Connect with us

Business

Cutting Red Tape Could Help Solve Canada’s Doctor Crisis

Published

6 minute read

From the Frontier Centre for Public Policy

By Ian Madsen

Doctors waste millions of hours on useless admin. It’s enough to end Canada’s doctor shortage. Ian Madsen says slashing red tape, not just recruiting, is the fastest fix for the clogged system.

Doctors spend more time on paperwork than on patients and that’s fueling Canada’s health care wait lists

Canada doesn’t just lack doctors—it squanders the ones it has. Mountains of paperwork and pointless admin chew up tens of millions of physician hours every year, time that could erase the so-called shortage and slash wait lists if freed for patient care.

Recruiting more doctors helps, but the fastest cure for our sick system is cutting the bureaucracy that strangles the ones already here.

The Canadian Medical Association found that unnecessary non-patient work consumes millions of hours annually. That’s the equivalent of 50.5 million patient visits, enough to give every Canadian at least one appointment and likely erase the physician shortage. Meanwhile, the Canadian Institute for Health Information estimates more than six million Canadians don’t even have a family doctor. That’s roughly one in six of us.

And it’s not just patients who feel the shortage—doctors themselves are paying the price. Endless forms don’t just waste time; they drive doctors out of the profession. Burned out and frustrated, many cut their hours or leave entirely. And the foreign doctors that health authorities are trying to recruit? They might think twice once they discover how much time Canadian physicians spend on paperwork that adds nothing to patient care.

But freeing doctors from forms isn’t as simple as shredding them. Someone has to build systems that reduce, rather than add to, the workload. And that’s where things get tricky. Trimming red tape usually means more Information Technology (IT), and big software projects have a well-earned reputation for spiralling in cost.

Bent Flyvbjerg, the global guru of project disasters, and his colleagues examined more than 5,000 IT projects in a 2022 study. They found outcomes didn’t follow a neat bell curve but a “power-law” distribution, meaning costs don’t just rise steadily, they explode in a fat tail of nasty surprises as variables multiply.

Oxford University and McKinsey offered equally bleak news. Their joint study concluded: “On average, large IT projects run 45 per cent over budget and seven per cent over time while delivering 56 per cent less value than predicted.” If that sounds familiar, it should. Canada’s Phoenix federal payroll fiasco—the payroll software introduced by Ottawa that left tens of thousands of federal workers underpaid or unpaid—is a cautionary tale etched into the national memory.

The lesson isn’t to avoid technology, but to get it right. Canada can’t sidestep the digital route. The question is whether we adapt what others have built or design our own. One option is borrowing from the U.S. or U.K., where electronic health record (EHR) systems (the digital patient files used by doctors and hospitals) are already in place. Both countries have had headaches with their systems, thanks to legal and regulatory differences. But there are signs of progress.

The U.K. is experimenting with artificial intelligence to lighten the administrative load, and a joint U.K.-U.S. study gives a glimpse of what’s possible:

“… AI technologies such as Robotic Process Automation (RPA), predictive analytics, and Natural Language Processing (NLP) are transforming health care administration. RPA and AI-driven software applications are revolutionizing health care administration by automating routine tasks such as appointment scheduling, billing, and documentation. By handling repetitive, rule-based tasks with speed and accuracy, these technologies minimize errors, reduce administrative burden, and enhance overall operational efficiency.”

For patients, that could mean fewer missed referrals, faster follow-up calls and less time waiting for paperwork to clear before treatment. Still, even the best tools come with limits. Systems differ, and customization will drive up costs. But medicine is medicine, and AI tools can bridge more gaps than you might think.

Run the math. If each “freed” patient visit is worth just $20—a conservative figure for the value of a basic appointment—the payoff could hit $1 billion in a single year.

Updating costs would continue, but that’s still cheap compared to the human and financial toll of endless wait lists. Cost-sharing between provinces, Ottawa, municipalities and even doctors themselves could spread the risk. Competitive bidding, with honest budgets and realistic timelines, is non-negotiable if we want to dodge another Phoenix-sized fiasco.

The alternative—clinging to our current dysfunctional patchwork of physician information systems—isn’t really an option. It means more frustrated doctors walking away, fewer new ones coming in, and Canadians left to languish on wait lists that grow ever longer.

And that’s not health care—it’s managed decline.

Ian Madsen is a senior policy analyst at the Frontier Centre for Public Policy.

