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Fraser Institute

Ottawa’s health-care deal cements failed status quo in Canada

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From the Fraser Institute

By Mackenzie Moir and Jake Fuss

Canada will reach a projected $244.1 billion in 2023, which translates to $6,205 per person—nearly double the level of per-person spending (inflation-adjusted) three decades ago. And yet, last year Canadians endured the longest median wait time (27.7 weeks) ever recorded for non-emergency surgery.

Last week, as part of Ottawa’s promised $46 billion in additional health-care spending, the Trudeau government agreed to increase Quebec’s share of federal health-care dollars by $900 million annually. Quebec was the last province to reach an agreement with Ottawa before the March 31 deadline. With the closure of this agreement, Canadian taxpayers are on the hook for more health-care spending than ever before. For the same old broken health-care system.

Of course, it ultimately doesn’t matter whether the $46 billion originates from Ottawa or the provinces. In the end, Canadian taxpayers foot the bill. And what do we get in return for our health-care dollars?

In 2021, the latest year of comparable data, Canada’s total health-care spending (as a percentage of the economy) was the highest among 29 other comparable countries with universal health care (after adjusting for differences in population age). This isn’t a new development. Canada has a long history of having one of most expensive systems among high-income universal health-care countries.

Despite this, according to the latest comparable data, Canada ranks among the poorest performing universal health-care countries in key areas such as the number of physicians, hospital beds and diagnostic technology (e.g. MRI machines). Further, according to the Commonwealth Fund, in 2020 Canada ranked dead last on timely access to specialist consultations and non-emergency surgery.

Meanwhile, public health-care spending in Canada will reach a projected $244.1 billion in 2023, which translates to $6,205 per person—nearly double the level of per-person spending (inflation-adjusted) three decades ago. And yet, last year Canadians endured the longest median wait time (27.7 weeks) ever recorded for non-emergency surgery.

In short, Canada’s health-care system is in shambles, but the answer does not lie in simply throwing more money in its general direction. Federal politicians should instead look to the example of welfare reform during the Chrétien era in the 1990s. Those reforms, which reduced federal transfers to provinces and eliminated most of the “strings” attached to federal funding, resulted in increased provincial autonomy, greater policy experimentation, fewer Canadians needing welfare and savings for the federal government (i.e. taxpayers).

This is the opposite of today’s approach to health care, where the existing vehicle for federal funding (the Canada Health Transfer) is connected to the Canada Health Act (CHA), which prevents provincial governments from innovating and experimenting in health care by threatening financial penalties for non-compliance with often vaguely defined federal preferences. The result is a stalemate that satisfies no one and ensures that Canada’s policies remain at odds with the policies of our better-performing universal health-care peers.

While new federal dollars for health care are undoubtedly appealing to premiers, they will not improve the state of health care for Canadians. Until our federal politicians have the courage to reform the CHA and follow the example of 1990s welfare reform to improve outcomes, our health-care system’s unacceptable status quo will continue.

Business

Brutal economic numbers need more course corrections from Ottawa

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From the Fraser Institute

By Matthew Lau

Canada’s lagging productivity growth has been widely discussed, especially after Bank of Canada senior deputy governor Carolyn Rogers last year declared it “an emergency” and said “it’s time to break the glass.” The federal Liberal government, now entering its eleventh year in office, admitted in its recent budget that “productivity remains weak, limiting wage gains for workers.”

Numerous recent reports show just how weak Canada’s productivity has been. A recent study published by the Fraser Institute shows that since 2001, labour productivity has increased only 16.5 per cent in Canada vs. 54.7 per cent in the United States, with our underperformance especially notable after 2017. Weak business investment is a primary reason for Canada’s continued poor economic outcomes.

A recent McKinsey study provides worrying details about how the productivity crisis pervades almost all sectors of the economy. Relative to the U.S., our labour productivity underperforms in: mining, quarrying, and oil and gas extraction; construction; manufacturing; transportation and warehousing; retail trade; professional, scientific, and technical services; real estate and rental leasing; wholesale trade; finance and insurance; information and cultural industries; accommodation and food services; utilities; arts, entertainment and recreation; and administrative and support, waste management and remediation services.

Canada has relatively higher labour productivity in just one area: agriculture, forestry, fishing and hunting. To make matters worse, in most areas where Canada’s labour productivity is less than American, McKinsey found we had fallen further behind from 2014 to 2023. In addition to doing poorly, Canada is trending in the wrong direction.

Broadening the comparison to include other OECD countries does not make the picture any rosier—Canada “is growing more slowly and from a lower base,” as McKinsey put it. This underperformance relative to other countries shows Canada’s economic productivity crisis is not the result of external factors but homemade.

The federal Liberals have done little to reverse our relative decline. The Carney government’s proposed increased spending on artificial intelligence (AI) may or may not help. But its first budget missed a clear opportunity to implement tax reform and cuts. As analyses from the Fraser InstituteUniversity of CalgaryC.D. Howe InstituteTD Economics and others have argued, fixing Canada’s uncompetitive tax regime would help lift productivity.

Regulatory expansion has also driven Canada’s relative economic decline but the federal budget did not reduce the red tape burden. Instead, the Carney government empowered cabinet to decide which large natural resource and infrastructure projects are in the “national interest”—meaning that instead of predictable transparent rules, businesses must answer to the whims of politicians.

