Main menu:

History of RPE Thought

Posts by Tag

RSS New from the CCPA

  • A critical look at BC’s new tax breaks and subsidies for LNG May 7, 2019
    The BC government has offered much more to the LNG industry than the previous government. Read the report by senior economist Marc Lee.  
    Canadian Centre for Policy Alternatives
  • The 2019 living wage for Metro Vancouver April 30, 2019
    The 2019 living wage for Metro Vancouver is $19.50/hour. This is the amount needed for a family of four with each of two parents working full-time at this hourly rate to pay for necessities, support the healthy development of their children, escape severe financial stress and participate in the social, civic and cultural lives of […]
    Canadian Centre for Policy Alternatives
  • Time to regulate gas prices in BC and stop industry gouging April 29, 2019
    Drivers in Metro Vancouver are reeling from record high gas prices, and many commentators are blaming taxes. But it’s not taxes causing pain at the pump — it’s industry gouging. Our latest research shows that gas prices have gone up by 55 cents per litre since 2016 — and the vast majority of that increase […]
    Canadian Centre for Policy Alternatives
  • CCPA welcomes Randy Robinson as new Ontario Director March 27, 2019
    The Canadian Centre for Policy Alternatives is pleased to announce the appointment of Randy Robinson as the new Director of our Ontario Office.  Randy’s areas of expertise include public sector finance, the gendered rise of precarious work, neoliberalism, and labour rights. He has extensive experience in communications and research, and has been engaged in Ontario’s […]
    Canadian Centre for Policy Alternatives
  • 2019 Federal Budget Analysis February 27, 2019
    Watch this space for response and analysis of the federal budget from CCPA staff and our Alternative Federal Budget partners. More information will be added as it is available. Commentary and Analysis  Aim high, spend low: Federal budget 2019 by David MacDonald (CCPA) Budget 2019 fiddles while climate crisis looms by Hadrian Mertins-Kirkwood (CCPA) Budget hints at priorities for upcoming […]
    Canadian Centre for Policy Alternatives
Progressive Bloggers

Meta

Recent Blog Posts

Posts by Author

Recent Blog Comments

The Progressive Economics Forum

TILMA and Medicare

An editorial in today’s Calgary Herald begins with the usual praise for TILMA, but ends by suggesting a new interprovincial deal on healthcare:

Yet, for Ottawa to attempt to remedy matters by intruding itself into relations between the provinces would not only provoke reflexive opposition but, even if carried through by force majeure, be unlikely to work.

Certainly, the Canada Health Act has not led to congruency among provincial health programs: Treatments approved in some provinces are not available in others, for instance, a reality that mocks the portability requirement of the act.

. . .

However, when two provinces agree to harmonize their standards while upholding their jurisdiction, the constitutional arguments are satisfied: The rest of the country should applaud their initiative and, it is to be hoped, seek to emulate their example.

. . .

First commerce, then health?

It is always advisable to walk, before attempting to run.

However, by attempting to show how mutual advantage can arise from friendly agreement, Canada’s two western provinces may turn out to be on the leading edge of a more efficient federalism.

The two governments deserve every encouragement in negotiating an agreement.

What does the Herald have in mind? The Canadian Press recently reported:

Alberta is taking a “leadership role” that he expects other provinces will follow, says the premier.

The strategy includes buying drugs with neighbouring provinces “on a much larger scale” to reduce costs, and using new labour mobility agreements to recruit doctors and nurses from other provinces.

Provincial governments co-operating to maximize their market power in buying pharmaceuticals is an excellent idea. However, progressives were proposing this approach long before corporate Canada’s latest round of hyperventilation about supposed “internal trade barriers”.

More generally, I suspect that many Canadians would not welcome the healthcare policies that Alberta’s Conservatives and BC’s Liberals would likely champion. Indeed, “the Canada Health Act has not led to congruency among provincial health programs” largely because these two provincial governments have aggressively deviated from this Act.

Enjoy and share:

Write a comment





Related articles