“In Canada waiting times have reached an all-time high, with a median delay of half a year between referral and treatment”.

  ...The Economist (January 21^st)

The Premiers met with Justin in February to discuss Medicare. It appears as if nothing is going to be done to fix the issues.  The meeting proved they have no idea what is wrong with it. Their resolution was more money.  This helps but the issue is the management. Demand persistently outstrips supply in our health system and will increase for about 15 years while the largest demographic shift takes place.  The problem is as much systemic as it is money.

We need more trained professionals at every level of the medical system.  There has been an acute shortage of staff for years. Over the next 4 years many professionals will quit, retire, or move to another country where they are welcomed. This will persist until we allow more medical professionals to enter the system.  The only ‘expertise’ that seems to be growing is a bureaucracy with a horrible track record.  These people only want two things; create lots of useless paperwork (ask your doctor, if you have one) and more money to build a bigger bureaucracy. 

There are two simple changes that will result in instant benefits. The first is we must make it easier for medical professionals trained outside of Canada to enter our system. The second is to add seats at our universities and tech schools.  By the governments inaction it means there will be no new seats in September.  This staffing shortage is set to last until 2028 at the earliest, assuming more seats are available in 18 months time.

There are plenty of changes Trudeau could be making. One is to lower the size of the government. It is over-governing and wasting a fortune in the process. Most national governments have fewer than 15 departments/ministries and things get done in a reasonable time. We have 39 and many are overlapping. Trudeau likes to hand out these positions to make each of his puppets feel important.  This gives them courage to build a huge set of unproductive laws that hurt the consumer.

Trudeau has increased the number of federal employees by 30%, to 336,000, since he became PM. The average salary is $74k. This does not include benefits or the use of consultants. Provinces have followed Ottawa in this wasteful spending.  Cutting at least half of the government across Canada will save billions that can be used to repair the military, the education and medical system combined.  Using the federal government as an example,  slashing 25% of the employees will save at least $6.2b every year. But of course, there is zero leadership with common sense to do so. 

Sadly, we suggest everyone build up a medical savings account for private treatments available out of country at a fraction of the cost here.  Many are already going to Mexico and Eastern Europe for treatment.  Notice not one of our political leaders talk about this? 

They simply do not care.