HAMILTON SPECTATOR COLUMN: Three things that could save you $1,000 yearly

Milk Shot

Imagine if you had an extra $1,000 right now. You could use the money to go on a road trip, buy a few weeks’ worth of groceries or pay a few bills.

The federal government could easily put $1,000 in the hands of Canadian households by abolishing federal laws that lobbyists have secured at the expense of Canadian consumers. Specifically, the government could take on: big cellphone companies, big airline companies and the dairy cartel.

First, consider your cellphone bill. A 2021 study by Rewheel, a Finnish cellphone market research consulting firm, found that prices in the Canadian wireless market “continue to be the highest or among the highest in the world.” Some in industry blame high cell bills on our nation’s large geography and the need to put up many cellphone towers. That does play a part, but readers should note that Australia is also a large country with a small population and their cell bills are less than half of Canada’s.

Canada’s problem is that we simply don’t have enough cellphone companies competing with each other to offer great deals for customers. Our nation is dominated by three large companies — Bell, Rogers and Telus — which also own several smaller carriers, such as Fido, Virgin, Koodo, etc. One reason Canada doesn’t have a strong market is due to the fact that government rules prevent foreign companies from owning no more than 20 per cent of a cellphone company. If we rescinded this rule, we could see companies from allied nations, who don’t present a threat to our national security, enter our market and help push down cellphone prices.

Considering many households spend over $100 per month on cell coverage, a mere 15 per cent savings could add up to nearly $200 per year.

We find the same problem in the airline sector. Federal laws prevent foreign entities from owning more than 49 per cent of an airline that operates domestic routes in Canada. This has left consumers dependent on Air Canada and WestJet for domestic flights for far too long — high prices are once again a consequence for consumers due to federal laws that reduce competition. Travel booking company Kiwi.com notes that Canada ranks 65th globally in terms of flight affordability. Our cost per 100 kilometres travelled is 2.1 times higher than in the United States, 2.8 times higher than in New Zealand and 3.6 times higher than in Portugal.

Rescinding foreign ownership rules could lead to more airlines entering the market and reducing costs for consumers. This could lead to a situation where WestJet and Air Canada suddenly have to compete with Korean Airlines or Delta when flying passengers from Toronto to Vancouver and other domestic routes.

Under a more competitive model, a family that purchased two $500 flights a year could save $150 if prices dropped by a mere 15 per cent.

Federal laws also force Canadians to pay high prices for dairy and poultry products. This is because Ottawa’s “supply management” system decides how much each farmer can produce and how much they get paid. There’s no competition. The end result is that Canadians pay high prices for chicken, turkey, eggs, milk and other dairy products while farmers in those industries get rich. According to Statistics Canada, the average dairy farm in Canada had a net worth of $4.5 million in 2019 while poultry and egg farmers had a net worth of $6.2 million. These are both far higher than most other agricultural farms which operate under competitive models.

According to a 2015 University of Toronto study, Ottawa’s supply management system forced the typical Canadian family with two kids to pay an extra $585 per year for dairy and poultry products. Adjusted for inflation, eight years later, the cost to households for this policy would be much higher at approximately $724.

Thankfully for Canadian consumers, the vast majority of industries do not operate with federal rules slanted so heavily in favour of industry at the expense of consumers. By tackling these three areas of federal policy, the government could save Canadians a large amount of money — something most households could do with right now.

David Clement is the North American Affairs manager with the Consumer Choice Center and Colin Craig is the president of SecondStreet.org.

This column was published in The Hamilton Spectator on March 5, 2023.

Share on Facebook
Share on Twitter

You can help us continue to research and tell stories about this issue by making a donation or sharing this content with your friends. Be sure to sign up for our updates too!

Prevention – reduce demand in the first place

If Canadians lived healthier lives, we could reduce demand for emergency services, orthopaedic surgeries, primary care and more. 

For instance, if you visit the Canadian Cancer Society’s website, you’ll read that “about four in ten” cancer cases are preventable. The Heart and Stroke Foundation notes that “almost 80 percent of premature heart disease and stroke can be prevented through healthy behaviours.” A similar number of Diabetes cases are also preventable. 

