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Canadians continue to experience long waits for MRIs and CT scans

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From the Fraser Institute

By Mackenzie Moir

Canada reported 10.6 MRI machines per million population, ranking us 27th out of 31 universal health-care countries and far behind fifth-ranked Germany (32.5 machines per million population). We see a similar story with CT scanners where second-ranked Australia (78.5 units per million) far outpaces Canada (14.6 units per million population)

Canada’s health-care system is in dire straits. We face an access crisis in primary care, regular rural emergency room closures, and some of the longest waits for non-emergency surgery in more than 30 years. Indeed, the median wait between referral to a specialist by a general practitioner and receipt of treatment was 30 weeks in 2024, the longest on record.

But beyond medical and surgical treatments, Canadians also face significant waits for key diagnostic services.

In 2024, the latest year of available data, patients could expect a 16.2-week wait for an MRI (more than three weeks longer than what they waited in 2023) and an 8.1-week wait for a CT scan (a week and half longer than in 2023).

Of course, these machines are crucial in the diagnosis and monitoring of many different illnesses. As a result, long waits for these machines can result in delays in diagnosis and the advancing of illness that can impact decisions around treatment and potential outcomes.

But why are there delays for this type of basic diagnostic care?

One explanation is that Canada has lower availability of these machines compared to other high-income universal health-care systems.

For example, using the latest available data from 2022 and after adjusting for population age, Canada reported 10.6 MRI machines per million population, ranking us 27th out of 31 universal health-care countries and far behind fifth-ranked Germany (32.5 machines per million population). We see a similar story with CT scanners where second-ranked Australia (78.5 units per million) far outpaces Canada (14.6 units per million population), which ranked 28th of 31.

These data also underscore the wider dissatisfaction among Canadians about how our governments steward our health-care systems. According to a recent Navigator poll, 73 per cent of Canadians want major health-care reform.

In the end, poor access to diagnostic imaging technology can prevent the appropriate triaging of patients and create further delays for scheduled care. Improving access to diagnostic imaging should help reduce delays for care overall and improve the lives of patients and their families.

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Trump Tariffs are not going away. Canada needs to adapt or face the consequences

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Canadian politicians seem highly focused on fighting the Trump Tariffs with counter tariffs.  This tit for tat battle is like catnip for politicians and media, but it takes attention away from the real situation.  Tariffs are not something we can try to get rid.  Tariffs aren’t a ploy by Trump to influence Canada to strengthen border control.  This is the beginning of the end for the free trade agreement that Canada has 0rganized its entire economy around.

Bob Lighthizer was President Donald Trump’s U.S. Trade Representative during the first Trump administration, from 2017 to 2021.  Watch / Listen to this conversation as Lighthizer explains how Free Trade did not work out well for the American worker. As Lighthizer explains, Free Trade has boosted China, Mexico, and numerous nations where labour is cheap.

The second Trump administration is determined to bring manufacturers back to the US and countries like Canada better adapt fast or the price we’ll pay will be even steeper.

It doesn’t matter if we agree, or disagree, or how many counter tariffs Canadians apply.  The only way out of this mess will be to rebuild the manufacturing sector in Canada and to develop our resources like never before.  The sooner Canada sheds the chains of a net zero focused economy the more likely our nation will survive.

Enjoy this fascinating conversation and apply what you learn to how you see Canada adapting to the new reality.

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Addictions

The Fentanyl Crisis Is A War, And Canada Is On The Wrong Side

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From the Frontier Centre for Public Policy

By Brian Giesbrecht

Drug cartels, China, and Canada’s negligence are fueling the deadliest epidemic of our time

It took the threat of U.S. tariffs for Canada to wake up to the horrors of the fentanyl epidemic that is destroying young lives and shattering families. Canadians, who panicked over COVID-19 deaths, have hardly noticed that far more healthy Canadians and Americans are now dying from fentanyl overdoses than ever died from COVID.

Yet while Americans confront this deadly epidemic, Canada remains oblivious to how deeply the crisis has infiltrated our borders.

A grim milestone came in 2021 when U.S. opioid overdose deaths exceeded 100,000 in a single year. More than a million Americans have died from opioid overdoses since these highly addictive drugs first entered the market. Today, fentanyl overdose is the leading cause of death for Americans aged 18 to 25.

Behind every kilogram of fentanyl lies half a million potential deaths. Behind every pill—a game of Russian roulette.

