Globe Editorial: Canada’s immigration plan should involve more than just big numbers

Good editorial, and a sign of a more serious discussion on appropriate levels of immigration and the associated impacts and costs.

A change from the March 2021 Globe event promoted increased immigration and the government’s approach. That in turn prompted my riposte, Increasing immigration to boost population? Not so fast.

As I and others have argued, we need to take these externalities into account in designing and implementation immigration policies and programs, which by their very nature, require joint federal provincial responses:

The word “goal” appears seven times in the Immigration department’s latest annual report to Parliament, a document that purportedly lays out the Liberal government’s vision of how to bring a historic number of permanent residents to Canada in the next three years.

Source: Canada’s immigration plan should involve more than just big numbers

An art treasure long cherished by Muslims is deemed offensive. But to whom?

Abject surrender to extremists and a further closing of minds:

It is a beautiful painting found in a 14th-century Persian manuscript, the “Compendium of Chronicles”, a history of Islam. It shows the Prophet Muhammad receiving his first Quranic revelations from the angel Gabriel. Christine Gruber, professor of Islamic art at Michigan University, describes it as “a masterpiece of Persian manuscript painting”.

Last October, an instructor at Hamline University, Minnesota, displayed the painting during an online class on Islamic art. The instructor (who has not been named) had warned of what she was about to do in case anyone found the image offensive and did not wish to view it. No matter, a student complained to the university authorities.

David Everett, Hamline’s associate vice-president of inclusive excellence, condemned the classroom exercise as “undeniably inconsiderate, disrespectful and Islamophobic”. A letter written by Mark Berkson, chair of the department of religion, defending the instructor and providing historical and religious context for her actions, was published on the website of The Oracle, the university’s student newspaper, and then taken down because it “caused harm”. The instructor was “released” from further teaching duties.

It is a depressing but all too familiar story. From The Satanic Verses to the Danish cartoons to Charlie Hebdo, the last decades have spawned a succession of often murderous controversies over depictions of Islam deemed blasphemous or racist.

What is striking about the Hamline incident, though, is that the image at the heart of the row cannot even in the most elastic of definitions be described as Islamophobic. It is an artistic treasure that exalts Islam and has long been cherished by Muslims.

Yet, to show it is now condemned as Islamophobic because… a student says so. Even to question that claim is to cause “harm”. As Berkson asked in another (unpublished) letter he sent to The Oracle, after his first had been removed: “Are you saying that disagreement with an argument is a form of ‘harm’?”

That is precisely what the university is saying. “Respect for the observant Muslim students in that classroom should have superseded academic freedom,” wrote Fayneese Miller, the university’s president, and Everett in a letter to staff and students. In what way was showing the painting “disrespecting” Muslims? Those who did not wish to view it did not have to. But others, including Muslims who desired to view the image, had every right to engage with a discussion of Islamic history.

Universities should defend all students’ right to practise their faith. They should not allow that faith to dictate the curriculum. That is to introduce blasphemy taboos into the classroom.

Hamline has effectively declared whole areas of Islamic history beyond scholarly purview because they may cause offence. And not just Islamic history. As Audrey Truschke, associate professor of South Asian history at Rutgers University, observed, Hamline’s action “endangers… professors who show things in class, from premodern Islamic art to Hindu images with swastikas to Piss Christ”.

One can only wonder that the university bureaucrats who declared representations of Muhammad to be proscribed by Islam did not ask themselves why, if this was true, there were figurative Islamic paintings to show the class in the first place? There has developed a historical amnesia about the many Islamic traditions, especially Persian, Turkish and Indian, which have celebrated portrayals of Muhammad; portrayals found in manuscripts, paintings, postcards, even in mosques.

While there have always been debates on this issue within Islam, the strict prohibition on picturing Muhammad is primarily Sunni and relatively recent. The growth of Wahhabism, a fundamentalist strand of Islam that developed in the 18th century and came eventually to be the ideological cement of modern Saudi Arabia, has been particularly important. Saudi petrodollars have allowed the fanatically austere character of Wahhabism to find greater global purchase.

Even so, Gruber observes, as late as 2000, a senior Saudi-based legal scholar recognised certain portrayals of Muhammad as both “permissible and laudable”. Only in the wake of 9/11, and the emergence of more fundamentalist forms of Islam, did the absolute prohibition of images of Muhammad become more widely accepted.

The actions of Hamline University are a threat not just to academic freedom but to religious freedom, too. They implicitly disavow the variety of traditions that constitute Islam and condemn those traditions as in some sense so bigoted that they cannot be shown in a class on Islamic art history. University bureaucrats are, as non-Muslims, taking part in a theological debate within Islam and siding with the extremists.

