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Health

Canadians face longest waits for health care on record

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From the Fraser Institute

By Bacchus Barua and Mackenzie Moir

Just when you thought Canadian health care had hit rock bottom, wait times in 2024 have hit an all-time high.

According to the latest version of our annual report published by the Fraser Institute, the median wait from referral by a family doctor to treatment (averaged across 10 provinces and 12 medical specialties including surgeries) is now 30 weeks—the longest wait in the report’s history and more than three times longer than the 9.3-week median wait in 1993.

Of course, wait times vary by province, and some provinces are worse than others. In New Brunswick and Prince Edward Island, the median wait is more than one year. And even in Ontario, which reported the shortest wait times in Canada this year, patients faced a 23.6-week wait, the longest in the province’s history.

In fact, compared to last year, wait times grew in every province (except Nova Scotia where patients still faced a median wait just shy of 40 weeks this year).

There’s also considerable variation in wait times depending on the type of care. For example, patients faced the longest waits for orthopedic surgeries (57.5 weeks) and neurosurgery (46.2 weeks) and shorter waits for chemotherapy (4.7 weeks), and radiological cancer treatments (4.5 weeks). In total, the study estimated that Canadian patients were waiting for more than 1.5 million procedures in 2024.

These waits for care are not benign inconveniences. Patients may experience physical pain, psychological distress and worsening physical condition while awaiting care. This year, the 15-week median wait for treatment after seeing a specialist was more than a month and a half longer than what physicians consider a reasonable wait (8.6 weeks). And this doesn’t even include the median 15-week wait to see a specialist in the first place.

Moreover, according to the Commonwealth Fund, a U.S.-based health-care research organization, among nine universal health-care systems worldwide, last year patients in Canada were the second-most likely to report waiting longer than one month for a specialist consultation, and the most likely to report waiting more than two months for surgery. In other words, although long wait times remain a staple of Canadian health care, they are not a necessary trade-off for having universal coverage.

And to be clear, wait times are only one manifestation of the strain on Canada’s health-care system. It’s now also normal to see emergency room closures, health-care worker burnout, and data suggesting millions of Canadians are without access to a regular health-care provider.

What’s the solution to Canada’s crippling health-care wait times?

There are many options for reform. But put simply, if policymakers in Canada want to reduce wait times for patients across the country, they should learn from better-performing universal health-care countries where patients receive more timely care. With wait times this year reaching an all-time high, relief can’t come soon enough.

Bacchus Barua

Director, Health Policy Studies, Fraser Institute

Mackenzie Moir

Senior Policy Analyst, Fraser Institute

 

Brownstone Institute

It’s Time to Retire ‘Misinformation’

Published on

From the Brownstone Institute

By  Pierre Kory 

This article was co-authored with Mary Beth Pfieffer.

In a seismic political shift, Republicans have laid claim to an issue that Democrats left in the gutter—the declining health of Americans. True, it took a Democrat with a famous name to ask why so many people are chronically illdisabled, and dying younger than in 47 other countries. But the message resonated with the GOP.

We have a proposal in this unfolding milieu. Let’s have a serious, nuanced discussion. Let’s retire labels that have been weaponized against Robert F. Kennedy, Jr., nominated for Health and Human Services Secretary, and many people like him.

Start with discarding threadbare words like “conspiracy theory,” “anti-vax,” and the ever-changing “misinformation.”

These linguistic sleights of hand have been deployed—by government, media, and vested interests—to dismiss policy critics and thwart debate. If post-election developments tell us anything, it is that such scorn may no longer work for a population skeptical of government overreach.

Although RFK has been lambasted for months in the press, he just scored a 47 percent approval rating in a CBS poll.

Americans are asking: Is RFK on to something?

Perhaps, as he contends, a 1986 law that all but absolved vaccine manufacturers from liability has spawned an industry driven more by profit than protection.

Maybe Americans agree with RFK that the FDA, which gets 69 percent of its budget from pharmaceutical companies, is potentially compromised. Maybe Big Pharma, similarly, gets a free pass from the television news media that it generously supports. The US and New Zealand, incidentally, are the only nations on earth that allow “direct-to-consumer” TV ads.

