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Canadian health care continues to perform poorly compared to other countries

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From the Fraser Institute

By Mackenzie Moir and Bacchus Barua

At 30 weeks, this year marked the longest total wait for non-emergency surgery in more than 30 years of measurement.

Our system isn’t just worsening over time, it’s also performing badly compared to our universal health-care peers.

Earlier this year, the U.S.-based Commonwealth Fund (in conjunction with the Canadian Institute for Health Information) released the results of their international health policy survey, which includes nine high-income universal health-care countries—Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland and the United Kingdom. Unfortunately, Canada continued to come in near or dead last on key measures of timely access. Most notably, Canada ranked worst for wait times for specialists and non-emergency surgery.

For example, whereas almost half (46 per cent) of Canadians surveyed indicated they waited two months or more for a specialist appointment, that number was just 15.1 per cent in the Netherlands and 13.2 per cent in Switzerland. And while one in five (19.9 per cent) Canadians reported waiting more than one year for non-emergency surgery, just half a per cent (0.6) of Swiss respondents indicated a similar wait. And no one in the Netherlands reported waiting as long.

What explains the superior performance of these two countries compared to Canada?

Simply put, they do universal health care very differently.

For example, the Netherlands, which ranked first on both indicators, mandates that residents purchase private insurance in a regulated but competitive marketplace. This system allows for private insurance firms to negotiate with health-care providers on prices, but these insurance firms must also accept all applicants and charge their policy holders the same monthly fee for coverage (i.e. they cannot discriminate based on pre-existing conditions).

In Switzerland, which ranked among the top three on both measures, patients must also purchase coverage in a regulated private insurance marketplace and share (10-20 per cent) of the cost of their care (with an annual maximum and protections for the most vulnerable).

Both countries also finance their hospitals based on their activity, which means hospitals are paid for the services they actually provide for each patient, and are incentivized to provide higher volumes of care. Empirical evidence also suggests this approach improves hospital efficiency and potentially lowers wait times. In contrast, governments in Canada provide hospitals with fixed annual budgets (known as “global budgets”) so hospitals treat patients like costs to be minimized and are disincentivized from treating complex cases.

It’s no surprise that in 2022, the latest year of available data, a lot more Swiss (94 per cent) and Dutch (83 per cent) reported satisfaction with their health-care system compared to Canadians (56 per cent).

No matter where you look, evidence on the shortcomings of Canada’s health-care system is clear. Fundamental reform is required for Canadians to have timelier care that matches what’s available in universal health-care countries abroad.

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Carney’s carbon madness

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CAE Logo Dan McTeague

Well, we are in quite the pickle.

In nine plus years as prime minister, Justin Trudeau has waged a multi-front war on the consumption and production of hydrocarbon energy, and, with that, on our economy, our quality of life, and our cost of living.

Trudeau zealously pursued and implemented anti-energy policies, most infamously the consumer Carbon Tax, but let’s not forget his so-called ”Clean Fuel” regulations; his Industrial Carbon Tax; his proposed emissions caps; his Electric Vehicle subsidies and mandates; Bill C-59, which bans businesses from touting the environmental positives of their work if it doesn’t meet a government-approved standard; and various other pieces of legislation which make the construction of new pipelines nearly impossible and significantly reduces our ability to sell our oil and gas overseas.

Every one of these policies can be traced back to the pernicious Net Zero ideology which informs them, and in which Trudeau and his bosom buddies — Gerald Butts, Steven Guilbeault, Mark Carney, etc — remain true believers.

And yet, despite those policies contributing to his party’s collapsing poll numbers and Trudeau’s unceremonious ouster, the Liberals are on the verge of naming as his replacement Mark Carney, one of the very Trudeau consiglieri who got us into this mess in the first place!

Now, Carney is currently doing everything in his power to downplay and dance around those aspects of his career which voters might find objectionable. He’s making quite a habit of it, in fact. And on the energy file, he’s being especially misleading, walking back his long-time support of the Carbon Tax — he’s said it has “served a purpose up until now” — and claiming that he intends to repeal it, while finding other ways to “make polluters pay.

This is nonsense. In fact, Carney is a Carbon Tax superfan, and, if you listen to him closely, his actual critique of the Trudeau tax isn’t that it has made it more expensive to heat our homes, gas up our cars, and pay for our groceries (which it has.) It’s that it is too visible to voters. His vow to “make polluters pay” means, in fact, that he intends to “beef up” Trudeau’s less discussed Industrial Carbon Tax, targeting businesses, which will ultimately pass the cost down to consumers.

He’s even discussed enacting a Carbon tariff, which would apply to trade with countries which don’t adopt the onerous Net Zero policies which he wants to force on Canada.

