Wait Times: What the Evidence Does and Does Not Show

Selected evidence illustrating that universal coverage does not eliminate capacity constraints and that wait-time performance varies among services and health systems.

Last updated: September 22, 2026#universal-healthcare#healthcare#wait-times#Canada#healthcare-capacity#physician-shortage

Canada — hip replacement

Reported Result68% within 6 months
InterpretationA substantial minority waited beyond the recommended benchmark.

Canada — knee replacement

Reported Result61% within 6 months
InterpretationWait-time performance remained below the pre-pandemic benchmark level.

Canada — cataract surgery

Reported Result69% within 112 days
InterpretationMost patients received surgery within the benchmark, while a substantial minority did not.

Canada — radiation therapy

Reported Result94% within 28 days
InterpretationMost patients received treatment within the benchmark.

Canada — hip-fracture repair

Reported Result83% within 48 hours
InterpretationMost patients received treatment within the benchmark, while a meaningful minority did not.

United States — projected physician capacity

Reported Result141,160 FTE shortage by 2038
InterpretationThe United States faces projected capacity constraints independently of whether universal coverage is adopted.

Notes

Wait-time evidence should not be used to claim either that universal systems inherently produce long waits or that universal coverage eliminates waits. Waiting depends on capacity, demand, specialty, geography, payment design and system management. The Canadian measures shown here concern specific priority procedures and should not be generalized to every form of Canadian healthcare.

Sources

[524]Health Resources and Services Administration

Physician Workforce: Projections, 2023-2038

Primarygovernment report
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[534]Canadian Institute for Health Information

Wait Times for Priority Procedures in Canada, 2025

Primaryhealth system data
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