Tag Archives: Health

World-class health care comparison showing Canada, Switzerland, the Netherlands, Australia, Japan and Taiwan across access, outcomes and system design

What Does World-Class Health Care Actually Look Like?

Switzerland, the Netherlands, Australia, Japan and Taiwan each do something Canada doesn’t. Each also pays for it somewhere else.


Canada spends more per person on health care than the typical rich country. OECD figures for 2024 put it at about US$7,301 per capita, adjusted for purchasing power, against an OECD average of US$5,967. That is 11.3% of GDP versus 9.3%. Canadians also live a little longer than the OECD average (81.7 years versus 81.1), die less often from causes that medicine can prevent or treat, and survive heart attacks at better-than-average rates.

And yet only about half of Canadians say they are satisfied with the availability of quality health care where they live, versus 64% across the OECD. About 9% report going without medical care because of cost, distance or waiting, versus 3.4% on average. Ask a Canadian about this and you will hear about the family doctor they don’t have, the specialist they haven’t seen, or the MRI that comes after a long wait.

The comparative weakness is not the quality of Canadian medicine. It is the system’s ability to deliver that medicine when patients need it.

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Canadian healthcare system comparing universal coverage, health outcomes, primary care access, wait times, capacity and patient choice

Is Canadian Healthcare Actually World Class? Why Universal Coverage Is Not the Same Thing as a Great System

Canada spends roughly the same amount per person on healthcare as Australia, France and Denmark. On the OECD’s harmonized comparison, Canada comes in at USD 7,301 per person. Australia is at USD 7,469, France at USD 7,367 and Denmark at USD 7,071.

Here is what that money buys. Canada has 2.7 practising doctors per 1,000 people. Denmark has about 4.5 and Australia about 4.2. Canada has roughly 26 CT, MRI and PET scanners per million people, about half the OECD average of 51. Denmark has about 49, and the OECD ranks Australia second for CT scanners per capita. And when the OECD measured satisfaction with the availability of quality healthcare in its 2025 edition, about 50% of Canadians said they were satisfied. In Denmark, the figure was 86%.

Canada is on track to spend about CAD 399 billion on healthcare in 2025, according to the Canadian Institute for Health Information. So what, exactly, are Canadians getting for that money?

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Medical Tourism Due Diligence: How Canadians Should Vet a Foreign Hospital, Clinic and Doctor

Medical tourism gets much easier to understand once you stop thinking about countries and start thinking about counterparties.

Mexico is not a hospital. Thailand is not a surgeon. Turkey is not a dental clinic.

A country can have excellent private hospitals and terrible clinics operating a few kilometres apart. A hospital can be internationally accredited and still employ a surgeon who would not be my first choice. A surgeon can have impeccable credentials and still be working in a facility I would not want handling an emergency.

That is why the most important skill in medical tourism for Canadians is not finding the cheapest country. It is learning how to diligence the people and institutions that will actually provide the care.

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Selling the Parent’s Home to Fund Care: The GIS Trap Nobody Warns You About

When a parent needs care that their monthly income can’t cover — private home care, a retirement home, the preferred room in long-term care — the family home is the obvious place to find the money. It’s usually their largest asset, and selling it is often the right call. But it’s also where a well-meaning family quietly destroys a low-income parent’s government benefits, because almost nobody understands what selling actually does.

Here’s the trap in one sentence: your parent’s house is invisible to their GIS, but the moment you sell it and invest the proceeds, you make that money visible — and their Guaranteed Income Supplement drops fifty cents on the dollar while their long-term care co-payment climbs. You can turn a benefit-neutral asset into a benefit-destroying income stream with a single well-intentioned transaction. This post is about unlocking the house without doing that.

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Powers of Attorney and Planning for Incapacity: The Documents That Let You Actually Help

Every other post in this series quietly assumes something that isn’t automatically true: that you can act for your parent — pay their bills, manage their money, decide on their care, sign them into a long-term care home. You can’t, not legally, unless they’ve signed two specific documents while they were still mentally capable. Without them, the moment a parent loses capacity, you have zero legal authority over their finances or their care — no matter that you’re their child, no matter how close you are — and you’re forced into a slow, expensive court process to get it.