Finally, just maybe there’s a straight line from this unhealthy alliance to the growing list of 80 childhood shots, inevitably approved after cursory industry studies with no placebo controls. The Hepatitis B vaccine trial, for one, monitored the effects on newborns for just five days. Babies are given three doses of this questionably necessary product—intended to prevent a disease spread through sex and drug use.

Pointing out such conflicts and flaws earns critics a label: “anti-vaxxer.”

Misinformation?

If RFK is accused of being extreme or misdirected, consider the Covid-19 axioms that Americans were told by their government.

The first: The pandemic started in animals in Wuhan, China. To think otherwise, Wikipedia states, is a “conspiracy theory,” fueled by “misplaced suspicion” and “anti-Chinese racism.”

Not so fast. In a new 520-page report, a Congressional subcommittee linked the outbreak to risky US-supported virus research at a Wuhan lab at the pandemic epicenter. After 25 hearings, the subcommittee found no evidence of “natural origin.”

Is the report a slam dunk? Maybe not. But neither is an outright dismissal of a lab leak.

The same goes for other pandemic dogma, including the utility of (ineffective) masks, (harmful) lockdowns, (arbitrary) six-foot spacing, and, most prominently, vaccines that millions were coerced to take and that harmed some.

Americans were told, wrongly, that two shots would prevent Covid and stop the spread. Natural immunity from previous infection was ignored to maximize vaccine uptake.

Yet there was scant scientific support for vaccinating babies with little risk, which few other countries did; pregnant women (whose deaths soared 40 percent after the rollout), and healthy adolescents, including some who suffered a heart injury called myocarditis. The CDC calls the condition “rare;” but a new study found 223 times more cases in 2021 than the average for all vaccines in the previous 30 years.

Truth Muzzled?

Beyond this, pandemic decrees were not open to question. Millions of social media posts were removed at the behest of the White House. The ranks grew both of well-funded fact-checkers and retractions of countervailing science.

The FDA, meantime, created a popular and false storyline that the Nobel Prize-winning early-treatment drug ivermectin was for horses, not people, and might cause coma and death. Under pressure from a federal court, the FDA removed its infamous webpage, but not before it cleared the way for unapproved vaccines, possible under the law only if no alternative was available.

An emergency situation can spawn official missteps. But they become insidious when dissent is suppressed and truth is molded to fit a narrative.

The government’s failures of transparency and oversight are why we are at this juncture today. RFK—should he overcome powerful opposition—may have the last word.

The conversation he proposes won’t mean the end of vaccines or of respect for science. It will mean accountability for what happened in Covid and reform of a dysfunctional system that made it possible.

Republished from RealClearHealth

Author

Dr. Pierre Kory is a Pulmonary and Critical Care Specialist, Teacher/Researcher. He is also the President Emeritus of the non-profit organization Front Line COVID-19 Critical Care Alliance whose mission is to develop the most effective, evidence/expertise-based COVID-19 treatment protocols.

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Brownstone Institute

The Cure for Vaccine Skepticism

Published on

From the Brownstone Institute

By Martin Kulldorff Martin Kulldorff 

The only way to restore public trust in vaccination – which has taken a big hit since the lies attending the rollout of the Covid-19 vaccine – is to put a well-known vaccine skeptic in charge of the vaccine research agenda. The ideal person for this is Robert F. Kennedy, Jr., who has been nominated to lead the Department of Health and Human Services.

At the same time, we must put rigorous scientists with a proven track record of evidence-based medicine in charge of determining the type of study designs to use. Two ideal scientists for this are Dr. Jay Bhattacharya and Dr. Marty Makary, who have been nominated to lead the NIH and FDA, respectively.

