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The Economic Freedom Network
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Contents .......................... December 1996
Editor's Notes
This Issue's Authors
Cover stories :
How America Got Its Litigation Explosion-and Why
Canada Shouldn't Consider Itself Immune
Some Economics of the Canadian Legal Profession
Student Article : In the
Name of Justice...
Tangling the Web
Also Reaturing :
Fraser Institute Wins $18 Million Lottery?
Media Expedites Campaign 2000's War on Poverty
Canadian Versus U.S. Poverty
Private Hospitals Improve Public Sector Health Care
December Questions and Answers
December Graph
Institute News
Restricting Reproductive Freedom Is the Real Indignity
Love in the Age of Monopoly
You Don't Own Joe's Bar and Grill
Editor's Notes
The Fraser Institute and the Manhattan Institute
recently held an important conference in Toronto. Law and Markets: Is Canada
Inheriting America's Litigious Legacy? featured speakers prominent in the
Canadian and American legal communities, including the Chief Justice of Ontario, and
Ontario's Attorney General.
The purpose of the conference was to look at the burgeoning number of civil suits and
class actions taking place in the United States-many of them spurious-and determining
whether such activity could be imported into Canada, and if so, how it would effect our
economy. In fact, if American trends in civil justice are brought to Canada (and there is
every indication that we are already seeing them emerging here) it will affect every
Canadian. Products may not come to market if their manufacturers cannot afford to insure
themselves against lawsuits, no matter how ill-founded. Municipalities may have to close
local parks if they cannot afford the insurance needed to protect them from outlandish
claims against them over those parks' (mis)use.
This issue of Forum reprints two of the papers presented at the
conference. You might want to read the rest: call our events department to place an order.
This Issue's Authors
Brian April is Director of Development at The Fraser Institute. He has a Ph.D. in Modern
History from the University of Cambridge.
Stephen T. Easton is Professor of Economics at Simon Fraser University. He has edited,
co-written, and written several Fraser Institute books.
Joel Emes has his Masters in
Economics from Simon Fraser University. He is a research economist at The Fraser
Institute.
William McArthur, M.D., is a
Visiting Fellow in Health Policy at The Fraser Institute. He is a practising physician in
Vancouver, and was B.C.'s first Chief Coroner.
Kate Morrison is Co-ordinator of
the National Media Archive. She has a B.A. (Honours) in Economics and Communications from
Simon Fraser University.
Walter Olson is a Senior Fellow at
New York's Manhattan Institute. He is a 1975 Yale graduate, and writes regularly for the Wall
Street Journal, the Washington Post, the New York Times,
and Reason.
Filip Palda is Professor at
l'École Nationale d'Administration Publique in Montreal, and Senior Fellow of The Fraser
Institute. He received his Ph.D. in Economics from the University of Chicago.
John Robson is a freelance writer
based in Ontario. He has a Ph.D. in History from the University of Texas at Austin. He has
written several Critical Issues Bulletins and many articles in Fraser
Forum.
Christopher Sarlo teaches economics
at Nipissing University in North Bay, Ontario. He is the author of Poverty in
Canada, published by The Fraser Institute.
Karen Selick practices law in
Belleville, Ontario, and is a columnist for Canadian Lawyer. You
can reach her at kselick@connect.reach.net.
Michael Walker is Executive
Director of The Fraser Institute. He received his Ph.D. in Economics from the University
of Western Ontario. He has written, edited, or co-authored dozens of Fraser Institute
publications.
Mark Weller is the Manager of
Information Systems at The Fraser Institute. He has a B.A. in International Relations from
the University of British Columbia.
How America Got Its Litigation Explosion-and Why Canada
Shouldn't Consider Itself Immune
Walter OlsonSenior
Fellow, Manhattan Institute. These remarks were given to the audience at The Fraser
Institute/Manhattan Institute conference, Is Canada Inheriting America's Litigious Legacy?
which was held in Toronto on November 21, 1996note
Many of our Canadian friends, contemplating
America's disastrous experience with litigation, are inclined to say, "It can't
happen here." No Canadian jury, they say, would award $4.8 million to the New York
mugger shot by police while trying to escape the scene. Or $2 million to the drunk who
fell on the subway tracks and whose lawyer said the train should have stopped faster. Or
$1 million to the would-be suicide who jumped onto the tracks on purpose. Each of these
are actual cases from New York.
Canada, they say, would never have produced a case such as the one which caused a stir
recently in my own state of Connecticut, where a man trying to escape the police in a
high-speed chase crashed his motorcycle into a parked car and got not only a half-million
dollars from the city of Waterbury, because it had the temerity to chase him, but a
$100,000 award against the owner of the parked car, on the grounds that it had been
negligently parked in a location where it was too easy for him to run into it. Canadian
culture isn't like that, they say.
Far be it from me to sell culture short, but there is something that is easier to quantify
than culture, namely, the rules of the game in litigation. In both Canada and the U.S.,
these rules shape the incentives of lawyers and clients, and, once they've had a chance to
work for a while, a profound change in these rules can succeed in creating a legal
culture, or in turning one kind of legal culture into another. For as long as anyone can
remember, we in America have maintained rules that make some kinds of lawsuits easier to
file and more lucrative, especially for the lawyers, than they are in other countries, and
over that whole period we've been known for having more of those sorts of lawsuits than
other countries. More recently, particularly in the 1970s, we began a further and quite
drastic liberalization of our rules in ways that encourage more litigation, and we indeed
proceeded to get more litigation-a lot more. Canada is now being urged to adopt many of
the same measures. As you look south of the border, my advice is: don't think it can't
happen to you.
The legal tradition of every great nation embodies the principle that society, on balance,
should discourage litigation by parties with doubtful cases. Lawsuits may sometimes be a
necessary evil, but they are destructive and acrimonious; they tend to paralyze life; they
endanger the innocent and tempt the bully; they have a large unavoidable random factor
that accounts for the proverb about going to law: "He that hath right, fears; he that
hath wrong, hopes." In general, lawsuits are something to be avoided except as a last
resort. Not prohibited, necessarily, but discouraged.
Perhaps the most important rule flowing from this principle, both practically and
symbolically, is the loser-pays or cost indemnity idea, which holds that the losing side
should be at risk for some amount payable to the opponent-an amount that's typically less
than the expense inflicted on the opponent by the lawsuit in question, but substantially
larger than zero. In the United States, we are alone in setting a price tag of essentially
zero on the harm done by litigation. Someone can come up to you, dump a pile of papers on
your front lawn, say terrible things about you that get printed in all the newspapers, you
may spend millions of dollars proving that each charge is untrue, and after you're
completely vindicated, the offending party simply walks away. Many people will pull out
their checkbook rather than face this prospect, and the threat alone gives a great deal of
leverage to people who want to go about picking fights on the basis of weak cases.
This terror of being sued is one that we of course did not invent. It was the British
humorist, Jerome K. Jerome, who wrote:
If a man stopped me in
the street, and demanded of me my watch, I should refuse to give it to him. If he
threatened to take it by force, I feel I should, though not a fighting man, do my best to
protect it. If, on the other hand, he should assert his intention of trying to obtain it
by means of an action in any court of law, I should take it out of my pocket and hand it
to him, and think I had got off cheaply.
Although we in the United States may not have invented the use of lawsuits to impose costs
on an opponent, it can fairly be said that we have brought that art closest to perfection.
Over the past few decades we have greatly liberalized the rules of procedure, evidence,
and jurisdiction in ways that make it easier to dump costs on an opponent, and more
onerous to be sued, win or lose. Our so-called "long-arm jurisdiction" lets
litigants shop around for a court that's partial to them or hostile to their opponent. Our
so-called "notice pleading" lets litigants get into court without specifying
exactly what their opponent has done wrong or how it has hurt them, and switch theories
later. And our so-called "pre-trial discovery," greatly expanded in the 1970s,
allows fishing expeditions to demand the opponents' filing cabinets.
It is hard to find an area of legal procedure which the United States has not liberalized
in recent years in order to make it easier to sue. We have relaxed the evidence rules so
as to let in more dubious expert testimony when that is what is needed to keep a claim
alive. We have helped along class actions through a variety of changes that have made it
easier for lawyers to organize such actions for their own profit without a preliminary
showing of likely success on the merits of the case, and without requiring that class
action members opt in. We have revamped damage calculations in order to raise the rewards
for suing, and have expanded the use of punitive and triple damages. We have passed all
sorts of new laws creating vague legal obligations on which people can sue. For example,
workers can sue if fired without "good cause," if subjected to a "hostile
work environment," or if their disabilities are not granted "reasonable
accommodation."
All along, a crucial difference between the U.S. and most other countries has been our
welcoming of the lawyers' contingency fee, which allows lawyers to capture a share of the
winnings for themselves. Roman law used to ban this kind of fee, as did British law, as
did the various Continental legal systems, on the grounds that it gave lawyers too sharp
an incentive to overpress their cases. It was the same general principle by which we
consider it a bad idea to let traffic cops keep a share of the proceeds of the tickets
they hand out, or tax collectors keep a share of the assets they seize: they'll be too
likely to trample the interests of those over whom they exercise force. For a long time
the United States was the only major country that allowed these fees, and only in narrowly
limited situations. Now we encourage them in a much wider range of situations, and I
understand that most Canadian provinces have also moved to legitimize the contingency fee.
