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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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Agriculture

Supply Management Is Making Your Christmas Dinner More Expensive

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From the Frontier Centre for Public Policy

By Conrad Eder

The food may be festive, but the price tag isn’t, and supply management is to blame

With Christmas around the corner, Canadians will be heading to the grocery store to pick up the essentials for a tasty Christmas feast. Milk and eggs to make dinner rolls, butter for creamy mashed potatoes, an assortment of cheeses as an appetizer, and, of course, the Christmas turkey.

All delicious. All essential. And all more expensive than they need to be because of a longstanding government policy. It’s called supply management.

Consider what a family might purchase when hosting Christmas dinner. Two cartons of eggs, two cartons of milk, a couple of blocks of cheese, a few sticks of butter, and an eight-kilogram turkey. According to Agriculture and Agri-Food Canada and Statistics Canada, that basket of goods costs a little less than $80.

Using price premiums calculated in a 2015 University of Manitoba study, Canada’s supply management system is responsible for $16.69 to $20.48 of the cost of that Christmas dinner. That’s a 21 to 26 per cent premium Canadian consumers pay on those five staples alone. Planning on making a yogurt dip or serving ice cream with dessert? Those extra costs continue to climb.

Canadians pay these premiums for poultry, dairy and eggs because of how Canada’s supply management system works. Farmers must obtain government-issued production quotas that dictate how much they’re allowed to produce. Prices are set by government bodies rather than in an open market. High tariffs block imports and restrict competition from international producers.

The costs of supply management are significant, amounting to billions of dollars every year, yet they are largely hidden, spread across millions of households’ grocery bills. Meanwhile, the benefits flow to a small number of quota-holding farmers. Their quotas are worth millions of dollars and help ensure profitable returns.

These farmers have every incentive to lobby, organize and defend the current system. Wanting special protection is one thing. Actually being given it is another. It is the responsibility of elected officials to resist such demands. Elected to represent all Canadians, politicians should unapologetically prioritize the public interest over any special interests.

Yet in June 2025, Parliament did the opposite. Rather than solve a problem that costs Canadians billions each year, members of Parliament from every party, Liberal, Conservative, Bloc, NDP and Green, unanimously approved Bill C-202, further entrenching the system that makes grocery bills more expensive at a time when families can least afford it. Bill C-202 prohibits Canada from offering any further market access concessions on supply-managed sectors in future trade negotiations.

This decision is even more disappointing when we consider what other nations have already accomplished. Australia and New Zealand demonstrate that removing supply management is not only possible but beneficial.

Australia operated a dairy quota system for decades before abolishing it in 2000. New Zealand began dismantling its dairy supply management regime in 1984 and completed the process in 2001. Both countries found that competitive markets provided their citizens with the access to goods they needed without the hidden costs. If these countries could eliminate supply management, so can Canada.

As the government scrambles to combat the rising cost of living, one of the simplest and most effective solutions continues to be ignored. Eliminating supply management. Removing the quotas, the price controls and the tariffs would allow market competition to do what it does across every other product category. It delivers choice, quality and affordability.

As Canadians gather for Christmas dinner, the feast may be delicious, but it will once again be more expensive than it needs to be. That is the cost of supply management, and Canadians should no longer have to bear it.

Conrad Eder is a policy analyst at the Frontier Centre for Public Policy.

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Taxing food is like slapping a surcharge on hunger. It needs to end

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This article supplied by Troy Media.

Troy Media By Sylvain Charlebois

Cutting the food tax is one clear way to ease the cost-of-living crisis for Canadians

About a year ago, Canada experimented with something rare in federal policymaking: a temporary GST holiday on prepared foods.

It was short-lived and poorly communicated, yet Canadians noticed it immediately. One of the most unavoidable expenses in daily life—food—became marginally less costly.

Families felt a modest but genuine reprieve. Restaurants saw a bump in customer traffic. For a brief moment, Canadians experienced what it feels like when government steps back from taxing something as basic as eating.

Then the tax returned with opportunistic pricing, restoring a policy that quietly but reliably makes the cost of living more expensive for everyone.

