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Canadians demand change in Health Care: Navigator’s latest research reveals the urgent need for reform

At a glance

A new study by Navigator reveals Canadians are no longer questioning the basis for major health-care reform, but are demanding immediate action to meet their needs.

For two decades, Navigator has been at the forefront of public opinion research on the Canadian health-care system. Our latest study reveals that Canadians are no longer questioning the need for major health-care reform but are demanding immediate action. With nearly 90 per cent of Canadians calling for change, the message is clear: the system must evolve.

The latest findings provide crucial insights into the attitudes of Canadians and their expectations of our system.

Key findings from Navigator’s Research

  1. Broad Consensus for Reform: Canadians are overwhelmingly concerned about the health-care system’s ability to meet the needs of a rapidly aging population. Nearly 90 per cent believe that the government has neglected necessary improvements for too long and 73 per cent – an increase of 14 percentage points since 2022 – agree the system needs major reform, signaling widespread agreement that the status quo is no longer acceptable.
  2. Access is a Major Concern: As staffing shortages and wait times worsen, nearly half of Canadians say their access to public health care has worsened in the last few years and almost two-thirds have experienced unreasonable waits. Additionally, 94 per cent of Canadians agree they want better access to provincial health care.
  3. Shifting Assumptions: Traditional beliefs that health-care reform is politically perilous have been upended. Navigator’s research demonstrates Canadians are increasingly receptive to reform, including private sector involvement. The demand for access to high-quality, timely, and personalized care has shifted perspectives from concerns over affordability to a more consumer-focused approach.
  4. Support for Private Sector Involvement: There is growing support for integrating the private sector to address surgery backlogs and improve efficiency. Eight in 10 Canadians endorse private sector surgeries when publicly funded, and a majority seek innovative solutions rather than additional government funding.
  5. Openness to Innovation: Canadians are embracing new approaches to health care, including services from pharmacists and nurse practitioners and digital solutions like online appointments. However, acceptance of newer technologies, such as artificial intelligence, remains cautious.
  6. Commitment to Public Values: While there is strong support for private sector involvement, Canadians still value the principles of public health care. There is significant concern about user pay models and a call to ensure equitable access.

Navigating the future

“This shift underscores the urgent need for decision makers and opinion leaders to address the evolving demands for health-care reform, or face significant consequences. Our data tells the story of a system that stands on the precipice of profound change.

As the health-care landscape evolves, the greatest risk lies not in embracing change but in resisting it. Success will hinge on public trust, transparency, and a commitment to the well-being of all Canadians.”

– Jaime Watt, Executive Chairman, Navigator Ltd.

Methodology

Navigator’s 2024 health-care study is based upon an online national survey with 1,500 Canadians. This research aims to offer valuable guidance for policy-makers and stakeholders in navigating the future of Canadian health care.

Want to learn more?

Contact us to book a presentation: Jenna Dotzert, jdotzert@navltd.com

See how our study is shaping the conversation in The Globe and Mail.

Download a copy of the research summary below:

Home is where the votes are: Canada’s 2024 Budget

Chrystia Freeland’s fourth budget is less a fiscal plan than a political manifesto. She’s chosen again to spend in areas where the Liberals understand they are politically vulnerable while raising taxes on those who will cost them the fewest votes in the next election.

The finance minister and others in cabinet have been rolling out in a steady stream of new spending initiatives since Easter, $53 billion in total for housing, school food programs, a national disability benefit and other measures.

The goal is clear. The Liberals want to convince Millennial and Gen Z voters that they will help make life more affordable.

The flip side is that Freeland had to raise taxes to pay for these promises and to remain inside her fiscal guardrails – keeping the deficit at or below $40.1 billion while lowering the debt-to-GDP ratio this year and into the future.

The cost, according to many economists, is that there’s little in the budget to address Canada’s growing productivity gap with other industrialized nations, a gap the OECD projects will continue in the decades ahead threatening Canadians’ standard of living.

But the future for the Liberals is now with an election at most 18 months away. They need this spending to shore up support among younger voters, the ones who helped them win the past three elections, and to retain the support of their junior partners, the NDP.

The budget title sums up the theme, “Fairness for Every Generation.”

Fairness in this budget means higher taxes of more than $20 billion to be borne by a select group of mostly older Canadians.

Freeland is raising the capital gains inclusion rate from 50 per cent to 66 per cent for individuals, corporations and trusts reporting more than $250,000 in capital gains. The government says the change will affect only the wealthiest 0.13 per cent of Canadians.

