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This speech was given by Hal Kvisle at a ceremony in Calgary on November 14, 2011 during which he was presented with the T.P. Boyle Founders Award.

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This is the eighth report on economic freedom in the Arab world. The first was published in the Arab World Competitiveness Report 2005 (Lopez-Claros and Schwab, 2005). The second and subsequent editions were published by the International Research Foundation (IRF) of Oman and the Fraser Institute. In 2008, the Friedrich Naumann Foundation for Liberty, Cairo office, also became a co-publisher.

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It has become fairly common knowledge that patients in Canada have to wait an inordinately long time for access to health care. The Fraser Institute report from 2010, Waiting Your Turn: Wait Times for Health Care in Canada, found that while physicians believed a 6.4-week wait was reasonable for medically necessary elective treatment after an appointment with a specialist, on average, Canadians actually waited for 9.3 weeks. Further, a recent article examining the findings of the Canadian Institute for Health Information’s report on wait times demonstrated that in 2010-2011, approximately 80,000 Canadians didn’t get access to priority treatment areas within the lengthy government benchmarks for wait times.

If governments understand the importance of reining in wait times, and more importantly, if physicians themselves acknowledge that patients are waiting longer than is medically reasonable, what is preventing physicians from providing medical services more expediently?

Physicians’ responses to the Fraser Institute’s annual wait times survey may provide some insight.

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This study compares the average cost and affordability of personal passenger automobile insurance premiums in each of the 10 Canadian provinces from 2007 to 2009. Four provinces have government-owned monopolies that sell insurance coverage to drivers. The other six rely on a regulated competitive private sector to provide auto insurance.

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Fraser Forum is a monthly review of public policy in Canada, with articles covering taxation, education, health care policy, and a wide range of other topics. Forum writers are economists, Institute research analysts, and selected authors, including those from other public policy think tanks.

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Government spending on all types of prescription drugs (patented and non-patented) is increasing faster than any other component of health spending. And new or patented medicines tend to be more expensive compared to older drugs and other health treatments. This study examines all of the ways in which patented drugs might contribute to health-care costs.