That is why, the historian Amna Khalid observes, it is as a Muslim she is most offended by Hamline’s actions that have “flattened the rich history and diversity of Islamic thought” and “privileged a most extreme and conservative Muslim point of view”. In an age in which there are demands for the syllabus to be “decolonised”, she adds, “Hamline’s position is a kind of arch-imperialism, reinforcing a monolithic image of Muslims propounded by the cult of authentic Islam”.

Perhaps the most damaging aspect of Hamline’s action is the use of the language of diversity to eviscerate the very meaning of diversity. This is an issue not confined to Hamline. Too many people today demand that we respect the diversity of society, but fail to see the diversity of minority communities in those societies. As a result, progressive voices often get dismissed as not being authentic, while the most conservative figures become celebrated as the true embodiment of their communities.

Here, liberal “anti-racism” meets rightwing anti-Muslim bigotry. For bigots, all Muslims are reactionary and their values incompatible with those of liberal societies. For too many liberals, opposing bigotry means accepting reactionary ideas as authentically Muslim; that to be Muslim is to find the Danish cartoons offensive and the depiction of Muhammed “harmful”. Both bigots and liberals erase the richness and variety of Muslim communities.

The Hamline controversy shows how the concepts of diversity and tolerance have become turned on their head. Diversity used to mean the creation of a space for dissent and disagreement and tolerance the willingness to live with things that one might find offensive or distasteful. Now, diversity too often describes a space in which dissent and disagreement have to be expunged in the name of “respect” and tolerance requires one to refrain from saying or doing things that might be deemed offensive. It is time we re-grasped both diversity and tolerance in their original sense.

Kenan Malik is an Observer columnist. His book, Not So Black and White, is published by Hurst (£20).

Source: An art treasure long cherished by Muslims is deemed offensive. But to whom?

USCIS Fee Hike 2023

Good backgrounder:

What’s happening? USCIS released a long-awaited proposal this week that will raise application fees for almost every category of immigrant to the United States. While early press coverage has focused on the significant price increases for employment-based visas like the H1B, Boundless has discovered that family-based immigrant applications will also face dramatic fee increases. This includes a doubling of total fees from $1760 to over $3640 for many marriage-based green card applications when including the mandatory I-130 petition for a family member.

Other immigration applications are also set to increase in price: the fiancé visa petition will increase by 35%, from $535 to $720, the petition for a relative will increase by 53% from $535 to $820, and the removal of conditions application will increase by 76%, from $680 to $1,195.

Why is this happening? The proposed fee hikes are expected, since the agency is required to review its immigration fee structure every two years. USCIS receives roughly 96% of its funding from filing fees, and hasn’t introduced new fees since 2016. The cash-strapped agency is facing staffing challenges and an ever-increasing application backlog. USCIS Director Ur M. Jaddou stated that the new fee structure would allow the agency to “improve customer service operations and manage the incoming workload.” 


When will these changes take effect? USCIS is required to follow a specific process mandated by the Administrative Procedures Act to enact major changes to their services and fee schedule. The first step is the publishing of a proposed final rule, which was released on Jan. 4, 2023. Following the publication of the proposal the agency must conduct a 60-day comment period to collect public feedback on the proposal. Once the comment period ends, the agency can take a variety of actions, including modifying or withdrawing the proposal. After any modifications occur based on feedback, the final rule will be published. This can take place as quickly as 30 days after the end of the public comment period. The final published rule will state the date that the new rule will be implemented, which can be 30 days or more from the publication date. Based on this timeline, Boundless expects that, if the final rule mirrors the recommended fee increases included in the proposal, these new fees could take effect as soon as May 2023.

Source: USCIS Fee Hike 2023

Star Editorial: Helping new Canadians succeed

Of note. Even the Star is starting to question the government’s approach:

Immigrants have always enriched this country. Today, more than ever, they are also essential to sustaining a needed workforce as the Canadian population ages.

It speaks to the maturity of this country that a record number of immigrants were settled in Canada in 2022, giving this country the largest percentage of immigrants in the G7, without rancour, bitterness or xenophobic political arguments. An Environics poll found almost seven in 10 Canadians support the immigration policies of the Liberal government, double the support Canadians offered for newcomers 50 years ago.

While this country has benefited from the diversity, the energy and the talents of immigrants, the size of the wave that has been – and will be – settled by this Liberal government means it comes with challenges.