Many joint replacements and visits to ERs and walk-in clinics could also be avoided through healthy living. 

To be sure, not all health problems can be avoided through healthy living – everyday the system treats Canadians with genetic conditions, helps those injured in unavoidable accidents and more.  

But there is an opportunity to reduce pressure on the health care system through Canadians shifting to healthier lifestyles – better diets, more exercise, etc. 

To learn more, watch our Health Reform Now documentary (scroll up) or see this column. 

Partner with non-profits and for-profit clinics

European countries will partner with anyone who can help patients. 

It doesn’t matter if it’s a non-profit, a government entity or a private clinic. What matters is that patients receive quality treatment, in a timely manner and for a competitive price.  

In Canada, governments often delivery services using government-run hospitals instead of seeing if non-profit or private clinics could deliver the services more effectively. 

When governments have partnered with non-profit and private clinics, the results have often been quite good – Saskatchewan, Ontario and British Columbia are just a few examples of where partnerships have worked well. 

Canada should pursue more of these partnerships to reduce wait times and increase the volume of services provided to patients.  

To learn more, watch our Health Reform Now documentary (scroll up) or see the links above. 

Make cross border care more accessible

In Canada, citizens pay high taxes each year and we’re promised universal health care services in return. The problem is, wait times are often extremely long in our health system – sometimes patients have to wait years to see a specialist or receive surgery. 

If patients don’t want to wait long periods, they often have to reach into their own pocket and pay for treatment outside the province or country. 

Throughout the European Union, we also find universal health care systems. But a key difference is that EU patients have the right to go to other EU countries, pay for surgery and then be reimbursed by their home government. Reimbursements cover up to what the patient’s home government would have spent to provide the treatment locally. 

If Canada copied this approach, a patient waiting a year to get their hip operation could instead receive treatment next week in one of thousands of surgical clinics throughout the developed world. 

Governments benefit too as the patient is now back on their feet and avoiding complications that sometimes come with long wait times – meaning the government doesn’t have to treat those complications on top of the initial health problem. 

To learn more, watch our Health Reform Now documentary (scroll up) or this shorter video. 

Legalize access to non-government providers

Canada is the only country in the world that puts up barriers, or outright bans patients from paying for health services locally. 

For instance, a patient in Toronto cannot pay for a hip operation at a private clinic in Toronto. Their only option is to wait for the government to eventually provide treatment or leave the province and pay elsewhere. 

Countries with better-performing universal health care systems do not have such bans. They allow patients a choice – use the public system or pay privately for treatment. Sweden, France, Australia and more – they all allow choice. 

Why? One reason is that allowing choice means some patients will decide to pay privately. This takes pressure off the public system. For instance, in Sweden, 87% of patients use the public system, but 13% purchase private health insurance. 

Ultimately, more choice improves access for patients. 

To learn more, watch our Health Reform Now documentary (scroll up) or watch this short clip on this topic. 

Shift to funding services for patients, not bureaucracies

In Canada, most hospitals receive a cheque from the government each year and are then asked to do their best to help patients. This approach is known as “block funding”. 

Under this model, a patient walking in the door represents a drain on the hospital’s budget. Over the course of a year, hospital administrators have to make sure the budget stretches out so services are rationed. This is why you might have to wait until next year or the year after for a hip operation, knee operation, etc. 

In better-performing universal health systems, they take the opposite approach – hospitals receive money from the government each time they help a patient. If a hospital completes a knee operation, it might receive, say, $10,000. If it completes a knee operation on another patient, it receives another $10,000. 

This model incentivizes hospitals to help more patients – to help more patients with knee operations, cataract surgery, etc. This approach also incentivizes hospitals to spend money on expenses that help patients (e.g. more doctors, nurses, equipment, etc.) rather than using the money on expenses that don’t help patients (e.g. more admin staff). 

To learn more about this policy option, please watch our Health Reform Now documentary (scroll up) or see this post by MEI.