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When Home Isn’t Enough: Long-Term Care and Placement in Ontario

This is the hardest post in the series to write, and probably the hardest one to read, because it’s about the moment the plan changes. Everything up to here has been about keeping a parent in your home — the suite, the benefits, the rent, the credits, the PSW hours brought in to stretch it as far as it goes. But home care, even maxed out, has a ceiling. Sometimes the safe, loving, honest answer is a long-term care home.

Reaching that point is not a failure of love or effort. It’s the responsible far end of a commitment you made with your eyes open — and handling it well, early, and without guilt is its own act of care. The families who suffer most are the ones who refuse to plan for it until a crisis forces a rushed, bad decision at the worst possible moment. This post is how you avoid that: the honest signals that you’ve hit the ceiling, how placement actually works in Ontario, what it costs, and how to make the tax system carry part of the load.

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Bringing Care Into the Home: How to Access PSWs and Home Care in Ontario Without Going Broke

There’s a long stretch of the journey that almost nobody plans for, and it’s the most important one. Your parent isn’t fully independent anymore — they need help bathing, dressing, managing medication, getting through the day safely — but they’re nowhere near needing a nursing home. This is the middle zone, the gap between able-bodied and institutional care, and how you handle it decides whether a parent stays in your home for another five good years or gets moved into a facility prematurely because “it got to be too much.”

The thing that keeps them home through that stretch is paid care brought into the house: a personal support worker a few hours a week, a nursing visit, some rehab. The question that trips families up isn’t “can we love them enough” — it’s “which mix of public care, private care, and tax offsets keeps them home for less than the cost of a facility.” That’s a solvable problem, and this post solves it.

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The Multigenerational Household That Actually Works: Boundaries, Money, and the Exit Plan

Every other post in this series is about money – the build, the benefits, the rent, the credits. This one is about the part that no spreadsheet will save you from. You can get every dollar right and still end up with a household nobody can stand to live in, a marriage under strain, and a parent who feels like a boarder in their child’s home. The money is the easy half. This is the hard half.

The good news is that you’re not attempting something strange or fringe. Multigenerational living is the fastest-growing household type in the country, and doing it well is a solved problem – as long as you treat it like the serious, multi-year arrangement it is, and not something that will “just work itself out.” The families who thrive are the ones who had the uncomfortable conversations before anyone moved a box. The ones who suffer are the ones who assumed good intentions would be enough.

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Should You Claim Your Elderly Parent as a Dependant? The Honest Answer

Somewhere in the process of moving a parent in, almost everyone assumes there’s a tax credit waiting for them. “They’re living with me, I’m supporting them, surely the government gives me something for that.” It’s a fair assumption. It’s also wrong more often than it’s right — and the reason why is a distinction most people never hear until they’re denied.

The short version: elderly is not the same as infirm, and the marquee credit hinges entirely on the second word. But there are other doors, some of them more valuable and more overlooked than the one everybody reaches for first. This post walks all of them, straight, with the pros and cons named rather than buried.

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Elderly Parents Moving In: A Canadian’s Playbook for Housing, Money, and Family

There’s a moment a lot of us hit somewhere in our forties or fifties that nobody really sits you down and prepares you for. A parent’s health slips. A spouse dies and the survivor is suddenly rattling around a house that’s too big and too far away. The stairs stop being a good idea. And the question of elderly parents moving in with you goes from something you’d vaguely assumed you’d “figure out someday” to a decision you have to make this year.

Here’s the thing most Canadians get wrong about it: they treat it as a purely emotional decision, make the housing and money choices on autopilot, and then discover eighteen months later that they triggered a benefits clawback, botched the tax treatment on the “rent” they charge, or spent $180,000 on a bigger house when a $60,000 basement build would have done the job better — and come with a federal cheque attached.

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