Canada’s expensive health care system ranks lower than most developed countries: research

Despite spending more on health care than most other high-income countries with universal health insurance, Canada’s health care system Longest waiting timeA new Fraser Institute study has been discovered that lags behind medical technology due to the lack of doctor and hospital beds.

This study compares the cost and performance of healthcare systems in 28 high-income countries selected from the Organization for Economic Co-operation and Development (OECD) member countries.

“There is a clear imbalance between the high cost of Canada’s health care system and the value that Canadians receive in terms of resource availability and timely access to health care,” said Fraser Institute’s Healthcare. Bacchus Barua, head of policy research and co-author, said. Said in the news release of the report.

The authors investigated several key areas of the healthcare system in 28 countries, including cost, availability and use of resources, access to health care, clinical outcomes and quality. Two indicators were used to measure the level of health care costs, and 40 indicators were used to measure the performance of health care systems in each country.

Canada’s share of GDP (11.3%) is the second highest of 28 countries (adjusted for the population aged 65 and over), according to the latest OECD data for 2019. , Next to Switzerland. ..

Despite their high spending, the authors found that Canada’s availability and access to health resources was “generally poor” compared to other countries.

Of the 28 countries, Canada ranks 26th in terms of doctors, 24th in psychiatric beds, and 25th in terms of beds.

Canada also lags behind medical technology and equipment, ranking 21st in the number of magnetic resonance imaging (MRI) devices, with 10.5 MRI per million people. According to the survey, CT scanners rank 22nd out of 26 countries, 15.2 scanners per million people.

In terms of patient waiting time, this study ranked Canada last among the 10 equivalent universal health insurance countries. 38% of patients waited for specialist consultation within 4 weeks and 62% waited for elective surgery within 4 months.

Co-author Mackenzie More, a policy analyst at the Fraser Institute, said:

“To improve Canada’s health care system in the post-pandemic world, policy makers should learn from other successful universal health insurance countries for the benefit of Canadians and their families.”

Another report released in September by the US-based Commonwealth Fund reached similar conclusions.

This report analyzes the performance of healthcare systems in 11 high-income countries by analyzing 71 performance indicators across five key domains: access to care, care processes, management efficiency, equity, and health care outcomes. I compared.

It showed that Canada’s healthcare system has the second lowest performance score in terms of impartiality, after the United States, compared to other countries. The United States is ranked last overall, while Canada, France and Switzerland are ranked 8th to 10th, primarily in terms of health care performance.

Overall, the best performing countries are Norway, the Netherlands and Australia.

Andrew Chen


Andrew Chen is a Toronto-based Epoch Times reporter.

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