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  • CCPA in Europe for CETA speaking tour October 17, 2017
    On September 21, Canada and the European Union announced that the Comprehensive Economic and Trade Agreement (CETA), a controversial NAFTA-plus free trade deal initiated by the Harper government and signed by Prime Minister Trudeau in 2016, was now provisionally in force. In Europe, however, more than 20 countries have yet to officially ratify the deal, […]
    Canadian Centre for Policy Alternatives
  • Twelve year study of an inner-city neighbourhood October 12, 2017
    What does twelve years of community organizing look like for a North End Winnipeg neighbourhood?  Jessica Leigh survey's those years with the Dufferin community from a community development lens.  Read full report.
    Canadian Centre for Policy Alternatives
  • Losing your ID - even harder to recover when you have limited resources! October 10, 2017
    Ellen Smirl researched the barriers experienced by low-income Manitobans when faced with trying to replace lost, stolen, or never aquired idenfication forms. Read full report here.  
    Canadian Centre for Policy Alternatives
  • CCPA recommendations for a better North American trade model October 6, 2017
    The all-party House of Commons trade committee is consulting Canadians on their priorities for bilateral and trilateral North American trade in light of the current renegotiation of NAFTA. In the CCPA’s submission to this process, Scott Sinclair, Stuart Trew, and Hadrian Mertins-Kirkwood argue for a different kind of trading relationship that is inclusive, transformative, and […]
    Canadian Centre for Policy Alternatives
  • Ontario’s fair wage policy needs to be refreshed September 28, 2017
    The Ontario government is consulting on ways to modernize the province’s fair wage policy, which sets standards for wages and working conditions for government contract workers such as building cleaners, security guards, building trades and construction workers. The fair wage policy hasn’t been updated since 1995, but the labour market has changed dramatically since then. […]
    Canadian Centre for Policy Alternatives
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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.

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