To understand the scope of recent immigration in Canada, consider the numbers:

  • In 2022, 431,645 new permanent residents were settled in this country, a record. Almost a quarter of them settled in the GTA and environs. For perspective, that is the equivalent of adding another city of Halifax. The government is aiming to welcome another 1.45 million immigrants over the next three years, essentially adding another city the size of Calgary.
  • According to the 2021 census, almost one in four (23 per cent) residents in this country are or have been a landed immigrant or permanent resident in Canada. This is the highest proportion in a century.
  • Immigration, Refugees and Citizenship estimate that by 2036 immigrants will represent up to 30 per cent of the Canadian population, jumping from 20.7 per cent in 2011
  • An Environics study of 2021 census data found that 79.6 per cent of the GTA population is first- and second-generation arrivals; in Vancouver the number is 72.5 per cent.

Ottawa is making up for an immigration downturn during the pandemic. Immigration now accounts for almost 100 per cent of Canada’s labour force growth and about 75 per cent of the population growth. And, as we age, younger skilled workers are needed in health care, manufacturing, information technology and the building trades. The government says the worker-to-retiree ratio is expected to be two to one by 2035. In the 1970s, it was seven to one.

But when they arrive, immigrants will find the Canadian dream comes with a significant sticker shock.

Where will they live? Higher mortgage rates and limited supply will mean the goal of home ownership would likely be as elusive for many new arrivals as it has been for long-time residents. If they turn to the rental market, they will find options limited because of a shortage of supply and people priced out the housing market renting longer. The average monthly rent for a two-bedroom condo in Toronto is $3,350 according to Urbanation, a real estate data analysis company. That is a 24 per cent increase in one year. Vacancy rates fell to 1.2 per cent, down from a pandemic high of 6.4 per cent in the first quarter of 2021.

Immigration will continue to fuel demand for rental properties, but a slowdown in the number of building projects underway now point to a shortage of housing in four to five years, experts say.

There is also evidence that Canada is wasting the skill of immigrants, particularly in the health care field. Statistics Canada found that only 36.5 per cent of immigrants trained abroad as registered nurses were working in that field here and only 41.1 per cent of new arrivals with foreign medical degrees were working as doctors. Bureaucratic and professional barriers leave too many languishing in fields other than medicine at the very time additional healthcare professionals are urgently needed on the frontline.

The federal government has invested $90 million to streamline the recognition of foreign medical credentials. The Ontario Medical Association has called for more spots in residency programs needed for training of physicians here and a provincial “ready-assessment” program that would more quickly integrate physicians trained abroad into the provincial system. It’s welcome as well to see political pressure to speed the approvals of foreign-trained doctors and nurses.

There is also the question as to whether the federal government has overestimated the impact immigrant labour will have on the workforce. Immigrants will not fill every labour force void and bringing in new labour to certain sectors could blunt opportunities for real wage gains for those already employed.

The record immigration numbers are welcome. But governments cannot simply point to the numbers as the cure for so many of our ills. They must rise to meet these challenges, from housing to employment barriers. Governments must invest in the programs that help newcomers get settled in communities, find their sense of belonging and realize the dream that motivated their move here in the first place.

In so doing, they will not only be helping immigrants, they will be helping all Canadians.

Source: Star Editorial: Helping new Canadians succeed

Yakabuski: The Trudeau government seems awfully cozy with McKinsey – and that demands scrutiny

More questioning of the role that McKinsey has played and continues to play in Canada.

Had some experience while at Service Canada working with high level consultants (not McKinsey) and, while they were instrumental in helping develop frameworks and strategies, it was a challenge to ensue they and us as public servants remained focussed on where their contribution was most needed.

And overall, government needs to focus on strengthening its policy and program capacity rather than over relying on outside expertise whose private sector expertise, while useful, is sometimes an unrealistic fit for the government context.

The money quote “Wedge yourself in and spread like an amoeba” applies more broadly than McKinsey:

Business schools across the country would do well to undertake a case study on McKinsey & Co.’s remarkable success in winning contracts from the federal government since Justin Trudeau’s Liberals took power. There, they’ll find insights into how Ottawa really works.

McKinsey, the pedigreed consulting firm that has been plagued by a series of conflict-of-interest scandals spanning several countries, has been practically wedded at the hip to Mr. Trudeau’s government since the firm’s then-global managing partner, Dominic Barton, was picked to head up Ottawa’s advisory council on economic growth in 2016.

Out of the supposed generosity of its heart, McKinsey provided pro bono research support to the council. We are told that this had absolutely no influence on the Trudeau government’s subsequent awarding of a string of multimillion-dollar contracts to the firm, including, as The Globe and Mail reported last year, a $24.8-million deal to advise the Department of Immigration, Refugees and Citizenship Canada (IRCC) on “transformation strategies,” whatever that means.

