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Targeted Pharmacare Reforms Could Deliver Access Without a $40 Billion Price Tag

Thursday, September 18th, 2025

With 97 percent of Canadians already having access to some form of drug coverage, a new Conference Report by the C.D. Howe Institute finds that a fiscally responsible approach to universal pharmacare should focus on closing gaps in prescription drug coverage rather than replacing plans with a single-payer system.

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Immigration Policy Still in Need of a Course Correction

Tuesday, September 16th, 2025

Immigration policy should raise average human capital, rather than focusing narrowly on filling short-term labour market gaps… or meeting non-economic objectives… Policy should also be transparent, predictable, and oriented toward long-term prosperity, ensuring that economic immigrants have strong skills, earnings potential, and integration prospects.

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Why the Capital Gains Tax Increase Should Not See the Light of Day

Thursday, June 5th, 2025

The planned measure to increase the capital gains inclusion rate… would create a triple threat: harming Canadian businesses, discouraging investment, and penalizing middle-income Canadians…  – Canada’s capital stock would decline by $127 billion, GDP would fall by nearly $90 billion, and real per-capita GDP would drop by 3 percent. Further, employment would decline by 414,000 jobs, which would raise unemployment from 1.5 million to 1.9 million workers.

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Job Creation Falls Behind Rapid Population Growth

Thursday, June 5th, 2025

Canada’s labour market faces mounting pressures that cannot be fixed merely by adding more workers…  “We cannot afford to leave talent on the sidelines – whether it’s older workers retiring too soon or immigrants struggling to use their skills,”… the country’s most acute demographic challenges [include] rapidly aging populations, lower workforce participation among seniors, high unemployment, and labour mismatches compounding regional disparities… “If we don’t act now, these gaps will only widen.”

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The Nurse Practitioner Answer to the Primary Care Crisis

Sunday, October 27th, 2024

Another factor [to explain Canadians’ seemingly sudden disenchantment with their healthcare system]may be the reluctance of provincial governments to undertake major institutional reforms. Since the 1990s, when serious budget deficits necessitated action, most provinces have been reluctant to provoke opposition from powerful interest groups, in particular physicians’ associations… As a result of this opposition, some NPs are underemployed in rural and remote communities or underutilized in urban hospitals…

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There are Better Ways to Spend $3 Billion on Seniors than Boosting OAS

Monday, October 7th, 2024

If $3 billion per year were spent on seniors, where would it be best spent: Income security, supports, services or residential and nursing care?  And if income security turns out to be the answer to that question, then why via OAS, which is paid to 7 million Canadian seniors? Should it not instead be the Guaranteed Income Supplement (GIS), which is targeted towards to Canada’s 2.2 million lowest income seniors almost all of whom really do struggle to make ends meet?

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Fully Indexing Ontario Social Assistance is Long Overdue

Monday, October 7th, 2024

October 1 was the six-year anniversary of the last inflation adjustment for Ontario’s social assistance payments. Their real value has steadily eroded ever since, made worse by inflation’s recent return… The lack of indexation of Ontario social assistance benefit levels has eroded the value of these benefits significantly and contributed to rising homelessness, hunger, and demand for social and health services. It is time to introduce a more economically efficient and fairer way of adjusting these benefits on a regular basis.

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Addressing the Crisis in Access to Primary to Primary Care: A Targeted Approach

Sunday, September 29th, 2024

… a major cause for the dysfunction is the reluctance of provincial governments to undertake institutional reforms, for fear of provoking interest groups – particularly physicians’ organizations. The provinces have not made major changes to their health delivery systems since forced to do so by the deficit crises of the 1990s… The author recommends… an aggressive increase in the number of nurse practitioners working in community primary care, usually in multi-discipline clinics; and… rostering patients and expanding capitation in multi-discipline clinics.

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The Doctor Dilemma: Improving Primary Care Access in Canada

Monday, May 27th, 2024

Addressing the primary care access gap involves five strategies… : 1) expanding the number of training positions and filling the unfilled residency spots with international medical graduates; 2) reducing the administrative burden for family physicians; 3) providing alternate payment models; 4) expanding the scope of practice of other primary care providers; and 5) expanding team-based models of care.

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Seniors’ Care Surge will require Smart Policies

Tuesday, April 9th, 2024

Among the key recommendations: (i) provinces should invest in public home and community care while also considering mechanisms to expand the private provision of these services; (ii) Ontario and other provinces should consider providing a refundable tax credit for senior renters to access retirement homes and supportive services and; (iii) current capacity and fiscal constraints mean that expanding both publicly and privately funded options will be necessary. 

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