pharmacare

Friday September 3, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday September 3, 2021

Pharmacare AWOL in 2021

June 13, 2019

Nearly a quarter century ago, the federal government hosted a conference on national pharmacare in Saskatoon – the birthplace of Canadian medicare. The meeting was extraordinarily frustrating to delegates who anticipated action, not talk, at the time.

We know because we were there.

You see, that Saskatoon meeting was held on the heels of Prime Minister Chrétien’s 1997 National Forum on Health. Echoing previous national commissions, the forum recommended the implementation of a universal, comprehensive, public pharmacare program to work alongside Canadian medicare.

April 22, 2021

Yet, there we were, an audience of approximately 300 health professionals, experts, public representatives and stakeholders gathered to “engage in dialogue” on an issue that already had a very clear answer.

The national pharmacare system recommended would have reduced Canadian drug costs dramatically, meaning savings for governments, businesses and households. More Canadians would have access to medicines because they would be fully covered, but manufacturers would no longer be able to charge more in Canada than they did in comparable countries.

October 21, 2016

Drug companies preferred that Canada adopt a system of mandatory private insurance based on the model they had just convinced the Quebec government to implement in 1997 — at great cost to Quebec households and businesses. Insurers favoured the Quebec model too – what industry wouldn’t want people to be legally required to purchase their products without regulations on profit margins?

In 2019, the Liberals campaigned on a promise to act on pharmacare plan. Such a national pharmacare system was mentioned in the 2020 Throne Speech, Budget 2021 and 2021 mandate letters. But there has been little concrete action toward implementation.

Instead, the federal government has reverted yet again to “stakeholder engagement,” rather than policy action. (Red Deer Advocate) 

 

Thursday April 22, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday April 22, 2021

Government Tall on ideas, short on attention span

Finance Minister Chrystia Freeland’s expansive budget mentions a “pipeline for vaccines,” a “talent pipeline,” an “innovation pipeline,” and a “pipeline of personal protective equipment.” But there is not a single mention of a pipeline that delivers oil or gas.

June 13, 2019

Along with a lack of concern for workers in the oil-and-gas industry, the budget undersells defence priorities. And the Liberal pledge to move toward a national pharmacare program is, to put it charitably, unconvincing.

The budget, in other words, tells us what Liberals do care about, but also what they don’t.

The Liberals’ 2019 election manifesto promised “to take the crucial next steps to implement national universal pharmacare,” while last September’s Throne Speech declared “the government remains committed to a national, universal pharmacare program and will accelerate steps to achieve this system.”

March 6, 2018

But the budget, while repeating its commitment to a national pharmacare program, offers no new funding for it. There is simply the previously announced $500-million to assist provinces in support of those forced to pay extremely high prices for drugs needed to combat rare diseases.

The Liberals could respond that their ambitious new child-care program makes it impossible to move on pharmacare right now. And it would be a fair defence. A national $10-a-day child care program would be a major new commitment and a major federal expense, at $8-billion a year.

December 21, 2016

Before committing to it, however, provincial governments might wish to remember previous programs, especially in health care and housing, in which Ottawa seduced the provinces into joining on an equal shared-cost basis, only to later withdraw funding when some shiny new public policy bauble came along, leaving the provinces holding the fiscal bag.

This budget offers billions to accelerate progress toward a strategy to reach net zero carbon emissions and to help green-tech businesses scale up. There are major tax breaks for companies that invest in green technologies.

But while future tax breaks are promised for industries that deploy carbon-capture technology, the commitment is vague and based on future consultations and legislation. The budget appears determined to ignore the reality that natural resources, and in particular the oil and gas sector, are crucial both to this country’s economic future and to fighting climate change.

November 17, 2015

National defence is another area singled out for neglect. When Mr. Biden met Prime Minister Justin Trudeau in February, both leaders committed to modernizing the North American Aerospace Defence Command. But the budget allocates a paltry $50-million a year or so for five years as Canada’s commitment to a modernizing program, a tiny fraction of the many billions of dollars that defence experts estimate it would cost to install the satellites, radar and other technologies needed to detect hypersonic missiles and other new weapons that the Russians and the Chinese possess or are developing.

Whatever happens on the child care front, the budget’s virtual silence on pharmacare suggests that program, like NORAD and oil and gas, is something this government doesn’t plan on spending real time and money on any time soon. (Globe & Mail) 

 

Thursday June 13, 2019

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday June 13, 2019

Advisory council calls for $15B universal, single-payer pharmacare plan

An advisory council appointed by the Liberal government is recommending the establishment of a universal, single-payer public pharmacare system.

