True Patriot Love - Why Canada's Healthcare Costs Are Exploding

00:00:00.000 Hello, everyone. I'm here today with Mike, Mike Wixson, and I watched his show with Nadeem Ismail, and I called him and I said, we have to do a follow-up show.

00:00:25.180 And the reason is, I listened to them and I said, man, I need to get on and share some facts and some numbers to really talk through this issue.

00:00:35.200 This is a hot button, and I dealt with it when I did my annual budget shows, and I really touched the surface of it.

00:00:43.620 I didn't go into it very deep. And, you know, it's one of those, healthcare is one of those segments where the numbers are increasing so rapidly that you really want to dig into and ask why.

00:00:56.340 So, thanks, Mike. I'm glad you came aboard for another show.

00:00:59.800 Well, thanks for watching the original one. You know, it's interesting because Nadeem did a great job.

00:01:04.040 That report really is, it's very straightforward, as he pointed out to me. It's meant to show us how much we spend per person in Canada on healthcare, on average.

00:01:15.360 And then, really, that was it. And, you know, what we pay for and how it's paid for and where this money comes from.

00:01:23.060 But what it didn't do is really take the deep dive that you and I started talking about that I think is worth sharing.

00:01:28.940 Yeah, and he did a great job. And I think what he looked at, he looked at public expenditures.

00:01:34.020 So, now, this is the interesting part of this discussion, which I get all fired up about, is we have public and private expenditures.

00:01:41.520 So, all of us know, you know, we go to the dentist, we pay for it ourself, or our benefit plan from our company pays for it.

00:01:47.020 So, those are called private. When we go to the hospital, that's public, right?

00:01:51.300 So, you know, he shared a number with us, and it's a public number. So, that $241 billion in public expenditures is one number.

00:02:02.580 But that's not the total expenditure. So, and I wanted to jump on and talk to you about it.

00:02:07.960 The total expenditure for 2024 is $372 billion.

00:02:16.120 That's a remarkable number.

00:02:17.420 Yeah, it's actually an earthquaking, shattering number when you think about it.

00:02:21.720 You think about the total government expenditures for 2024 were $500 billion.

00:02:27.180 And then when you add up all our private and public healthcare expenditures, both provincially and federally,

00:02:34.260 because federally only makes the transfer payments from the feds for healthcare is only $62 billion.

00:02:39.480 Right, okay.

00:02:40.440 So, then you add all the provinces in.

00:02:42.040 I have to put in their chip in their amount.

00:02:43.800 Yeah, and then you add all our private expenditures, and you have $372 billion.

00:02:51.420 So, now it's an interesting game, right, healthcare, because we don't see it as Canadians.

00:02:56.300 You know, we, and it's funny, growing up, and I was lucky enough to, like I mentioned in previous shows,

00:03:01.940 I'm lucky enough to have worked in the U.S. and had healthcare benefits in the U.S.,

00:03:07.060 and I'm lucky enough to have worked in Canada and grew up in Canada, and I am Canadian,

00:03:11.980 have, you know, participated in the healthcare system here.

00:03:15.200 So, you know, we, as Canadians, say I get free healthcare.

00:03:19.580 Well, you don't get free healthcare, right?

00:03:22.080 It's a misnomer, that's for sure.

00:03:24.120 Yeah.

00:03:24.720 Add up all the things you pay into as a Canadian.

00:03:27.360 Your income tax, your EI, your CPP, your HST, your excise tax, provincial.

00:03:34.880 Any revenues that the government collects goes into a big pot, a general fund, right?

00:03:39.220 And then they distribute it, whether it be on the provincial or federal level, into programs.

00:03:43.780 So, that money's...

00:03:45.240 You're paying for it from every direction.

00:03:47.660 Exactly.

00:03:48.360 So, you're paying for it.

00:03:49.920 So, the number works out not to be 5,000 per person, right, and per capita.

00:03:56.160 Now, here's the other interesting part with Nadeem's, you know, the numbers he shared with us.

00:04:00.840 He's giving us the number across the whole population.

00:04:06.140 So, he's saying, you know, 38 million people.

00:04:10.460 You know, he divides the total expenditures, 241 billion.

00:04:15.180 He comes up with a number of roughly $5,000, and he says, that's what we pay for public health care.

00:04:21.380 Right.

00:04:21.620 Right.

00:04:22.040 Which, he's right.

00:04:22.980 You know, I see.

00:04:23.900 But then I'm saying, no, no, that's not totally, you know, it's not the whole picture.

00:04:28.220 The whole picture, if you add in the private health care, you take out kids. 0.98

00:04:33.820 Right.

00:04:34.040 You take out unemployment, you know, people who are unemployed.

00:04:38.740 You take out the welfare.

00:04:40.220 You kind of take all those people out of your system.

00:04:42.440 You only have 30 million people.

00:04:43.880 So, now, that number's growing radically larger, right?

00:04:49.420 So, and you're surpassing $10,000 a person.

00:04:53.180 That's a good point.

00:04:53.800 We talked about the average per person, but not the average per earning Canadian.

00:04:59.640 Yeah, we foot the bill.

00:05:00.700 Yeah.

00:05:00.960 You and I foot the bill.

00:05:02.120 We're working.

00:05:02.800 We pay.

00:05:03.200 I wonder what that number is.

00:05:04.840 Yeah.

00:05:05.020 It must be north of $30,000 per capita for working individuals.

00:05:11.280 Because if you think, or more, because we are covering, let's say, our dad and our mom.

00:05:16.660 Yeah.

00:05:16.880 Who are seniors and three kids, potentially, that are not earning.

00:05:20.560 It's just that middle group of people that are actually paying for the health care system.

00:05:25.260 Yes.

00:05:25.440 For people that are employed currently.

00:05:26.920 Yeah.

00:05:27.280 So, you know, when we look at the public expenditure, it's around $5,000.

00:05:30.880 When we take out all those people, like you said, who aren't participating in the payment of it, you're probably, you know, you're around $12,000, $13,000 a person.

00:05:39.480 So, then multiply that by four.

00:05:41.340 Family of four, you're about $50,000 a year.

00:05:44.200 That's a remarkable number.

00:05:45.580 Yeah.

00:05:45.980 And, yeah, no, we did not extrapolate that, actually, in that discussion.

00:05:49.700 No.

00:05:50.060 It's an interesting point.

00:05:51.200 Yeah.

00:05:51.560 And it gets, so, you know, we throw around a lot of numbers.

00:05:54.440 But for this discussion, let's do it this way.

00:05:56.760 So, apples to apples, so we don't kind of confuse the audience.

