Health
Canada remains poor performer among countries with universal health care
From the Fraser Institute
By Mackenzie Moir and Bacchus Barua
Canada reported far fewer physicians (ranking 28th of 30) and hospital beds (23rd of 29) per 1,000 people in 2021. And ranked low for the availability of MRI machines (25th of 29) and CT scanners (26thof 30) per million people in 2019
Earlier this year, the Trudeau government announced it will increase health-care spending to provinces and territories by $196.1 billion over the next decade. But patients hoping for improved access will likely be disappointed. In reality, Canada’s health-care system already ranks as one of the most expensive systems in the world, but only has mediocre results to show for it. In other words, the problem isn’t the amount of money we spend, it’s the poor value we get for our health-care dollars.
A new study compared the spending and performance of Canada’s system with 29 other universal health-care systems worldwide. According to the study (after adjusting for population age in each country), Canada was the highest spender on health care as a share of the economy (at 12.6 per cent) and ninth-highest on a per person basis in 2021, the latest year of available data.
And yet, compared to other universal countries, Canada reported far fewer physicians (ranking 28th of 30) and hospital beds (23rd of 29) per 1,000 people in 2021. And ranked low for the availability of MRI machines (25th of 29) and CT scanners (26thof 30) per million people in 2019 (the latest year of available data).
Unsurprisingly, scarce health-care resources are accompanied by long wait times. Using data collected in 2020 by the Commonwealth Fund, the study found that only 38 per cent of Canadians reported waiting less than four weeks for a specialist appointment—a much smaller percentage than countries such as Switzerland (68 per cent) and Germany (67 per cent). On this indicator, Canada ranked 10th out of 10 countries. Canada also ranked dead last (10th) on timely access to elective surgery—with 62 per cent of Canadians reporting waiting less than four months—compared to 99 per cent of Germans and 94 per cent of Swiss.
While these results were disappointing, Canada reported mixed results in other areas of performance. For example, although Canada performed poorly on safety indicators such as obstetric trauma during birth (23rd of 23 countries), it performed above the OECD average on other indicators including heart attack survival rates (9th of 25 countries). But while the Canadian system has in some areas performed in line with its high spending levels, overall it’s struggled to meet many of its basic obligations—especially timely access to care.
With its latest increase in health-care spending, the Trudeau government again ignores the fact that Canada already has one of the most expensive universal health-care systems in the world. And although some of this new spending is predicated on provinces tracking progress and demonstrating improvement on certain indicators, international data reveal a simple truth—Canadians do not receive commensurate value for their health-care dollars. Without fundamental reform, it’s unlikely the new spending promised by the Trudeau government will produce improved performance for Canadian patients and their families.
Authors:
Alberta
Province says Alberta family doctors will be the best-paid and most patient-focused in the country
Dr. Shelley Duggan, president, Alberta Medical Association
New pay model, better access to family doctors |
Alberta’s government is implementing a new primary care physician compensation model to improve access to family physicians across the province.
Alberta’s government recognizes that family physicians are fundamental to strengthening the health care system. Unfortunately, too many Albertans do not currently have access to regular primary care from a family physician. This is why, last year, the government entered into a memorandum of understanding with the Alberta Medical Association (AMA) and committed to developing a new primary care physician compensation model.
Alberta’s government will now be implementing a new compensation model for family doctors to ensure they continue practising in the province and to attract more doctors to choose Alberta, which will also alleviate pressures in other areas of the health care system.
This new model will make Alberta’s family doctors the strongest-paid and most patient-focused in the country.
“Albertans must be able to access a primary care provider. We’ve been working hard with our partners at the Alberta Medical Association to develop a compensation model that will not only support Alberta’s doctors but also improve Albertans’ access to physicians. Ultimately, our deal will make Alberta an even more attractive place to practise family medicine.”
“We have worked with the Alberta Medical Association to address the challenges that primary care physicians are facing. This model will provide the supports physicians need and improve patient access to the care they need.”
The new model is structured to encourage physicians to grow the number of patients they care for and encourage full-time practice. Incentives include increases for:
- Maintaining high panel numbers (minimum of 500 patients), which will incentivize panel growth and improve access to primary care for patients.
- Providing after-hours care to relieve pressure on emergency departments and urgent care centres.
- Improving technology to encourage using tools that help streamline work and enhance patient care.
- Enhancing team-based care, which will encourage developing integrated teams that may include family physicians, nurse practitioners, registered nurses, dietitians and pharmacists to provide patients with the best care possible.
- Adding efficiencies in clinical operations to simplify processes for both patients and health care providers.
