the Panama Canal be returned to the United States of America in full, quickly and without question.

Congresswoman Debbie Wasserman Schultz called that “preposterous.” House Minority Leader Hakeem Jeffries also dismissed the idea of regaining control of the Panama Canal.

But Democratic Congressman Jared Moskowitz said Trump has a point. He dismissed the idea of taking the Canal by force, but said “the United States reasserting its history in the Panama Canal is actually a good, important, strategic issue.”

At a hearing in January, Senate Commerce Committee Chairman Ted Cruz voiced concern about the bridge that Chinese firms are building across the Canal.

The partially-completed bridge gives China the ability to block the Canal without warning, and the ports give China ready observation posts to time that action. This situation poses acute risks to U.S. national security.

A witness at that hearing, George Mason international law professor Eugene Kontorovich, testified that the presence of a Chinese company essentially means the Chinese military has a presence in the Canal.

In a communist regime, distinctions between private and government-owned firms are not as absolute or clear-cut as in a Western liberal society. This is particularly the case for the People’s Republic of China (PRC), which has an official doctrine known as “Military-Civilian Fusion,” a top-level strategy of the CCP Central Committee since 2019.

Here’s a timeline of key events in the history of the Panama Canal leading up to this week’s speeches from Hegseth.

January 22, 1903

The U.S. and Colombia, which controlled what is now Panama, agree to a treaty that gives the U.S. rights to the land to build the Canal in return for $10 million and $250,000 annually. However, Colombia’s congress rejects the deal.

November 3, 1903

With the backing of the U.S., Panama declares its independence from Colombia.

November 18, 1903

The U.S. and Panama sign the Hay-Bunau-Varilla Treaty, which establishes the Panama Canal Zone and “grants to the United States all the rights, power and authority within the zone.” The treaty has the same financial terms that Colombia’s Congress rejected. It’s ratified by the Senate and approved by President Theodore Roosevelt in February 1904.


August 15, 1914

The Panama Canal opens to shipping.

January 9, 1964

Panamanian rioters invade the Canal Zone and attempt to substitute the U.S. flag with a Panamanian one. The riots last three days, killing 22 Panamanians and four U.S. troops.

September 7, 1977

President Jimmy Carter and Panamanian dictator Omar Torrijos sign the Torrijos-Carter Treaties. Panama will take control of the Canal on Dec. 31, 1999. President Carter says:

This agreement thus forms a new partnership to ensure that this vital waterway, so important to all of us, will continue to be well-operated, safe, and open to shipping by all nations now and in the future. Under these accords, Panama will play an increasingly important role in the operation and defense of the Canal during the next 23 years, and after that, the United States will still be able to counter any threat to the Canal’s neutrality and openness for use.

Panama gains control of the Canal. Army Secretary Louis Caldera, the head of the U.S. delegation at the handover ceremony, says:

The United States could not aspire to be a good neighbor to Latin America and continue occupying and dividing the territory of a country considered a friend.

December 21, 2024

On Truth Social, President-elect Trump slams Panama for charging the United States “exorbitant prices and rates of passage” to use the Canal. He claims that China is influencing the canal’s management, before adding, “This complete ‘rip-off’ of our Country will immediately stop.”

In a follow-up post, Trump adds:

December 22, 2024

While delivering a speech in Phoenix, Trump asks, “Has anyone ever heard of the Panama Canal? Because we’re being ripped off at the Panama Canal like we’re being ripped off everywhere else.”

When an audience member suggests taking back the Canal, Trump responds, “That’s a good idea.”

Panamanian President Jose Raul Mulino responds to Trump in a video he posts on X:

Mulino also issues a written statement, citing the Torrijos-Carter Treaties: “Every square meter of the Panama Canal and its adjacent area belong to PANAMA, and will continue to be. The sovereignty and independence of our country are not negotiable.”

He adds that passage rates are determined by “market conditions, international competition, operating costs and the maintenance and modernization needs of the interoceanic waterway,” and insists upon the Canal’s “permanent neutrality” and “open and safe operation for all nations.” He also rejects the notion that China wields any special influence over the Canal: “The Canal has no direct or indirect control from China, nor the European Union, nor the United States or any other power.”

