Fraser Institute
Long waits for health care hit Canadians in their pocketbooks

From the Fraser Institute
Canadians continue to endure long wait times for health care. And while waiting for care can obviously be detrimental to your health and wellbeing, it can also hurt your pocketbook.
In 2024, the latest year of available data, the median wait—from referral by a family doctor to treatment by a specialist—was 30 weeks (including 15 weeks waiting for treatment after seeing a specialist). And last year, an estimated 1.5 million Canadians were waiting for care.
It’s no wonder Canadians are frustrated with the current state of health care.
Again, long waits for care adversely impact patients in many different ways including physical pain, psychological distress and worsened treatment outcomes as lengthy waits can make the treatment of some problems more difficult. There’s also a less-talked about consequence—the impact of health-care waits on the ability of patients to participate in day-to-day life, work and earn a living.
According to a recent study published by the Fraser Institute, wait times for non-emergency surgery cost Canadian patients $5.2 billion in lost wages in 2024. That’s about $3,300 for each of the 1.5 million patients waiting for care. Crucially, this estimate only considers time at work. After also accounting for free time outside of work, the cost increases to $15.9 billion or more than $10,200 per person.
Of course, some advocates of the health-care status quo argue that long waits for care remain a necessary trade-off to ensure all Canadians receive universal health-care coverage. But the experience of many high-income countries with universal health care shows the opposite.
Despite Canada ranking among the highest spenders (4th of 31 countries) on health care (as a percentage of its economy) among other developed countries with universal health care, we consistently rank among the bottom for the number of doctors, hospital beds, MRIs and CT scanners. Canada also has one of the worst records on access to timely health care.
So what do these other countries do differently than Canada? In short, they embrace the private sector as a partner in providing universal care.
Australia, for instance, spends less on health care (again, as a percentage of its economy) than Canada, yet the percentage of patients in Australia (33.1 per cent) who report waiting more than two months for non-emergency surgery was much higher in Canada (58.3 per cent). Unlike in Canada, Australian patients can choose to receive non-emergency surgery in either a private or public hospital. In 2021/22, 58.6 per cent of non-emergency surgeries in Australia were performed in private hospitals.
But we don’t need to look abroad for evidence that the private sector can help reduce wait times by delivering publicly-funded care. From 2010 to 2014, the Saskatchewan government, among other policies, contracted out publicly-funded surgeries to private clinics and lowered the province’s median wait time from one of the longest in the country (26.5 weeks in 2010) to one of the shortest (14.2 weeks in 2014). The initiative also reduced the average cost of procedures by 26 per cent.
Canadians are waiting longer than ever for health care, and the economic costs of these waits have never been higher. Until policymakers have the courage to enact genuine reform, based in part on more successful universal health-care systems, this status quo will continue to cost Canadian patients.
Business
Canada’s health-care system is not ‘free’—and we’re not getting good value for our money

From the Fraser Institute
By Nadeem Esmail and Mackenzie Moir
In 2025, many Canadians still talk about our “free” health-care system. But in reality, through taxes, we pay a lot for health care. In fact, according to the latest data, a typical Canadian family will pay $19,060 (or about 24 per cent of their total tax bill) for health care this year.
Given the size of that bill, it’s worth asking—do Canadians get good value for all those tax dollars? Not even close.
First, Canadians endure some of the longest wait times for medical care—including primary care, specialist consultations and non-emergency surgery—among developed countries with universal health care. In fact, the wait in Canada for non-emergency care is now more than seven months from referral to treatment, which is more than three times longer than in 1993 when wait times were first measured nationally.
Why the delays?
Part of the reason is the limited number of medical resources available to Canadians. Compared to our universal health-care peers, Canada had some of the fewest physicians, hospital beds and medical technologies such as MRI machines and CT scanners.
And before you wonder if $19,000 per year isn’t enough money for world-class universal coverage, remember that Canada has one of the most expensive universal health-care systems in the developed world, which means Canadians are among the highest spenders on universal health care yet have some of the worst access to health-care services.
Fortunately, countries such as Switzerland and Australia, which both provide far more timely access to high-quality universal care for similar or even lower cost than Canada, offer lessons for reform. Compared to Canada, both countries allow a larger degree of private-sector involvement and, perhaps more importantly, competition in their universal health-care systems.
In Switzerland, for instance, health insurance coverage is mandatory and provided by independent insurers that compete in a regulated market. Swiss citizens freely choose between insurers (which must accept all applicants) and can even personalize some aspects of their universal insurance policy. Patients also have a choice of hospitals, more than half of which are operated privately and for-profit.
In Australia, citizens can purchase private insurance, which covers the cost of treatment in private hospitals. Higher income Australians are actively encouraged to purchase private health insurance and even have to pay additional taxes if they do not. Some 39 per cent of hospitals in Australia are private and for-profit, providing care to both privately and publicly insured patients.
Vitally, competition between private health-care businesses and entrepreneurs in both countries (and many others including Germany and the Netherlands) has helped create a more cost-effective and accessible universal health-care system. Back here in Canada, the lack of private-sector efficiency, innovation and patient-focus has led to the opposite—namely, long waits and poor access.
Health care in Canada is not free. It comes with a substantial price tag through our tax system. And the size of that bill leaves less money for savings and other things families need.
Getting better value for our health-care tax dollars, and solving the longstanding access problems patients face, requires policy reform with a more contemporary understanding of how to structure a truly world-class universal health-care system. Until that reform happens, Canadians will continue to be stuck with a big bill for lousy access to health care.
Fraser Institute
Carney government should scrap gun ‘buyback’ program and save taxpayer money

