In our study, Ontario emerges as the clear winner
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British Columbia and Nova Scotia place second and third respectively, with only a slim margin separating them
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Clustered at the bottom of the Index are Newfoundland at tenth place, followed by Saskatchewan, Quebec and Manitoba. Just as the top performers arrived at their scores by different means, so do these four provinces have their own weaknesses, as well as some strengths.
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Quebec has the worst score for outcomes and primary care in the country, but has the best performance in Canada for waiting times.
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Alberta, while lying in the middle of the field for overall performance, falls to eighth in terms of value for money, simply because it spends the greatest amount on healthcare per capita but gets relatively little for it. As a percentage of GDP, wealthy Alberta spends fairly little, but in absolute terms the province has the most lavish health budget per capita, with no corresponding increase in quality.
We also found a relationship between spending and waiting times. The three provinces with the worst waiting time scores, Manitoba, Alberta and Saskatchewan, all spend significantly more than the national average, while the three provinces that do the best on waiting times, Quebec, PEI and Nova Scotia, all spend less than the average, significantly less in the case of PEI and Quebec. These results should make it clear that a province’s ability to provide timely consultations, diagnoses and treatments is not dependent upon its ability to spend huge amounts of money on healthcare.