In the end, Justin Trudeau’s offer looks like Prime Minister Paul Martin’s 2004 health accord
. Martin’s infamous $41-billion “fix for a generation” introduced the strings-attached approach. The accord did shorten wait lists in five areas, including cataracts and MRIs. But it failed to create substantive change. Most funding went to pay increases for doctors and nurses. Until last week, Martin’s accord was something to avoid, not recreate.
The provinces lost this round. In hindsight, they should have seen that the hype was oversold. But it could be much worse. Given new money and vague accountabilities, provinces should take the money and run.Shawn Whatley is a practising physician, senior fellow at the Macdonald-Laurier Institute and author of “When Politics Comes Before Patients: Why and How Canadian Medicare is Failing.”
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