That trend is part of a wider relaxation of old ideas of legal ethics. Ethical rules used
to discourage lawyers from "stirring up" litigation, but in 1977 the U.S.
Supreme Court decided that lawyers have a constitutional right to advertise and chase
business in other ways. Justice Harry Blackmun, on behalf of a 5-to-4 majority, predicted
that this would lead to an increase in litigation, but viewed this as one of the benefits
of allowing advertising.
This really did signal a great change in our elite legal culture-by which I mean the
culture of the people making the rules, as opposed to the culture of the street-which is
hard to overstress. By the late 1970s our law schools had stopped teaching that litigation
was a destructive thing to be avoided, and started teaching that it was really a good
thing for society and the more of it the better. So why not deregulate the producers?
Citizens were to be encouraged to seek full vindication of their legal interests, and the
first step was to be fully educated as to what those interests were. By 1975 one of the
most widely quoted of the new legal ethicists could write of a "professional
responsibility to chase ambulances." Aggressive litigation styles were easier to
rationalize if it were in the social interest to hit your opponent good and hard.
What we got, of course, is a full-fledged industry devoted to identifying chances to sue
and running the resulting suits for maximum dollar output. That industry now lobbies very
successfully for policies that resolve every social issue in the direction of more
litigation. It is also trying to export its "products," sending emissaries to
the United Kingdom, Canada, Australia, to show how it's done and how best to change your
rules.
This is one of those ways in which, Quebec aside, you may be menaced by sharing with us a
common language. The dominant tone of the American law reviews for the past 20 years has
been extravagantly in favour of every expansion of our litigation system, and those
reviews are widely read throughout the English-speaking world, where they help spread
American elite legal culture. And sure enough, the United Kingdom, Canada, and Australia
have all seen steps aimed at watering down loser-pays, expanding the use of contingency
fees, revamping procedure in ways that encourage suing, and so forth. Continental Europe
appears to be doing a better job of fending off these pressures.
If you must be influenced by America, please listen to our current debate, not the
writings influential two decades ago. Back then, some very grand promises were made for
litigation as a cure for social ills. But having downed the potion we are now waking up
with something worse than just a hangover: an increasingly divided and embittered society,
costs in the hundreds of billions of dollars, and a business and professional life where
many merchants, doctors, and accountants see themselves as just one unlucky jury away from
losing it all. Our public opinion is increasingly signalling that it considers the sign of
social progress to be a court system with less needless squabbling-one more like Canada's,
in fact.
No doubt you hear frequently that the Americanization of your legal system is inevitable,
and that you may as well get used to the prospect. But it's not inevitable if you muster
the will to stop it. And if you do, you might just find that a legal culture of restraint,
civility, and peacemaking was the real wave of the future all along.
Some Economics of the Canadian Legal Profession
Stephen T. Easton This paper was prepared for The Fraser Institute/Manhattan Institute
conference, Is Canada Inheriting America's Litigious Legacy? which was held in Toronto on
November 21, 1996note
An economist's usual approach to analyzing the
legal profession would examine supply and demand. How many lawyers are there and how much
are their services worth? What are the forces that change the number of lawyers, the
extent of their practices, and the prices that they receive for the services that they
render? In Canada at the present time it is not really possible to do this. The data
characterizing the legal profession are not sufficiently fine to support such a
construction. Any analysis must of necessity be more limited. But even without a full
description of the economic geography of supply and demand, past and current trends
provide landmarks and lookout points of interest.
The single most striking characteristic of the Canadian legal profession from an
outsider's perspective is the expanding number of participants in the industry. From 1985
to 1995, the number of members of the Canadian Bar Association increased by 37 percent.
During this same period, Canada's population grew only 13 percent.
The reasons for and consequences of this dramatic expansion need to be explained because
they will guide the development of the legal environment in Canada for the next half a
century. If it is the case that society's complexity requires more and more legal advice
in order to function, then we might think of the increased number of lawyers as being
demand driven. This increase in demand would be associated with both higher numbers of
lawyers, and higher prices being paid for their services. If, on the other hand, the
increase in the legal population has been supply driven, then we might anticipate that the
average amount of money paid for a unit of legal services would decrease. Furthermore, the
increase in the number of lawyers may not be associated with traditional demands for legal
services, and this may lead to changes in the legal landscape that do not enhance economic
activity.
My hypothesis is that what we are observing is, at least in part, a supply driven
phenomenon. Further, even if this is not the case, there is likely to be a reduction in
some of the traditional sources of demand for legal services in the next few years, which
suggests that the focus of legal activity will be changing. In particular, the emphasis on
civil litigation will become more pronounced as lawyers explore additional ways of using
their skills beyond those associated with traditional criminal and civil law. Much of what
follows is speculative. But even with the limited data at hand, there is much to speculate
about.
The number of lawyers
Since 1985 the numbers of lawyers in Canada has increased significantly. Figure 1 pieces
together a visual description of the number of lawyers per million of population in Canada
over the past 40 years, while figure 2 emphasizes the past decade. As is apparent, there
has been a steady increase in the number of lawyers both in the long and in the short run.
This is faster than the overall growth in service sector output. In the column headed
"Membership," table 1 shows the increase in the absolute numbers of lawyers
listed by the Federation of Law Societies. It shows a substantial increase over the past
decade: the number of lawyers has risen from 45,675 in 1986 to 62,637 in 1995. Column 2
looks at another way to see the increase-the growth in the numbers of lawyers per 100,000
of the general population. This ratio grew from 1,750 per 100,000 in 1986 to over 2,100 in
1995.
Click here to view Figure 1: Lawyers per 1,000,000 Population,
1951-1991
Click here to view Figure 2: Lawyers per 1,000,000 Population,
1985-1995
Click here to view Table 1: Membership in the Federation of Law
Societies: 1986-1995
Of course it is not necessarily true that the sharp increase in the number of lawyers is
undesirable. We live in a much more complex society today than in times past. Issues such
as intellectual property rights will undoubtedly play an increasingly important role in
the future. More lawyers will be needed for many reasons. But it is still the case that we
have to feed many more legally credentialed mouths, and it is this issue to which we need
to pay some attention. Some negative evidence does exist on this score. As a pure
statistical matter, Brock, Magee and Young (1985) find that the rate of economic growth of
a country was lower in proportion to its number of lawyers. In their analysis they
standardized for the level of economic development, but they did not try to compare legal
systems. Though far from conclusive, we should nonetheless be interested in the rapid
increase in the numbers of lawyers being trained. What they are doing and why they are
doing it is important. Are the changes that may be taking place in the legal profession
desirable?
Canada is not the only common law jurisdiction with many lawyers. In comparison to the
United States in 1993, we have only about two-thirds as many lawyers per capita. However,
it is also the case that we are training more, faster. In 1971, Canada had half as many
lawyers per capita as the U.S., but by 1981 this was at 60 percent. Figure 3 points to the
rapid increase in the proportion of lawyers in Canada relative to the United States.
Although figure 3 does not show it, in the past few years the per capita number of lawyers
in the U.S. has actually declined slightly, while the number in Canada continues to
increase. As an absolute fraction of the population devoted to the legal profession,
however, the United States continues to dominate.
Click here to view Figure 3: Canadian and U.S. Lawyers per 1,000,000
Population, 1951-1991
If Canada is to have an increasing number of lawyers in the future, there are a number
of questions that come immediately to mind. Will the activities of the added lawyers
mirror those who have been in the profession in the past? Or will there likely be changes
in the kinds of activities to which the new and larger numbers of professionals will need
to turn to earn their keep?
Sources of traditional demand for legal services
Although it is certainly the case that the general public associates the legal system with
crime and punishment, the crime rate cannot explain the pattern of persistent growth in
the number of lawyers displayed in table 1. In fact, although the crime rate rose from
1986 until 1991, it has fallen back gradually since then. This is in contrast to the
steady increase in the number of lawyers. Table 2 displays the number of criminal code
incidents per 100,000 people. Clearly, the number of incidents has little to do with the
increase in the number of lawyers.
Click here to view Table 2: The Behaviour of the Crime Rate
Furthermore, we should expect the demographic structure of the Canadian population to
continue to support a falling measured crime rate. Most of the people caught for crimes
are males between the ages of 15 and 29. The fraction of the Canadian population in this
age range is forecast to be declining for the next quarter century from a current rate of
10.7 percent to a level of 9.7 percent.World Bank population
forecast note Although many factors other than mere age are involved in the
changing crime statistics, certainly the potential change in the demand for legal
representation in criminal litigation in Canada will be different than were this segment
of the population still growing.