Fentanyl is a synthetic opioid so powerful that one kilogram can kill 500,000 people. Its extreme potency makes it both highly dangerous and easy to smuggle. A single backpack thrown across the border can carry $1 million worth of the drug. It is easy to see why so many opportunists are willing to risk their lives producing and selling it. Overdose statistics fail to capture the bodies found in deserts or those murdered in the vicious drug trade.

Fentanyl is produced for a few cents per pill but sold on the street for many times that, making it both profitable and a cheap high. Incredibly addictive, it is found in virtually all street drugs, giving “the most bang for the buck.” Made by amateurs, these drugs are carelessly laced with lethal doses. And because the pills look identical, users never know whether a dose will get them high—or kill them.

But Canada is not just a bystander in this crisis. A loophole in our border laws—the “de minimis” exemption—has turned Canada into a gateway for fentanyl entering U.S. communities. This exemption allows exporters to ship small packages valued at less than $800 directly to customers with minimal border inspection. Chinese exporters exploit this loophole to ship fentanyl precursors into Canada, where they are processed into pills or moved to Mexico under the supervision of Mexican drug cartels.

The Trump administration has pressed Canada to close this loophole. That it has existed for years, almost unnoticed, should shock us to the core.

The problem of fentanyl production within Canada should not be minimized. The RCMP reports that fentanyl labs are appearing across B.C., often producing methamphetamine alongside fentanyl. These small labs supply both domestic and international markets. The threat is real, and it is growing.

Exactly how many Canadians have died from fentanyl overdoses is unclear. However, with Canada’s population roughly one-ninth of the U.S., it is reasonable to estimate that Canadian deaths are approximately one-ninth of U.S. numbers.

But overdose numbers alone don’t tell the whole story. The number of lives wrecked by this drug is staggering. Parents watch their children—once vibrant and full of promise—disappear before their eyes. Their beauty fades, their minds unravel, and their lives collapse into the desperate cycle of chasing the next fix. Some escape. Many don’t. Until death takes them, that is.

The new Trump administration has promised to confront this carnage. “This is a drug war,” Peter Navarro, assistant to the president and director of the Office of Trade and Manufacturing Policy, recently told reporters. “The Mexican cartels have expanded up to Canada, making fentanyl there and sending it down to the U.S. The Chinese are using Canada to send in small parcels below the radar. It’s important that Canadians understand we are trying to stop the killing of Americans by these deadly drugs.”

But while the U.S. acts, Canada hesitates. Trump is addressing the problem—Canada is enabling it.

The Trump administration also views Canada’s lax drug laws and casual attitude toward buying and selling even the most dangerous drugs as an exacerbating factor. However, on the fentanyl issue, it is clear Trump is determined to tackle a problem Canada has largely ignored. He should be commended for this, and Canada should start cleaning up its own mess.

Yet fentanyl smuggling from Canada is only part of a larger issue. Behind the drug trade lies an even more insidious enemy: the Chinese Communist Party (CCP).

The importation of fentanyl precursors from China, facilitated by Mexican cartels, has turned Vancouver into a money-laundering hub for the CCP. Investigative reporters like Sam Cooper and Terry Glavin have revealed the depth of this corruption, despite the Hogue Commission’s failure to expose it fully.

Ryan P. Williams, president of the Claremont Institute, warns that “The fentanyl crisis is part of a larger campaign by the CCP to destabilize Western nations. They flood our streets with poison while corrupting our institutions from within. If Canada doesn’t confront this threat, it will lose not only lives—but its sovereignty.”

Our new “fentanyl czar,” appointed by Prime Minister Justin Trudeau, should not only address the drug crisis but also expose how deeply a hostile CCP has compromised Canada.

Tackling the fentanyl problem will be enormously difficult—likely impossible— for the Trump administration without cooperation from China, Mexico and even Canada. And forcing that cooperation is likely the first part of Trump’s plan.

Canada’s role may be small, but it must take full responsibility for securing its borders and confronting the fentanyl crisis. Trump has forced us to act. Now, if we are serious about restoring our nation’s integrity, we must break the CCP’s grip on our institutions.

In doing so, we will save Canadian lives.

Brian Giesbrecht is a retired Manitoba judge. He is a Senior Fellow at the Frontier Centre for Public Policy. He was recently named the ‘Western Standard Columnist of the Year.’

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