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Fraser Institute

Canadians want major health-care reform now

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3 minute read

From the Fraser Institute

By Mackenzie Moir

Tragic stories of multiyear waits for patients are now a Canadian news staple. Is it any wonder, therefore, that a new Navigator poll found almost two-thirds of Canadians experienced (either themselves or a family member) unreasonably long for access to health care. The poll also found that 73 per cent of respondents agree the system needs major reform.

This situation shouldn’t surprise anyone. Last year Canadians could expect a 27.7-week delay for non-emergency treatment. Nearly half this time (13.1 weeks) was spent waiting for treatment after seeing a specialist—that’s more than one month longer than what physicians considered reasonable.

And it’s not as though these unreasonable waits are simple inconveniences for patients; they can have serious consequences including continued pain, psychological distress and disability. For many, there are also economic consequences for waiting due to lost productivity or wages (due to difficulty or inability to work) or for Canadians who pay for care in another country.

Canadians are also experiencing longer delays than their European and Australian universal health-care peers. In 2020, Canadians were the least likely (62 per cent) to report receiving non-emergency surgical treatment in under four weeks compared to Germans (99 per cent) and Australians (72 per cent).

What do they do differently? Put simply, they approach universal care in a different way than we do.

In particular, these countries all have a sizeable and well-integrated private sector that helps deliver universal care including surgical care. For example, in 2021, 45 per cent of hospitals in Germany (a plurality) were private for-profit. And 99 per cent of German hospital beds are accessible to those covered under the country’s mandatory insurance scheme. In Australia, governments regularly contract with private hospitals to provide surgical care, with private facilities handling 41 per cent of all hospital services in 2021/22.

These universal health-care countries also tend to fund their hospitals differently.

Governments in Canada primarily fund hospitals through “global budgets.” With a fixed budget set at the beginning of the year, this funding method is unconnected to the level of services provided. Consequently, patients are treated as costs to be minimized.

In contrast, hospitals in most European countries and Australia are funded on the basis of their activity. As a result, because they are paid for services they actually deliver, hospitals are incentivized to provide higher volumes of care.

The data are clear. Canadian patients are frustrated with their health-care system and have an appetite for change. We stand to learn from other countries who maintain their universal coverage while delivering health care faster than in Canada.

Energy

Ottawa’s proposed emission cap lacks any solid scientific or economic rationale

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From the Fraser Institute

By Jock Finlayson and Elmira Aliakbari

Forcing down Canadian oil and gas emissions within a short time span (five to seven years) is sure to exact a heavy economic price, especially when Canada is projected to experience a long period of weak growth in inflation-adjusted incomes and GDP per person.

After two years of deliberations, the Trudeau government (specifically, the Environment and Climate Change Canada department) has unveiled the final version of Ottawa’s plan to slash greenhouse gas emissions (GHGs) from the oil and gas sector.

The draft regulations, which still must pass the House and Senate to become law, stipulate that oil and gas producers must reduce emissions by 35 per cent from 2019 levels by between 2030 and 2032. They also would establish a “cap and trade” regulatory regime for the sector. Under this system, each oil and gas facility is allocated a set number of allowances, with each allowance permitting a specific amount of annual carbon emissions. These allowances will decrease over time in line with the government’s emission targets.

If oil and gas producers exceed their allowances, they can purchase additional ones from other companies with allowances to spare. Alternatively, they could contribute to a “decarbonization” fund or, in certain cases, use “offset credits” to cover a small portion of their emissions. While cutting production is not required, lower oil and gas production volumes will be an indirect outcome if the cost of purchasing allowances or other compliance options becomes too high, making it more economical for companies to reduce production to stay within their emissions limits.

The oil and gas industry accounts for almost 31 per cent of Canada’s GHG emissions, while transportation and buildings contribute 22 and 13 per cent, respectively. However, the proposed cap applies exclusively to the oil and gas sector, exempting the remaining 69 per cent of the country’s GHG emissions. Targeting a single industry in this way is at odds with the policy approach recommended by economists including those who favour strong action to address climate change.

The oil and gas cap also undermines the Trudeau government’s repeated claims that carbon-pricing is the main lever policymakers are using to reduce GHG emissions. In its 2023 budget (page 71), the government said “Canada has taken a market-driven approach to emissions reduction. Our world-leading carbon pollution pricing system… is highly effective because it provides a clear economic signal to businesses and allows them the flexibility to find the most cost-effective way to lower their emissions.”

This assertion is vitiated by the expanding array of other measures Ottawa has adopted to reduce emissions—hefty incentives and subsidies, product standards, new regulations and mandates, toughened energy efficiency requirements, and (in the case of oil and gas) limits on emissions. Most of these non-market measures come with a significantly higher “marginal abatement cost”—that is, the additional cost to the economy of reducing emissions by one tonne—compared to the carbon price legislated by the Trudeau government.

And there are other serious problems with the proposed oil and gas emissions gap. For one, emissions have the same impact on the climate regardless of the source; there’s no compelling reason to target a single sector. As a group of Canadian economists wrote back in 2023, climate policies targeting specific industries (or regions) are likely to reduce emissions at a much higher overall cost per tonne of avoided emissions.