Legal aid as a source of income
One of the stalwart sources of income for Canadian lawyers since the early 1980s has been
legal aid. Legal aid expenditures have grown substantially since they were instituted in
the early 1970s.See for example Easton, Brantingham, and
Brantingham (1994)note Although legal aid expenditures are not a large part of
the income earned by all lawyers, it has been a very steady and growing component of
income that is suddenly beginning to fluctuate.Probably in the
order of magnitude of 10 percent or so of all spending on legal servicesnote
Since 1970-71 when legal aid in Canada constituted $12 million (1971 dollars) annually to
a high water mark in 1993 at $670 million (in 1995 dollars), expenditures on legal
aid-both criminal and civil, have expanded enormously.Even
adjusted for inflation, the 1970 number of $12 million is no more than $40 million in
today's dollarsnote
Soon, however, this source of income is likely to be significantly reduced. In the largest
provinces-Ontario, Quebec and British Columbia-the number of certificates issued for legal
aid work has been, is or is about to be cut significantly.In
June 1996, Quebec amended the Legal Aid Act, even although the caseload had remained more
or less the same since 1991-92note For example, in Ontario-the province which
has used almost half of the legal aid dollars in Canada-although the cost per case has
been kept about the same in the past few years, the number of legal aid cases has
spiralled as governments of all political stripes have tried to reconcile budgetary
objectives.
Click here to view Table 3: Legal Aid Caseload in Ontario, 1990-1995
In these times of restraint, reductions in both caseloads and overall costs are a goal
for all of the provinces. Throughout Canada there is a worry that the costs of legal aid
have risen out of hand, and that some restrictions are appropriate and necessary.
However, it is interesting to see the direction that legal aid caseloads have taken. While
in large part we think of legal aid as the legal system's aid in enforcing a fair argument
for people who risk their liberty in criminal matters, over the past decade more and more
legal aid has been spent on civil cases. In Ontario, where once over 60 percent of legal
aid cases were criminal cases, in 1995 only 54 percent of cases were criminal in nature.
Although this trend is not national, since legal aid is idiosyncratic by province, there
is a tendency for civil legal aid costs per case to be rising faster than those for
criminal matters. Thus, relatively more resources have tended to be directed toward civil
cases in the recent past, although current budgetary redeployments and retrenchments may
change this loose pattern.
Where does this leave us? We have a legal system that faces a reduced caseload from
criminal work. There is both a reduction in the number of crimes being committed and a
reduction in the number of legal aid cases. Resources devoted to civil justice issues have
been increasing. This is the tableau against which the rapid expansion in the number of
lawyers must be set.
Other sources of income
There are numerous other trends affecting lawyers' incomes. British Columbia is toying
with no-fault auto insurance, a path already trod in Ontario and other provinces. No-fault
divorce is another source of reduced demand for lawyers.
So where have the increases been in the sources of revenue for lawyers in the civil arena?
Fraser Institute researchers who examined the civil justice field in some detail were
astonished to find that there was little or no statistical information in Canada about the
civil justice system, and remarkably little about the justice system at all (Lippert,
Easton and Yurish, 1996).
For example, it is impossible to catalogue the number of civil justice cases taking place
in Canada on an annual basis because many jurisdictions do not keep appropriate records.
Similarly, it is impossible to talk about efficiency in the courts in anything other than
an extremely cavalier fashion. This is an increasingly important problem to courts and
lawyers now that the justice system is called upon to bear budget cuts as though it were
simply any other part of the provincial budget. Yet there is no sense in which the courts
are efficient; that is, that the best practices for case management are used, that
appropriate accounting is kept of the expenditures of court time versus pre-court
conferencing, and so on. For example, there is no cost associated with leaving civil cases
filed even when the parties have long since settled or abandoned an action. This clutters
the books and can lead to very misleading estimates of caseload backlog.
The importance of record keeping (or its lack) by the judiciary or any statistical agency
means that it is impossible to have a precise idea about the evolution of legal caseloads.
We do not have a systematic way of discriminating among cases. We do not have a good idea
about the relative importance of liability cases versus contract cases. How many and how
important are each of them? How quickly are class action cases increasing? In a survey of
corporate counsel, The Fraser Institute, in conjunction with the Canadian Bar Association
and the Canadian Corporate Counsel Association, attempted to get some kind of a picture of
what has been taking place. But future surveys will be necessary to provide comparative
data.
In the absence of quantitative information about caseload, we can get a sense of the
importance of different sectors of the business to the legal profession by looking at
spending and income of different components of the legal system. Column 1 in table 4
reports the average real growth in receipts by private law firms. Although there are many
caveats with these numbers (Lippert, Easton and Yurish, 1996), except for the mid 1980's,
the growth in receipts by law firms has not been very substantial. In contrast to the
growth in spending on court and regulatory agencies, the legal profession has lagged in
two of the three periods we examined. These figures have been adjusted to take account of
inflation-hence the term "real."
Click here to view Table 4: Average Annual Real Growth of Civil Legal
Receipts by Major Recipient Groups, 1973-74 to 1993-94
What is apparent from the figures on income is that there has been little increase during
the period of the rapid run-up of the number of lawyers. It suggests that the increasing
number of lawyers has not been matched by an increase in the kind of case law that has
been traditionally been practised by lawyers. It is both natural and understandable that
the kinds of law that lawyers will pursue in the future will be different than those
practised in the past. The market will need to be expanded. However, the traditional
sources of demand have not increased to keep up with the supply. Furthermore, we foresee
few future increases in the demand for criminal, legal aid, and even some kinds of injury
claims. It is the expansion of civil litigation that we need to investigate to make sure
that it is useful rather than damaging.
Consequences for the legal environment
The gradual breakdown of the civil justice environment has already begun to take place, if
we believe its participants. There have already been court-ordered releases of potential
felons because of overly long delays in the criminal courts. Many have complained about
the delays that are clogging the system in particular courts.
To try to determine the magnitude of the problems facing the Canadian civil justice
system, The Fraser Institute, the Canadian Bar Association, and the Canadian Corporate
Counsel Association survey also sampled corporate counsel about the kinds of problems that
they were facing with respect to their caseloads. In the sample, corporate counsel dealt
with an average of 58 cases each year during the last five years. Most (38 percent) of
these cases were about contract law, while 14 percent involved labour or employment
issues. Personal injury, product law, and tax matters were the subject of 11, 8, and 5
percent of reported cases respectively. Parties to the case were other companies in 46
percent of all cases, and individuals in 41 percent of cases. Cases involving governments
and government agencies at all levels were evenly split and totalled 10 percent of cases.
Unions were the subject of about 3 percent of cases.
Counsel who completed the survey began work on a case an average of 10 months after the
dispute began. The final disposition took 39 months, on average, although if the case went
to trial it took 47 months. Comments by counsel included remarks that "trials take
too long; [and are] too costly;" and that "the plaintiff in this case did
nothing to move it forward for, literally, years, and there was nothing in the court
procedures to prevent that."
While such observations are certainly not definitive, they suggest that there are already
difficulties associated with clogged resources. With the potential expansion of civil
justice in the area of liability, class actions, tribunal appeals, and the like, it will
be a miracle if the system is not seriously slowed down in the next decade or two.
Conclusion
The legal profession is expanding in numbers, but less rapidly in terms of revenue.
Traditional income sources such as legal aid are likely to be contracting in the near
future, and provinces are considering a number of strategies that are potentially income
reducing for the legal profession. It seems to be clear that there will be a gradual
change in the kinds of law being practised. What kind of law is valued in practice, and
what is being taught in the law schools today? What kinds of new law are being proposed?
For example, what kind of restrictions should there be on class actions? Are lawyers
receiving the kind of training that is appropriate to the current legal environment? Do we
as a society want to encourage the expansion of law in one direction or another? It seems
reasonable that with the continuing development of the service industries and the
consequently new emphasis on intellectual property (whether disseminated over the Internet
or through traditional channels), more and new law will be made. Yet the increase in the
number of lawyers is probably not associated with these trends for the most part. How we
assess the costs to the economy of expanded legal activity in nuisance suits and
speculative liability challenges is an area of research that Canadians must be prepared to
investigate. There are too many new lawyers to split the traditional pie.
References
Easton, Stephen T., Paul J. Brantingham, and Patricia L. Brantingham. Legal
Aid: Efficiency, Cost and Competitiveness. Government and Competitiveness:
School of Policy Studies, Queen's University, 1994.
Lippert, Owen, Stephen T. Easton, and Craig Yurish. "Trends in Canadian Civil Justice
(revised)." The original was presented to the Canadian Bar Association's
"Taskforce on Civil Justice," February 1996.
Magee, Stephen P., William A. Brock, and Leslie Young. Black Hole Tariffs and
Endogenous Policy Theory. Cambridge University Press, 1989.
World Bank data on diskette. World Tables, 1995.
In the Name of Justice...
Howard Markowitz Howard Markowitz is a law student at Osgoode Hall Law School, York
University, Toronto. This article is reprinted from the November/December 1996 issue of
Canadian Student Reviewnote
At a timely seminar on current issues in personal
injury law, Ken Howie, plaintiff's litigator and Law Society Bencher said, "The
contingency fee is as alive and well in Ontario as it ever would be with a formalized
agreement." Michael Royce, a McCarthy Tétrault partner representing the Canadian
Medical Protective Association wrote that most plaintiffs' lawyers "undoubtedly make
it clear to their clients from the outset that, if the action is successful, they will
charge a fee which exceeds the amount their normal hourly rate would generate for the work
they have done." Finally, Serge M. Lapalme, who chaired the Canadian Insurance
Bureau's advisory committee, has speculated that 60 to 70 percent of personal injury cases
in Toronto already use this type of contingency fee arrangement where the lawyer
essentially finances the action until disposition.