This week, Radio-Canada arrived at its own tally of federal contracts awarded to McKinsey since Mr. Trudeau’s government was first elected in 2015: While the firm earned a mere $2.2-million in federal government work when Stephen Harper’s Conservatives were in power between 2006 and 2015, it has pocketed more than $66-million in less than seven years under the Liberals.

And even that sum, Radio-Canada conceded, does not provide a complete picture, since it leaves out contracts awarded by Crown corporations such as the Business Development Bank of Canada and Export Development Canada. The government’s response to an order paper question submitted by Conservative MP Tako Van Popta included $84-million in federal payments to McKinsey in the 18 months up to November on various contracts. That total includes payments to BDC and EDC.

Bloc Québécois MP Alexis Brunelle-Duceppe asked Immigration Minister Sean Fraser to provide the details of McKinsey’s IRCC contracts at a meeting of the House of Commons immigration committee in November. Mr. Fraser referred the question to his deputy minister, Christiane Fox, who in turn asked assistant deputy minister Hughes St-Pierre to answer, though not before adding: “I’d like to point out that one of the contracts that McKinsey was awarded in the past was to deliver a training program for our Black employees wanting to move into a leadership position within the department.” As if diversity, equity and inclusion (DEI) initiatives justify everything.

Mr. St-Pierre was equally unhelpful. “It was to advise us on how to transform the department,” was all he said of the largest and most recent contract the department handed to McKinsey.

The advisory council Mr. Barton headed called for a 50-per-cent increasein the number of permanent residents Canada accepts annually, from 300,000 in 2016 to 450,000 in 2021, to boost economic growth and reduce the old-age dependency ratio. The Trudeau government has gone even further than the council recommended, announcing plans in November to boost immigration numbers to 500,000 newcomers by 2025.

How Canada’s chronically backlogged immigration system can handle this surge is anyone’s guess. Whether McKinsey’s advice is worth the taxpayer money paid to the firm is equally impossible to discern. Ottawa refuses to provide a full accounting of the work McKinsey performed, or to make public any report the firm produced.

The chronology of McKinsey’s ever deepening business relationship with the federal government will not surprise anyone who has studied the strategies the firm has employed in any of the 65 countries in which it operates.

“Wedge yourself in and spread like an amoeba,” a senior McKinsey partner once said in explaining to young recruits how to win business from potential clients. “Once in, you should spread yourself in the organization and do everything.” The quote is included in When McKinsey Comes to Town, a recent book about McKinsey’s global activities by Walt Bogdanich and Michael Forsythe that examines the firm’s underbelly.

Can you draw a straight line between Mr. Barton’s cozy relationship with the Liberal government – Mr. Trudeau named him as Canada’s ambassador to China shortly after he stepped down from the top job at McKinsey – and the firm’s ability to win contracts in Ottawa? Is it just a coincidence that McKinsey landed a juicy deal to provide advice on how to transform the immigration department just after the advisory council Mr. Barton headed recommended transforming Canada’s immigration system?

These are not banal questions. Similar ones are swirling around French President Emmanuel Macron, whose government has also awarded countless contracts to McKinsey in recent years. French authorities have opened an investigation into the potential illegal financing of Mr. Macron’s 2017 and 2022 election campaigns. Among other things, the authorities are probing whether McKinsey associates worked on Mr. Macron’s campaigns for free as a networking opportunity that subsequently yielded lucrative paid contracts.

Wedge yourself in and spread like an amoeba, indeed.

Source: The Trudeau government seems awfully cozy with McKinsey – and that demands scrutiny

Coyne: Relax – higher immigration alarmism makes more noise than sense

Cute opening line but false comparison. Babies have an intensive integration and settlement program, called parenting.

And ironic, given that many of his columns focus on government delivery and implementation failures, largely dismisses issues related to housing, healthcare etc by largely assuming the market will deal with them despite evidence to date that it is failing by any measure:

I don’t wish to be alarmist, but I wonder how many Canadians know their country is being invaded. It doesn’t get a lot of attention in the mainstream media, but there is a massive influx of people coming into this country every year: nearly 400,000 in the past year alone.

These are people, I should point out, who have no means of supporting themselves; who have no knowledge of Canadian history or culture; who not only cannot speak either official language, but cannot walk or feed or even dress themselves; people who will be a net drain on the taxpayer for many years after their arrival.

I speak, of course, of the hundreds of thousands of babies born in Canada every year. There are fewer of them, proportionately, than in the past – at just under 1 per cent of the population, the birth rate is barely a third of its postwar peak – but they still have an enormous impact, not least in terms of public spending. Yet somehow, whenever the discussion turns to population growth and the eternal question of my God how will we ever accommodate all these people, the native-born in our midst never seem to come up. It’s always about immigrants.

