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This is the Fraser Institute's fourth annual report on the financial sustainability of health spending by provincial governments in Canada. The report uses a moving-trend analysis to measure sustainability. The trend is derived from the average, annual growth rates for total provincial government health expenditures (GHEX) and total available provincial government revenue from all sources (TAREV) over the most recent ten-year period. Government spending on health care is deemed unsustainable when it grows faster on average than revenue over the trend period. Future growth in government health spending and revenue is projected on the basis of the trend to estimate the urgency of the sustainability problem.

The report also examines the long-term feasibility of attempts by provincial governments to deal with the unsustainable growth in health spending through increased tax burdens and centrally planned rationing. The analysis partially exposes the degree to which Canadians are paying more for government health insurance over the trend period and getting less.

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In this volume, Mike Harris and Preston Manning, two of Canada's most astute political leaders, present their vision of a future Canada - A Canada Strong and Free. What are the public policies that will make this vision a reality? That is the question this work seeks to answer, bringing together with new insights the social, governance, economic, and international policy recommendations of the previous volumes of the Canada Strong and Free series.

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Many drugs, generics in particular, are significantly more expensive in Canada than they are in the United States. On balance between the higher prices paid for brand name drugs and the much lower prices paid for generic drugs in the US, Americans spend about the same percentage of their incomes on prescription drugs as Canadians.

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Economic freedom measures the extent to which individuals, families, businesses, and other organizations are free to make economic decisions without of government interference.

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This report looks at the amount of money Canadian governments of all levels spent on corporate welfare over a 10-year period. It provides repayment records by year with respect to specific programs or agencies involved in corporate welfare.

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This study presents information about the size of government in Canada by accounting for the number of Canadians who are paid by governments as civil servants and beneficiaries of social insurance programs. It supplements the annual Tax Freedom Day studies published by The Fraser Institute to track the size of Canadian governments and the fiscal burdens they impose on Canadians.

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There has been increasing interest in the broad issue of foreign business activity in Canada. This heightened interest has been facilitated by the purchase of foreign companies of several large Canadian firms.