With this much support for the legalization of contingency fees in Ontario, the provincial
government must catch up to the realities of legal practice, as has every other Canadian
province, and amend the Solicitor's Act to permit contingency fee arrangements. Everyday
survival as a rational being hinges on the freedom to choose right from wrong, good deals
from bad-and the provincial government's baseless fears of a cheapened legal profession,
frivolous claims, and increased unethical practices cannot be used to justify the forced
obliteration of a citizen's right to retain a lawyer through the payment method of his or
her choice. If anything, a contingency fee option can improve Ontario's inadequate legal
system by promoting access to justice, enriching lawyer services, and adjusting to the
technological realities of legal practice in the late 20th century.
First of all, access to justice is in a sorry state in 1996 Ontario; the costs of bringing
an action to trial begin at 5 figures, and the number of available Legal Aid certificates
was cut by 57 percent from 231,000 in 1993 to a mere 100,000 in 1996. A contingency fee
option lets willing clients pay their legal bill by essentially borrowing from their
lawyer until they receive compensation from the defendant. And by shifting the over $10
million financing burden of publicly-funded civil damage lawsuits onto consenting lawyers,
Ontario could allocate more Legal Aid certificates to such crucial areas as criminal
defence, immigration hearings, and family law.
While optional contingency fees guarantee maximum access to justice for Ontario's poor,
the middle-class can also gain a heaping portion of fair-play with their newfound
opportunity to launch costly litigation without "selling the farm" to pay their
legal fees in advance. Under current payment restrictions, risk-averse individuals who
cannot afford to initiate litigation under an hourly-fee contract are forced by government
to either drop their claims or make do with insufficient settlements. In fact, many of
Ontario's past cases have been so complex and doubtful that they never would have been
launched without some fancy legal footwork to skirt around the longstanding ban on
contingency fee rights. A case in point was the famous thalidomide baby litigation of the
early 1960s, in which Ontario lawyers had to get jurisdiction to hold proceedings in the
U.S. where contingency fees were allowed. True access to justice in Ontario for both the
poor and middle-class will only be achieved by permitting the contingency fee option.
Second, contingency fees can enrich legal services in Ontario. Osgoode Hall's "Legal
Profession" course confronts the public's lack of trust, which is responsible for so
much of the low public image lawyers have in this province. (Lawyers rate second lowest,
above only politicians themselves.) The contingency fee option counters this mistrust by
reassuring sceptical clients that since lawyers own a piece of the action, they really
will work their hardest. Fixed fees for estates, trusts, and divorces put a premium on a
lawyer's ability to serve clients efficiently and produce quality work, as opposed to just
throwing "legal teams" of inexperienced students/associates at a project and
then mass billing for the hours of each.
Furthermore, lawyers frequently earn their low public image by consistently miscalculating
or lowballing the projected costs of legal actions, infuriating clients with a
higher-than-expected number of zeros on the final bill. Contingency fees both empower
clients and raise lawyers' public images as firms are forced to absorb their own faulty
cost estimates. Once again however, this risk-shifting catalyst for enriched legal service
will only be achieved when Ontario legalizes contingency fees.
Finally, the technology of modern legal practice demands a lawful option for lawyers to
charge contingency fees. Six months ago, a young entrepreneurial lawyer from the
University of Toronto told a group of York University students how he had invested nearly
$10,000 in state-of-the-art computer equipment before opening his law office in February.
With contingency fees, this energetic legal expert is rewarded for his efficiency because
he can charge a client several hundred dollars for a successful standardized divorce claim
or stock transfer agreement. Yet strict hourly billing won't officially earn him any more
than $5, since it only takes him a minute to type his client's name onto his software
template and print it out. Ontario's most efficient young lawyers are essentially punished
for their high productivity, quick thinking, and mass technological investment, while a
computer-illiterate lawyer who takes four hours to recopy his legal drafting by hand hits
the jackpot and earns up to $1,200 for his sluggishness! Let's catch up to the realities
of modern legal practice by granting lawyers the freedom to charge contingency fees.
Ontario's government spends billions of taxpayer dollars in order to maintain access to
justice in this age of fiscal restraint, so why not let willing lawyers diversify the
province's risk of financing losing actions by taking on a portfolio of cases under a
contingency fee basis? Instead of letting powerless clients worry over unpredictable
hourly billings and discretionary expense-padding, shift the risk of lowball
cost-estimates onto the lawyers through contingency fee payments.
Ontario must catch up to other provinces, to 20th century legal technology, and to the
long-time de facto existence of contingency fees among Ontario's top plaintiff lawyers.
Free choice for Ontarians . . . legalize contingency fees today!
Tangling the Web
Mark Weller
Where will all the lawyers go now that the demand
for lawyers in traditional sectors has decreased? One answer could be the Internet. Many
legal professionals are already gearing up to deal with an emerging element of cyberspace-
government regulation.
Nineteen ninety-five was clearly the year that the public at large was introduced to the
World Wide Web. However, if 1995 was the year of Web, then 1996 was the year of government
on the Web. Outstripping all other organizations and topics in their on-line growth, in
the last year government departments of all kinds have sprung up on the Internet. The
domain extension .gov, which is reserved for U.S. government sites, now accounts for more
than 2.8 percent of the total sites on the World Wide Web. While most of their other
departments have been reduced, governments throughout the western world have been spending
like mad to get their bureaucracies on-line.
Of course, an even greater danger than governments sprawling through cyberspace is the
threat that, having discovered the Net, they may begin to desire to control it. After all,
the reasoning goes, regulation is a job creator: it keeps bureaucrats busy, as well as the
legal professionals who are needed to interpret the regulations.
One example of this intention was expressed recently on the CBC Newsworld program
"Ottawa: Inside Out." During a segment that aired on this program on November
16, Canadian Radio and Television and Telecommunications Commission Chair Francoise
Bertrand stated: "I think it's very important, on those new modes of communication,
that there is Canadian content, Canadian producers as well." In other words, the CRTC
is looking at ways to regulate content in cyberspace.
However, such wrong-headed plans are not limited to the Canadian government. Since the
Internet operates across national boundaries, international organizations have begun to
take a similar interest in regulating the Web. The United Nations Educational, Scientific
and Cultural Organization (UNESCO) is interested in regulating the rights of authors in
cyberspace and may soon emerge as the key institution involved in regulating the Web. They
have also expressed concerns about equality of access to the Internet, and have discussed
ways to promote culture on the Web. In order to demonstrate the folly of these
initiatives, it is necessary to address a few misconceptions.
First, the Internet is actually something new. As Nicholas
Negroponte, head of the Media Lab at MIT put it not so long ago, "Shipping bits is
fundamentally different than shipping atoms." For example, web publishing and book
publishing are two fundamentally different things. So existing regulatory frameworks
should not simply be stretched to cover new media, which seems to be what the CRTC is
advocating.
A similar misunderstanding exists with regard to intellectual property on the Net. The
legal community's key reason for wanting to regulate the Web has been its concern for the
protection of the rights of authors. However, this problem, insofar as it exists, arises
not from any deficiency in the rights the law currently grants to authors, but rather from
the difficulty of enforcing these existing rights on the Internet. The reproduction right,
which is recognized in international copyright, encompasses all of the actions about which
authors have concerns. The problem of enforcing international copyright on the Web,
however, requires a technological fix that will not be solved by further regulations.
Of course, the assumption is often made that even if it makes no technical sense, the Net
must be regulated for some greater societal good. In the CRTC's case, the greater good is
the preservation of Canadian culture. There is, however, no threat to Canadian culture on
the Internet-it is, in fact, thriving. For instance, we now know that 4 percent of all Web
sites in the entire world have the domain registration .ca. That means they were
registered as specifically Canadian sites. In terms of the percentage of the population
that is on-line, Ottawa and Vancouver both rate in the top 20 cities worldwide. There is
no Canadian on-line content crisis.
The real crisis that may be approaching is that by regulating the Internet, it may be
effectively snuffed out. To understand why, we must first have an accurate picture of what
the Internet is. Technologically speaking, it is a network of thousands of computers
connected by phone lines. Geographically, it is largely American-there is a misconception
that the Internet is global when it is in reality mostly based in the United States. So
why is this? How did the U.S. get a head start on building the information highway? Quite
simply, the United States was the first country to break up state-mandated long distance
monopolies. Competition among carriers brought about cheaper long distance rates and this
suddenly made the Internet economically viable in a way that it had not been before.
Canada followed suit in de-regulation, and has reaped rewards with a strong national
presence on the Internet. So the Internet is a direct consequence of de-regulation.
With regard to property rights, the legal framework for the Internet already exists, and
there is no need for further regulation to address the concerns of authors, citizens, or
producers of culture. Rather than helping, regulating the Internet would be a giant step
backwards for telecommunication both in Canada and around the world.
I view legal professionals who hope to find new opportunities from the Information Highway
with some trepidation. Certainly there is a role for lawyers on the Net, but if there is
any temptation to regulate this new medium in order to provide a stronger basis for
litigation, it should be resisted. The World Wide Web, for example, has thrived chiefly
due to a lack of regulation. The imposition of arbitrary strictures would attack the Net
at its core, reducing its efficiency and utility as a communications medium. As a
world-wide phenomenon, the Internet is anticipated to generate over US $5 billion in
annual revenues by the year 2000. The economic benefits that the Internet could deliver
will not happen if lawyers and regulators, in their race to control the Net, kill the
golden goose in the process.