00:06:01.180 Let's just look at the total population.

00:06:04.620 Right?

00:06:05.120 So, if we look at the total population, that'll give us a better feel.

00:06:08.380 But I just wanted to kind of lay out for people that, you know.

00:06:10.940 And that worked out to about $19,000?

00:06:13.500 No, no.

00:06:13.840 It worked out to about $9,000.

00:06:15.040 Sorry, $9,000.

00:06:15.720 $9,000.

00:06:16.340 It worked out to about $9,000.

00:06:17.980 So, at the end of the day, if you take the $372 billion, you divide that over the full population, it works around $9,000 a person.

00:06:27.840 Yeah.

00:06:28.280 Right?

00:06:28.820 So, you know, family of four, right?

00:06:31.380 You're talking $36,000, $40,000.

00:06:33.800 Yeah, it's a big nut.

00:06:34.720 And that is the standard metric against which we're going to compare, I think, in this example.

00:06:40.640 Yeah, I think so.

00:06:42.060 So, you know, and then, you know, I wanted to, you know, Nick threw up a chart and I wanted to actually just point to it.

00:06:49.760 You know, if you look at this, and this is another, this is a crazy stat.

00:06:53.820 So, you look at our healthcare expenditures since 1975, right?

00:07:00.900 So, and we watch them go up.

00:07:02.740 So, this is, and you see now us hitting the $372 billion mark.

00:07:08.280 And you think to yourself, wow, are we ever accelerating at a rapid pace?

00:07:12.260 And we're not the only ones, quite frankly.

00:07:14.480 The U.S., when you look at the, when you look at the mirror graph in the U.S. right now, the U.S. is actually accelerating at this pace.

00:07:21.480 So, we've come out of, you know, our COVID times, and we just kept growing rapidly.

00:07:26.320 Like a lot of things, we never went down, right?

00:07:28.520 Right.

00:07:28.840 We just took off and we keep growing.

00:07:31.000 So...

00:07:31.240 Well, I've often said this about how we operate at the government level, is you can't unring a bell.

00:07:37.060 Yeah.

00:07:37.260 So, you know, COVID came, so, yeah, we can't go back.

00:07:40.720 I mean, there's the spending.

00:07:42.080 But the other thing is, you take a look at that graph, and yeah, there's a, you can see the growth of our country alongside that.

00:07:48.960 Yeah.

00:07:49.140 But then you can also see this enormous jump in the last two, three years, and even the forecast goes beyond that.

00:07:58.800 That, what do we attribute that to?

00:08:00.640 It must be more people taxing the system in our country. 0.65

00:08:04.820 Part of it is, but it doesn't correlate.

00:08:07.600 So, which you're going to talk about in a minute, it doesn't, you know, it'd be great if it actually correlated directly with the number of people entering the country, but it doesn't, right?

00:08:15.740 Like a lot of things we do, we just seem to have stepped up the pace of our expenditures, thinking, you know, that if we spent more money, our healthcare system would get better.

00:08:27.920 Right.

00:08:28.140 You know, the indicators would get better.

00:08:29.960 And I think, quite frankly, we did that during COVID, and we kept going.

00:08:32.860 Yeah.

00:08:33.200 And, you know, the cries for more hospitals, more beds, more physicians, all that stuff keep coming, and the expenditures keep coming.

00:08:41.680 But, you know, we're going to do some comparisons in a minute.

00:08:43.820 But, you know, that leads us to a bunch of other assumptions, you know, where do we sit, how do we perform all those good things?

00:08:50.940 Yeah.

00:08:51.060 You would assume that, you know, as we make comparisons against other countries, we're going to, we're going to find ourselves, you know, in a category among others that are in a similar situation for wait times and stress and struggles in the system.

00:09:05.720 Well, but, you know, so let's talk about it.

00:09:08.500 We have an aging population, right? 0.99

00:09:10.220 So that is one of the indicators that is a challenge right now.

00:09:12.960 So we're burning the system a little harder with the, you know, more aging people, more health issues, more everything else.

00:09:19.620 Our immigration policies, quite frankly, have burdened our system.

00:09:22.960 You know, you and I talked about before the show, you know, more people enter the country.

00:09:26.800 Great.

00:09:27.280 They bring their families.

00:09:28.860 Okay.

00:09:29.360 Okay.

00:09:29.660 Now we have some other issues, right?

00:09:31.220 Well, one of the big issues that I think about, and, you know, I say this off the top of my head and based on anecdotal experience of my own, which is, you know, there are a number of people that have entered our country that are not healthy. 0.99

00:09:44.620 Yes.

00:09:44.860 You know, they're not screened for cancer or genetic disease or even, you know, advanced conditions of any kind.

00:09:53.560 And then they're brought in.

00:09:55.360 And some of those are very expensive cases that we need to bring back to health.

00:10:00.360 Yeah, of course.

00:10:01.720 You know, we decided that immigration was a key priority in the country.

00:10:06.560 Okay.

00:10:06.940 We moved a bunch of people who currently used to do that, screen people, test, make sure people didn't have issues coming into the country and basically said, go over and just get people in the country.

00:10:19.300 We forgot to do that.

00:10:20.960 We had those policies in place, by the way.

00:10:22.960 We did.

00:10:23.380 We did after the war, after World War I, II.

00:10:25.900 We had all those policies in place, right?

00:10:28.780 And we just forgot.

00:10:31.280 Yeah.

00:10:31.880 We just waived them because we felt it was more important to move people into the country. 0.98

00:10:36.240 I can't help but think that that does clog the system when...

00:10:40.100 Sure.

00:10:40.360 Have you given blood lately?

00:10:41.720 It's very difficult to even get clinical time to give blood or get an ultrasound or anything.

00:10:47.220 It's bizarre.

00:10:47.920 And the number of people, I don't know if you're sitting, when you're sitting in your local life labs or wherever you're going, I don't know if you've noticed when you're talking to the people there, you know, they're there every day.

00:11:00.460 So, like, when I'm talking to people and I'm sitting there, you know, how are you?

00:11:03.580 Good, good.

00:11:04.500 How long do you think it'll take?

00:11:05.680 Well, you know, yesterday it took me.

00:11:07.400 And I'm like, well, yesterday...

00:11:08.560 What were you doing here yesterday?

00:11:09.380 What were you doing yesterday, right?

00:11:10.540 You know, so they have illnesses that require them to be monitoring themselves and more and more, which you never used to.

00:11:18.340 I'll be truthful.

00:11:19.100 You used to go give blood, quite frankly.

00:11:21.040 You'd walk in.

00:11:21.960 This was, you know, a couple decades ago.

