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Carney can rescue health care by loosening restrictions of the Canada Health Act

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From the Fraser Institute

By John Ibbitson

Although rubber has yet to meet road, Prime Minister Mark Carney is vowing to reverse many of the policy failures of previous administrations. His government plans to greatly increase defence spending, streamline the infrastructure approval process, and reduce provincial non-tariff barriers.

But while the government is right to focus on these measures, which aim to counter President Donald Trump’s tariff and annexationist threats, it’s easy to forget that Canada faced serious challenges long before The Donald arrived in the White House for his first term, let alone for his second.

First among these challenges is the crisis in health care. Six-and-a-half million Canadians lack a family doctor. Emergency room wait times can stretch on hour after hour. Prince Edward Island is the worst, with a median wait time of almost three hours before a patient first sees a physician. People in Ontario often have to wait months for an MRI scan. Some people travel to Buffalo where clinics offer to provide the service in a matter of days.

The median wait time between referral by a family doctor to treatment by a specialist in 2024 reached 30 weeks, the longest gap ever and more than three times the median wait in 1993, according to a study published by the Fraser Institute. In category after category, provincial health-care systems struggle to meet the standards they set for themselves.

If Carney really wanted to be remembered as a transformative prime minister, he would tackle this crisis by loosening the restrictions of the Canada Health Act.

The Act, and other laws and regulations banning user fees and extra billing, effectively prohibit provincial governments from permitting private health insurance to supplement public insurance for essential services. This has prevented the provinces from developing the sorts of private-sector safety valves used in developed countries around the world that also have universal health-care systems.

For instance, another report shows that Swiss citizens are able to choose among dozens of competing private-sector insurance plans that allow access to medically essential and publicly funded services. While there are copayments, public programs help lower-income patients to offset the costs.

In Australia, citizens are required to obtain private health insurance to supplement public coverage. That insurance, according to a federal government website, permits patients to receive “treatment in public or private hospitals as a private patient with the doctor of your choice” along with “health services that are not covered under Medicare such as physiotherapy, dental and optical.” Citizens who don’t obtain private insurance must pay a hefty Medicare Levy Surcharge of up to 1.5 per cent of taxable income. There are programs to offset the surcharge for low-income citizens.

In the Netherlands, to offer just one more example, the federal government also pays private health insurers to provide basic care, while allowing citizens who wish to pay for supplemental insurance.

Canadians pay a high price for the lack of private-sector insurance. According to the annual report comparing universal health-care countries published by the Fraser Institute, in 2023, 65.2 per cent of Canadians polled reported waiting more than one month for an appointment with a specialist compared to 51.9 per cent in Australia, 36.3 per cent in Switzerland and 35.7 per cent in the Netherlands.

The Commonwealth Fund, an U.S. non-profit health-care think-tank, ranked Canada seventh, in a study of how well 10 developed countries delivered health care. Australia ranked first.

A 2024 study ranked countries by how well they delivered various services. In that survey, the Netherlands came in 18th in the category of physicians per capita. Australia ranked seventh. Switzerland ranked sixth. Canada ranked 28th.

And yet, it terms of health-care spending as a share of GDP, Canada ranked fourth, Australia ninth and the Netherlands 13th. Switzerland came in at number two.

There is, in other words, little correlation between spending on health care and the health of the system. There is, however, strong evidence that countries offering universal public care—supplemented by private-sector alternatives—do better than Canada.

Mark Carney could go down in history as the prime minister who rescued Canada’s health-care system. Loosening the restrictions of the Canada Health Act to permit supplemental private plans for essential care in provinces that choose to adopt them, and reforming other troubling aspects of the Act, would set the stage for real innovation, experimentation and reform by the provinces.

Based on the evidence of jurisdictions from Sweden to Singapore, the first provinces to open the door to private insurance and related reforms would quickly see improvements in wait times and other metrics. Other provinces would likely soon follow.

John Ibbitson

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Large-scale energy investments remain a pipe dream

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I view the recent announcements by the Government of Canada as window dressing, and not addressing the fundamental issue which is that projects are drowning in bureaucratic red tape and regulatory overburden. We don’t need them picking winners and losers, a fool’s errand in my opinion, but rather make it easier to do business within Canada and stop the hemorrhaging of Foreign Direct Investment from this country.