Fraser Institute Wins $18 Million Lottery?
Michael Walker
I could not believe my eyes. Had we won the
lottery? Had a faithful friend died and left us a legacy? What could explain our enormous
good fortune? Since the lottery pays out considerably less than a slot machine in Las
Vegas, we would certainly not have purchased a lottery ticket. And while we have many good
friends, nobody would leave us that much money.
The cause for my consternation was a new book by Walter Stewart, The Charity
Game, which states that The Fraser Institute has an annual revenue of more
than $18 million per year. The truth is that the revenue of the Institute in the year
cited was about one tenth that amount, or $1.8 million per year. Alas, it was not our good
fortune but simply a mistake by Walter Stewart that explains the very large revenue which
he attributed to us.
The implication of the error, of course, is that The Fraser Institute is 10 times as large
as it actually is. We are not surprised that others over-estimate our size; we are very
proud of the high productivity of our staff and the very large number of bangs we get per
buck that people invest in us.
Nor was this the only mistake Walter Stewart made in his book. Another "problem"
that he raises is the issue of why some groups qualify as tax exempt, tax deductible
organizations, and others do not. The main dividing line, which is drawn by Revenue
Canada, is whether the organization is engaged primarily in research and educational
activity, or whether the group is engaged primarily in political activity.
The Fraser Institute has always been a non-partisan, non-political organization. (On more
than one occasion we have been subject to very close scrutiny by auditors from Revenue
Canada to confirm the fact.) Mr. Stewart scoffs at this notion and asks why The Fraser
Institute can publish study after study recommending basic changes in the way government
policy is organized and still call itself non-political.
The answer is that there is a world of difference between politics and policy. Policy is
engaged in by governments formed from any of the political parties. As long as research is
carefully done, it will distinguish between the policies and the parties which happen to
pursue them.
The Fraser Institute has always maintained that there are good policies and bad policies,
and none of the political parties has a monopoly on either of these categories. It is true
that from time to time a political party may emerge which gets its policy agenda more
right than wrong, and in that sense even making a judgment about policy may imply some
comment about politics. That cannot be avoided, but commenting on the policies is not
itself a political act.
As to whether The Fraser Institute is partisan in its outlook, we have had the
satisfaction of seeing our policy recommendations adopted by NDP, Liberal, and
Conservative governments. We recently awarded the top budget performance rating in the
country to the NDP government of Saskatchewan. They won it on the merits of their
policies; their politics were irrelevant. That's the difference between a partisan and
non-partisan research organization.
The reason The Fraser Institute and other groups like it deserve different treatment than
political activist groups is that we make a real contribution to the basic understanding
of economic and social policies, and the effects they are likely to have on the economy.
Moreover, we make this contribution not by lobbying politicians but by providing facts and
interpretation to the general public through a number of routes. The value to the Canadian
people of correct versus incorrect policy is enormous, and is measured in the hundreds of
billions of dollars. For example, the reduction in trade protection, which has been
engineered largely by economists since 1950, itself amounts to savings for consumers of
about $50 billion per year. The policy research which yields these kinds of outcomes is a
good investment for the people of Canada to make, and should be very sharply distinguished
from activities which, for the most part, simply seek a benefit for some political
interest group.
Given the other difficulties in his book, it is not surprising that Walter Stewart does
not seem capable of making this distinction. But to be charitable, so to speak, he does
raise some valid questions about the differential treatment of groups which clearly cross
over the line and engage in lobbying or other overtly political activities. But frankly,
that bit is not worth the price of admission to his "game."
In any event, it's going to be some time before you'll have the opportunity to buy the
book. It has just been removed from store shelves across Canada and destroyed in order to
avoid a law suit brought about by another group featured in the book who were not amused
by Mr. Stewart's inattention to factual details.
Media Expedites Campaign 2000's War on Poverty
Kate Morrison
In recent weeks, newspaper readers have been
subjected to a barrage of headlines like the following: "1 in 5 children lives in
poverty" (The Province, November 19, 1996); "Trustees
urge war on child poverty, Boards organizing political push" (The Globe
and Mail, November 18, 1996); "Feds, provinces target child poverty, A
rush to defend the youngest victims of social benefit cuts" (The
Vancouver Sun, November 8, 1996); "Child poverty benefit urged, Federal
investment plan would resemble UI, CPP" (The Globe and Mail,
November 16, 1996).
The CBC's Julie Van Dusen reported on "The National" on November 13, 1996:
"More and more Canadians kids live in poverty. Consider this. . . . Canada has the
second highest rate of poverty among industrialized countries. . . . One in 5 Canadians
under the age of 18, 1.4 million children, live in poverty."
The source of these statistics is Campaign 2000, a national network of anti-poverty groups
who are pressuring government to redistribute $20 billion to low-income families by the
end of the century. The media, perhaps because of sensationalism, simplicity, laziness, or
perhaps real empathy for income redistribution objectives, have repeated Campaign 2000's
message without question and, for the most part, without clarification.
One in five Canadian children do not live in poverty; they live in families whose annual
income falls below Statistics Canada's Low-Income Cut-Off line (LICO). LICO is a measure
of income disparity that the popular press has coined "the poverty line." It is
not a measure of actual need. In fact, Statistics Canada takes great pains to point out
that LICO is not a "poverty line" and should not be confused with one.
Most media, apparently, would rather shock readers and viewers than inform them, and
therefore they continue to report LICO statistics as though they were poverty statistics.
As for Canada having the second worst rate of child poverty amongst industrialized
nations, this is another widely disseminated "fact" that is based on relative
measures. It is derived by taking the median income in each country, dividing it in half,
and calculating the proportion of the population that lives below that income level.
Poverty is a word that evokes strong images-malnutrition and inadequate clothing or
shelter-and is an inappropriate term for describing the 1 in 5 Canadian children who live
in relatively poor households in a very rich country.
A front page article in the Globe and Mail recently reported,
"the number of Canadian children living in poverty has increased by 46 percent since
1989, to 1.3 million children" (November 16, 1996). But Canadian Social
Trends, a quarterly publication of Statistics Canada, presents an entirely
different picture. It emphasizes that "fluctuations in the percentage of children
under age 18 who live in low income families can be attributed to changes in the business
cycle through the 1980s and 1990s. The percentage of children below Statistics Canada's
LICOs rose during the recession and declined during expansions. There was, however, no
long term trend, either upward or downward." The report found that the earnings of
Canadians under 35 has declined "substantially" since the late 1970s but that
families are having fewer children, having them later in life, are more educated and more
likely to be bringing home two incomes. According to the report, these factors, combined
with rising transfer payments to families, has offset the impact of lower earnings.
Child poverty is almost certain to be an election issue. The Chrétien government is
contemplating an integrated child benefit program to the tune of $3 billion, as part of
its platform. The wisdom of such a program will be judged according to its perceived need
and its estimated effectiveness. According to the media and their uncritical repetition of
the rhetoric from anti-poverty groups-the need is dire.
Are more Canadian children living in poverty? It is impossible to say until an absolute
measure of poverty is introduced, perhaps one similar to that produced by Professor Chris
Sarlo who has developed a "Basic Needs Poverty Line." Professor Sarlo has
estimated that there are about 313,000 children living in real poverty in this country.
Nonetheless, the media have allowed anti-poverty groups to dominate the debate and present
a false image of Canadian society, one in which more and more Canadian children are being
deprived of a happy, healthy life. It makes a good story. It's compelling, it's simple,
and it's human. Fortunately, it's not true.
Canadian Versus U.S. Poverty
Chris Sarlo
The United Nations has designated 1996 as the International Year for the Eradication of
Poverty, and the latest available statistics show that Canada still has a long way to go
to meet this goal. Nearly 4.8 million children, women and men-one of every six
Canadians-were living in poverty in 1994, and the overall national poverty rate was 16.6
percent. In a country as rich as Canada, these figures bear witness to the failure of
successive federal, provincial, and territorial governments to provide for the well-being
of a significant portion of the people they were elected to represent.The
National Council of Welfare, Poverty Profile, 1994, Spring 1996note
The National Council of Welfare (NCW) is a federal
government creation which advises the Minister of Human Resources on matters of concern to
low-income Canadians. Its job, presumably, is to give Canadians an accurate picture of the
extent of poverty and deprivation in Canada. The statement above doesn't mince words.
Fully 16.6 percent of Canadians are "living in poverty."
As I pondered on this claim recently, I thought about how much worse things must be in
America. After all, the term "underclass" was invented (or at least
appropriated) by American sociologists to describe the depressingly grinding poverty in
both rural and urban United States. Any regular reader of the New York Times or Time
magazine will have been informed, often, that the U.S. has the highest rate of poverty
among industrial countries.
But, in fact, the official U.S. poverty rate stood at 14.5 percent in 1994, a value below
the NCW's stated rate for Canada. What does this mean? Is the National Council of Welfare
telling us that Canada has a higher incidence of poverty than the U.S.? Have our living
standards now fallen to the point where we have proportionately more poor than America? In
fact, they wisely avoid any comparison with the U.S. or any other country. The two rates
are not in any way comparable, even though they are both referred to as "poverty
rates."