00:11:24.160 You'd walk in, go right up, give blood.

00:11:26.300 You never really got to chat with anyone because it was so fast.

00:11:29.020 You'd be leaving.

00:11:30.740 And, you know, if you went the second time, quite frankly, you'd never see the person you saw yesterday.

00:11:36.420 Paul, it's wild.

00:11:37.060 But when I was a kid, if the doctor needed blood from you, they took it.

00:11:42.000 They took it there.

00:11:43.620 Anyway, these were different times.

00:11:45.840 But, no, I think that when you have so many people arriving with serious illnesses and a responsibility to care for these people, that I think is going to have an impact.

00:11:56.600 Alongside, yes, we did not unring this bell from COVID.

00:11:59.900 We have an aging population.

00:12:01.920 Yep.

00:12:02.400 Our GDP is, and I'm sure you'll address this, our GDP is going the other way.

00:12:07.160 Yeah.

00:12:07.480 Well, it's interesting, too.

00:12:08.680 You know, for those people who say, well, I paid into the health care system, right?

00:12:13.160 Just so we're all, like, fully aware, the money you pay through those avenues I talked about, through income tax, EI, CPP, all those things you paid into, don't even come close to covering your health care.

00:12:27.380 Right?

00:12:27.860 So, like, I get it.

00:12:29.740 You know, you paid money into it.

00:12:30.960 I appreciate that.

00:12:31.820 I'm very appreciative that everyone did who worked, right?

00:12:34.960 But right now, the actual cost, that $372 billion, is way over what you would have paid into it or contributed.

00:12:45.280 That's wild.

00:12:45.920 Yeah.

00:12:46.080 So it has to come from someplace.

00:12:49.700 And this is with...

00:12:50.300 Well, it's our deficits, honestly.

00:12:51.680 Part of our deficits, you know, this is part of the reason we're, you know, we're going to be doing a show on the, with the budget officer, you know, talking about his report.

00:13:00.740 And quite frankly, you know, this is the reason we're talking about 60, 70, you know, if we add in military $100 billion deficits, right?

00:13:10.720 You know?

00:13:11.540 It seems almost an impossibility to rein it in.

00:13:16.300 And yet, other countries with similar GDP are managing it.

00:13:21.860 Well, they are.

00:13:22.920 But, you know, before we get there, I want to just do a quick thing.

00:13:25.440 Yeah.

00:13:25.580 I want to go through what this number is broken down by.

00:13:29.180 Yeah, please.

00:13:29.600 So, Nick, if you go to the next slide, the next slide actually just shows us, which is a really good slide, and it's kind of a scary slide.

00:13:38.560 And it's what we were talking about a minute ago.

00:13:41.020 It talks, it shows you basically that our healthcare is projecting to keep scaling.

00:13:46.200 So you can see the 2020 jump, you know, so we jumped up, you know, 12% of GDP.

00:13:52.380 And then you can see we're going back and it's starting to ramp up again.

00:13:55.940 And so, and now, to your point, Mike, is GDP potentially may go down, right?

00:14:01.500 So if the tariff predictions and everything going on and the Kuzma negotiations don't go well, and we see a little bit of depressed times, recession, we're going to see a little bit of flattening of our GDP.

00:14:15.840 But we're seeing an escalation in our healthcare expenses.

00:14:19.420 And so that means that our healthcare grows, the ability to pay for it shrinks.

00:14:24.120 Yes, well, we just pull more debt.

00:14:27.000 Yeah, we just pull more debt.

00:14:28.340 So, Nick, you want to go to the next one?

00:14:30.600 Okay, so this one, so this one is by category, right?

00:14:33.540 So this is, this is kind of one of my, interesting when I went into it.

00:14:38.360 So, you know, 100%, of course, we're dealing with percentages here.

00:14:43.980 25% of that $372 billion, right, goes to hospitals.

00:14:49.580 So it makes sense, you know, we put, we put into our healthcare system, a quarter of it goes to build our beds, hospitals, whatever.

00:14:56.980 That's equipment, everything in, operations, maintenance, overhead.

00:15:00.400 Exactly.

00:15:00.960 Land, lease, everything.

00:15:01.860 Yeah.

00:15:02.520 Drugs, this one was shocking because I couldn't figure this out in my mind.

00:15:05.960 We're 13.7% for drugs, which I thought we were the land of generic drugs, but it doesn't appear we are.

00:15:13.900 Well, I looked at this.

00:15:15.040 We're at almost the same number as comparable countries that don't have generic brands.

00:15:21.500 So how is that possible?

00:15:23.360 Well, apparently we've created new brands.

00:15:25.820 So when I looked into this, we've created a whole subset of new brands, which we say are better, more improved.

00:15:31.960 Yeah.

00:15:32.180 But we charge the same as.

00:15:34.760 Oh, I see.

00:15:36.000 So yeah, the generic, it's generic plus the plus.

00:15:39.020 Yeah.

00:15:39.460 So it's better.

00:15:40.460 It's the new improved diabetes drug.

00:15:42.540 It's a new improved, but our cost per dosage is basically the same as a non-generic drug.

00:15:49.920 Gotcha.

00:15:50.200 So we've kind of.

00:15:51.120 So we take the generic drug and we enhance it, therefore making it a more expensive or comparable.

00:15:56.300 Exactly.

00:15:56.900 I see.

00:15:57.240 So we've done a good job of keeping that.

00:15:59.480 Other institutions.

00:16:01.440 So that's, you know, other medical offices, therapy, whatever.

00:16:06.720 And then physicians.

00:16:09.520 So physicians make up 13.3%.

00:16:13.140 So, you know, hopefully down the road and we, you know, a lot of these stats, which I'm very thankful that the Canadian Institute of Healthcare, you know, provided, which is great.

00:16:24.260 We pulled a lot of these data from them.

00:16:26.340 They do an amazing job at creating the stats that tell us about our healthcare system.

00:16:31.880 And the Fraser Institute guys, of course, their report was amazing.

00:16:35.600 So thank you for that, guys.

00:16:37.580 And we really appreciate the numbers and sharing them with us.

00:16:41.960 You know, physicians, it's interesting.

00:16:44.460 And there are some reports, which we're going to do on future shows, which rank ourself, the number of physicians per province and the number of physicians in Canada ranking or verse other countries.

00:17:00.000 So we'll do another show and we're going to go through that.

00:17:03.100 Yeah.

00:17:03.300 Hospital beds, number of physicians, all that good stuff.

00:17:06.360 Or a diagnostic on what we're looking at.

00:17:08.300 Because I take a look at these numbers, Paul, and it's interesting, but I look at hospitals, 25%.

