Opinion: The reality of the Trudeau health care reforms is that, if anything, they are not onerous enough. It is still too easy for provinces to get health-care money from Ottawa for uses that in reality are only marginally connected to health care.
Prime Minister Justin Trudeau’s health-care reform plan is fatally flawed.The deal, presented to the premiers this week, is politically clever. It provides Canada’s provincial governments with $46 billion in new transfers but only if they promise to use the money in a manner that Ottawa deems wise.
The centrepiece of each bilateral deal will be an “action plan” spelling out how the province expects to meet its goals. But this fearful circularity also has a cost. It limits Canada’s governments to playing around the edges. It leaves no room for major medicare reforms such as pharmacare. It’s doubtful that any provincial government would single out denticare — or pharmacare — as a key element of any bilateral health reform deal.
Certainly, the Trudeau reforms are a start. They provide the provinces with much-needed cash. Cash alone may not be sufficient to fuel effective health-care reform, but it is necessary.
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