In the United States, poverty is measured using the "Orshansky" method. In the
early 1960s, statistician Mollie Orshansky observed that the average family spent about
one-third of their budget on food. She argued, therefore, that a line set at three times
the cost of a nutritious but "economy food plan" (with appropriate adjustments
for smaller households) would be a reasonable poverty line. This approach has been the
official U.S. method of measuring poverty in America since the 1960's. In 1994, the U.S.
poverty lines, expressed in Canadian dollars, and with family size in parenthesis, were:
(1) $10,309; (2) $13,197; (3) $16,147; (4) $20,683; (5) $24,451; and (6) $27,641
In Canada, the National Council of Welfare uses Statistics Canada's "Low-Income
Cut-Offs" (LICO) as poverty lines. However, Statscan has taken great pains to point
out that these cut-offs are not poverty lines and have no official status. There are very
good reasons for rejecting LICO as useful poverty measures. They are not in any way
connected to the actual cost of necessities (food, shelter, etc.) in Canada. LICO is very
much a relative measure, intimately connected to average living standards by construction
and through frequent "rebasings." Finally, the LICO lines are set high enough to
allow for the purchase of a wide range of "social amenities" beyond the basic
needs. I have argued that we should look upon the LICO lines as "goals," and not
as useful guidelines for poverty. They simply do not tell us anything interesting about
the nature or extent of deprivation in Canada. The 1994 LICO lines (for major urban
centres) in Canadian dollars by family size are: (1) $15,479; (2) $20,981; (3) $26,670;
(4) $30,708; (5) $33,550; and (6) $36,419
Inter-country comparisons of important phenomena are important. For Canada, comparisons
with the United States are particularly relevant because of our close geographic,
linguistic, cultural and economic ties. We really should know how our poverty rate, for
example, compares to that of Americans. Currently, we don't.
The research I have done on the lower end cost of a nutritious diet provides an
opportunity to fairly compare our two poverty rates. In determining poverty lines for
Canada, I have calculated the cost of basic needs, including food. The food costs
estimates fulfil all Health Canada's energy requirements and Canada Food Guide balance
suggestions. While this approach is not identical to Orshansky's "economy food
plan," the principal is the same. Thus, using the Orshansky method and my own
"essential food costs" in 1994, I have calculated the following (preliminary)
"American style" 1994 poverty lines for Canada: (1) $7,480; (2) $9,589; (3)
$11,980; (4) $16,187; (5) $20,395; and (6) $24,602.
These poverty lines, explicitly including Canadian food costs and utilizing the U.S.
poverty line construction methodology, are far preferable to a simplistic exchange rate
conversion of U.S. lines. Using these lines (which are, incidentally, very close to my own
poverty lines for Canada), the poverty rate for Canada in 1994 is 4.9 percent. Figure 1
compares the Canada and U.S. poverty rates over the past 21 years where both rates are
adjusted according to the overall Consumer Price Index.
Click here to view Figure 1: Comparing U.S. and Canadian Poverty
Rates Using the "Orshansky" Method, 1973-94
U.S. poverty rates have remained in the 11 to 15 percent range over the past two decades
while Canadian poverty has declined rather significantly and is currently well below the
American rate. This finding gives us a much different impression about poverty in Canada
than is suggested in the annual reports of the National Council of Welfare.
I wish to stress again that the comparison here is not precise. The determination of the
Orshansky economy food plan is somewhat different than my determination of essential food
costs. As well, the use of income as an indicator of well-being, always a problem due to
such factors as non-cash benefits, unreported incomes, and part-year families, is
particularly troublesome in making cross national comparisons. Nevertheless, this is a
useful first attempt to make a comparison of a matter of vital concern to us all.
Private Hospitals Improve Public Sector Health Care
William McArthur, M.D.
The Canadian acute care hospital sector is
inefficient when compared with its counterparts in other countries.The
Health Services Utilization Group for the Conference of Federal/Provincial/Territorial
Deputy Ministers of Health, "When Less is Better: Using Canada's Hospitals
Efficiently," June 1994. This document provides evidence on the topic, and contains
an extensive list of references. See also William McArthur, Cynthia Ramsay, and Michael
Walker, eds., Healthy Incentives: Canadian Health Reform in an International Context, The
Fraser Institute, 1996, p. 145-53note In 1994, Canadian hospitals consumed $27
billion, which accounted for 37.3 percent of all health care costs. Most of the funding
for acute care services was provided from taxpayers' pockets. Furthermore, Canada, with
3.4 percent of GDP going to taxpayer support of hospitals, spends far more on this aspect
of health care than many countries which provide high quality hospital care. For example,
the U.K. spends 1.8 percent of GDP on acute care, the Netherlands 2.1 percent, Ireland 2.9
percent, and Australia 2.2 percent.
Spending taxpayer dollars inefficiently on acute care is compounded by the fact that the
hospitals are subject to government regulation and control to a degree that makes the
government the de facto owner of the facilities. The OECD considers only 3.6 percent of
all hospital beds in Canada to be owned by the private sector. Most of these are in
chronic or long term care facilities. Thus, the monopoly government provider does not face
competition from the private sector. The result is that the efficiencies which flow from
private sector competition are excluded from the largest segment of taxpayer spending on
health care. This must be changed.
Canada must learn from countries that have preceded it in improving the productivity and
efficiency of the acute care hospital sector. Table 1 reveals that in most countries,
privately owned and operated hospitals provide a significant proportion of care, and they
have to compete with both government and other privately owned facilities in order to have
the opportunity to serve the public. These private hospitals may receive funds from
individual patients or their insurers (United States), from the government (United
Kingdom), or from both (New Zealand). In a competitive private-public system, acute care
facilities are divided into the following general categories.
Click here to view Table 1: Public Spending on Acute Care Hospital
Beds, and Privately Owned Hospital Beds as Percent of Total Beds (1993)
Public sector hospitals
Public sector hospitals are Crown corporations, and compete with private sector hospitals
to provide service to patients of all types. These hospitals are administered by boards
appointed by the provincial government. However, the present board selection process,
whereby some individuals appointed to these bodies are patronage appointments with few
qualifications or little experience for the task, should be replaced with a more competent
and competitive selection process. These Crown corporations, like all other hospitals, are
subject to all provincial and federal legislation governing corporate activities in their
jurisdiction. They must pay taxes to government and pay dividends to their
shareholders-the taxpayer-as represented by government. Failure to perform adequately in
this respect is cause for dismissal of the Chief Executive Officer, and in some
circumstances, the board.
The Toronto Hospital at its various sites in Toronto, and the Vancouver Hospital at the
Oak Street and UBC sites, provide two examples of hospitals that might be organized in
this fashion.
Charitable and religious hospitals
Charitable and religious hospitals have always played a significant role in health care in
most countries, but in recent years in Canada their role has diminished, in part because
the religious orders have experienced difficulty in attracting a sufficient supply of
personnel, and in part because of the take over of hospital care by government. This is a
retrograde change which needs to be reversed. A variety of religious orders have run
hospitals around the world for over 100 years, and many of them provide examples of
exemplary care and management. St. Paul's Hospital in Vancouver, and Mount Sinai Hospital
in Toronto have strong religious affiliations, and the Catholic and Jewish bodies that
started them should be encouraged to resume ownership, control, and management of these
facilities. These hospitals would then be in a position to compete head-to-head, and
unfettered by government, with the large publicly owned hospitals in Vancouver and
Toronto. Under these circumstances, patients acting through their physicians and insurers
would quickly decide which hospitals provided the service most suited to their individual
tastes. The outcome would be innovations in service, improvements in efficiency,
effectiveness, and appropriateness of care and bed utilization.
Community hospitals
Community hospitals should be encouraged where they are owned and operated by the
communities they serve. They would provide a degree of local input into a hospital which
is not possible within the government owned Crown corporation structure. This type of
arrangement improves the service and responsiveness of hospitals, particularly in rural
settings. People in rural communities often feel that their needs are ignored, or at least
misunderstood by remote government bureaucrats; locally owned hospitals would do much to
correct this feeling of powerless isolation. In this setting, the stakeholders are members
of the community, and they have the power and opportunity to create profits or accept
losses as they see fit. They receive funding according to whatever contractual arrangement
is reached with the government, but can supplement this in the manner of their choosing,
including local fundraising, municipal tax levies, endowments, charitable donations or
other means appropriate to the setting and the community. The aboriginal peoples of
Northern Quebec, Northern Ontario, and British Columbia would probably welcome the
opportunity to own and operate hospitals and clinics under their jurisdiction. This type
of proprietary ownership is becoming popular with the Maoris in New Zealand.
Private, for-profit hospitals
For-profit, private enterprise hospitals would provide an important competitive incentive
to the Canadian health care scene. These facilities owned either by private companies, or
by companies traded publicly on the stock market, would have the opportunity to compete,
head-to-head, with other hospitals for the opportunity to provide service to patients. In
many of the larger cities there are hospitals which co-exist in close proximity. Some of
them should be sold to the private sector.
It is of paramount importance that hospitals in all categories be encouraged to compete
for the opportunity to provide service to all patients, regardless of whether their
insurance is with the public sector, or with the private sector. This has been done in
other countries with significant benefits to everyone. In the United Kingdom many public
patients now receive their treatment in private facilities, with the result that enormous
pressure has been put upon public sector hospitals to improve their service and
productivity to meet private sector standards. In New Zealand and most European countries,
private sector hospitals have always been a vital part of the secondary care scene, and it
seems that in those jurisdictions few people would consider changing this arrangement.