As a market and evidence-based model, it recognizes and pays for the critically important work of physicians, including the number of patients seen and patient complexity, as well as time spent providing direct and indirect care.
“Family medicine is the foundation of our health care system. This model recognizes the extensive training, experience and leadership of primary care physicians, and we hope it will help Alberta to attract and retain more family medicine specialists who provide comprehensive care.”
Additionally, family physicians who are not compensated through the traditional fee-for-service model will now receive higher pay rates under their payment model, known as the alternative relationship plan. This includes those who provide inpatient care in hospitals and rural generalists. Alberta’s government is increasing this to ensure hospital-based family physicians and rural generalists also receive fair, competitive pay that reflects the importance of these roles.
“This new compensation model will make Alberta more attractive for physicians and will make sure more Albertans can have improved access to a primary care provider no matter where they live. It will also help support efforts to strengthen primary care in Alberta as the foundation of the health care system.”
“Family physicians have been anxiously awaiting this announcement about the new compensation model. We anticipate this model will allow many primary care physicians to continue to deliver comprehensive, lifelong care to their patients while keeping their community clinics viable.”
Quick facts
- Enrolment in the primary care physician compensation model will begin in January with full implementation in spring 2025, provided there are at least 500 physicians enrolled.
- The alternative relationship plan rate has not been updated since it was initially calculated in 2002.
- The new compensation model for family doctors is the latest primary health care improvement following actions that include:
- A $42-million investment to recruit more health providers and expand essential services.
- A new rural and remote bursary program for family medicine resident physicians.
- Additional funding of $257 million to stabilize primary care delivery and improve access to family physicians.
- Implementing the Nurse Practitioner Primary Care Program, which expands the role of nurse practitioners by allowing them to practise comprehensive patient care autonomously, either by operating their own practices or working independently within existing primary care settings.
Related information
From LifeSiteNews
By Stephen Kokx
During a free-flowing press conference at Mar-a-Lago Monday, Donald Trump mentioned the sharp rise in autism in recent decades, adding that he has experts ‘looking to find out’ if vaccines may be the cause.
Donald Trump is doubling down on his intention to study a possible link between vaccines and autism in children.
During a free-flowing press conference at Mar-a-Lago Monday, the incoming president said there are “problems” with the massive increase in autism cases in America over the past several decades and that he intends to get to the bottom of it.
“30 years ago, we had, I’ve heard numbers like 1 in 200,000, 1 in 100,000. Now I’m hearing numbers like 1 in 100. So, something’s wrong … and we’re going to find out about it,” he said.
Trump’s remarks come just days after he told MSNBC anchor Kristen Welker that his choice to lead the Heath and Human Services Department, Robert F. Kennedy Jr., will be tasked with investigating the matter.
“Certain vaccines are incredible but maybe some aren’t, and if they aren’t, we have to find out … the drug companies are going to be working with RFK Jr,” he said.
During COVID-19, Dr. Sherri Tenpenny joined a LifeSiteNews panel discussion on the science regarding the COVID shots. She warned that the experimental injections do not even qualify for the term “vaccine.”
“I refuse to call it a vaccine because it doesn’t meet any of the standards by which a vaccine is supposed to work,” she said.
In October 2022, the U.S. Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) unanimously voted 15-0 to add COVID-19 shots to the U.S. childhood, adolescent and adult vaccine schedules.
Dr. Tenpenny warned about the dangers of the current vaccination schedule while attending the world premier of The Great Awakening documentary in June 2023.
“If a child gets all of the vaccines in the entire schedule, they get almost 13,000 micrograms of aluminum, and they get almost 600 micrograms of mercury, plus over 200 different chemicals,” she said. “So that’s why they’ve never been proven to be safe.”
The upcoming 2025 Immunization Schedule approved by the CDC now recommends 36 vaccinations for children from the time they are in their mother’s womb until they are two years old (four doses are given to the pregnant mother while 32 doses are injected in the child from birth to 24 months).
Dr. Simone Gold has called for an investigation into the current vaccination schedule.
“In the 1960’s children received 5 vaccine shots in total. Today, the CDC says that children should receive 72 vaccine shots, a majority of them before the age of 6. The CDC is known for corruptly advancing Big Pharma interests. This schedule needs to be investigated further,” she said on X in September.
The CDC currently advises children to receive 70 doses before they turn 18. This is a massive increase from the 1980s, when they received 24 doses. Many medical freedom activists blame the explosion in shots on the 1986 National Childhood Vaccine Injury Act which gave vaccine makers legal protection from any harm their products inflict on those who receive them.
Doctors and medical freedom activists, including RFK Jr., have long maintained that the massive uptick in autism in recent decades is likely due to the increases in vaccines for children.
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