Second, forcing down Canadian oil and gas emissions within a short time span (five to seven years) is sure to exact a heavy economic price, especially when Canada is projected to experience a long period of weak growth in inflation-adjusted incomes and GDP per person, according to the OECD and other forecasting agencies. The cap stacks an extra regulatory cost on top of the existing carbon price charged to oil and gas producers. The cap also promises to foster complicated interactions with provincial regulatory and carbon-pricing regimes that apply to the oil and gas sector, notably Alberta’s industrial carbon-pricing system.

The Conference Board of Canada think-tank, the consulting firm Deloitte, and a study published by our organization (the Fraser Institute) have estimated the aggregate cost of the federal government’s emissions cap. All these projections reasonably assume that Canadian oil and gas producers will scale back production to meet the cap. Such production cuts will translate into many tens of billions of lost economic output, fewer high-paying jobs across the energy supply chain and in the broader Canadian economy, and a significant drop in government revenues.

Finally, it’s striking that the Trudeau government’s oil and gas emissions cap takes direct aim at what ranks as Canada’s number one export industry, which provides up to one-quarter of the country’s total exports. We can’t think of another advanced economy that has taken such a punitive stance toward its leading export sector.

In short, the Trudeau government’s proposed cap on GHG emissions from the oil and gas industry lacks any solid scientific, economic or policy rationale. And it will add yet more costs and complexity to Canada’s already shambolic, high-cost and ever-growing suite of climate policies. The cap should be scrapped, forthwith.

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Business

Federal bureaucrats spend $76,000 a month renting art taxpayers have already bought

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From the Canadian Taxpayers Federation

By Ryan Thorpe

“Can someone in government explain why taxpayers are being sent a bill so bureaucrats can decorate their offices with artwork that taxpayers have already bought and paid for?”

When bureaucrats hang art in their offices, taxpayers are on the hook – twice.

First, the government uses tax dollars to purchase artwork for its Art Bank. Then bureaucrats rent out that artwork and send the bill to taxpayers.

And that art bill comes to millions of dollars.

“Can someone in government explain why taxpayers are being sent a bill so bureaucrats can decorate their offices with artwork that taxpayers have already bought and paid for?” asked Franco Terrazzano, CTF Federal Director. “This is an outrageous waste of money and, to add insult to injury, the government is double billing taxpayers for artwork we’ll never see.”

The Canadian Taxpayers Federation obtained access-to-information records detailing all art rentals made by federal departments and agencies from the Canada Council for the Arts’ Art Bank between January 2016 and July 2024.

During that time, federal departments and agencies racked up $7,808,827 in art rentals.

That means since Prime Minister Justin Trudeau came to power, federal bureaucrats have been spending an average of $76,000 a month renting artwork for their offices.

“Every month, federal bureaucrats spend more money renting art than what the average Canadian earns in an entire year,” Terrazzano said. “It’s amazing that we need to say this, but maybe these bureaucrats could ease up at the taxpayer-funded Art Bank when record numbers of Canadians are lined up at food banks.”

Last year, the average Canadian worker made less than $70,000, according to data from Statistics Canada. In March 2024, Canada saw a record high two million visits to food banks, according to Food Banks Canada.

Federal departments and agencies made 1,445 rentals from the Art Bank between January 2016 and July 2024, according to the records.

The highest single rental came in April 2020, when a federal department or agency expensed $120,240 in artwork to taxpayers.

The records obtained by the CTF do not specify which federal departments or agencies expensed the art rentals.

The Art Bank contains more than 17,000 works of art from more than 3,000 artists, according to the CCA website.

“The Art Bank has the largest collection of contemporary Canadian art anywhere,” according to the CCA. “It houses paintings, sculptures, drawings, photographs and prints by emerging and established artists.”

The CCA is a federal Crown corporation, which dishes out hundreds of millions in grants to artists and arts organizations every year. In 2023-24, CCA grants totalled more than $300 million.

In 2022-23, the CCA received $423 million in federal funding, which accounts for about 90 per cent of the agency’s revenue.

So taxpayers not only foot the bill for this artwork through parliamentary appropriations to the CCA, but also get hit with a secondary expense when that artwork is later rented by a federal department or agency.

In Budget 2023, the government promised to find savings in the Crown corporations.

“The government will also work with federal Crown corporations to ensure they achieve comparable spending reductions, which would account for an estimated $1.3 billion over four years,” according to Budget 2023.

“Bureaucrats billing taxpayers $76,000 a month in art rentals is outrageous at the best of times, but with the government more than $1 trillion in debt and so many Canadians struggling, it’s utterly inexcusable,” Terrazzano said. “The government said it would find savings at Crown corporations, so defunding the Canada Council for the Arts is a perfect place to start.”

Federal departments and agencies expensing art rentals isn’t the only way taxpayers are hit with big bills so government officials can decorate their offices.

In July 2023, the CTF reported 52 Canadian Senators expensed $514,616 in art rentals to taxpayers since 2016.

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