Many Canadians are apprehensive that introducing private sector hospitals will lead to a
two-tier system where quality care would be available only to the financially well-to-do.
This is a misconception unsupported by other countries' experiences. For example, most
people familiar with the situation in New Zealand claim that while the private hospitals
provide more choice in terms of ancillary services, the best quality high technology care
is often available in the publicly-run facilities. This is perfectly reasonable and
comprehensible: an adult requiring relatively uncomplicated surgery, such as removal of an
appendix, may prefer to have the operation in a hospital where a well appointed private
room is available, with unlimited family visiting and other benefits. The same person
requiring complicated brain surgery to remove a life-threatening brain tumour will be
concerned primarily with the quality and sophistication of care available in the operating
room, and subsequently in the recovery and intensive care rooms. In many circumstances
this may well be in the Crown-owned public hospital.
Evidence from the reforms instituted in the U.K. in 1990 reveal that individuals from the
lower socio-economic classes benefitted the most from the private sector's increased
involvement. Both the Labour and Conservative parties recognize this. Both acknowledge
that further improvements in health care can only come about by having the private sector
play a greater role in the delivery of care.Ibid, p. 8;
Independent Healthcare Association, Independent Perspectives on Health & Social Care,
London, October 1996, p. 6note It is time for
Canada to wake up and follow the example of the countries that preceded us in our
dalliance with state run, monopoly health care. It is time to let private sector
competition bring the service, the cost, and the performance of public sector hospitals
into line.
[The theme of this paper is an extension of a proposal outlined in Healthy
Incentives: Canadian Health Reform in an International Context, edited by William
McArthur, Cynthia Ramsay & Michael Walker, The Fraser Institute, August 1996. This
book (ISBN 0-88975-165-X) costs $19.95 and may be ordered from any bookstore in Canada, or
can be purchased directly from The Fraser Institute.]
December Questions and Answers
Joel Emes
Q: How large are agricultural
subsidies in Canada? How do Canadian agricultural transfers compare internationally?
A: The Organization of Economic Cooperation and
Development (OECD) compiles estimates of total transfers associated with agricultural
support. Agricultural transfers are defined as the sum of all transfers from taxpayers and
consumers, net of budget revenues from tariffs on imports. Agricultural support cost
Canadians almost $8 billion in 1995. Table 1 presents an international comparison of total
agricultural transfers, total transfers per person, and total transfers as a percentage of
GDP. This month's graph shows the percentages of the agricultural subsidy taken from
taxpayers and from consumers. In Canada in 1995, transfers from taxpayers were $4.586
billion and transfers from consumers were $3.008 billion (Canadian dollars). Transfers
from consumers are an implicit tax due to market price support. In Canada, supply
management programs (i.e., marketing boards) are the main support instrument in the milk,
poultry, and egg sectors. Production is regulated by federal and provincial quotas, while
producer prices are set by quasi-governmental committees. Several changes to agricultural
support were announced in the 1995 federal budget. The most notable was the elimination of
the Crow rate subsidy under the Western Grain Transportation Act. Producers now bear the
full freight costs for prairie grain and oilseed products, although freight rates are
still subject to legislated maximum levels. These subsidies have impeded diversification
and led to resource misallocation. Their elimination would lead to increased
diversification in western grain producing regions into livestock and high value-added
products.
Click here to view Table 1: Total transfers associated with
agricultural support, 1995
Q: What do these transfers work
out to on a per farmer or per acre basis?
A: Table 2 presents transfers per full-time farmer
equivalent (FFE) and per hectare of agricultural land for 1993 and 1995. FFEs include
farmers, hired farm employees, and unpaid family workers. Agricultural land is defined as
the sum of arable land, land under permanent crops, and permanent meadows and pastures.
Click here to view Table 2: Total transfers associated with
agricultural support per farmer and per hectare of agricultural land, 1993 and 1995
December Graph
Joel Emes
Click here to view December Graph: Percent of Agricultural Transfers
from Taxpayers and Consumers, 1995
Institute News
Brian April
This new feature is intended to keep our members
abreast of the Institute's activities, which are not always fully apparent from our
publications. If there is anything particular you would like to see in this section,
please let us know.
Economic Freedom symposium
The most important recent developments came out of the symposium on International Economic
Freedom held in San Francisco on October 30-31, co-hosted by Rose and Milton Friedman and
Michael Walker. The symposium achieved its aims of refining and expanding the measurements
of economic freedom, first set out in our book Economic Freedom of the World:
1975-1995 (1996), and of establishing an International Economic Freedom Network to promote
economic freedom around the world. Organizations from 49 countries have agreed to
participate in the network, though all may not be able to act as co-publishers of the 1996
rankings. This project will become a major undertaking for the Institute, and it will be
funded separately from our domestic programs. The symposium was sponsored by the Atlas
Foundation and Philip Morris International.
New project grants
The Institute has received two major project grants from the Donner Canadian Foundation,
which will enable us to pursue with vigour two important projects launched earlier in the
year. The Law and Markets Project, which held its launch conference in
Toronto on November 21 in cooperation with the Manhattan Institute of New York (the
preeminent legal research Institute in the U.S.), will now commence detailed research into
a number of specific aspects of civil justice. Also, the Right-to-Work Project will
now go forward with a detailed review of the Canada Labour Code and a study of the impact
of closed shop unionism. Many new members have joined the Institute in support of this
project.
Student seminars
Student seminars were held in Vancouver and Victoria, both sponsored by the Lotte and John
Hecht Memorial Foundation, and in Toronto, sponsored by the Weston Foundation. This was
the first time we have held a seminar in Victoria, and the results were very encouraging
for the planned expansion of our student programs. Thank you to everyone who gave an
additional donation to support our students.
Federal report card
In consequence of the release of our report card on the federal government, and a direct
mail campaign, the Canada Survival Project received considerable attention recently in
Quebec, and attracted nearly 100 new members. Thanks to their donations, and to the
generosity of all members who have made additional donations, we will be able to intensify
our efforts in this area.
New staff
The Institute has hired Ms. Karen Lam, of the Ontario Ministry of Finance, to head the
International Centre for the Study of Public Debt. Ms. Lam holds a Masters degree from the
University of Toronto. As the continuing financial support of the membership has increased
our funding level this year, we will be hiring more research staff to increase our
"punch" accordingly.
Restricting Reproductive Freedom Is the Real Indignity
Karen Selick A version of this article has previously appeared in Canadian
Lawyernote
I'm looking at Bill C-47, the proposed Human
Reproductive and Genetic Technologies Act introduced in the House of Commons this past
June and still waiting to be debated. Why is the government bothering with this, I wonder?
I don't recall seeing surrogacy contracts or sperm sales among the pressing issues that
Canadian voters mention when polled about their concerns.
The bill says it has three goals: to protect the health and safety of Canadians, to ensure
the "appropriate treatment" of human reproductive materials outside the body,
and to protect the dignity of all persons, especially women and children. Then there's a
list of about a dozen prohibited activities.
What's missing, in both the bill and Health Canada's explanatory media release, and in all
the material I've seen from the Royal Commission on New Reproductive Technologies, is any
rational explanation of how the declared goals tie in to the prohibited practices. It's as
though the practices absorb their wickedness by osmosis, simply by being mentioned in the
same document as the accusations against them. The government has announced that they're
bad, therefore they're bad. QED.
For example, how does the sale of sperm-as opposed to unpaid sperm donations-jeopardize
anyone's health or safety, or lead to inappropriate treatment of tissue, or violate
anyone's dignity? Liability-conscious labs will still want to screen semen for disease.
They'll still store it the same way. And I understand that ejaculating into a test tube
while the lab technician waits outside the door is found by most sperm donors to be a tad
undignified, pay or no pay.
The only serious violation of dignity would arise from passing the bill-from telling adult
citizens they cannot engage in freely negotiated, voluntary contracts. The state is saying
that both buyers and sellers of sperm are like infants, like mental incompetents-incapable
of determining what's in their own best interest. Big Brother knows best. Now there's a
genuine indignity for you.
There are other non sequiturs in this legislation; for example, the ban on "medical
procedures" aimed at sex selection of children. There are already books on the
market-not to mention several Internet sites-telling couples about do-it-yourself
techniques they can try in order to alter their chances of conceiving boys or girls.
Presumably, these techniques will remain legal. Even this Liberal government,
interventionist as it is, doesn't have the stomach to hire sex police to ensure that
couples make love equally before and after ovulation, or that women don't douche with
baking soda or vinegar. But in that case, why ban the medical procedures? Both sets of
techniques are unreliable.
Leftist feminists allege sex selection will lead in some unspecified way to the
"devaluation" of women. Too bad they don't understand basic economics. They've
got it exactly backwards. Even if they're correct in their silly hypothesis that Canadian
couples will dispro-portionately choose to produce boys (an assumption that the Royal
Commission admits is unsupported by the evidence), they're wrong about the effect it would
have on women's social status. Plentiful resources generally command low values; scarce
resources, high.
