Alberta
Canada’s health-care wait times hit 27.7 weeks in 2023—longest ever recorded
From the Fraser Institute
By Mackenzie Moir and Bacchus Barua
Canadian patients waited longer than ever this year for medical treatment, finds a new study released by the Fraser Institute, an independent, non-partisan Canadian public policy think-tank.
The study, an annual survey of physicians across Canada, reports a median wait time of 27.7 weeks—the longest ever recorded, longer than the wait of 27.4 weeks reported in 2022—and 198 per cent higher than the 9.3 weeks Canadians waited in 1993, when the Fraser Institute began tracking wait times.
“COVID-19 and related hospital closures have exacerbated, but are not the cause, of Canada’s historic wait times challenges,” said Bacchus Barua, director of the Fraser Institute’s Centre for Health Policy Studies and co-author of Waiting Your Turn: Wait Times for Health Care in Canada, 2023.
“Previous results revealed that patients waited an estimated 20.9 weeks for medically necessary elective care in 2019—long before the pandemic started.”
The study examines the total wait time faced by patients across 12 medical specialties from referral by a general practitioner (i.e. family doctor) to consultation with a specialist, to when the patient ultimately receives treatment.
More than 1,200 responses were received across the 12 specialties and 10 provinces. Among the provinces, Ontario recorded the shortest wait time at 21.6 weeks—still up from 20.3 weeks in 2022. Nova Scotia recorded the longest wait time in Canada at 56.7 weeks.
Among the various specialties, national wait times were longest between a referral by a GP and plastic (52.4 weeks), orthopedic (44.3) neurosurgery (43.5). Wait times were shortest for radiation (4.4 weeks) and medical oncology treatments (4.8 weeks). Patients also experience significant waiting times for various diagnostic technologies. This year, Canadians could expect to wait 6.6 weeks for a computed tomography (CT) scan, 12.9 weeks for a magnetic resonance imaging (MRI) scan, and 5.3 weeks for an ultrasound.
Crucially, physicians report that their patients are waiting over four and a half weeks longer for treatment (after seeing a specialist) than what they consider to be clinically reasonable.
“Excessively long wait times remain a defining characteristic of Canada’s health-care system” said Mackenzie Moir, Fraser Institute policy analyst and co-author of the report. “And they aren’t simply minor inconveniences, they can result in increased suffering for patients, lost productivity at work, a decreased quality of life, and in the worst cases, disability or death.”
Median wait times by province (in weeks)
PROVINCE 2022 2023
British Columbia 25.8 27.7
Alberta 33.3 33.5
Saskatchewan 30.1 31.0
Manitoba 41.3 29.1
Ontario 20.3 21.6
Quebec 29.4 27.6
New Brunswick 43.3 52.6
Nova Scotia 58.2 56.7
P.E.I. 64.7 55.2
Newfoundland and Labrador 32.1 33.3
Each year, the Fraser Institute surveys physicians across twelve specialties and the ten provinces in order to document the queues for visits to specialists and for diagnostic and surgical procedures in Canada. Waiting Your Turn: Wait Times for Health Care in Canada, 2023 Report reports the results of this year’s survey.
In 2023, physicians report a median wait time of 27.7 weeks between a referral from a general practitioner and receipt of treatment. This represents the longest delay in the survey’s history and is 198% longer than the 9.3 weeks Canadian patients could expect to wait in 1993.
Overall, Ontario reports the shortest wait across Canada (21.6 weeks) while Nova Scotia had the longest (56.7 weeks).
The 27.7 week total wait time that patients face can be examined in two consecutive segments:
- referral by a general practitioner to consultation with a specialist: 14.6 weeks;
- consultation with a specialist to receipt of treatment: 13.1 weeks.
After seeing a specialist, Canadian patients were waiting 4.6 weeks longer than what physicians consider clinically reasonable (8.5 weeks).
Across the ten provinces, the study also estimates that there were 1,209,194 procedures for which patients—3% of the Canadian population—were waiting in 2023.
Patients also face considerable delays for diagnostic technology. This year, Canadians could expect to wait 6.6 weeks for a CT scan, 12.9 for an MRI scan, and 5.3 weeks for an ultrasound.