00:17:14.300 Physicians and other professionals come in at about 24%.

00:17:19.520 Yes.

00:17:20.020 So hospitals and people are the two major expenses here.

00:17:25.760 Oh, yeah.

00:17:26.060 You know, public health, a little shocking to me that it's only 6.1%.

00:17:32.700 But then again, what does public health actually do except for create awareness and, I guess, during a time of COVID, make sure that we're vaccinated and informed.

00:17:43.040 Yeah.

00:17:43.060 It's the administration that gets us, you know.

00:17:45.660 We have almost 10% administration cost built into our system, right?

00:17:50.180 What is capital?

00:17:52.140 Capital is money required to build facilities, buy equipment, all that good stuff.

00:17:58.640 So add that to hospitals, institutions, and we come in closer to, you know, almost 30%.

00:18:06.060 Yeah, a little higher.

00:18:08.040 Actually, you know, it's almost 40%.

00:18:10.480 Yeah.

00:18:11.440 Yeah.

00:18:12.060 Which, you know, doesn't...

00:18:14.020 Oh, sorry.

00:18:14.520 Yeah.

00:18:14.760 Actually, add to it other institutions and you're almost 40%.

00:18:17.980 Yeah.

00:18:18.340 Doesn't shock me at all.

00:18:20.200 But, you know, per capita, that's where it gets scary.

00:18:23.880 All right.

00:18:25.300 So now, right, we look at where are we in comparison to other countries?

00:18:33.040 So not shocking that the U.S. is higher than us.

00:18:37.500 I think that's what we all thought.

00:18:39.120 Not radically higher, but higher.

00:18:41.980 And if you look at this, now this is broken down by public versus private spending.

00:18:48.560 So, of course, you know, you can see it's almost 50-50 in the U.S.

00:18:53.660 So in the U.S., you have your public expenditures, which, you know, mostly for people who need social assistance, people who need some help with their health care.

00:19:02.580 And then you have people who buy their own plans, the HMOs, their own private health care plans, their insurance, all that good stuff, right?

00:19:09.960 So it's a 50-50.

00:19:11.460 You see, in Canada, it's broken down 71 to 29.

00:19:16.200 So basically, we're still mostly public health care, right?

00:19:20.800 We're subsidized.

00:19:21.940 It comes through.

00:19:22.660 We pay through our taxes, all that good stuff.

00:19:24.780 And then, quite frankly, 29% is our other incidentals, dental, other therapies, things like that, right?

00:19:32.460 So and then now it's Australia, which I wanted to point out today.

00:19:36.960 So Australia is 73% and 27.

00:19:41.160 So Australia has kind of taken a little different approach, and they've tried to go off, and they've tried to tinker with their health care system to improve it.

00:19:51.620 They've made a bigger jump than us.

00:19:53.500 And I think, Mike, you know, let's talk about that for a minute.

00:19:56.660 Well, it's interesting because, you know, we take a look.

00:19:58.700 And this is, like I say, just discussion between you and I, and you're better with the numbers than I'll ever be.

00:20:05.500 But I look at 47-53 on the U.S. side of things, and then I see Canada at 30%.

00:20:12.100 And the chart's interesting because that bar is not 30% of that bar, okay?

00:20:16.340 So if we're at 30-70, we're really not that far off, you know, 50-50, truthfully.

00:20:23.680 I mean, we're 20% more per capita, and we're almost in the same boat.

00:20:30.180 And then you take a look at Australia, that it's almost a carbon copy.

00:20:34.080 But I think, Paul, the real issue there becomes, okay, the money is the money is.

00:20:40.280 The stats are the stats are.

00:20:41.860 Yeah.

00:20:42.400 But the end product, I think, is really what's a startling revelation through all of this.

00:20:47.420 We spend not a huge amount more than America.

00:20:51.440 We're almost the same as Australia.

00:20:52.960 The level of service is startlingly different.

00:20:58.480 I'll give you some examples.

00:21:00.260 Wait lists in Australia, 39% will wait for one month to see a specialist.

00:21:06.460 In Canada, 61% of patients wait one month to three months to get a specialist.

00:21:12.840 Elective surgery delays, easy for me to say.

00:21:16.500 Canada, 20% of patients wait more than a year for elective surgery.

00:21:19.800 In Australia, 12% have a wait that is longer than six months.

00:21:26.380 Wow.

00:21:26.440 Timely primary care access.

00:21:29.160 Canada, only 43% can get same day or next day a GP appointment in Australia.

00:21:33.480 72% can get a same day appointment.

00:21:36.900 In the emergency departments.

00:21:38.600 So we do.

00:21:39.000 We do.

00:21:39.580 So take me through that again, because that's very interesting.

00:21:42.700 I want to see my GP.

00:21:44.200 Yep.

00:21:44.600 In Canada, 43% can get the next day.

00:21:49.000 So 57% can't.

00:21:50.460 Right.

00:21:51.040 Right.

00:21:51.340 And in Australia, three quarters can.

00:21:55.060 In Australia, 12% will only wait.

00:21:59.580 Where am I?

00:22:00.900 This was on just primary care.

00:22:03.320 Yeah.

00:22:03.600 72% will get the same day.

00:22:05.780 Yeah.

00:22:06.760 Okay.

00:22:07.720 You know.

00:22:08.440 Which is one of the most annoying things for me.

00:22:10.640 I don't know about you, but, you know, I call and I had my son recently had an issue,

00:22:15.080 you know, and I called up and, you know, yeah, next week.

00:22:18.660 And I'm like, next week?

00:22:19.920 No, but he's ill now.

00:22:21.300 Yeah.

00:22:21.660 By the time next.

00:22:22.420 So by the time next week came around.

00:22:24.180 And the funny thing is, so now I'm going through it.

00:22:26.700 By next week, he's feeling better.

00:22:29.500 So we go.

00:22:30.580 Yeah.

00:22:31.080 Right.

00:22:31.320 He says, well, you better see a specialist because he had it last week, but we don't

00:22:35.040 really know what it was because you weren't here last week.

00:22:37.600 So now I get this call, you know, today, you know, we have a specialist appointment.

00:22:44.040 I'm like, what the hell?

00:22:45.000 I'm sorry.

00:22:45.340 What was that for again?

00:22:46.400 He's running around playing the guitar, having fun.

00:22:49.420 And now you want me to go all the way downtown to go to a specialist a week after he had

00:22:56.600 the symptoms, which I don't see anymore.

00:22:58.980 Wait and see medicine, Paul.

00:23:00.640 You know, hopefully he makes it till his appointment or he'll be better and you'll cancel.

