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Health

Canadians face longest waits for health care on record

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From the Fraser Institute

By Bacchus Barua and Mackenzie Moir

Just when you thought Canadian health care had hit rock bottom, wait times in 2024 have hit an all-time high.

According to the latest version of our annual report published by the Fraser Institute, the median wait from referral by a family doctor to treatment (averaged across 10 provinces and 12 medical specialties including surgeries) is now 30 weeks—the longest wait in the report’s history and more than three times longer than the 9.3-week median wait in 1993.

Of course, wait times vary by province, and some provinces are worse than others. In New Brunswick and Prince Edward Island, the median wait is more than one year. And even in Ontario, which reported the shortest wait times in Canada this year, patients faced a 23.6-week wait, the longest in the province’s history.

In fact, compared to last year, wait times grew in every province (except Nova Scotia where patients still faced a median wait just shy of 40 weeks this year).

There’s also considerable variation in wait times depending on the type of care. For example, patients faced the longest waits for orthopedic surgeries (57.5 weeks) and neurosurgery (46.2 weeks) and shorter waits for chemotherapy (4.7 weeks), and radiological cancer treatments (4.5 weeks). In total, the study estimated that Canadian patients were waiting for more than 1.5 million procedures in 2024.

These waits for care are not benign inconveniences. Patients may experience physical pain, psychological distress and worsening physical condition while awaiting care. This year, the 15-week median wait for treatment after seeing a specialist was more than a month and a half longer than what physicians consider a reasonable wait (8.6 weeks). And this doesn’t even include the median 15-week wait to see a specialist in the first place.

Moreover, according to the Commonwealth Fund, a U.S.-based health-care research organization, among nine universal health-care systems worldwide, last year patients in Canada were the second-most likely to report waiting longer than one month for a specialist consultation, and the most likely to report waiting more than two months for surgery. In other words, although long wait times remain a staple of Canadian health care, they are not a necessary trade-off for having universal coverage.

And to be clear, wait times are only one manifestation of the strain on Canada’s health-care system. It’s now also normal to see emergency room closures, health-care worker burnout, and data suggesting millions of Canadians are without access to a regular health-care provider.

What’s the solution to Canada’s crippling health-care wait times?

There are many options for reform. But put simply, if policymakers in Canada want to reduce wait times for patients across the country, they should learn from better-performing universal health-care countries where patients receive more timely care. With wait times this year reaching an all-time high, relief can’t come soon enough.

Bacchus Barua

Director, Health Policy Studies, Fraser Institute

Mackenzie Moir

Senior Policy Analyst, Fraser Institute

 

Health

Canadians left with no choice but euthanasia when care is denied

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From LifeSiteNews

By Jonathon Van Maren

Once again, a government report affirmed what every Canadian should know by now: People are being killed by euthanasia because they cannot access the care they actually need and in some cases are denied that care.

The “choice” that is left to them is a lethal injection. Ontario’s Medical Assistance in Dying (MAiD) Death Review Committee’s (MDRC) latest report, “Evaluating Incurability, Irreversible Decline, and Reasonably Foreseeable Natural Death,” highlights this fact once again.

As Dr. Ramona Coelho, an advocate for people with disabilities and one of the most eloquent opponents of Canada’s MAiD regime highlighted in her analysis of the report, Health Canada dictates that a “person can only be considered incurable if there are no reasonable and effective treatments available (and) explicitly state that individuals cannot refuse all treatments to render themselves incurable, and thereby qualify for MAiD.”

However, the MDRC’s report cites cases that do not appear to qualify:

Consider Mrs. A: isolated, severely obese, depressed, and disconnected from care; she refused treatment and social support but requested MAiD. Instead of re-engaging her with care, MAiD clinicians deemed her incurable because she refused all investigations, and her life was ended.

Or Mr. B: a man with cerebral palsy in long-term care, he voluntarily stopped eating and drinking, leading to renal failure and dehydration. He was deemed eligible under Track 1 because his death was consequently considered “reasonably foreseeable.” No psychiatric expertise was consulted despite signs of psychosocial distress.

Or Mr. C: a man in his 70s with essential tremor, whose MAiD provider documented that his request was mainly driven by emotional suffering and bereavement.

In short, Coelho concludes, “Canada’s legal safeguards are failing. Federal guidelines are being ignored. The public deserves to know: Is Canada building a system that truly protects all Canadians – or one that expedites death for the vulnerable?” It has been clear what kind of system we have created for some time, which is why Canada is considered a cautionary tale even in the UK, where assisted suicide advocates violently and indignantly object to any comparisons of their proposed legislation and the Canadian regime.

