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Istari · the wait, and the way out

You wait 28 weeks
for care.
23,000 don’t
make it.

That’s the median Canadian, family-doctor referral to treatment — and the people who died on a waiting list in a single year.1,3

And on the current path,
it hits ~50 weeks by 2035.

The queue compounds on itself — longer waits make sicker patients, who need more care. Doing nothing isn’t holding steady. It’s accelerating.

Here’s the good news:
we don’t have to reinvent anything.

Other public systems — and one Canadian province — already cut their waits. AI might help, but we don’t even need it. The fixes exist and they work. It’s as simple as pulling more levers — and stacking them.

Why it’s this bad →

No team jersey — we model what shortens the queue and show every trade-off. Sources & method →

Pull the levers

You’re the system architect now.

Flip a fix and the curve moves in real time. The red line is “do nothing.” Stack fixes to bend it down by 2035 — then add a risk and watch how fast it fights back.

Projected median wait · 2025–2035do nothingyour plan
Median wait · 2035
49.7 wks
Lives’ worth of risk reduced*
Fixes engaged
0 / 8
Getting worse

This path deepens the backlog to ~50 weeks by 2035. The risk factors are outpacing the reforms — the queue compounds faster than you can clear it.

Fixes that help
Forces that make it worse

*An illustrative figure: it scales the reported ~23,746 deaths-on-a-list/yr to your modelled wait reduction. Read it as “risk taken off the table,” not a literal count — directional, not a forecast.

Your blueprint

What you just built.

F
Pull some levers above to start designing a better future.
49.7w
Median wait, 2035
lives’ worth of risk reduced*
0 / 8
Fixes stacked

Want the full picture?

The evidence, the human stakes, and every honest trade-off.

You’ve run the model. The Deep Dive has everything underneath it — sourced, explained, and argued through.

Sources & verification
  1. verifiedMedian total wait 28.6 weeks (2025). Moir & Esmail, Waiting Your Turn 2025, Fraser Institute.
  2. verifiedAt least 23,746 Canadians died on a waiting list in the year to Mar 2025. SecondStreet.org via CTV News.
  3. illustrativeEffect sizes, drift rate, and lives estimate are Istari model assumptions — not measured coefficients. Full methodology on the Deep Dive page.