Todayville is a digital media and technology company. We profile unique stories and events in our community. Register and promote your community event for free.

Follow Author

Business

P.E.I. Moves to Open IRAC Files, Forcing Land Regulator to Publish Reports After The Bureau’s Investigation

Published on

Sam Cooper's avatar Sam Cooper

Following an exclusive report from The Bureau detailing transparency concerns at Prince Edward Island’s land regulator — and a migration of lawyers from firms that represented the Buddhist land-owning entities the regulator had already probed — the P.E.I. Legislature has passed a new law forcing the Island Regulatory and Appeals Commission (IRAC) to make its land-investigation reports public.

The bill — introduced by Green Party Leader Matt MacFarlane — passed unanimously on Wednesday, CTV News reported. It amends the Lands Protection Act to require IRAC to table final investigation reports and supporting documents in the Legislature within 15 days of completion.

MacFarlane told CTV the reform was necessary because “public trust … is at an all-time low in the system,” adding that “if Islanders can see that work is getting done, that the (LPA) is being properly administered and enforced, that will get some trust rebuilt in this body.”

The Bureau’s report last week underscored that concern, showing how lawyers from Cox & Palmer — the firm representing the Buddhist landholders — steadily moved into senior IRAC positions after the regulator quietly shut down its mandated probe into those same entities. The issue exploded this fall when a Legislative Committee subpoena confirmed that IRAC’s oft-cited 2016–2018 investigation had never produced a final report at all.

There have been reports, including from CBC, that the Buddhist landholders have ties to a Chinese Communist Party entity, which leaders from the group deny.

In the years following IRAC’s cancelled probe into the Buddhist landholders, The Bureau reported, Cox & Palmer’s general counsel and director of land joined IRAC, and the migration of senior former lawyers culminated this spring, with former premier Dennis King appointing his own chief of staff, longtime Cox & Palmer partner Pam Williams, as IRAC chair shortly after the province’s land minister ordered the regulator to reopen a probe into Buddhist landholdings.

The law firm did not respond to questions, while IRAC said it has strong measures in place to guard against any conflicted decision-making.

Reporting on the overall matter, The Bureau wrote that:

“The integrity of the institution has, in effect, become a test of public confidence — or increasingly, of public disbelief. When Minister of Housing, Land and Communities Steven Myers ordered IRAC in February 2025 to release the 2016–2018 report and reopen the investigation, the commission did not comply … Myers later resigned in October 2025. Days afterward, the Legislative Committee on Natural Resources subpoenaed IRAC to produce the report. The commission replied that no formal report had ever been prepared.”

The Bureau’s investigation also showed that the Buddhist entities under review control assets exceeding $480 million, and there is also a planned $185-million campus development in the Town of Three Rivers, citing concerns that such financial power, combined with a revolving door between key law firms, political offices and the regulator, risks undermining confidence in P.E.I.’s land-oversight regime.

Wednesday’s new law converts the expectation for transparency at IRAC, voiced loudly by numerous citizens in this small province of about 170,000, into a statutory obligation.

Housing, Land and Communities Minister Cory Deagle told CTV the government supported the bill: “We do have concerns about some aspects of it, but the main principles of what you’re trying to achieve are a good thing.”

The Bureau is a reader-supported publication.

To receive new posts and support my work, consider becoming a free or paid subscriber.

Continue Reading

Business

Mark Carney Seeks to Replace Fiscal Watchdog with Loyal Lapdog

Published on

The Opposition with Dan Knight

Dan Knight's avatar Dan Knight

After scathing warnings from interim budget officer Jason Jacques, Liberals move to silence dissent and install a compliant insider with “tact and discretion.”

It’s remarkable, isn’t it? After a decade of gaslighting Canadians about their so-called “fiscally responsible” governance, the Liberal Party, now under the direction of Mark Carney, finally runs into a problem they can’t spin: someone told the truth. Jason Jacques, the interim Parliamentary Budget Officer, was appointed for six months, six months. And within weeks, he did something this government considers a fireable offense: he read the books, looked at the numbers, and spoke plainly. That’s it. His crime? Honesty.

Here’s what he found. First, the deficit. Remember when Trudeau said “the budget will balance itself”? That myth has now mutated into a projected $68.5 billion deficit for 2025–26, up from $51.7 billion the year before. Jacques didn’t just disagree with it. He called it “stupefying,” “shocking,” and, this is the one they hate the most, “unsustainable.” Because if there’s one thing Ottawa elites can’t handle, it’s accountability from someone who doesn’t need a job after this.