00:23:05.260 Yeah.

00:23:05.420 Uh, but no, you're right.

00:23:07.220 We, we, we were in that scenario and like, let's go back elective surgery.

00:23:11.700 That's one thing.

00:23:13.980 Actual surgery.

00:23:14.980 The numbers are also the same.

00:23:16.920 You know, if you can't get primary care and triage a problem, you might be leaving cancer in

00:23:24.100 somebody that's going to kill them or at least tax our system a heck of a lot more and the 0.98

00:23:29.320 human involved. 0.93

00:23:30.480 Um, we're going that we're going through that with a colleague right now.

00:23:33.920 Right.

00:23:34.680 Yeah.

00:23:35.120 Yeah.

00:23:35.800 Very scary stuff.

00:23:37.000 Very scary.

00:23:38.280 Because yeah, you think to yourself, somebody needs to deal with this today.

00:23:42.020 Yeah.

00:23:42.580 This person's suffering today.

00:23:43.760 And he's, he's up for treatment in February.

00:23:46.620 And he's been going at it since the summer, summer, summer.

00:23:50.840 So he's going to be, he's not quite a year.

00:23:53.340 He's almost three quarters of a year before he'll have a life saving treatment.

00:23:58.840 Right.

00:23:59.460 Yeah.

00:24:00.240 That's incredible.

00:24:01.840 This will make you crazy, Paul.

00:24:04.040 Emergency department waits.

00:24:06.440 29% of patients report, uh, uh, waits of four hours in Australia.

00:24:12.480 18% report waits longer than one hour.

00:24:16.460 Yeah.

00:24:17.040 Okay.

00:24:17.520 So let me go on a side bender for a minute.

00:24:21.440 Can someone fly over to Australia and find out what they're doing differently?

00:24:25.840 Like, seriously, it must be, I mean, there can't be, there could be a small team of people.

00:24:31.860 You know what?

00:24:32.180 Go to the races, go to the beach, have some fun, maybe, you know, have a few drinks, you

00:24:36.880 know, go see a couple of kangaroos, uh, get the Tasmanian devil.

00:24:40.480 Get over to Tasmania.

00:24:41.640 Get Tasmania.

00:24:42.620 So go do that.

00:24:44.060 You know, I don't mind, you know, take some, some taxpayer dollars, have some fun too,

00:24:47.900 but please go see and find out what they're doing.

00:24:52.780 Honestly, uh, we kind of made fun.

00:24:54.780 I don't know.

00:24:55.200 And I shouldn't say this and I don't mean this in a, in a bad way, but you know, for

00:24:59.180 years, Australia was kind of a little bit of a, you know, we joked around about Australia

00:25:04.360 and how Australia was a little backward.

00:25:06.520 You know, we all watch, uh, you know, uh, what's his Dundee?

00:25:11.080 Oh yeah.

00:25:11.460 Crocodile Dundee.

00:25:13.000 That's a knife. 0.82

00:25:13.620 That was the worst Australian accent ever. 1.00

00:25:15.280 My apologies.

00:25:15.900 We always watch, you know, we watch Crocodile Dundee movies with, oh man, they're backwards.

00:25:20.480 You know, they, they, you know, they go into the outback and look at how backwards they 1.00

00:25:23.940 are with a knife.

00:25:24.800 Yeah.

00:25:24.980 Shades with a knife.

00:25:25.760 Right.

00:25:26.100 You know, well, heck they have a better hospital system than us.

00:25:29.560 So sorry about the stereotyping Australia, but yet earned it.

00:25:32.820 Yeah.

00:25:33.940 Uh, this, uh, this one really is shocking.

00:25:37.380 Yeah.

00:25:37.780 Paul in Australia, 45% of people carry private hospital, uh, coverage, giving them faster access

00:25:43.800 to specialists and surgery.

00:25:45.140 We don't have that in Canada.

00:25:46.680 This is a major, major difference.

00:25:49.160 And that model that we need to go investigate there, I think is this hybrid model where you

00:25:54.440 can upgrade yourself.

00:25:56.000 Even if I'll give you an example, our friend that we want faster treatment for.

00:26:00.680 Right.

00:26:01.480 I will stop at the bank.

00:26:02.940 I know you will too.

00:26:04.000 Oh yeah.

00:26:04.200 We chip in.

00:26:05.220 Yeah. 0.94

00:26:05.500 What the heck?

00:26:06.180 It's not an option for us. 0.78

00:26:07.780 No, no, we don't.

00:26:08.920 We'd have to send him abroad.

00:26:10.260 Yeah.

00:26:10.520 Right.

00:26:11.060 I mean, he'd be heading to Europe or the U S to get the treatment faster.

00:26:14.400 Yeah.

00:26:14.740 Yeah.

00:26:15.280 So, I mean that, I think, you know, the numbers say that we are on par with some other Commonwealth

00:26:21.240 countries.

00:26:21.820 Well, yeah, it does really.

00:26:24.460 So like, you know, if, uh, and let's go to the next slide, Nick.

00:26:30.800 So here's our healthcare spending with other countries.

00:26:34.560 So the U S of course, right. 0.55

00:26:36.160 And this is, uh, per capita numbers.

00:26:39.160 Now, remember this is 2022.

00:26:41.900 So the, the U S per capita spend $15,113, right?

00:26:47.960 That's them covered for health. 1.00

00:26:49.740 Yes.

00:26:50.200 Okay.

00:26:50.640 Uh, private and public, right?

00:26:52.060 We just broke down seven grand more than what we're paying.

00:26:54.320 So, you know, that, you know, that market, we just saw that graph that showed, they basically

00:26:57.740 go 50, 50 private and public.

00:26:59.540 Right.

00:27:00.420 So they're getting, uh, 15,113.

00:27:03.520 Now, when I looked into this is very interesting, which I mentioned earlier, I, and I've got to

00:27:09.780 find out the reason for this on another show.

00:27:12.700 This was not the case.

00:27:14.480 So prior to COVID, this number was half almost.

00:27:19.460 Oh, really?

00:27:20.380 Yeah.

00:27:20.740 So this number has since COVID, this number has skyrocketed.

00:27:25.180 So they're still paying for COVID for the infrastructure that was built in El Rapido.

00:27:29.260 So whatever happened here, uh, literally has jettisoned them into a huge cost increase

00:27:34.700 on healthcare, which they must be screaming about, quite frankly.

00:27:38.080 So Germany, of course, 10,131.

00:27:42.700 The Netherlands, uh, pretty much where we are, 8,631.

00:27:47.420 Uh, Sweden, 8,314 and France, which is 8,212.