Just now we are having one of our periodic flutters of panic over immigration, occasioned by the recent release of the latest federal immigration plan. From 405,000 in 2021, to 431,000 in 2022, to 465,000 this year, the annual intake of immigrants is projected to continue to rise to 500,000 by 2025. And that’s not counting those here on temporary work or study permits.

These are invariably described as “record” numbers, and so they are, in absolute terms. But relative to population, immigration is not particularly high: At just over 1 per cent of the receiving population, it is roughly in line with its historical average. There have been periods when it was lower, but there have also been periods when it was higher – much higher: before the First World War (in some years it exceeded 5 per cent of the population), and after the Second. Even today, population flows across our borders are dwarfed by population movements within; again, while the former excites all the attention, the latter passes unremarked.

What people mean when they say immigration is “high” is that it is higher than it was in the recent past. The implication is that recent levels of immigration are “natural,” such that anything higher must inevitably invite disaster. But in fact there is no such thing as a natural rate of immigration, any more than there is a natural level of population; if there were, it would be a remarkable coincidence to find that we were exactly at it. Current immigration rates have no more or less claim to being natural than any other. They are just more familiar.

At one time, immigration hysterics focused on its alleged doleful effects on unemployment, or wages: The increase in the supply of labour, it was reasoned, must surely outpace the demand. That’s proved hard to sustain in the face of today’s record-high employment rates and real wages. So instead the focus has shifted to the ways in which immigration must lead to an excess of demand over supply: in housing, say, or health care.

It never seems to occur to anyone that immigrants might be a source of both demand and supply – that they are not just workers, but consumers, and not just consumers, but workers, at the same time.

Will immigrants add to the demand for housing? Undoubtedly. Hmm. We’ll certainly need to build a lot more houses for them to live in. I wonder where we’ll find the workers to build them? Ah yes: from immigration. The health care system is a mess at the moment. It was also a mess, you may recall, 30 years ago, when there were 10 million fewer Canadians using it.

A moment’s thought, and a little research, should make clear: Neither the unemployment rate, nor the standard of living, nor the level of environmental degradation, nor anything else about a country is primarily a function of the number of people in it. The decisive factor, rather, is the organization of economic life – how efficiently or otherwise resources are used.

In an economy based on prices, that means “getting the prices right” above all – letting prices signal where resources are in greater or lesser demand relative to supply, so as to avoid either shortages or surpluses. Get the prices right, and wealth will be maximized, waste minimized, no matter how many people a country contains; get the prices wrong, and the reverse will be the case, no matter how few.

That works both ways, of course. We don’t “need” immigration to maintain a particular standard of living, either: Lots of countries that are smaller than us, with slower population growth, do just fine. Canada would have a higher GDP with a larger population, but not a hugely greater GDP per capita.

Still, that’s not to say immigration has no impact, or that there are no reasons to favour higher immigration rates to lower. Larger populations, first, can spread fixed costs over larger numbers of people – economies of scale – in ways that cannot readily be duplicated through international trade: Trade within nations, research shows, is of much greater “intensity” than trade within. Countries with higher population density, likewise, enjoy cost savings relative to those whose population is scattered over greater distances.

Less quantifiably, bigger countries offer more opportunities to their citizens, in the same way that big cities offer more opportunities than small towns. They are magnets for the ambitious, the talented and the entrepreneurial. And they have a clout in the world to match – a greater ability, other things being equal, to shape events in line with their interests and their values.

We should not underestimate the impact on our sense of selves. It is striking to read commentators from those early 20th-century days, when our population was growing at such a torrid rate: the exuberance, the self-confidence, the conviction that we were destined to be the next big thing. You know Sir Wilfrid Laurier’s famous line about the 20th century being the century of Canada? In the same 1904 speech he predicted that, within the lifetimes of some members of his audience, Canada would have a population of 60 million people. That was only a commonplace of the time. Others predicted we’d have 100 million people by now.

Needless to say, we fell a long way short of that. Yet it’s hard not to notice the positive effects of the population growth we have enjoyed. Canada is a much more interesting, dynamic place than it was in my childhood, when it was half its current size. It is also a more tolerant place. Had you predicted then that nearly a quarter of Canada’s population would one day be foreign-born – it is over 50 per cent in our largest cities – you would no doubt have been met with terrified prophecies of racial conflict.

Yet we seem more at ease with each other than ever. Popular support for immigration, likewise, is not only strong, but growing. The national and international data on this are conclusive: The greatest hostility to immigration is found in places with relatively little experience of it. Where people regularly encounter people from different backgrounds to their own, on the other hand, it is popular. Familiarity, it turns out, breeds respect.

