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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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Alberta

Alberta government must do more to avoid red ink

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From the Fraser Institute

By Tegan Hill

As Albertans look toward a new year, it’s worth reviewing the state of provincial finances. When delivering news last month of a projected $4.6 billion budget surplus for fiscal year 2024/25, the Smith government simultaneously warned Albertans that a budget deficit could be looming. Confused? A $4.6 billion budget surplus sounds like good news—but not when its on the back of historically high (and incredibly volatile) resource revenue.

In just the last 10 years, resource revenue, which includes oil and gas royalties, has ranged from a low of $3.4 billion in 2015/16 (inflation-adjusted) to a high of $26.1 billion in 2022/23. Inflation-adjusted resource revenue is projected to be relatively high in historical terms this fiscal year at $19.8 billion.

Resource revenue volatility is not in and of itself a problem. The problem is that provincial governments tend to increase spending when resource revenue is high, but do not similarly reduce spending when resource revenue declines.

Overall, in Alberta, a $1 increase in inflation-adjusted per-person resource revenue is associated with an estimated 56-cent increase in program spending the following fiscal year, but a decline in resource revenue is not similarly associated with a reduction in program spending. Over time, this pattern has contributed to historically high levels of government spending that exceed ongoing stable levels of government revenue.

And while the Smith government has shown some restraint, spending levels remain significantly higher than reliable ongoing levels of government revenue. Put simply, unpredictable resource revenue continues to help fund Alberta’s spending—and when resource revenues inevitably fall, Alberta is at high risk of plummeting into a deficit.

Indeed, Finance Minister Nate Horner continues to emphasize that we are “living in extremely volatile times” and warning that if oil prices fall below $70.00 per barrel a budget deficit is “very likely.” According to recent forecasts, the price of oil may hit $66.00 per barrel in 2025.

To avoid this fate, the Alberta government must do more to rein in spending. Fortunately, there’s plenty of options.

For example, the government spends billions in subsidies (a.k.a. corporate welfare) to select industries and businesses every year. A significant body of research shows these subsidies fail to generate widespread economic benefits. Eliminating this corporate welfare, which would generate significant savings in the budget, is a good place to start.

If the Smith government fails to rein in spending, and Alberta incurs a budget deficit, it will only mean more government debt on the backs of Albertans. And with Albertans already paying approximately $650 each in provincial government debt interest each year, that’s something Albertans simply can’t afford.

With a new year set to begin, the Smith government continues to warn of a budget deficit. But rather than simply prepare Albertans for more debt accumulation—financed by their tax dollars—the government should do more to avoid red ink. That means cutting wasteful government spending.

Tegan Hill

Tegan Hill

Director, Alberta Policy, Fraser Institute
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Business

Report: Federal agencies spent millions of taxpayer money torturing cats

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U.S. Sen. Rand Paul, R-Kentucky

From The Center Square

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A new report published by U.S. Sen. Rand Paul, R-KY, highlights more than $1 trillion worth of taxpayer money spent on projects that he argues wastes and abuses taxpayer money.

Tucked in the report are three programs funded by federal agencies using millions of taxpayer dollars to experiment on cats.

The details are explicit and gruesome.

$11 million on Department of Defense “Orwellian cat experiments”

The US Department of Defense spent nearly $11 million on “Orwellian cat experiments” that have nothing to do with training the U.S. military or national defense.

“When George Orwell wrote 1984, he couldn’t have imagined the bizarre, dystopian reality we find ourselves in today where tax dollars are being spent to shock cats into having erections and defecating marbles. Yes, you read that correctly,” the report states.

Through the DOD’s, Defense Advanced Research Projects Agency (DARPA), $10,851,439 of taxpayer dollars were allocated to the University of Pittsburgh to conduct “grotesque and extremely invasive experiments on cats.”

This involved slicing open the backs of male cats to expose their spinal cords and inserting electrodes to send electric shocks “to make cats have an erection.”

The cats were then subjected to “even more electric shocks, sometimes for up to 10 minutes at a time, before having their spinal cords severed to paralyze their lower bodies,” the report states. “And just for good measure, the shocks continued for another 10 minutes. All this, in the name of ‘science.’”

In another DARPA-funded experiment, balloons were inserted into the cats’ colons and marbles into their rectums “to force these poor animals to defecate the marbles via electric shock.”

“Nothing says ‘national defense’ quite like torturing cats to poop marbles,” the report notes. “If we can’t stop the government from shocking cats into defecating marbles, then what can we stop?”

$2.24 million on feline COVID experiments

The report also notes that under the direction of Dr. Anthony Fauci, since 2022, the National Institute of Allergy and Infectious Diseases and the U.S. Department of Agriculture allocated $2.24 million in grants to Cornell University to conduct feline COVID experiments.

Through a University of Illinois NIAID subgrant, Cornell received $1.59 million over the past two years in addition to a $650,000 USDA grant, bringing the total to $2.24 million, the report notes.

The experiments led to the suffering and death of 30 cats, according to the records of the experiments, the report notes.

The experiments involved injecting healthy cats with COVID-19, observing them suffer and then killing them in groups of four. The cats were not given any type of vaccine or treatment but killed as early as two days after being injected and left isolated in cages.

NIAID funding for the program is slated to continue through 2025; the USDA’s through May 2026, the report notes.

“It’s a mystery as to why the U.S. government continues to fund these barbaric types of studies, especially when the knowledge gained is either useless to society or could be learned without torturing an animal,” the report states.

$1.5 million to torture primarily female kittens

The National Institutes of Health spent more than $1.5 million to torture primarily female kittens in an extreme example “of waste and cruelty,” the report found.

“If you learned that your money is being used to electro-shock young kittens, torturing them for hours on end, and to the point that they vomit, would you believe it?” the report asks. “Since 2019, $1,513,299 worth of taxpayer money has been going to these medieval-type experiments. This is not some distant, dystopian future; it’s happening right now at the University of Pittsburgh, courtesy of a grant from the NIH.”

According to the report, primarily female kittens between four and six months old were strapped to a hydraulic table, spun 360 degrees, flashed with bright lights, injected with copper sulfate, had holes drilled into their skulls, to be “shocked, and abused without resistance.”

According to NIH, the purpose of the experiments is to study how different species, like cats and monkeys, respond to motion sickness. Understanding responses to the test “could have implications for human health, potentially aiding in the treatment of conditions like vertigo or helping us understand the effects of space travel on the human body,” the report states.

The report cites primary sources and includes photographs of the animals and diagrams of the machines used.

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