00:27:54.760 And then we're 8,109, right?

00:27:58.020 So we're a, we're roughly the same.

00:28:00.120 We're in the same neighborhood as France and Australia.

00:28:02.880 Yes.

00:28:03.160 And New Zealand.

00:28:04.600 Yeah.

00:28:04.900 Now this is 2022.

00:28:06.840 We've increased.

00:28:07.920 So we're now 9,000.

00:28:09.020 So we went up.

00:28:09.980 So not only did the U S go up, we went up another thousand dollars by the time we went

00:28:14.640 to 24, right?

00:28:16.940 So, cause the only comparative numbers, that's a pretty, that's a pretty heavy increase.

00:28:21.580 Oh, it is.

00:28:22.060 You figure, uh, over, over the scan of the first, the first graph.

00:28:25.560 Yeah.

00:28:25.880 Yeah.

00:28:26.160 One eighth bit compared to the first graph that we saw from 1975 to now.

00:28:29.680 And by the way, yeah.

00:28:30.920 If you get lost in the slides that we're talking about, cause you're listening, go ahead,

00:28:34.200 go to, uh, tplmedia.ca.

00:28:37.300 Yeah.

00:28:37.540 And, uh, you, you can download the, uh, the PowerPoint that Paul made here.

00:28:40.960 It's very handy.

00:28:41.480 Now the average, actually, it's interesting, the UK, which is roughly 7,600, 958, the average

00:28:48.600 for developed countries is only 6,300 bucks.

00:28:52.580 So we're, we're well above the average, especially when we come into 2024, um, which is, you know,

00:28:59.220 it just gives you a feel, you know, cause people always ask, where are we?

00:29:02.560 Well, you're not getting your healthcare for free, right?

00:29:06.160 You're paying a significant amount and you're paying, uh, at the top, we're in the top six

00:29:11.680 big spenders for healthcare in the world right now in the developed world.

00:29:14.980 I was going to say, these are all well-developed countries that were compared to, and there

00:29:18.880 are other countries that have healthcare systems at work.

00:29:21.140 Yeah.

00:29:21.560 Oh yeah.

00:29:21.860 I'm sure.

00:29:22.240 Well, look at, you know, even comparison ones, like Nadim brought it up, Germany, the Netherlands,

00:29:27.200 Sweden.

00:29:27.440 And when you go to there, you're not going to find some of the critical issues we have

00:29:30.860 broken in our system right now.

00:29:32.580 Yeah.

00:29:33.300 And, and, and that's why back to your point, let's go discover what model is actually reasonable

00:29:39.880 for us to work with.

00:29:41.080 Yeah.

00:29:41.500 It doesn't seem, uh, you know, again, uh, what's the outbreak outbreak, uh, analysis.

00:29:48.780 Yeah.

00:29:49.000 Let's go take a look at why this system is broken and then go fix it.

00:29:53.760 And yeah, it seems, you know what?

00:29:55.900 You just touched on something, outbreak analysis, stand by for a series on outbreak analysis

00:30:02.000 on TPL media, because if you don't know what this theory is, you need to understand it.

00:30:07.460 It's, it's really the basis on which we need to take a look at almost every problem in this

00:30:11.620 country.

00:30:12.140 Yeah.

00:30:12.560 Especially government problems like healthcare, right?

00:30:14.620 Yeah, definitely.

00:30:15.520 For sure.

00:30:16.600 All right.

00:30:16.980 So Nick, go to the, I think there's another slide.

00:30:20.860 So, um, so this is the percentage of our GDP.

00:30:25.740 GDP.

00:30:26.080 We spend?

00:30:26.680 Yeah.

00:30:27.020 Okay.

00:30:27.440 So now again, 2022.

00:30:29.700 So remember this is going up in our case, but we've launched, uh, in this case, we've

00:30:34.080 launched from number six in the developed world to number five.

00:30:38.440 So we outspent, we kind of hopped ahead of a few other ones that fell down, like the

00:30:42.820 Netherlands and, uh, Sweden, um, don't spend as much per GDP as we do.

00:30:48.680 Their GDPs are better comparatively and they don't spend as much.

00:30:52.100 So, uh, or populations are lower.

00:30:54.540 So when you look at us, we're now, uh, at 11.2%, the U S being the highest at 16.5.

00:31:02.780 So, you know, the, the chart clearly shows that something in the U S isn't working.

00:31:06.840 Um, but Canada is, isn't far behind.

00:31:09.500 Right.

00:31:09.860 Because we're escalating at a rapid rate with a GDP that's struggling and, you know,

00:31:14.520 and we're not getting meta.

00:31:15.860 We're not getting, once again, we're not getting medical attention.

00:31:18.740 No, no, we're not getting quality of care, but we're also, uh, taking more money, throwing

00:31:24.960 it at the problem and not getting the results.

00:31:27.020 Right.

00:31:27.760 And as our GDP struggles, you know, the U S the, I think I've done it on previous shows,

00:31:32.640 the U S clobbers us with GDP growth.

00:31:35.600 Like we are not even close to the U S we're like half of their GDP growth.

00:31:39.660 So they actually have the room to adjust within their GDP.

00:31:43.720 Yes.

00:31:44.120 That insane number, which I think once again, has more to do with paying the price, the,

00:31:50.580 the previous price on, on COVID spending in the U S that they're still, they're still

00:31:54.560 paying for that.

00:31:55.580 Yeah.

00:31:55.880 They never, it's one of those things, a lot of things in our life, you know, whether

00:31:58.940 it be groceries, uh, building materials, we hit COVID, they went up, they never came

00:32:04.440 down.

00:32:04.660 Well, they bought a lot of stuff during COVID that you can't return.

00:32:08.160 Yeah.

00:32:08.600 So I think, you know, what, what they had to do as, as part of their outbreak response,

00:32:13.600 they felt was spend enormous amounts of money.

00:32:17.640 Um, a lot of which would just go to the dump.

00:32:20.220 Yes.

00:32:20.980 Exactly.

00:32:21.260 And that, the bill for that, I think is still reflected and maybe still being, being

00:32:24.460 reflected in all of these countries.

00:32:26.960 Cause the whole world experienced this, this was a shared experience.

00:32:30.520 Oh yeah.

00:32:31.060 So, you know, I think maybe those numbers come down, but once again, we never unring the

00:32:36.240 bell financially.

00:32:37.060 We never go backward and say, Hey, look, we can spend less.

00:32:40.780 Well, but we have, you know, but can we, I guess that's what we're kind of coming up

00:32:45.520 against now.