But Jacques didn’t stop there. He pointed out that this government has no fiscal anchor. None. Not even a fake one. A fiscal anchor is a target, like a deficit limit or a falling debt-to-GDP ratio—basic stuff for any country pretending to manage its money. Jacques said the Liberals have abandoned even that pretense. In his words, there’s no clear framework. Just blind spending. No roadmap. No compass. No brakes.

And speaking of GDP, here’s the kicker: the debt-to-GDP ratio, which Trudeau once swore would always go down, is now heading up. Jacques projects it rising from 41.7% in 2024–25 to over 43% by 2030–31. And what happens when debt rises and growth slows? You pay more just to service the interest. That’s exactly what Jacques warned. He said the cost of carrying the debt is eating into core government operations. That means fewer services. Higher taxes. Slower growth. The burden gets passed to your children while Mark Carney gives another speech in Zurich about “inclusive capitalism.”

And let’s talk about definitions. Jacques flagged that the Liberals are now muddying the waters on what counts as operating spending versus capital spending. Why does that matter? Because if you redefine the terms, you can claim to be balancing the “operating budget” while secretly racking up long-term debt. It’s accounting gimmickry, a shell game with your tax dollars.

He also pointed to unaccounted spending, about $20 billion a year in campaign promises that haven’t even been formally costed yet. Add that to their multi-decade defense commitments, green subsidies, and inflated federal payroll, and you’re looking at an avalanche of unmodeled liabilities.

And just to make this circus complete, Jacques even criticized the way his own office was filled. The Prime Minister can handpick an interim PBO with zero parliamentary input. No transparency. No debate. Just a quiet appointment, until the appointee grows a spine and tells the public what’s really going on.

Now the Liberals are racing to replace Jacques. Why? Because he said all of this publicly. Because he didn’t play ball. Because his office dared to function as it was intended: independently. They’re looking for someone with “tact and discretion.” That’s what the job listing says. Not independence. Not integrity. Tact. Discretion. In other words: someone who’ll sit down, shut up, and nod politely while Carney and Champagne burn through another $100 billion pretending it’s “investment.”

Let’s be clear: this isn’t just about replacing a bureaucrat. It’s about neutering the last shred of fiscal oversight left in Ottawa. The Parliamentary Budget Officer is supposed to be a firewall between reckless political ambition and your wallet. But in Carney’s Canada, independence is an inconvenience. So now, instead of extending Jacques’ term, something that would preserve continuity and show respect for accountability, the Liberals are shopping for a compliant technocrat. Someone who won’t call a $68.5 billion deficit “stupefying.” Someone who’ll massage the numbers just enough to keep the illusion intact.

They don’t want an economist. They want a courtier. Someone with just enough credentials to fake credibility, and just enough cowardice to keep their mouth shut when the spending blows past every so-called “anchor” they once pretended to respect. That’s the game. Keep the optics clean. Keep the watchdog muzzled. And keep Canadians in the dark while this government drives the country off a fiscal cliff.

But let me say it plainly, thank god someone in this country still believes in accountability. Thank God Jason Jacques stepped into that office and had the guts to tell the truth, not just to Parliament, but to the Canadian people. And thank God Pierre Poilievre has the common sense, the spine, and the clarity to back him. While Mark Carney and his Laurentian elite pals are busy gutting oversight, rewriting the rules, and flooding the economy with borrowed billions, it’s men like Jacques who refuse to play along. He looked at the books and didn’t see “investment”—he saw a ticking fiscal time bomb. And instead of ducking, he sounded the alarm.

Poilievre, to his credit, is standing firmly behind the man. He understands that without a real watchdog, Parliament becomes a stage play, just actors and scripts, no substance. Backing Jacques isn’t just good politics. It’s basic sanity. It’s the minimum standard for anyone who still thinks this country should live within its means, tell the truth about its finances, and respect the people footing the bill.

So while the Liberals scramble to muzzle dissent and hire another smiling yes-man with a resume full of buzzwords and a Rolodex full of Davos invites, at least one opposition leader is saying: No. We need a watchdog, not a lapdog. And in a city full of spineless bureaucrats, that’s not just refreshing—it’s absolutely essential.

Subscribe to The Opposition with Dan Knight .

For the full experience, upgrade your subscription.

Continue Reading

Trending

X