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Changes are afoot—reportedly, carve-outs and tweaks to federal regulations that would help attract investment in a new oil pipeline from Alberta. But any private proponent to come out of this deal will presumably be handpicked to advance through the narrow Bill C-5 window, aided by one-off fixes and exemptions.

That approach can only move us so far. It doesn’t address the underlying problem.

Anyone in the investment world will tell you a patchwork of adjustments is nowhere near enough to unlock the large-scale energy investment this country needs. And from that investor’s perspective, the horizon stretches far beyond a single political cycle. Even if this government promises clarity today in the much-anticipated memorandum of understanding (MOU), who knows whether it will be around by the time any major proposal actually moves forward.

With all of the talk of “nation-building” projects, I have often been asked what my thoughts are about what we must see from the federal government.

The energy sector is the file the feds have to get right. It is by far the largest component of Canadian exports, with oil accounting for $147 billion in 2024 (20 percent of all exports), and energy as a whole accounting for $227 billion of exports (30 percent of all exports).

A bar chart sponsored by Transport Canada showing Canada's top 10 traded goods in 2024.

Furthermore, we are home to some of the largest resource reserves in the world, including oil (third-largest in proven reserves) and natural gas (ninth-largest). Canada needs to wholeheartedly embrace that. Natural resource exceptionalism is exactly what Canada is, and we should be proud of it.

One of the most important factors that drives investment is commodity prices. But that is set by market forces.

Beyond that, I have always said that the two most important things one considers before looking at a project are the rule of law and regulatory certainty.

The Liberal government has been obtuse when it comes to whether it will continue the West Coast tanker ban (Bill C-48) or lift it to make way for a pipeline. But nobody will propose a pipeline without the regulatory and legal certainty that they will not be seriously hindered should they propose to build one.

Meanwhile, the proposed emissions cap is something that sets an incredibly negative tone, a sentiment that is the most influential factor in ensuring funds flow. Finally, the Impact Assessment Act, often referred to as the “no more pipelines bill” (Bill C-69), has started to blur the lines between provincial and federal authority.

All three are supposedly on the table for tweaks or carve-outs. But that may not be enough.

It is interesting that Norway—a country that built its wealth on oil and natural gas—has adopted the mantra that as long as oil is a part of the global economy, it will be the last producer standing. It does so while marrying conventional energy with lower-carbon standards. We should be more like Norway.

Rather than constantly speaking down to the sector, the Canadian government should embrace the wealth that this represents and adopt a similar narrative.

The sector isn’t looking for handouts. Rather, it is looking for certainty, and a government proud of the work that they do and is willing to say so to Canada and the rest of the world. Foreign direct investment outflows have been a huge issue for Canada, and one of the bigger drags on our economy.

Almost all of the major project announcements Prime Minister Mark Carney has made to date have been about existing projects, often decades in the making, which are not really “additive” to the economy and are reflective of the regulatory overburden that industry faces en masse.

I have always said governments are about setting the rules of the game, while it is up to businesses to decide whether they wish to participate or to pick up the ball and look elsewhere.

Capital is mobile and will pursue the best risk-adjusted returns it can find. But the flow of capital from our country proves that Canada is viewed as just too risky for investors.

The government’s job is not to try to pick winners and losers. History has shown that governments are horrible at that. Rather, it should create a risk-appropriate environment with stable and capital-attractive rules in place, and then get out of the way and see where the chips fall.

Link to The Hub article: Large-scale energy investments remain a pipe dream

Formerly the head of institutional equity research at FirstEnergy Capital Corp and ATB Capital Markets. I have been involved in the energy sector in either the sell side or corporately for over 25 years

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I Was Hired To Root Out Bias At NIH. The Nation’s Health Research Agency Is Still Sick

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From the Daily Caller News Foundation

By Joe Duarte

Federal agencies like the National Institutes of Health (NIH) continue to fund invalid, ideologically driven “scientific” research that subsidizes leftist activists and harms conservatives and the American people at large. There’s currently no plan to stop.

Conversely, NIH does not fund obvious research topics that would help the American people, because of institutional leftist bias.

While serving as a senior advisor at NIH, I discovered many active grants like these:

“Examining Anti-Racist Healing in Nature to Protect Telomeres of Transitional Age BIPOC for Health Equity” — Take minority teens to parks in a bid to reduce telomere erosion (the shortening of repetitive DNA sequences as we age). $3.8 million in five years and no results published – not surprising, given their absurd premise.