Trump’s response:

Trump also shares an AI-generated image with the following caption:

December 23, 2024

Panamanian protesters gather outside the U.S. embassy to protest Trump.

Among the chants: “Get out invading gringo” and “Trump, animal, leave the Canal alone.”

They burn an American flag and set fire to an image of Trump.

“Donald Trump and his imperial delusion cannot claim even a single centimeter of land in Panama,” says one protester.

December 25, 2024

Trump posts the following Christmas message:

Minutes later, he announces that Miami-Dade County Commissioner Kevin Marino Cabrera will serve as the next U.S. ambassador to Panama, “a Country that is ripping us off on the Panama Canal, far beyond their wildest dreams.”

December 26, 2024

Panamian President Murino holds a press conference to send a message to Trump that the Canal is not for sale.

The Canal is Panamanian and belongs to Panamanians. There’s no possibility of opening any kind of conversation around this reality, which has cost the country blood, sweat and tears.

He also denies Trump’s claim that the Chinese military has any presence in the Canal, saying, “There are no Chinese soldiers in the Canal, for the love of God.”

January 7, 2025

During a press conference at Mar-a-Lago, Trump refuses to rule out using military force to acquire the Panama Canal. He claims that it was “built for our military” and “is vital to our country.” He once again argues that the Canal is “being operated by China.”

January 9, 2025

Republican Congressman Dusty Johnson of South Dakota introduces the Panama Canal Repurchase Act of 2025, which authorizes the President and the Secretary of State to “initiate and conduct negotiations with appropriate counterparts of the Government of the Republic of Panama to reacquire the Panama Canal.”

Panama Canal Administrator Ricaurte Vásquez tells the Associated Press that the Canal cannot charge lower rates to U.S. ships. He speaks of his desire to “maintain the established rules,” insists that the Canal is a neutral economic zone, and says that the Chinese companies operating in its ports have no special influence over how the Canal is run.

January 20, 2025

During his inauguration address, President Trump describes how “American ships [that use the Panama Canal] are being severely overcharged and not treated fairly in any way, shape, or form.” He repeats his assertion that China controls the Canal and closes with the following: “We gave it to Panama, and we’re taking it back.”

Trump’s comments prompt another statement from Mulino in which he says, “The Canal was not a concession from anyone.”

Panama also sends the statement to the U.N. Security Council.

February 2, 2025

Secretary of State Marco Rubio arrives in Panama City to meet with Mulino.

Mulino attempts to assuage Rubio’s concerns about Chinese influence by announcing that Panama would allow its membership in China’s Belt and Road Initiative to expire. He also vows to allow more U.S. investments in Panama.

Later that day, Trump reiterates his interest in obtaining the Canal. He tells reporters that “something very powerful is going to happen” if Panama does not cede control over the waterway.

Secretary of State Rubio is in Panama right now, and we’re talking about the Panama Canal. What they’ve done is terrible. They violated the agreement. They’re not allowed to violate the agreement.

China is running the Panama Canal. That was not given to China; that was given to Panama, foolishly. But they violated the agreement, and we’re going to take it back, or something very powerful is going to happen.

March 4, 2025

A consortium led by BlackRock announces that it will purchase CK Hutchison’s holdings in the Panama Ports Company, which owns and operates two ports on each side of the canal. CK Hutchison is owned by Hong Kong billionaire Li Ka-shing, and it reportedly felt “political pressure to exit the ports business.” The deal is worth over $19 billion.

Trump references the deal during his address to the joint session of Congress that evening (1:19:50 of the video below).

[The Panama Canal] was given away by the Carter administration for one dollar, but that agreement has been violated very severely. We didn’t give it to China. We gave it to Panama, and we’re taking it back.

March 5, 2025

In an X post, Mulino denies Trump’s implication that the BlackRock deal lays the groundwork for a U.S. takeover of the Canal. He accuses Trump of lying.

March 13, 2025

NBC News reports that the Trump administration plans to bolster the U.S. military presence in Panama. Military officials tell NBC that, while the goal is to eventually reclaim control over the Canal, a U.S. invasion remains unlikely.

March 20, 2025

The Chinese government threatens to block CK Hutchison from selling its controlling interest in the two Panama Canal ports to BlackRock.