Survey results suggest that, despite provincial strategies to reduce wait times, Canadian patients continue to wait too long for medically necessary treatment.
Data were collected from the week of January 16 to July 1, 2023, longer than the period of collection in years before the COVID19 pandemic. A total of 1,269 responses were received across the 12 specialties surveyed. However, this year’s response rate was 10.3% (lower than in some previous years). As a result, the findings in this report should be interpreted with caution.
Research has repeatedly indicated that wait times for medically necessary treatment are not benign inconveniences. Wait times can, and do, have serious consequences such as increased pain, suffering, and mental anguish. In certain instances, they can also result in poorer medical outcomes—
transforming potentially reversible illnesses or injuries into chronic, irreversible conditions, or even permanent disabilities. In many instances, patients may also have to forgo their wages while they wait for treatment, resulting in an economic cost to the individuals themselves and the economy in general.
The results of this year’s survey indicate that despite provincial strategies to reduce wait times and high levels of health expenditure, it is clear that patients in Canada continue to wait too long to receive medically necessary treatment.
Waiting Your Turn: Wait Times for Health Care in Canada, 2023 Report
By Mackenzie Moir and Bacchus Barua, with Hani Wannamaker
www.fraserinstitute.org
Authors:
From the Fraser Institute
By Spencer Gudewill and Tegan Hill
Last November, Premier Danielle Smith announced that her government will give up to $1.8 billion in subsidies to Dow Chemicals, which plans to expand a petrochemical project northeast of Edmonton. In other words, $1.8 billion in corporate welfare.
And this is just one example of corporate welfare paid for by Albertans.
According to a recent study published by the Fraser Institute, from 2007 to 2021, the latest year of available data, the Alberta government spent $31.0 billion (inflation-adjusted) on subsidies (a.k.a. corporate welfare) to select firms and businesses, purportedly to help Albertans. And this number excludes other forms of government handouts such as loan guarantees, direct investment and regulatory or tax privileges for particular firms and industries. So the total cost of corporate welfare in Alberta is likely much higher.
Why should Albertans care?
First off, there’s little evidence that corporate welfare generates widespread economic growth or jobs. In fact, evidence suggests the contrary—that subsidies result in a net loss to the economy by shifting resources to less productive sectors or locations (what economists call the “substitution effect”) and/or by keeping businesses alive that are otherwise economically unviable (i.e. “zombie companies”). This misallocation of resources leads to a less efficient, less productive and less prosperous Alberta.
And there are other costs to corporate welfare.
For example, between 2007 and 2019 (the latest year of pre-COVID data), every year on average the Alberta government spent 35 cents (out of every dollar of business income tax revenue it collected) on corporate welfare. Given that workers bear the burden of more than half of any business income tax indirectly through lower wages, if the government reduced business income taxes rather than spend money on corporate welfare, workers could benefit.
Moreover, Premier Smith failed in last month’s provincial budget to provide promised personal income tax relief and create a lower tax bracket for incomes below $60,000 to provide $760 in annual savings for Albertans (on average). But in 2019, after adjusting for inflation, the Alberta government spent $2.4 billion on corporate welfare—equivalent to $1,034 per tax filer. Clearly, instead of subsidizing select businesses, the Smith government could have kept its promise to lower personal income taxes.
Finally, there’s the Heritage Fund, which the Alberta government created almost 50 years ago to save a share of the province’s resource wealth for the future.
In her 2024 budget, Premier Smith earmarked $2.0 billion for the Heritage Fund this fiscal year—almost the exact amount spent on corporate welfare each year (on average) between 2007 and 2019. Put another way, the Alberta government could save twice as much in the Heritage Fund in 2024/25 if it ended corporate welfare, which would help Premier Smith keep her promise to build up the Heritage Fund to between $250 billion and $400 billion by 2050.
By eliminating corporate welfare, the Smith government can create fiscal room to reduce personal and business income taxes, or save more in the Heritage Fund. Any of these options will benefit Albertans far more than wasteful billion-dollar subsidies to favoured firms.
Authors:
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