That’s just who Mark Carney is.

And, unfortunately, Donald Trump’s tariff threats have provoked a “rally round the flag” sentiment, enabling the Liberals to close the polling gap with the Conservatives, with some polls currently showing them neck-and-neck. Which is to say, there is a possibility that, whenever we get around to having an election, anti-American animus could keep the Liberals in power, and propel Carney to the top job in our government.

This is, in a word, madness.

Let us not forget that it was the Liberals’ policies — especially their assault on our “golden goose,” the natural resource sector — which left us in such a precarious fiscal state that Trudeau felt the need to fly to Mar-a-Lago and tell the newly elected president that a tariff would “kill” our economy. That’s what provoked Trump’s “51st state” crack in the first place.

Access to U.S. markets will always be important for Canadian prosperity — they, by leaps and bounds, are our largest trading partner, after all — but without the Net Zero nonsense, we could have been an energy superpower, providing an alternative source of oil and natural gas for those countries leary about relying for energy on less-environmentally conscious, human-rights-abusing petrostates. We could have filled the void created by Russia, when they made themselves a pariah state in Europe by invading Ukraine.

In short, we might have been set up to negotiate with the Trump Administration from a position of strength. Instead, we’re proposing to double-down on Net Zero, pledging allegiance to a program which will make us less competitive and more likely to be steamrolled by major powers, including the U.S. but also (and less frequently mentioned) China.

Talk about cutting off your nose to spite your face! And all in the name of nationalism.

Here’s hoping we wise up and change course while there’s still time. Because, in the words of America’s greatest philosopher, Yogi Berra, “It’s getting late early.”

Dan McTeague is President of Canadians for Affordable Energy.

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Tariffs by Tuesday: Trump Says There Is ‘No Room Left’ For Any Negotiations On Postponing Tariffs On Mexico, Canada

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From the Daily Caller News Foundation

By Nicole Silverio

President Donald Trump said Monday that there is “no room left” for any negotiations on postponing tariffs on Mexico, Canada or China in response to their handling of the immigration and fentanyl crisis.

Trump initially planned to impose 25% tariffs on Mexico and Canada and a 10% tariff on China over its role in allowing illegal immigration and fentanyl to pour into the U.S. in record numbers. After postponing these tariffs for a month after Mexico and Canada caved to his requests, the president said he has fully made up his mind to officially impose these tariffs this upcoming Tuesday.

“No room left for Mexico or for Canada. No, the tariffs [are] all set, they go into effect tomorrow,” Trump said. “And just so you understand, vast amounts of fentanyl have poured into our country from Mexico and as you know, also from China where it goes to Mexico and goes to Canada and China also had an additional 10 [percent], so it’s 10 + 10, and it comes in from Canada and it comes in from Mexico and that’s a very important thing to say.”

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Trump postponed the tariffs on Feb. 3 after Mexican President Claudia Sheinbaum and Canadian Prime Minister Justin Trudeau caved to his requests by increasing their efforts to tackle illegal immigration and fentanyl. Sheinbaum deployed 10,000 National Guard soldiers to the U.S.-Mexico border while Trudeau invested $1.3 billion to crackdown on illegal migration and appointed a “Fentanyl Czar” to oversee a $200 million effort against the drug.

The president announced in a Feb. 27 Truth Social post that he planned to double the tariffs on China to 20% and move forward with the tariffs on Mexico and Canada over the “very high and unacceptable levels” of drugs pouring into the U.S.

“We cannot allow this scourge to continue to harm the USA, and therefore, until it stops, or is seriously limited, the proposed TARIFFS scheduled to go into effect on MARCH FOURTH will, indeed, go into effect, as scheduled,” Trump said. “China will likewise be charged an additional 10% Tariff on that date. The April Second Reciprocal Tariff date will remain in full force and effect. Thank you for your attention to this matter. GOD BLESS AMERICA!”

These three countries are being slapped with tariffs as the U.S. suffers a fentanyl epidemic, with over 21,000 pounds of the deadly drug being seized at the southern border in the fiscal year 2024, according to Customs and Border Protection (CBP). Border agents have seized over 5,400 pounds in the 2025 fiscal year thus far.

At the U.S.-Canadian border, officials encountered over 11,000 pounds of drugs in the 2024 fiscal year and over 3,200 pounds have so far been seized in the 2025 fiscal year, according to CBP data. Over 60,000 pounds and 55,000 pounds of drugs were seized in the 2022 and 2023 fiscal years.

U.S. border officials also encountered over 8.5 million migrants at the southern border during the four fiscal years of former President Joe Biden’s administration. Border crossings at the northern border skyrocketed with over 198,000 encounters and nearly 19,000 arrests occurring in the 2024 fiscal year.

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