The council’s 171-page report, released Wednesday, calls for the creation of a new drug agency that would draft a national list of prescription medicines that would be covered by the taxpayer, beginning with an initial list of common and essential drugs, by Jan. 1, 2022.

The council recommends that initial list be expanded to a comprehensive plan by Jan. 2, 2027. When fully implemented, the total cost would be $15 billion a year.

Dr. Eric Hoskins, a former Ontario health minister and chair of the advisory council, acknowledged there are “significant incremental costs” to building pharmacare, but he noted that those costs are already being picked up by Canadians.

“We are confident that the implementation plan that we have put forward is one that meets the objectives and requirements that were handed to the council, of creating a program and implementation plan that is fair and sustainable and accessible to Canadians,” he said.

The council proposes a $2 co-payment for common drugs and $5 for less common ones. The fee would be waived for Canadians on social assistance or with low incomes.

The council spent the last year studying various pharmacare models and hearing from more than 32,000 Canadians and organizations sharing their views online and through letters, written submissions and meetings across the country.

Hoskins said it’s time to show “courage and boldness” and to do “some nation building” on a project that would benefit Canadians in “unimaginable ways.” (CBC) 

 

Thursday July 26, 2018

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday July 26, 2018

National pharmacare ‘blueprint’ will be unveiled next spring

With more than 100 different public drug plans available across Canada, including Ontario’s recently scaled-back OHIP+, one challenge for a countrywide pharmacare program will be finding agreement on which one will work best, says Eric Hoskins.

Hoskins, the former Ontario health minister who helped usher in OHIP+ and is now in charge of developing a national plan, spoke to Canada’s premiers on Friday about the issue, the same day his advisory council launched wider public consultations online.

“There’s tremendous diversity” out there, he said, noting there are also more than 100,000 private drug plans in the country. A national pharmacare program will offer “the ability to have consistency across the country, so that a child in Ontario can expect to receive the same access to prescribed medications as a child in New Brunswick or in British Columbia or in the Northwest Territories,” he told reporters after the breakfast meeting at the picturesque Algonquin Resort.

“Changes are being made almost every day at the provincial and territorial level … (as they) try to improve access. We are trying to build consensus … so your access isn’t dependent on your postal code.”

Hoskins was joined by Linda Silas, president of the Canadian Federation of Nurses Unions. Eight of 13 premiers attended the Friday morning session; Doug Ford was not among them.

Hoskins said premiers who didn’t make it sent senior staff, and noted that he just last week met with Ontario Health Minister Christine Elliott.

The big question premiers have is about a national pharmacare program is how much it will cost and the cost-sharing arrangement, both of which are still being worked out, he said.

Hoskins said a “blueprint” with full details on the model and pricing will be ready next spring.

Billions of dollars are wasted each year given the competing plans, he said, and a federal plan would see lower costs through efficiencies like bulk purchasing.

Currently, Canada spends the most per capita on prescriptions after Switzerland and the U.S. (Source: Toronto Star) 

 

Friday April 6, 2018

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday April 6, 2018

Federal infrastructure plan behind schedule: PBO

The Parliamentary Budget Officer says federal infrastructure spending created up to 11,000 new jobs over the past year and added 0.1 per cent to Canada’s GDP, falling short of Liberal government projections as the program falls behind schedule.

Parliamentary Budget Officer Jean-Denis Fréchette also cautions that rising interest rates are starting to offset the positive economic effects of infrastructure spending.

The PBO released a report Thursday that examines the impact of what the Liberal government calls its first phase of infrastructure spending. The plan was announced in the 2016 budget and initially promised about $12-billion over five years for projects that are primarily focused on repairs of existing assets. The PBO report looks at how spending from that budget – and top-ups announced in the 2016 fall update – will be spread over nine years, bringing the total to $14.4-billion.

In an interview, Mr. Fréchette said the amount of economic stimulus and employment created from the first phase of spending is relatively modest when compared with the promises made by the Liberals.

Thursday’s PBO report said phase 1 infrastructure spending added 0.1 per cent to Canada’s GDP in the 2016-17 fiscal year and 0.1 per cent in the fiscal year that ends March 31.

The 2016 budget included estimates from the Department of Finance that the announced infrastructure spending would boost Canada’s GDP by 0.2 per cent in the first year and 0.4 per cent in the second year.

That hasn’t happened, Mr. Fréchette notes. (Source: Globe & Mail)