The government has also left in place many of its Trudeau-era environmental regulations, which have helped push pipeline investors away for years. It is encouraging that a new “memorandum of understanding” between Ottawa and Alberta may pave the way for a new oil pipeline. A memorandum of undertaking would have been better.

Although the government paused its phased-in ban on conventionally-powered vehicle sales in the face of heavy tariff-related headwinds to Canada’s automobile sector, it still insists that all new light-duty vehicle sales by 2035 must be electric. Liberal MPs on the House of Commons Industry Committee recently voted against a Conservative motion calling for repeal of the EV mandate. Meanwhile, Canadian consumers are voting with their wallets. In September, only 10.2 per cent of new motor vehicle sales were “zero-emission,” an ominous18.2 per cent decline from last year.

If the Carney government continues down its current path, it will only make productivity and consumer welfare worse. It should change course to reverse Canada’s economic underperformance and help give living standards a much-needed boost.

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Fraser Institute

Claims about ‘unmarked graves’ don’t withstand scrutiny

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From the Fraser Institute

By Tom Flanagan

The new book Dead Wrong: How Canada Got the Residential School Story So Wrong is a follow-up to Grave Error, published by True North in 2023. Grave Error instantly became a best-seller. People wanted to read the book because it contained well-documented information not readily available elsewhere concerning the history of Canada’s Indian Residential Schools (IRS) and the facts surrounding recent claims about “unmarked graves.”

Why another book? Because the struggle for accurate information continues. Let me share with you a little of what’s in Dead Wrong.

Outrageously, the New York Times, one of the world’s most prestigious newspapers, has never retracted its absurd headline that “mass graves” were uncovered in Kamloops, British Columbia. Jonathan Kay, the North American editor of Quillette, exposes that scandal.

The legacy media were enthused about the so-called documentary Sugarcane, a feature-length film sponsored by National Geographic, which was nominated for an Academy Award. The only reporter to spot the dozens of factual errors in Sugarcane was independent journalist Michelle Stirling; Dead Wrong includes her analysis “The Bitter Roots of Sugarcane.”

In the spring of 2024, the small city of Quesnel, B.C., made national news when the mayor’s wife bought 10 copies of Grave Error for distribution to friends. After noisy protests held by people who had never read the book, Quesnel city council voted to censure Mayor Ron Paull and tried to force him from office. It’s all described in Dead Wrong.

Also not to be forgotten is how the Law Society of B.C. forced upon its members training materials asserting against all evidence that children’s remains have been discovered in Kamloops. As told by James Pew, B.C. MLA Dallas Brodie was expelled from the Conservative caucus for daring to point out the emperor’s lack of clothing.

Then there’s the story of Jim McMurtry, suspended by the Abbotsford District School Board shortly after the 2021 Kamloops announcement about “unmarked graves.” McMurtry’s offence was to tell students the truth that, while some Indigenous students did die in residential schools, the main cause was tuberculosis. His own book The Scarlet Lesson is excerpted here.

Historian Ian Gentles and former IRS teacher Pim Wiebel offer a richly detailed analysis of health and medical conditions in the schools. They show that these were much better than what prevailed in the Indian reserves from which most students came.

Another important contribution to understanding the medical issues is by Dr. Eric Schloss, narrating the history of the Charles Camsell Indian Hospital in Edmonton. IRS facilities usually included small clinics, but students with serious problems were often transferred to Indian Hospitals for more intensive care. Schloss, who worked in the Camsell, describes how it delivered state-of-the-art medicine, probably better than the care available to most children anywhere in Canada at the time.

Rodney Clifton’s contribution, “They would call me a ‘Denier,’” describes his experiences working in two IRS in the 1960s. Clifton does not tell stories of hunger, brutal punishment and suppression of Indigenous culture, but of games, laughter and trying to learn native languages from his Indian and Inuit charges.

Toronto lawyer and historian Greg Piasetzki explains how “Canada Wanted to Close All Residential Schools in the 1940s. Here’s why it couldn’t.” For many Indian parents, particularly single parents and/or those with large numbers of children, the IRS were the best deal available. And they offered paid employment to large numbers of Indians as cooks, janitors, farmers, health-care workers, and even teachers and principals.

Finally, Frances Widdowson analyzes the charge of residential school “denialism” used by true believers in the Kamloops narrative to shut down criticism or questions. Winnipeg Centre MP Leah Gazan in 2022 persuaded the House of Commons to give unanimous consent to a resolution on residential school genocide: “That, in the opinion of the House this government must recognize what happened in Canada’s Indian residential schools as genocide.”

In 2024, Gazan took the next step by introducing a private member’s bill to criminalize dissent about the IRS system. The bill failed to pass, but Gazan reintroduced it in 2025. Had these provisions been in force back in 2021, it might well have become a crime to point out that the Kamloops ground-penetrating radar (GPR) survey had identified soil anomalies, not buried bodies.

While the wheels of legislation and litigation grind and spin, those who wish to limit open discussion of residential schools attack truth-tellers as “denialists,” a term drawn from earlier debates about the Holocaust. As the proponents of the Kamloops narrative fail to provide convincing hard evidence for it, they hope to mobilize the authority of the state to stamp out dissent. One of the main goals of publishing Dead Wrong is to head off this drive toward authoritarianism.

Happily, Dead Wrong, like Grave Error, has already become an Amazon best-seller. The struggle for truth continues.

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