Vaccines are – along with antibiotics, anesthesia, and sanitation – one of the most significant health inventions in history. First conceived in 1774 by Benjamin Jesty, a farmer in Dorsetshire, England, the smallpox vaccine alone has saved millions of lives. Operation Warp Speed, which rapidly developed the Covid vaccines, saved many older Americans. Despite this, we have seen a sharp increase in general vaccine hesitancy. Vaccine scientists and public health officials who did not conduct properly randomized trials made false claims about vaccine efficacy and safety and established vaccine mandates for people who did not need the vaccines, sowing suspicion and damaging public trust in vaccination.

What went wrong? The purpose of the Covid vaccines was to reduce mortality and hospitalization, but the randomized trials were only designed to demonstrate short-term reduction in Covid symptoms, which is not of great public health importance. Since the placebo groups were promptly vaccinated after the emergency approval, they also failed to provide reliable information about adverse reactions. Despite these flaws, it was falsely claimed that vaccine-induced immunity is superior to natural infection-acquired immunity and that the vaccines would prevent infection and transmission.

Governments and universities then mandated the vaccines for people with superior natural immunity and for young people with very low mortality risk. These mandates were not only unscientific but with a limited vaccine supply, it was unethical to vaccinate low-mortality-risk people when the vaccines were needed by older high-risk people around the world.

Since government and pharmaceutical companies lied about the Covid vaccine, are they also lying about other vaccines? Skepticism has now spread to tried-and-true vaccines that are proven to work.

And there are real, unanswered vaccine safety questions. Seminal work from Denmark has shown that vaccines can have both positive and negative non-specific effects on non-targeted diseases, and that is something that must be explored in greater depth. Vaccine Safety Datalink (VSD) scientists studying asthma and aluminum-containing vaccines concluded that while their “findings do not constitute strong evidence for questioning the safety of aluminum in vaccines…additional examination of this hypothesis appears warranted.”

While VSD and other scientists should continue to do observational studies, we should also conduct randomized placebo-controlled vaccine trials, as RFK has advocated. Since we have herd immunity for many diseases, such as measles, trials can be ethically conducted by randomizing the age of vaccination to, for example, one versus three years old, while spreading the trial over a large geographical area so that the unvaccinated are not all living close to each other.

I am confident that most vaccines will continue to be found safe and effective. While some problems may be found, that is more likely to increase rather than decrease vaccine confidence. For instance, it was found that the measles-mumps-rubella-varicella (MMRV) vaccine causes excess febrile seizures in 12- to 23-month-old children. MMRV is now only given as a second dose to older children, while the younger kids get separate MMR and varicella vaccines, resulting in fewer vaccine-induced seizures that scare parents. Although safety studies were inconclusive, it was also wise to remove mercury from vaccines. Even if we end up with fewer vaccines in the recommended vaccine schedule, that’s not necessarily a terrible thing. Scandinavia has a very healthy population with fewer vaccines in their schedules.

We won’t restore vaccine confidence by preaching to the choir. After the Covid debacle, Kennedy’s stated goal is to return to evidence-based medicine free from conflicts of interest. Letting him do that is the only way that skeptics will trust vaccines again, and those of us who trust vaccines have no reason to be afraid of that.

Attempts by the public health and pharma establishments to derail the nominations of RFK, Bhattacharya, and Makary are the surest way to further increase vaccine hesitancy in America. The choice is stark. We cannot let lopsided “pro-vaccine scientists” who clamp their hands over their ears at the mildest questions do any more harm to vaccine confidence. As a pro-vaccine scientist, and in fact, the only person ever being fired by the CDC for being too pro-vaccine, the choice is clear in my mind. To restore vaccine confidence to previous levels, we must support the nominations of Kennedy, Bhattacharya, and Makary.

Republished from RealClearPolitics

Author

Martin Kulldorff

Martin Kulldorff is an epidemiologist and biostatistician. He is Professor of Medicine at Harvard University (on leave) and a Fellow at the Academy of Science and Freedom. His research focuses on infectious disease outbreaks and the monitoring of vaccine and drug safety, for which he has developed the free SaTScan, TreeScan, and RSequential software. Co-Author of the Great Barrington Declaration.

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