“Ecological Momentary Assessment of Racial/Ethnic Microaggressions and Cannabis Use among Black Adults” – This rests on an invalid leftist ideological concept – “microaggressions.” An example of a “microaggression” is a white person denying he’s racist. They can’t be validly measured since they’re simply defined into existence by Orwellian leftist ideology, with no attempt to discover the alleged aggressor’s motives.

“Influence of Social Media, Social Networks, and Misinformation on Vaccine Acceptance Among Black and Latinx Individuals” — from an activist who said the phrase “The coronavirus is genetically engineered” was “misinformation” and also conducted a bizarre, partisan study based entirely on a Trump tweet about recovering from COVID.

The study claimed that people saw COVID as less “serious” after the tweet. I apologize for the flashback to when Democrats demanded everyone feel the exact level of COVID panic and anti-optimism they felt (and share their false beliefs on the efficacy of school closures, masks, and vaccines ). NIH funded this study and gave him another $651,586 in July for his new “misinformation” study, including $200,000 from the Office of the Director.

I’m a social psychologist who has focused on the harms of ideological bias in academic research. Our sensemaking institutions have been gashed by a cult political ideology that treats its conjectures and abstractions as descriptively true, without argument or even explanation, and enforces conformity with inhumane psychologizing and ostracism. This ideology – which dominates academia and NIH – poses an unprecedented threat to our connection to reality, and thus to science, by vaporizing the distinction between descriptive reality and ideological tenets.

In March, I emailed Jay Bhattacharya, Director of NIH, and pitched him on how I could build an objective framework to eliminate ideological bias in NIH-funded research.

Jay seemed to agree with my analysis. We spoke on the phone, and I started in May as a senior advisor to Jay in the Office of the Director (NIH-OD).

I never heard from Jay again beyond a couple of cursory replies.

For four months, I read tons of grants, passed a lengthy federal background check, started to build the pieces, and contacted Jay about once a week with questions, follow-up, and example grants. Dead air – he was ghosting me.

Jay also bizarrely deleted the last two months’ worth of my messages to him but kept the older ones. I’d sent him a two-page framework summary, asked if I should keep working on it, and also asked if I’d done something wrong, given his persistent lack of response. No response.

In September, the contractors working at NIH-OD, me included, were laid off. No explanation was given.

I have no idea what happened here. It’s been the strangest and most unprofessional experience of my career.

The result is that NIH is still funding ideological, scientifically invalid research and will continue to ignore major topics because of leftist bias. We have a precious opportunity for lasting reform, and that opportunity will be lost without a systematic approach to eliminating ideology in science.

What’s happened so far is that DOGE cut some grants earlier this year, after a search for DEI terms. It was a good first step but caught some false positives and missed most of the ideological research, including many grants premised on “microaggressions,” “systemic racism,” “intersectionality,” and other proprietary, question-begging leftist terms. Leftist academics are already adapting by changing their terminology – this meme is popular on Bluesky:

DOGE didn’t have the right search terms, and a systematic, objective anti-bias framework is necessary to do the job. It’s also more legally resilient and persuasive to reachable insiders — there’s no way to reform a huge bureaucracy without getting buy-in from some insiders (yes, you also have to fire some people). This mission requires empowered people at every funding agency who are thoroughly familiar with leftist ideology, can cleanly define “ideology,” and build robust frameworks to remove it from scientific research.

My framework identifies four areas of bias so far:

  1. Ideological research
  2. Rigged research
  3. Ideological denial of science / suppression of data
  4. Missing research – research that would happen if not for leftist bias

The missing research at NIH likely hurts the most — e.g. American men commit suicide at unusually high rates, especially white and American Indian men, yet NIH funds no research on this. But they do fund “Hypertension Self-management in Refugees Living in San Diego.”

Similarly, NIH is AWOL on the health benefits of religious observance and prayer, a promising area of research that Muslim countries are taking the lead on. These two gaping holes suggest that NIH is indifferent to the American people and even culturally and ideologically hostile them.

Joe Duarte grew up in small copper-mining towns in Southern Arizona, earned his PhD in social psychology, and focuses on political bias in media and academic research. You can find his work here, find him on X here, and contact him at gravity at protonmail.com.

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