00:32:46.200 That's our whole, uh, uh, economic outlook that we're going to be going through in the

00:32:51.340 next few months.

00:32:52.260 Can we, can we, where does it, where does it, where does the rubber hit the road and

00:32:56.520 where do we have to make some of those tough decisions and say, these things can't keep

00:33:00.480 going up.

00:33:00.900 We got to cut them.

00:33:01.760 Or do we have to put user fees?

00:33:03.760 You know, quite frankly, and I, you know, I know the bunch of, uh, baby boomers are 1.00

00:33:08.060 going to be like, ah, you know, like they're going to be screaming at the generation under 0.99

00:33:11.400 that says, yeah, let me, let me pay for what I need.

00:33:14.760 You cannot provide it to me.

00:33:16.260 Yeah.

00:33:16.740 That's the, I think that that is, we just recently heard Paul, almost 1 million Canadians

00:33:22.860 walked out of the emergency room before getting triage care.

00:33:27.440 Right.

00:33:28.060 Okay.

00:33:28.580 So, uh, it's just terrible stat, right?

00:33:30.920 But if you're going to use the emergency room now, should there be a user fee before you

00:33:35.840 get in the, I'll tell you what, yeah, if I can get into the next hour for sure, I'll

00:33:39.420 pay.

00:33:39.860 Yeah.

00:33:40.220 I think that's a sentiment.

00:33:41.400 A lot of people have.

00:33:42.340 Yeah.

00:33:42.700 Should there be a blood user fee to get blood, you know, to get your blood tested?

00:33:47.280 Should it be a user fee?

00:33:48.260 Again, should it all be free?

00:33:50.060 Should we start to, you know, at least can we have an option?

00:33:52.560 And like Australia does, they have a private opt-in option.

00:33:56.440 Like let's give commerce a chance in this regard.

00:33:59.260 A lot of great clinics around the world are private.

00:34:02.140 Yes.

00:34:02.780 Yeah.

00:34:03.260 No, I agree.

00:34:04.020 I agree.

00:34:05.140 Nick, do you want to go to the next slide?

00:34:07.020 So, you know, it's interesting because the, uh, Canadian Institute of Health, you know,

00:34:13.520 great group.

00:34:14.180 They actually came up with some key findings and I, I really wanted to go through them

00:34:18.220 with you today because I think it's really important, um, you know, to, to highlight

00:34:24.580 them and then talk about, you know, some of the other challenges we're going through.

00:34:29.840 So we've already talked about, you know, uh, Canada is expected, you know, we're going

00:34:35.040 to have 372 billion in 2024.

00:34:38.800 And we did, um, it's anticipated that health expenditures will represent 12.4 of our GDP.

00:34:46.740 Yeah.

00:34:47.420 Right.

00:34:47.720 We did that.

00:34:48.380 Right.

00:34:49.340 Um, healthcare spending in Canada is expected to increase by 5.7 in 24 and rise 4.5, uh,

00:34:57.380 rise, uh, after a rise of 4.5 in 23 and 1.7 in 22.

00:35:02.380 Wow.

00:35:03.380 Oh my God.

00:35:04.480 So again, we keep rising, rising, rising.

00:35:07.560 We're not leveling off.

00:35:08.880 Right.

00:35:09.380 And I think that's very important, uh, that that's, let's, let's, let's take a look at

00:35:14.220 that from 22 to 24, that's incredible.

00:35:20.520 That's, uh, we're looking at a 12% increase.

00:35:23.980 Yes.

00:35:24.980 That's in two years.

00:35:26.980 Yes.

00:35:27.980 That's remarkable.

00:35:30.480 Yeah.

00:35:31.480 You know, is your, is your income going up by, no, that's my first thought was I can't

00:35:37.380 afford groceries.

00:35:38.100 I can't afford healthcare to be more expensive.

00:35:40.180 Exactly.

00:35:41.180 So the other two are very similar.

00:35:43.680 So it's our private healthcare is going up.

00:35:46.380 So we see a 6% increase in 23 and 6.1 in 24.

00:35:50.580 Our hospital expenditures are increasing by 6.3 in 23 and 6.1 in 24.

00:35:57.200 Physician expenditures are projected to increase by 7.5 and 4.4 in 24.

00:36:03.280 Drug expenditures are projected to increase by 5.6 in 23 and 3.8 in 24.

00:36:09.200 So all these things are going up 23, 24, they're going up in 25, right?

00:36:13.860 So we just keep going up, you know, the numbers we're getting, we're, we're seeing from, you

00:36:19.120 know, last year's numbers, of course, and the year before, but when we get to the 25 numbers,

00:36:23.580 we're going to see similar increases.

00:36:25.100 Okay.

00:36:25.420 So let me see if I understand this right.

00:36:26.820 Yep.

00:36:27.820 The biggest issue in this healthcare thing financially is that we're making no more,

00:36:35.540 in some cases, less money per capita, but our healthcare continues to soar, which we cannot

00:36:41.460 pay for because we don't have the income to do it at the federal level or the provincial

00:36:47.540 level.

00:36:47.960 And so we just keep transferring payments to the provinces that just keeps hitting the

00:36:52.340 bottom line and our deficit increases.

00:36:55.420 Yes.

00:36:55.940 So we don't keep, and we keep yelling about poor service.

00:36:58.940 And we have terrible service.

00:36:59.980 Yeah.

00:37:01.460 On top of it.

00:37:02.360 Something needs done.

00:37:03.720 Yeah.

00:37:04.120 It needs reconfigured.

00:37:05.500 Like it really, you know, it's time and, you know, and I think it, I mean, that's an

00:37:09.140 easy thing to say.

00:37:10.320 It needs something needs done and it, but it is an easy thing to say, but has anyone ever

00:37:14.400 told us this story?

00:37:16.080 It's a pretty wild story.

00:37:17.500 I mean, just a couple of points to that have stuck out in my mind.

00:37:20.720 We have generic drugs that our pharmaceuticals are incredible.

00:37:24.300 Yes.

00:37:24.700 We have one of the highest rates of spending in the, uh, developed world, in the developed

00:37:30.000 world on, on healthcare.

00:37:31.380 Yep.

00:37:31.780 And yet we can't use it, uh, efficiently.

00:37:35.460 No.

00:37:35.980 And we don't have an end in spending or increase on spending in sight in any manner.

00:37:42.780 Nobody has their eyes on how do we level this out?

00:37:46.700 How do we bring this closer to our GDP, uh, ratios?

00:37:51.780 Yeah.

00:37:52.000 And it should be fixed.

00:37:54.320 Honestly, it should be, you know, we should be tailoring it to our GDP.