No surprise there. A Navigator Discover poll conducted from March 26 to April 1 of 1,500 adults found the vast majority of respondents – 78 per cent – support taxing the ultra-wealthy.

The same poll suggested 85 per cent of respondents across age groups, regions and genders listed the high cost of living as the most important issue for government to address. When asked who was most to blame, they identified corporate greed and Justin Trudeau as the top two culprits.

One of those two is easier to blame than the other. Cue higher taxes on the wealthiest few. Spend billions on the young and the politically restless.

You can find our full analysis of the budget below. For more analysis, or support engaging government on any of the budget announcements, contact your Navigator team or reach out at info@navltd.com.

Dealing with Deficits: Ontario’s 2024 Budget

The province is returning to a nearly double-digit deficit of $9.8 billion from a reported surplus in its Q3 finances, the largest since Kathleen Wynne’s election year budget in 2018. The Ford government is hoping to pull out all the stops to grow Ontario’s economy through targeted investments in infrastructure, housing, and skills training, all while keeping costs down for Ontarians.

To explain the red ink, the Ford government is pointing the finger at a host of factors – inflation, interest rates, and $6 billion in desperately needed payments to the broader public sector due to the court’s ruling against the PCs’ Bill 124 public sector wage constraint legislation.

Central to the government’s plan to stay on course are massive investments in infrastructure. With over $190 billion set aside over the next 10 years (an increase of roughly $6 billion since last year’s plan), the government continues to prioritize new builds and redevelopments in the health and long-term care, housing, and public transportation sectors.

As high interest rates persist and the global economy prepares to weather more headwinds, Ontario’s deficit is expected to triple in the short term. The PCs continue to stick to “third road” fiscal planning – no new taxes, no deep cuts, balancing the budget through growth – but will that be enough?

You can find our full analysis of the budget below. For more analysis, or support engaging government on any of the budget announcements, contact your Navigator team or reach out at info@navltd.com.

Quebec Budget 2024: A Reality Check?

The 2024-2025 budget reveals an $11 billion deficit attributed to sluggish economic activity and increased spending on public sector settlements. In response, the government is reaffirming its priorities and devoting the bulk of its spending to health and education.

For the Coalition Avenir Québec, this budget marks a challenging moment. Opposition parties criticize past election-oriented budgets, tax cuts for individuals and one-off cheques sent to Quebecers to help them fight inflation. Despite this criticism, the government is sticking to its game plan, eschewing talk of austerity and committing to returning to balanced budgets in the future while enhancing public services.

To achieve its goals, the government plans to launch a “comprehensive review” of government and tax spending in the upcoming spring.

The 2024-2025 budget was an opportunity for Premier François Legault to reaffirm his priorities in a difficult context. The effectiveness of the announced measures and the hope of an economic upturn by the year’s end will determine whether public finances can find a more stable footing.

You can find our analysis of the budget below. For more analysis, or support engaging government on any of the budget announcements, contact your Navigator team or reach out at info@navltd.com.

Navigating Uncertainty: Alberta’s Precautionary Budget

Budget 2024: A Responsible Plan for a Growing Province

Albertans are likely to face headwinds this year as the broader economy is expected to slow slightly, experts predict another summer of worsening drought and wildfires, and debt servicing/debt refinancing costs increase significantly due to the current high interest rate environment. If Budget 2023 was a pre-election budget intended to keep Danielle Smith in the premier’s chair, Budget 2024 is a governing budget, leaning into themes of responsible spending and saving.

Budget 2024 prepares for these challenges while maintaining economic growth and labour attraction policies and safeguarding spending so Albertans continue to receive the high levels of service they are accustomed to.

Premier Smith’s vision for a reinvigorated Alberta Heritage Trust Fund remains a top priority for the year and likely for her mandate, having previewed the budget as Alberta’s last shot at getting off the resource revenue rollercoaster and saving for the future. The government is retaining more than $1 billion in investment earnings from the previous year and will deposit another $2 billion increasing the value of the fund to $25 billion.

This is a potentially fraught year to chart a new course and, to succeed, the Finance Minister and Premier will need to resist the temptations of stimulus spending and hold firm to the plan, more details of which are promised later in the year.

You can find our analysis of the budget below. For more analysis, or support engaging government on any of the budget announcements, contact your Navigator team or reach out at info@navltd.com.