Source: Relax – higher immigration alarmism makes more noise than sense

National physicians regulator aims to fast-track certification of more foreign-trained doctors

Overdue. Will be interesting how they assess cultural competencies, not just the technical given the importance to patients. I developed more awareness if their importance during my various cancer treatments, and reminded myself of the challenges to new Canadians when receiving treatment as well, given language and culture:

The Royal College of Physicians and Surgeons is making it easier for internationally trained specialists to work in Canadian hospitals as it responds to the country’s doctor shortage, and to complaints that some of its policies discriminate against people with overseas medical degrees.

The college, a regulatory body that sets national standards for doctors who specialize in fields such as surgery, cardiology and emergency medicine, has been under pressure to streamline the way it assesses foreign-trained physicians and determines their eligibility to write certification exams. Getting these doctors accredited to work in Canada has become a critical issue as the country’s health care system has strained under pronounced staffing problems.

Glen Bandiera, the college’s executive director of standards and assessment, said the regulator is working to remove barriers to licensing for internationally educated doctors by increasing its capacity to review their applications and grant them exam eligibility. Once those changes are complete, he said, the college is planning to provide more flexibility for doctors with foreign training who don’t meet all the Canadian requirements to work in their disciplines. It will do this by allowing them to apply their training to more general disciplines, he said.

The college is also expanding a program called the Practice Eligibility Route, which can take years off the amount of time required for an internationally trained physician to be approved to work in their field. The college, which certifies all specialists in Canada except for family doctors, says this pathway could allow doctors to be cleared to work in as little as two years, instead of seven.

“We want to make it as easy as possible for people who have that competence to demonstrate that competence, regardless of where they trained,” Dr. Bandiera said. “We’re really cognizant of the current health human resources strains in the system.”

A Globe and Mail investigation revealed that Canada is increasingly losing physicians to other developed countries because of shortages of postgraduate residencies for internationally trained medical grads, as well as long delays in assessing their training.

In most provinces, specialist physicians who graduated outside Canada or the U.S. can’t be licensed until they’ve completed five years of practice in their fields, at least the last two of those in Canada. The new alternative path being developed by the college would reduce that five-year requirement to as little as 12 weeks, or up to two years if an applicant requires more time.

Similar practice assessment programs are already used in seven provinces to allow internationally trained specialists in family medicine, psychiatry and internal medicine to enter the work force more quickly – although those programs are limited in capacity and add only about 120 doctors to the country’s medical system each year. Ontario recently announced plans to develop its own assessment program, which it had previously cancelled as a cost-saving measure.

Dr. Bandiera said the college will use that same approach, which puts internationally trained doctors under 12 to 16 weeks of supervision in clinical settings to determine if their training meets Canadian standards, for a range of specialties that don’t have assessment programs in place. This will mean international physicians will spend less time operating under restricted or provisional licences, and it will allow them to help address staffing shortages more quickly, he said.

The regulatory body told The Globe it will take three to five years to make the Practice Eligibility Pathway available in all 64 specialist disciplines it oversees. The program is now available to about 20 disciplines, and had 250 applicants last year. It is administered by the college, but the expansion will require the co-operation and some funding from provincial health ministries, Dr. Bandiera added.

“The mechanisms already exist. We want to tie them all together in one unified, standardized approach across Canada,” he said. “In some jurisdictions, it would require identification of resources and capacity to do this assessment.”

Clinical assessment programs, while they offer more internationally trained physicians entry into the Canadian system, are not without their detractors. British Columbia recently announced it would triple the number of positions in its on-the-job assessment program to 96 by March, 2024 – but only for people with two years of residency training. Many countries offer only 18 months of residency training to their doctors, with longer periods of clinical training – experience not recognized by the B.C. program.

Rosemary Pawliuk, a lawyer and the president of the Society of Canadians Studying Medicine Abroad, an advocacy group, said internationally trained physicians who want to practise in Canada still face significant barriers. They experience overwhelming discrimination from a system designed to favour graduates of Canadian medical schools and protect the interests of the country’s medical faculties, she said.

The doctors who must cope with those obstacles include thousands of Canadians who have gone to medical schools overseas, she said. They must compete for a separate and much smaller stream of residencies if they want to return home to practise medicine, or spend years longer than domestic grads proving their ability to work as specialists, she said.

Canadian regulators claim all of these barriers are necessary to safeguard Canadians, Ms. Pawliuk said. But she argued that the dangers to Canadians who can’t access health care in a timely manner because of physician shortages are far more serious.

