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

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.
Authors:
Business
Trump raises China tariffs to 125%, announces 90-day pause for countries who’ve reached out to negotiate

MxM News
Quick Hit:
On Wednesday, President Donald Trump announced an immediate increase in tariffs on China to 125%, citing “a lack of respect” toward global markets. At the same time, he approved a 90-day pause and tariff reduction for over 75 countries that have engaged with the U.S. on trade reforms.
Key Details:
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Trump said the dramatic tariff hike on China is meant to send a clear message: “the days of ripping off the U.S.A., and other Countries, is no longer sustainable or acceptable.”
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The president added that over 75 countries have reached out to the U.S. Departments of Commerce, Treasury, and the U.S. Trade Representative (USTR) to negotiate on issues including trade barriers, tariffs, and currency manipulation.
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As a goodwill measure, Trump authorized “a 90 day PAUSE, and a substantially lowered Reciprocal Tariff during this period, of 10%, also effective immediately,” noting that these countries had not retaliated against the U.S. despite strong prior warnings.
Diving Deeper:
President Donald Trump on Wednesday took a major step in reshaping the global trade landscape, announcing via Truth Social that he is raising tariffs on China to 125% effective immediately. Trump attributed the decision to “the lack of respect that China has shown to the World’s Markets,” and said it is time for Beijing to face consequences for its trade practices.
“At some point, hopefully in the near future, China will realize that the days of ripping off the U.S.A., and other Countries, is no longer sustainable or acceptable,” Trump stated.
The president emphasized that this was not a blanket policy toward all trading partners. In contrast to China, Trump said more than 75 countries have reached out to American trade officials to address ongoing issues related to tariffs and trade barriers.
“More than 75 Countries have called Representatives of the United States, including the Departments of Commerce, Treasury, and the USTR, to negotiate a solution to the subjects being discussed relative to Trade, Trade Barriers, Tariffs, Currency Manipulation, and Non Monetary Tariffs,” he wrote.
Citing those discussions and the absence of retaliation against the U.S., Trump approved a temporary reduction in reciprocal tariffs for those countries. “I have authorized a 90 day PAUSE, and a substantially lowered Reciprocal Tariff during this period, of 10%, also effective immediately.”
The move reflects a two-pronged strategy—punishing China for what Trump sees as longstanding economic abuses while rewarding countries that have shown a willingness to work with the U.S. to level the playing field.
The 125% tariff marks one of the most aggressive steps in Trump’s America First trade doctrine, likely signaling to both allies and adversaries that a second Trump administration would continue its hardline economic policies.
Alberta
Alberta takes big step towards shorter wait times and higher quality health care

From the Fraser Institute
On Monday, the Smith government announced that beginning next year it will change the way it funds surgeries in Alberta. This is a big step towards unlocking the ability of Alberta’s health-care system to provide more, better and faster services for the same or possibly fewer dollars.
To understand the significance of this change, you must understand the consequences of the current (and outdated) approach.
Currently, the Alberta government pays a lump sum of money to hospitals each year. Consequently, hospitals perceive patients as a drain on their budgets. From the hospital’s perspective, there’s little financial incentive to serve more patients, operate more efficiently and provide superior quality services.
Consider what would happen if your local grocery store received a giant bag of money each year to feed people. The number of items would quickly decline to whatever was most convenient for the store to provide. (Have a favourite cereal? Too bad.) Store hours would become less convenient for customers, alongside a general decline in overall service. This type of grocery store, like an Alberta hospital, is actually financially better off (that is, it saves money) if you go elsewhere.
The Smith government plans to flip this entire system on its head, to the benefit of patients and taxpayers. Instead of handing out bags of money each year to providers, the new system—known as “activity-based funding”—will pay health-care providers for each patient they treat, based on the patient’s particular condition and important factors that may add complexity or cost to their care.
This turns patients from a drain on budgets into a source of additional revenue. The result, as has been demonstrated in other universal health-care systems worldwide, is more services delivered using existing health-care infrastructure, lower wait times, improved quality of care, improved access to medical technologies, and less waste.
In other words, Albertans will receive far better value from their health-care system, which is currently among the most expensive in the world. And relief can’t come soon enough—for example, last year in Alberta the median wait time for orthopedic surgeries including hip and knee replacements was 66.8 weeks.
The naysayers argue this approach will undermine the province’s universal system and hurt patients. But by allowing a spectrum of providers to compete for the delivery of quality care, Alberta will follow the lead of other more successful universal health-care systems in countries such as Australia, Germany, the Netherlands and Switzerland and create greater accountability for hospitals and other health-care providers. Taxpayers will get a much better picture of what they’re paying for and how much they pay.
Again, Alberta is not exploring an untested policy. Almost every other developed country with universal health care uses some form of “activity-based funding” for hospital and surgical care. And remember, we already spend more on health care than our counterparts in nearly all of these countries yet endure longer wait times and poorer access to services generally, in part because of how we pay for surgical care.
While the devil is always in the details, and while it’s still possible for the Alberta government to get this wrong, Monday’s announcement is a big step in the right direction. A funding model that puts patients first will get Albertans more of the high-quality health care they already pay for in a timelier fashion. And provide to other provinces an example of bold health-care reform.
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