April 7, 2025

A Panamanian government investigation finds that CK Hutchison owes the country’s government over $300 million in fees because it did not properly renew its contract to operate its two ports along the Canal. This development has the potential to delay or even jeopardize the company’s deal with BlackRock.

Later that night, Secretary of Defense Pete Hegseth arrives in Panama. He will speak at the reopening of an American port and address the Central American Security Conference. He is the first secretary of defense to visit Panama in two decades.

April 8, 2025

Hegseth meets with Mulino and Panama Canal Authority Administrator Ricaurte Vazquez.

They release a joint statement that says they agree to “strengthen bilateral Canal security cooperation,” guarantee “the expedited transit of warships and auxiliary vessels of the Republic of Panama and the United States, improve bilateral cyber cooperation,” and allocate Army Corps of Engineers resources towards ensuring the Canal’s sustainability. They also announce that they will move toward adopting a new mechanism for U.S. payment of Canal tolls and charges. The Defense Secretary praises Mulino for withdrawing Panama from the Belt and Road Initiative.

Panama’s version of their joint statement includes an additional detail: It says that Hegseth “recognized Panama’s leadership and inalienable sovereignty over the Panama Canal and its adjacent areas.”

 

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2025 Federal Election

Poilievre Announces Plan To Cut Taxes By $100,000 Per Home

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From Conservative Party Communications

Plan incentivizes municipalities to cut building taxes while taking sales tax off for $100,000 savings per home.

Conservative Leader Pierre Poilievre announced that on top of axing the sales tax on new homes, a Conservative government will incentivize municipalities to cut building taxes, for a total savings of $100,000 on an average home in Canada’s big cities. For every dollar of relief a municipality offers in development charges, a Conservative government will reimburse 50%, up to a maximum of $50,000 in savings for new homebuyers.

Poilievre already announced his plan to eliminate the sales tax on new homes under $1.3 million, which will save homebuyers up to $65,000. Combining the two policies will lower the cost of a new home by up to $115,000. For an average home in the GTA or Vancouver, the savings will be approximately $100,000. Conservatives will also require cities to publicly disclose their development charges and explain how the federal reimbursement will be used so Canadians can hold municipalities accountable when they build bureaucracy instead of homes.

“After the Lost Liberal Decade that saw housing costs double, it’s time for a new Conservative government that will provide affordable homes for Canadians,” said Poilievre. “The Liberals have broken the promise that hard work buys an affordable home in a safe neighbourhood. Conservatives will restore it by building more, taxing less, and lowering costs for homebuyers to save $100,000 on a new home.”

Taxes and development charges are now more than 30% of new home costs in Ontario and British Columbia. In Toronto, development charges skyrocketed from under $30,000 to nearly $140,000 during the Lost Liberal Decade, and across Canada, they’ve increased by $27,000 in just two years. These government charges are passed on to homebuyers, turning the dream of homeownership into a nightmare for everyday workers and young Canadians.

Instead of standing up to municipal gatekeepers who jacked up development charges to fund bureaucracy, Liberals rewarded them. After the Liberals gave the City of Toronto $471 million, the city increased charges 42%, leading to a 39% drop in housing starts. Ottawa and Victoria also raised taxes after receiving Liberal funding. In Victoria, housing starts fell by 55% even as development charges went up by 258%.

During the Lost Liberal Decade, with Mark Carney as their economic advisor, housing costs in Canada doubled, rising faster than in any other G7 country. It now takes longer to save for a down payment than it does to pay off a mortgage. And 80% of Canadians now believe homeownership is only possible for the rich.

Mark Carney is recycling the same old Liberal promises that didn’t work for the last decade. He says these Liberal policies will make housing affordable, but under the Liberals, costs have doubled. As usual with Liberals, Carney thinks more government is the answer. He says he wants the government to build homes, but his plan will just add more bureaucracy to a government that can’t get anything built and can’t even issue passports on time. Carney and the Liberals have no plan to actually help people buy their own homes.

“Mark Carney doesn’t understand the struggles everyday Canadians face being priced out of their communities and losing the dream of homeownership to taxes and inflation,” Poilievre said. “We can’t afford a fourth Liberal term of government run by out-of-touch elites. Only a new Conservative government will put hard-working Canadians First–For a Change–and restore the promise of homeownership by building more, taxing less, and bulldozing bureaucratic barriers.”

 

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