Besides, if the next generation of Canadians is disproportionately male, women will have
the upper hand in selecting a mate. By choosing judiciously, women might well help breed
out or train out such undesirable behaviours as violence or alcoholism. Shouldn't that
make feminists happy?
The most disturbing rhetoric from Health Canada is its vilification of all things
commercial. We can't "commercialize reproduction," the media release says. It
would be "contrary to the principles of human dignity, respect for life and
protection of the vulnerable." The notion that money taints every human activity with
depravity dates all the way back to antiquity. It's balderdash. Money is one of mankind's
greatest inventions-as necessary and beneficial to civilized life as the wheel.
Even those who subscribe to the Marxist ideal, "from each according to his ability,
to each according to his need," find money to be a useful tool. It can be broken down
into tiny units, so that when a cattle rancher and a baker each want to give according to
their abilities and take according to their needs, the rancher doesn't end up giving a
whole cow for a loaf of bread.
Money also serves as a means of storing value, permitting people to schedule their
transactions more conveniently. The rancher can sell his cattle weeks before his shopping
spree in town. He doesn't have to drive the herd along with him to barter as he goes from
store to store. And money solves the problem of having to find someone whose abilities and
needs coincide inversely with yours. The rancher can still get bread from the baker even
if the baker is a vegetarian.
So what's the problem if a woman wants to rent out her uterus for nine months? Why is that
less dignified than babysitting someone's child after it has been born? She's simply
trading her time and discomfort for other things she wants more-perhaps something for her
own children. Money is merely an intermediate device that lets her fulfil her other goals.
There was a time when acting on stage and wearing dresses above the ankle were considered
grossly undignified. That nonsense passed, and these restrictions on reproductive freedom
will, too. Meanwhile, Canadians who want to exercise their reproductive rights will have
to do it in California.
Click here to view cartoon
Love in the Age of Monopoly
Filip Palda
Fall is the season when hospitals and universities
launch fund-raising drives. If you have a charitable dollar in your pocket then these
causes are worth considering. It is also worth considering how much more your contribution
could accomplish if government loosened its control over hospitals and schools. These
institutions work in a straight-jacket of regulations and dance to the tune of government
paymasters. Regulations and subsidies limit the ways in which your voluntary contribution
can help patients and students.
There is nothing wrong with government regulations, provided they allow schools and
hospitals to find new and clever ways of answering the needs of their clients. But the
regulations we now have encourage stagnation. Hospitals and universities are state
monopolies. They face little competition, and follow rigid operating rules. This means
that your donations will find limited expression on the campus or in the clinic. Monopoly
means that the donation "shopper" faces a small number of unchanging outlets for
his or her money. If you only want to give to a school where students or patients pay
their own way, too bad. There are no such universities or hospitals in Canada, and none
will appear until government gives the nod. The generous citizen gets less
"bang-per-buck" out of giving to monopolies than if a variety of flexible
institutions were competing for his or her money.
The most rigid feature of our hospitals is that they are obliged to deliver
"one-tier" of health services. One tier sounds egalitarian, but what it means in
practice is that hospitals are not allowed to discover what their patients really want.
Imagine a world in which government only allows one type of car to be produced, and one
type of house, and one style of clothing. Creative drive would grind to a halt. Hospitals
and schools work in this sort of petrified world. This is also the sort of world into
which voluntary contributions are obliged to find their way.
Government funding adds a further complication for private individuals who want to see
their contributions going to good use. A recent study done by U.S. economists found that
for every dollar of contributions that people gave to state schools, government withdrew
almost a full dollar of state funding. This meant that total funding for the state
university stayed the same. If Canadian governments play the same sort of financial shell
game that U.S. governments play, then donors have to be on the alert. They should be glad
that their private dollars are chasing mismanaged government dollars out of education and
health. But they should also question politicians on where these liberated dollars are
going. The slack that private contributors give to politicians in health and education may
allow politicians to delay much needed reforms in other fields, such as pensions and
unemployment insurance. Private giving to universities and hospitals should not be like a
rabbit that disappears inside the government's magic hat.
Politicians could make themselves heroes by giving citizens more control than they have
now over how their money is spent. Think of what would happen if citizens were allowed to
earmark their tax dollars on their tax forms so that they could decide how much money
hospitals or universities got. Conflict would disappear between voluntary donors and
politicians who exploit their generosity.
Citizens would be in charge of both government spending and donations. If this is too
rough a pill for our leaders to swallow, they might at least consider easing their hold on
government monopolies. If these institutions suffered fewer government regulations they
could offer us something new and interesting for our voluntary donations. A move in either
of these directions would boost the power that individuals have to do good.
Further reading
Becker, Elisabeth and Lindsay M. Cotton (1994). "Does the Government Free Ride?"
Journal of Law and Economics, 37:277-298.
You Don't Own Joe's Bar and Grill
John Robson
You don't own Joe's Bar and Grill, unless you are
Joe. Simple? Perhaps. But if you aren't the owner, surely you can't walk in and help
yourself to the contents of the till, decide to redecorate the place, give his workers a
raise, or change the menu. Yet we do.
Lucien Bouchard paints out Joe's apostrophe. Activists hammer him with taxes and hand out
the money to street people. Bob White tries to give all the employees a raise to at least
$10 an hour. And the City of Toronto says that for the benefit of Joe's customers, his
employees, and his own prosperity, he must ban smoking. All these proposals enjoy
substantial popular support, so the general public does believe that they own the place,
and that their representatives can make any rules they like about what happens in it.
The Ottawa Citizen reported approvingly that "More and more
compelling evidence of the dangers of second-hand smoke, and the fact that most people
hate their smoking habit, are the reasons behind the new tolerance for smoking bans, say
no-smoking advocates."Ottawa Citizen, July 4, 1996, p.
A3note Terry Corcoran responds that second-hand smoke is less dangerous than
two pork chops a week. And I respond: if we are justified in coercing people for their own
good because "most people hate their smoking habit," should we also lock
people's fridges and perform compulsory plastic surgery because most of us wish we ate
less and looked better?
It no more matters whether second hand smoke is carcinogenic than whether loud music is
deafening or bacon is fattening. The real question is: should we let people wrestle with
their own lives, dilemmas, and risks, exactly as though we considered them responsible
moral agents, or should we take over their pitiful lives for them and strap them all into
safety equipment before forbidding them to leave their houses?
The Globe's editorial page clouds the issue by saying
"Smoking is still a legal activity. It may be a misguided pastime, but that's beside
the point. Keeping it out of the office, shunting it to the back of the restaurant,
exiling it from the shopping mall-these are fair approaches to the regulation of an
offensive habit in establishments that all must frequent."Globe
and Mail lead editorial, July 4, 1996, p. A18note
But offices, restaurants and shopping malls are emphatically not "establishments that
all must frequent." If you don't like them, stay away. I myself do not agree with
Gene Hackman's character in Crimson Tide who justified lighting
a cigar by stating, "I don't trust air I can't see," and I generally don't go to
bars because they expose one to second-hand smoke, loud "music" and fun, all of
which I prefer to avoid.
But just as no one has to go to Joe's Bar and Grill if they don't like the atmosphere, no
one has the right to stop people from going there, nor to wage war on their desire to do
so. No one is deprived of any legitimate rights if this, or any other, commercial
establishment happens not to be one they themselves would care to shop in or work in.
In a free economy, no matter how eccentric your tastes-and I speak from experience-someone
will almost certainly offer to satisfy them commercially. But if not, you may not resort
to force to make them do so. You are no worse off if Joe's Bar does not appeal to you than
you would be if it did not exist, and you may no more force Joe to establish a bar and
then run it to your tastes, than you may force him to change an existing one to suit you
better.
I have no grievance because most corner stores sell only milk chocolate, and I can no more
return with the cops and compel the owners to make wholesale changes to their range of
merchandise than they can order me to buy what they have or go to jail. For the essence of
a free market is to protect not producers' but consumers' freedom. To portray smoking as
evil owners versus virtuous patrons and employees is just blowing smoke. The corner store
sells what it does because people want to buy it, and Joe's Bar and Grill prospers because
it satisfies customers' tastes. In consequence, any attack on the store's shelf-stocking
practises, or on bars' or restaurants' smoking and other rules, is secretly an attack on
the preferences of their customers. Even those who don't smoke must be happy enough with
the place, for otherwise they wouldn't be its customers.
So the ban on smoking in private places, made even less honourable by fraudulently
labelling them public, turns out to be simply an extension of the usual totalitarian
impulse to use the police power of the state to make everyone behave the way you think
they should, generally linked to a vacuous profession of absolute tolerance for anything
one agrees with totally. The real "war on smoking" isn't on bars that inflict
tobacco fumes on unwilling customers. It's on those customers, who don't behave properly
and who don't want the things their self-appointed betters say they should.
The anti-smoking activists can already patronize and work only in smoke-free
establishments, try to persuade other owners to change their policies through the lure of
their custom, and attempt through peaceful persuasion to convince other citizens to join
them in doing so. But no, that's not good enough for them. They have to change every bar
in Toronto so that it behaves as though all its customers shared their tastes. They want
the world, and they want it now!
NOWNOWNOWNOWNOWNOWNOW!
But they can't have it. They can't even have Joe's Bar and Grill. You see, it's not mine
to give.
info@fraserinstitute.ca
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Last Modified: Wednesday, October 20, 1999.
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