From the Fraser Institute
By Gary Mauser
More than 90 per cent of guns used in crimes are illegally imported into Ontario from the United States, which means the confiscation (or “buyback”) program would not affect these guns. And the program diverts financial and policing resources towards law-abiding Canadians who own firearms
Given the mountain of federal debt, the Carney government’s much-anticipated fall budget should tell us how Ottawa plans to deal with the prime minister’s new priorities. Carney has urged cabinet to find existing programs to cut so Ottawa can afford the new spending he’s promised, such as meeting the NATO 5 per cent commitment and opening up new energy corridors.
Clearly, if the government wants to cut waste, it should axe the Trudeau-era gun ban and confiscation program, which—according to reports—the government plans to fully rollout this fall.
First, some background. In 2020, with the stroke of a pen, the Trudeau government instantly made it a crime for federally-licenced firearms owners to buy, sell, transport, import, export or use hundreds of thousands of formerly legal rifles and shotguns. According to the government, the ban targets “assault-style weapons,” which are actually classic semi-automatic rifles and shotguns used by hunters and sport shooters for more than 100 years. When announcing the ban, the prime minister said the government would confiscate the banned firearms and provide “fair compensation” to owners. That hasn’t happened.
In fact, the government has revealed no plans about how it will collect the banned firearms nor has it included compensation costs in any federal budget. The amnesty period (to allow compliance with the ban), which the government has extended in the past, is set to expire on Oct. 30, 2025.
The program faces stiff opposition from several key players.
For example, the provincial governments in Ontario and Saskatchewan don’t want to participate. As noted by Ontario’s solicitor general, more than 90 per cent of guns used in crimes are illegally imported into Ontario from the United States, which means the confiscation (or “buyback”) program would not affect these guns. And the program diverts financial and policing resources towards law-abiding Canadians who own firearms and are already heavily regulated and screened.
The National Police Federation, which represents 20,000 RCMP members, has said the program is a “misdirected effort when it comes to public safety.”
Canada Post, which has been tasked by Ottawa to receive and warehouse firearms, wants nothing to do with the program due to fear of conflicts between staff and gun owners, and the ability of Canada Post to safely store potentially hundreds of firearms in postal substations.
And the Canadian Sporting Arms and Ammunition Association, which represents firearms retailers, said it will have “zero involvement” in helping confiscate these firearms.
Meanwhile, there’s no evidence the program will improve public safety.
In fact, Canadian firearms owners are exceptionally law-abiding and less likely to commit murder than other Canadians—and that shouldn’t be surprising. To own a firearm in Canada, you must obtain a Possession and Acquisition Licence (PAL) from the RCMP after initial vetting and daily monitoring for possible criminal activity. Between 2000 and 2020, an average of 12 PAL holders per year were accused of homicide, out of approximately 2 million PAL holders. The number of PAL holders increased from 1,979,054 to 2,206,755 over this same time period, so the PAL holder firearms homicide rate over 20 years was 0.63 per 100,000 PAL holders. But the firearms homicide rate for adult Canadians is 0.72 per 100,000—that’s 14 per cent higher than the rate for PAL holders.
Even the minister in charge of the program—Gary Anandasangaree, the Carney government’s public safety minister—seems to think it’s a bad idea. In an audio recording released online, he said: “I just don’t think municipal police services have the resources to do this” before adding that the program’s goals may be more about politics than sound policy.
So, with a federal budget looming, how much will the gun ban/confiscation program cost taxpayers?
The plain answer: we don’t know. But back in 2020, the Trudeau government said it would cost $200 million to compensate firearms owners for confiscating their now-banned firearms, although the Parliamentary Budget Officer said compensation costs could reach $756 million. The federal government recently said the program’s administrative costs (safe storage, destruction of hundreds of thousands of firearms, etc.) would reach an estimated $1.8 billion. My estimate, based on a similar program in New Zealand in 2019, for only compensation costs and the collection phase is closer to $6 billion.
Today, more than 150 employees of the Department of Public Safety in Ottawa are working full time on the program, yet few firearms (12,195) have been collected to-date. The program spent $67.2 million by 2024, before it collected a single gun, and is now projected to cost $459.8 million in 2025/26 alone, mainly on public opinion surveys and planning. Basically, they’re trying to figure out how to confiscate and destroy hundreds of thousands of guns from across Canada. Apparently, this planning costs hundreds of millions of dollars.
In sum, Ottawa’s gun ban/confiscation (“buyback”) program is very expensive and likely won’t achieve its stated goals of improving public safety. If the Carney government wants to find savings, the program is good place to start.
-
Alberta1 day ago
With no company willing to spearhead a new pipeline under federal restrictions, Alberta takes the lead
-
National2 days ago
Canada’s birth rate plummets to an all-time low
-
espionage2 days ago
North Americans are becoming numb to surveillance.
-
Alberta24 hours ago
Halfway River First Nation makes history with Montney natural gas development deal
-
Crime2 days ago
Pierre Poilievre says Christians may be ‘number one’ target of hate violence in Canada
-
Business1 day ago
Elon Musk announces ‘Grokipedia’ project after Tucker Carlson highlights Wikipedia bias
-
Bruce Dowbiggin1 day ago
The McDavid Dilemma: Edmonton Faces Another Big Mess
-
Alberta1 day ago
Taxpayers: Alberta must scrap its industrial carbon tax