“That narrative of competence is so powerful. But people should be judged based on their individual talents, not where they graduated from,” she said. “That’s why we have to ask: Is this really about protecting the public, or the profession?”

Source: National physicians regulator aims to fast-track certification of more foreign-trained doctors

Mason: It’s not racist or xenophobic to question our immigration policy

Good column by Mason questioning the current approach of governments and stakeholders. Money quote:

“We should be able to have this conversation without fear of being labelled a racist or xenophobe. We should be able to have that conversation in the best interests of those already living here, and the ones yet to arrive.”

Canada is experiencing a population boom.

Figures released recently by the federal government are quite staggering: the country grew by 437,000 new residents in 2022 and projections from Ottawa indicate that roughly 1.45 million more will join them over the next three years. According to a recent story in The Globe and Mail, since 2016, Canada has grown at nearly double the average rate of its G7 peers.

In most cases, however, it isn’t newborns enhancing our population growth but adults coming to Canada through our immigration and refugee program – a fact that has consequences far and wide.

For years we have been told that economic growth depends on robust immigration. Immigrants are needed to bolster a work force being weakened, even decimated in some cases, by the demographic bulge of boomers who are retiring. Also, immigrants are core to the Canadian identity, something of which we are unquestionably, and quite rightly, proud.

At the same time, it is fair to ask whether the pace at which we are growing is in our best interests. Or whether in attempting to solve one problem, we are creating others.

We may be about to find out.

For starters, we need to figure out where all the newcomers will be staying. In recent years, headlines have been dominated by stories chronicling the housing crisis in Canada, especially in our major cities. The lack of supply has been responsible for a spike in prices.

Douglas Porter, chief economist with the Bank of Montreal, recently said that the countries with the fastest population growth up to 2020 – countries such as this one and New Zealand – had greater house price inflation than those with stable populations or ones that decreased. If this is correct, one can assume house prices will only continue to reach levels that are unattainable for many, despite assurances from all levels of government that they are “on” the problem.

Supply can’t keep up with demand as it is, let alone meet the challenge of adding nearly 1.5 million more residents over the next three years.

The furious pace of immigration will also put enormous pressure on a rental market that is already making life unbearable for many with a tight supply and soaring rents. The problems that this level of population growth contributes to would likely not be as bad if these newcomers were moving to towns and cities that could use more people. But that’s not the case. The vast, vast majority of new immigrants are congregating in our biggest cities.

It’s also fair to ask what these intake rates will do to our already overburdened health care system. Yes, some of those arriving here will fill critical voids in our health care front lines, but not nearly enough to make up for those who are retiring or leaving the profession because of burnout. And not nearly enough to compensate for the population boom we are anticipating.

There are, for example, more than a million British Columbians without a family doctor, a number that is likely to only increase as more physicians retire and newcomers arrive each year by the tens of thousands.

There are also voices suggesting that massive immigration on the scale we are witnessing may not be the great economic elixir being promoted by the federal government and the business sector. In fact, David Green, an economist with the University of B.C., says this is a contention that turns out not to be true. His research shows immigration often lowers the wages for people competing with new immigrants for jobs.

None of this is an argument for stopping immigration, of course. It is an indisputable fact that immigration has enriched our country beyond any measure, making it the envy of the world. We are a more vibrant and culturally enriched nation as a result of it.

Still, you can be pro-immigration and question the pace at which we are currently welcoming newcomers. You can be pro-immigration and ask whether we are at a moment when it would be prudent to step back and analyze the situation, and see whether we are exacerbating critical problems for which we have not yet found solutions.

We should be able to have this conversation without fear of being labelled a racist or xenophobe. We should be able to have that conversation in the best interests of those already living here, and the ones yet to arrive.

Source: It’s not racist or xenophobic to question our immigration policy

Watt: In 2023, Canadians deserve a grand vision from our political leaders

Watt notes the need for an actual plan how to address the impact of high immigration levels, which by its nature would require joint federal and provincial collaboration and much more medium and longer term policy and program measures:

A federal election in 2023?

Though far from a certainty, more and more, it feels like one. Federal minority governments have seldom endured more than a few years and the current Liberal-NDP agreement is unlikely to be an exception tothis rule.

If the plug is pulled and the current Parliament Hill tone continues, the election will be waged on decidedly pessimistic terms. Take, for example, Conservative leader Pierre Poilievre’s and Prime Minister Justin Trudeau’s recent exchange played out over the closing weeks of 2022.

To great effect, Poilievre has repeatedly asserted that “it feels like everything is broken in this country” — a message that resonates strongly with Canadians. At a year-end Liberal holiday party, Trudeau countered that “Canada is not broken.”

