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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.

Adobe PDF Read the Full Report

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2025 Federal Election

Alcohol tax and MP pay hike tomorrow (April 1)

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By Franco Terrazzano

The Canadian Taxpayers Federation is calling on all party leaders to stop a pair of bad policies that are scheduled to happen automatically on April 1: pay raises for members Parliament and another alcohol tax increase.

“Party leaders owe taxpayers answers to these two questions: Why do you think you deserve a pay raise and why should Canadians pay higher taxes on beer and wine?” said Franco Terrazzano, CTF Federal Director. “Politicians don’t deserve a raise while millions of Canadians are struggling.

“And the last thing Canadians need is another tax hike when they pour a cold one or uncork a bottle with that special someone.”

MPs give themselves pay raises each year on April 1, based on the average annual increase in union contracts with corporations with 500 or more employees.

The CTF estimates tomorrow’s pay raise will amount to an extra $6,200 for backbench MPs, $9,200 for ministers and $12,400 for the prime minister, based on contract data published by the federal government.

After tomorrow’s pay raise, backbench MPs will receive a $209,300 annual salary, according to CTF estimates. A minister will collect $309,100 and the prime minister will take home $418,600.

Meanwhile, the alcohol escalator automatically increases excise taxes on beer, wine and spirits every year on April 1, without a vote in Parliament. Alcohol taxes will increase by two per cent tomorrow, costing taxpayers about $40 million this year, according to Beer Canada estimates.

The alcohol escalator tax has cost taxpayers more than $900 million since it was imposed in 2017, according to Beer Canada estimates.

“Politicians are padding their pockets on the same day they’re raising beer taxes and that’s wrong,” Terrazzano said. “If party leaders want to prove they care about taxpayers, they should stop the MP pay raises.

“And if party leaders care about giving Canadian brewers, distillers and wineries a fighting chance against tariffs, it’s time to stop hitting them with alcohol tax hikes year after year.”

The CTF released Leger polling showing 79 per cent of Canadians oppose tomorrow’s MP pay raise.

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2025 Federal Election

Poilievre To Create ‘Canada First’ National Energy Corridor

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From Conservative Party Communications

Poilievre will create the ‘Canada First’ National Energy Corridor to rapidly approve & build the infrastructure we need to end our energy dependence on America so we can stand up to Trump from a position of strength.

Conservative Leader Pierre Poilievre announced today he will create a ‘Canada First’ National Energy Corridor to fast-track approvals for transmission lines, railways, pipelines, and other critical infrastructure across Canada in a pre-approved transport corridor entirely within Canada, transporting our resources within Canada and to the world while bypassing the United States. It will bring billions of dollars of new investment into Canada’s economy, create powerful paycheques for Canadian workers, and restore our economic independence.

“After the Lost Liberal decade, Canada is poorer, weaker, and more dependent on the United States than ever before,” said Poilievre. “My ‘Canada First National Energy Corridor’ will enable us to quickly build the infrastructure we need to strengthen our country so we can stand on our own two feet and stand up to the Americans.”

In the corridor, all levels of government will provide legally binding commitments to approve projects. This means investors will no longer face the endless regulatory limbo that has made Canadians poorer.  First Nations will be involved from the outset, ensuring that economic benefits flow directly to them and that their approval is secured before any money is spent.

Between 2015 and 2020, Canada cancelled 16 major energy projects, resulting in a $176 billion hit to our economy. The Liberals killed the Energy East pipeline and passed Bill C-69, the “No-New-Pipelines” law, which makes it all but impossible to build the pipelines and energy infrastructure we need to strengthen the Canadian economy. And now, the PBO projects that the ‘Carney cap’ on Canadian energy will reduce oil and gas production by nearly 5%, slash GDP by $20.5 billion annually, and eliminate 54,400 full-time jobs by 2032. An average mine opening lead time is now nearly 18 years—23% longer than Australia and 38% longer than the US. As a result of the Lost Liberal Decade, Canada now ranks 23rd in the World Bank’s Ease of Doing Business Index for 2024, a seven-place drop since 2015.

“In 2024, Canada exported 98% of its crude oil to the United States. This leaves us too dependent on the Americans,” said Poilievre. “Our Canada First National Energy Corridor will get us out from under America’s thumb and enable us to build the infrastructure we need to sell our natural resources to new markets, bring home jobs and dollars, and make us sovereign and self-reliant to stand up to Trump from a position of strength.”

Mark Carney’s economic advice to Justin Trudeau made Canada weaker while he and his rich friends made out like bandits. While he advised Trudeau to cancel Canadian energy projects, his own company spent billions on pipelines in South America and the Middle East. And unlike our competitors Australia and America, which work with builders to get projects approved, Mark Carney and Steven Guilbeault’s radical “keep-it-in-the-ground” ideology has blocked development, killed jobs, and left Canada dependent on foreign imports.

“The choice is clear: a fourth Liberal term that will keep our resources in the ground and keep us weak and vulnerable to Trump’s threats, or a strong new Conservative government that will approve projects, build an economic fortress, bring jobs and dollars home, and put Canada First—For a Change.”

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