00:37:57.700 There should be a common in, you know, rational increase every year based on GDP growth.

00:38:03.840 Yeah.

00:38:04.040 And we should level back, right?

00:38:05.920 Level back, level out.

00:38:07.880 But, you know, and, and this is the crazy part, Mike, when, when you go through, um, take a look

00:38:14.040 at the next slide, Nick, for a minute.

00:38:17.260 So, you know, we came up with a, you know, and everyone's well aware that we came up with a bunch

00:38:22.660 of programs, right?

00:38:23.740 Whether it be, uh, Medicaid, so prescriptions, you know, we've got dental now.

00:38:28.240 We have dental.

00:38:29.420 They're all good pro, uh, programs.

00:38:31.540 They're all good policies.

00:38:32.640 No, they are important.

00:38:33.980 We can't afford them.

00:38:35.340 Right.

00:38:36.060 Right.

00:38:36.460 So just, you know, basic math.

00:38:40.400 It was vote buying, actually.

00:38:41.980 It was vote buying.

00:38:42.840 It was great, you know, and we sat there and we said, you know, we're gonna remember, I don't

00:38:46.500 know if you guys remember, but, you know, there are several federal sessions where, you know,

00:38:50.980 in order to avoid, uh, non-confidence, there was monies given by the government to create

00:38:57.640 programs going, whether they be dental care programs.

00:39:00.380 And, you know, they stood up and said, we got dental care for all the people who can't

00:39:03.400 afford dental care.

00:39:04.260 And we got, okay, where did we concede?

00:39:08.640 Yeah.

00:39:09.380 We didn't concede anything.

00:39:11.000 Right.

00:39:11.560 And now in the end, we pay for it again.

00:39:13.800 Like, don't be, don't be, don't be fooled.

00:39:17.280 The majority of Canadians are going to pay heavily.

00:39:20.440 Yes.

00:39:20.980 For that, those, those.

00:39:22.600 Oh, we are now.

00:39:23.380 We are now.

00:39:24.280 They're in.

00:39:24.460 Look at, look at the increase.

00:39:25.620 It's already there.

00:39:26.540 Yeah.

00:39:27.200 You know, uh, and of course, you know, we continue, uh, to talk about solutions for private and

00:39:36.360 public health care, uh, hybrid, you know, there's, we continue to lobby against, you

00:39:41.980 know, going, uh, there's a huge lobby against any private health care that ever comes about.

00:39:45.980 It seems every single time.

00:39:47.920 Every single time.

00:39:48.440 Okay.

00:39:48.920 That's fine.

00:39:49.620 So if there's a, there's a lobby against it, what's the solution?

00:39:54.540 Well, a lobby, a lobby cannot be what prevents us from doing the right thing.

00:39:58.840 A lobby has a very specific idea.

00:40:02.140 Yes.

00:40:02.500 For a very specific group of people.

00:40:05.000 Right.

00:40:05.280 I don't know what their agenda is necessarily in keeping it all public, but I do know this,

00:40:11.160 a lobby group needs to be there saying now we need privatization, at least a hybrid model

00:40:16.940 of it because we can't afford this and it's not working.

00:40:19.560 Well, you know, and truthfully, you know, two things are the main factors that keep it

00:40:24.560 going.

00:40:24.820 Right.

00:40:25.100 They lobby because, uh, number one, it's highly unionized.

00:40:29.100 Yeah.

00:40:29.400 So, you know, I get it.

00:40:30.720 Right.

00:40:31.100 You know, you want to keep the, you want to keep the security of a union.

00:40:34.920 Therefore, you want to keep in a public system.

00:40:37.120 And then second one is pensions.

00:40:38.800 Right.

00:40:39.120 So you want to keep your pension programs.

00:40:41.600 If you go to private healthcare, quite frankly, a lot of those are not pensioned or unionized

00:40:45.780 jobs and they don't pay.

00:40:46.940 I get it.

00:40:47.940 Right.

00:40:48.720 But we can't afford it.

00:40:50.140 But also we can't afford it in the private sector.

00:40:52.460 They sometimes have better paying positions.

00:40:55.680 Yes.

00:40:56.200 It opens the door to so many professionals we have without employment.

00:41:01.220 It gives us a reason to retrain people.

00:41:04.560 It gives us, you know, uh, new economies to think of.

00:41:08.560 And instead of paying all of this healthcare with our taxes, they could be taxing privatized

00:41:14.660 companies with healthcare and increasing our bottom line at the federal level.

00:41:19.700 I think it just doesn't make sense to me.

00:41:22.660 And quite frankly, if unionization and pension security is the key issue at the table, figure

00:41:28.140 out a way to deal with private companies to deal with those issues.

00:41:31.220 Those issues, you know, the model should not be broken because we can't deal with two

00:41:36.220 security.

00:41:36.740 We, our healthcare providers should be well taken care of, compensated, secured, and pension.

00:41:41.920 I agree with it.

00:41:42.800 Right.

00:41:43.020 But those should not be the issues that break the system because we want to stick in a public

00:41:48.180 system that doesn't work.

00:41:49.320 I would agree.

00:41:49.840 Yeah.

00:41:50.580 I wrote a commentary.

00:41:52.200 You want to hear it?

00:41:52.800 Yeah.

00:41:53.180 In Canada, you wait so long to see a doctor.

00:41:55.300 By the time your appointment comes up, you might qualify for a senior's discount.

00:42:00.380 That's if we go private.

00:42:01.780 In Australia, you'd already be treated and back at the beach.

00:42:04.520 Enjoy your day at Bondi.

00:42:05.540 So, yeah.

00:42:08.220 Well, thanks, Paul, for taking us through these numbers because that's the perspective

00:42:11.820 alongside us complaining about terrible care that actually kind of magnifies the problem.

00:42:17.800 But we need to do something about it.

00:42:19.200 We got to do something about it together.

00:42:21.380 Talk to your politicians.

00:42:23.640 You know, make sure.

00:42:24.540 This is the one thing I say to people.

00:42:26.040 Make sure your vote is correct.

00:42:28.180 Yes.

00:42:28.580 Because your vote comes directly out of your wallet.

00:42:32.340 Exactly.

00:42:33.380 Thanks, Mike.

00:42:34.060 I really appreciate it.

00:42:35.100 And then, please, you know, we're going to do more shows and we're going to keep breaking

00:42:38.440 down health care stats, which I think are very important to keep the dialogue going.

00:42:44.040 So, please subscribe, watch, and enjoy.

00:42:46.840 Thank you.

True Patriot Love - October 07, 2025

Why Canada's Healthcare Costs Are Exploding

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