While Canada is far from broken, it’s time we acknowledged that there are significant cracks in the land and the current government’s continued approach of ignoring the legitimate concerns of families battling record inflation and a housing crisis can’t continue.

As Poilievre tells it, Justin Trudeau’s excessive spending, runaway deficits and second-rate commitment to infrastructure mean that a continued Liberal reign poses no less than an existential threat to our nation.

Trudeau’s challenge is that circumstances beyond his control — namely brutal economic conditions — make defending against Poilievre’s charges harder and harder. He is left, as many long-term governments are, selling a hypothetical alternative narrative of another kind of doom and gloom.

And so, Trudeau paints a sloppy picture of a Poilievre-inspired hellscape where you pay for groceries with Ethereum and carbon costs less than an FTX token.

Source: In 2023, Canadians deserve a grand vision from our political leaders

Sabrina Maddeaux: Liberals bring in influx of immigrants without a plan to support them

Yet another commentary questioning the impact of high immigration levels on housing, healthcare, infrastructure etc.

But Maddeaux is silent on the “complicity” of provincial governments who are responsible for addressing many of the externalities and costs, the business community in pushing for high levels of both permanent and temporary residents, and the various stakeholders supporting the increased and increasing levels:

The federal Liberals are well on their way to meeting at least one of their marquee goals: 500,000 new immigrants per year by 2025. The stats for 2022 just came in, and last year saw a record 431,645 new permanent residents.

That’s a 6.4 per cent increase over 2021 — and this year aims to admit 465,000 new residents, which will be another 7.7 per cent increase over 2022. These numbers don’t include temporary foreign workers or international students, which are also rising at record rates.

This sort of rapid swell isn’t just historic for Canada, it makes us the fastest-growing country in the G7. This would be great news, if not for the fact that we’re also among the least equipped to accept a mass influx of new people.

To put those earlier numbers in context, the population of Halifax is about 440,000. Quebec City’s is around 550,000. We are, or soon will be, adding the equivalent population of one of those cities each year.

Diversity is a pride point for many Canadians, and we’re undoubtedly a stronger and better country thanks to immigrants’ many contributions over the decades. However, this doesn’t mean we should blindly open the floodgates to hundreds of thousands more per year, when there’s scant evidence we can support them.

As much as we may want to welcome more immigrants into the fold, there needs to be a debate about whether now is the best time to boost targets. We may find that, until we get our house in order, the risks outweigh the potential rewards.

Immigration isn’t inherently good for a country, or even for immigrants, in and of itself. Positive outcomes for all parties require careful planning and a sense of realism. Unfortunately, it appears the Liberals have neither.

Our health-care system ranks poorly against peer countries and seems to be only getting worse. We can barely even care for sick children in our major urban centres, let alone rural areas. Family doctors are practically the new Polkaroo.

Our housing situation is dismal. We don’t have enough homes, and the ones we do have are exorbitantly expensive and out of reach for all but the very wealthiest young Canadians and newcomers.

It seems like we have shortages of every type of basic infrastructure and service, from transit to schools and childcare spots.

International students are frequenting food banks, living in crowded and often unsanitary rooming houses and even driving five hours –– each way –– to attend classes.

Many immigrants still can’t work in their trained fields because we haven’t taken the time to sort our credentialing systems. Despite just about everyone agreeing that foreign-trained doctors shouldn’t be driving taxi cabs, it always seems to be a problem for another day.

Meanwhile, Liberals argue that we need more newcomers to boost our economy and address labour shortages. Not only does this seem callous and exploitative in light of our inability to provide for needs like housing and health care, there’s little evidence our current immigration system can produce these desired outcomes.

At a certain point, we will get diminishing returns. While more immigrants mean more tax dollars, we don’t get to just take from them without giving anything back. They, too, require doctors, affordable homes, schools and passports in a timely manner. They use subways and parks and, eventually, long-term care homes.

By failing to invest heavily in infrastructure and government services, the Liberals are exacerbating resource scarcity and intensifying competition for fundamental goods and services.

Historically, this never ends well. Eventually, people look for someone to blame for their declining quality of life, and that group tends to be newcomers.

To be clear, such scarcity isn’t the fault of immigrants. It’s the fault of governments that either failed or didn’t bother to properly plan to support their targets. Yet that will be of little consolation if Canadians’ historically welcoming nature begins to take a turn.

Canada’s success with immigration is thanks to its record of sustainable growth. For the Liberals to throw that ethos out the window isn’t just irresponsible, it’s dangerous.

Source: Sabrina Maddeaux: Liberals bring in influx of immigrants without a plan to support them