The National Post also noted examples found in the MRDC’s report, noting that: “A severely obese woman in her 60s who sought euthanasia due to her ‘no longer having a will to live’ and a widower whose request to have his life ended was mainly driven by emotional distress and grief over his dead spouse are the latest cases to draw concerns that some doctors are taking an overly broad interpretation of the law.”

None of this seems to concern the federal government, much less law enforcement. Horror stories are simply not addressed, as if ignoring them means that they did not happen. Constant revelations of lawbreaking are met with silence. “A quarter of all Ontario MAiD providers may have violated the Criminal Code,” journalist Alexander Raikin warned last year in The Hub. “Does anyone care?” In fact, Ontario’s euthanasia regulators had tracked 428 cases of possible criminal violations – without a single criminal charge being laid.

“Canada’s leaders seem to regard MAiD from a strange, almost anthropological remove: as if the future of euthanasia is no more within their control than the laws of physics; as if continued expansion is not a reality the government is choosing so much as conceding,” Elaina Plott Calabro wrote in The Atlantic recently. “This is the story of an ideology in motion, of what happens when a nation enshrines a right before reckoning with the totality of its logic.”

There is an opportunity to stop the spread of Canada’s MAiD regime. MPs Tamara Jansen and Andrew Lawton are championing the “Right to Recover” Act, which would make it illegal to euthanize someone whose sole qualifying condition is mental illness. I urge each and every reader to get involved today.

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Jonathon’s writings have been translated into more than six languages and in addition to LifeSiteNews, has been published in the National PostNational ReviewFirst Things, The Federalist, The American Conservative, The Stream, the Jewish Independent, the Hamilton SpectatorReformed Perspective Magazine, and LifeNews, among others. He is a contributing editor to The European Conservative.

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Health-care costs for typical Canadian family will reach over $19,000 this year

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From the Fraser Institute

By Nadeem Esmail, Nathaniel Li and Milagros Palacios

A typical Canadian family of four will pay an estimated $19,060 for public health-care insurance this year, finds a new study released today by the Fraser Institute, an independent, non-partisan Canadian public policy think-tank.

“Canadians pay a substantial amount of money for health care through a variety of taxes—even if we don’t pay directly for medical services,” said Nadeem Esmail, director of health policy studies at the Fraser Institute and co-author of The Price of Public Health Care Insurance, 2025.

Most Canadians are unaware of the true cost of health care because they never see a bill for medical services, may only be aware of partial costs collected via employer health taxes and contributions (in provinces that impose them), and because general government revenue—not a dedicated tax—funds Canada’s public health-care system.

The study estimates that a typical Canadian family consisting of two parents and two children with an average household income of $188,691 will pay $19,060 for public health care this year. Couples without dependent children will pay an estimated $17,338. Single Canadians will pay $5,703 for health care insurance, and single parents with one child will pay $5,934.

Since 1997, the first year for which data is available, the cost of healthcare for the average Canadian family has increased substantially, and has risen more quickly than its income. In fact, the cost of public health care insurance for the average Canadian family increased 2.2 times as fast as the cost of food, 1.6 times as fast as the cost of housing, and 1.6 times as fast as the average income.

“Understanding how much Canadians actually pay for health care, and how much that amount has increased over time, is an important first step for taxpayers to assess the value and performance of the health-care system, and whether it’s financially sustainable,” Esmail said.

The Price of Public Health Care Insurance, 2025

  • Canadians often misunderstand the true cost of our public health care system. This occurs partly because Canadians do not incur direct expenses for their use of health care, and partly because Canadians cannot readily determine the value of their contribution to public health care insurance.
  • In 2025, preliminary estimates suggest the average payment for public health care insurance ranges from $5,213 to $19,060 for six common Canadian family types, depending on the type of family.
  • Between 1997 and 2025, the cost of public health care insurance for the average Canadian family increased 2.2 times as fast as the cost of food, 1.6 times as fast as the average income, and 1.6 times as fast as the cost of shelter. It also increased much more rapidly than the average cost of clothing, which has fallen in recent years.
  • The 10 percent of Canadian families with the lowest incomes will pay an average of about $702 for public health care insurance in 2025. The 10 percent of Canadian families who earn an average income of $88,725 will pay an average of $8,292 for public health care insurance, and the families among the top 10 percent of income earners in Canada will pay $58,853.
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