In many ways, the temporary GST cut was worse than doing nothing. It opened the door for industry to adjust prices upward while consumers were distracted by the tax relief. That dynamic helped push our food inflation rate from minus 0.6 per cent in January to almost four per cent later in the year. By tinkering with taxes rather than addressing the structural flaws in the system, policymakers unintentionally fuelled volatility. Instead of experimenting with temporary fixes, it is time to confront the obvious: Canada should stop taxing food altogether.

Start with grocery stores. Many Canadians believe food is not taxed at retail, but that assumption is wrong. While “basic groceries” are zero-rated, a vast range of everyday food products are taxed, and Canadians now pay over a billion dollars a year in GST/HST on food purchased in grocery stores.

That amount is rising steadily, not because Canadians are buying more treats, but because shrinkflation is quietly pulling more products into taxable categories. A box of granola bars with six bars is tax-exempt, but when manufacturers quietly reduce the box to five bars, it becomes taxable. The product hasn’t changed. The nutritional profile hasn’t changed. Only the packaging has changed, yet the tax flips on.

This pattern now permeates the grocery aisle. A 650-gram bag of chips shrinks to 580 grams and becomes taxable. Muffins once sold in six-packs are reformatted into three-packs or individually wrapped portions, instantly becoming taxable single-serve items. Yogurt, traditionally sold in large tax-exempt tubs, increasingly appears in smaller 100-gram units that meet the definition of taxable snacks. Crackers, cookies, trail mixes and cereals have all seen slight weight reductions that push them past GST thresholds created decades ago. Inflation raises food prices; Canada’s outdated tax code amplifies those increases.

At the same time, grocery inflation remains elevated. Prices are rising at 3.4 per cent, nearly double the overall inflation rate. At a moment when food costs are climbing faster than almost everything else, continuing to tax food—whether on the shelf or in restaurants—makes even less economic sense.

The inconsistencies extend further. A steak purchased at the grocery store carries no tax, yet a breakfast wrap made from virtually the same inputs is taxed at five per cent GST plus applicable HST. The nutritional function is not different. The economic function is not different. But the tax treatment is entirely arbitrary, rooted in outdated distinctions that no longer reflect how Canadians live or work.

Lower-income households disproportionately bear the cost. They spend 6.2 per cent of their income eating outside the home, compared with 3.4 per cent for the highest-income households. When government taxes prepared food, it effectively imposes a higher burden on those often juggling two or three jobs with limited time to cook.

But this is not only about the poorest households. Every Canadian pays more because the tax embeds itself in the price of convenience, time and the realities of modern living.

And there is an overlooked economic dimension: restaurants are one of the most effective tools we have for stimulating community-level economic activity. When people dine out, they don’t just buy food. They participate in the economy. They support jobs for young and lower-income workers. They activate foot traffic in commercial areas. They drive spending in adjacent sectors such as transportation, retail, entertainment and tourism.

A healthy restaurant sector is a signal of economic confidence; it is often the first place consumers re-engage when they feel financially secure. Taxing prepared food, therefore, is not simply a tax on convenience—it is a tax on economic participation.

Restaurants Canada has been calling for the permanent removal of GST/HST on all food, and they are right. Eliminating the tax would generate $5.4 billion in consumer savings annually, create more than 64,000 foodservice jobs, add over 15,000 jobs in related sectors and support the opening of more than 2,600 new restaurants across the country. No other affordability measure available to the federal government delivers this combination of economic stimulus and direct relief.

And Canadians overwhelmingly agree. Eighty-four per cent believe food should not be taxed, regardless of where it is purchased. In a polarized political climate, a consensus of that magnitude is rare.

Ending the GST/HST on all food will not solve every affordability issue but it is one of the simplest, fairest and most effective measures the federal government can take immediately.

Food is food. The tax system should finally accept that.

Dr. Sylvain Charlebois is a Canadian professor and researcher in food distribution and policy. He is senior director of the Agri-Food Analytics Lab at Dalhousie University and co-host of The Food Professor Podcast. He is frequently cited in the media for his insights on food prices, agricultural trends, and the global food supply chain. 

Troy Media empowers Canadian community news outlets by providing independent, insightful analysis and commentary. Our mission is to support local media in helping Canadians stay informed and engaged by delivering reliable content that strengthens community connections and deepens understanding across the country.

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