Healthcare should be run as a 100% financial loss. Like armed forces, the point is not to generate profit or even to break even, it is to provide an essential service. Right now there are doctors offices, hospitals, labs, and specialists who are forced to cut corners because the price they are paid per service is set by OHIP (in Ontario) but the rent on their building, the cost of equipment and the cost of living keeps rising. On top of that, hospitals have massive administrative staffs and boards of directors who suck facilities dry regardless of whether they actually provide any value.
A fully government operated system buys or rents the building, buys the equipment, pays medical staff, and provides administrative support. All costs, no revenue. There is still an incentive for the government to provide the best care possible for the lowest cost to tax payers but there is no middle men trying to balance care with keeping the lights on, or trying to squeeze a new boat out of this quarter’s crop of cancer patients.
Congestion tolls. Traffic originating outside the city should be paying for transit in town either directly via tolls or by parking outside the city and taking a bus/train in. I’d love to see this in Toronto as well.