pharmacare

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) 

 

Tuesday March 6, 2018

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday March 6, 2018

Feds downplay a universal pharmacare program

The federal government is reining in expectations for a new national pharmacare plan, saying it will be “fiscally responsible” in moving forward on a program to only fill existing gaps in drug coverage.

Tuesday’s budget revealed the government’s ambition to make national pharmacare a reality with the creation of an advisory council led by Dr. Eric Hoskins, who resigned his post as Ontario’s health minister to take on the new role.

The government’s goal is to ensure “all Canadians have access to pharmaceuticals,” federal Finance Minister Bill Morneau said Wednesday.

But as he launched efforts to publicize budget initiatives, Morneau sought to dial down expectations that the potential pharmacare program would completely replace existing public and private drug plans.

He even took pains to stress that the government is considering a “strategy,” not a “plan.”

“We recognize that we need a strategy to deal with the fact that not everyone has access and we do it in a way that is responsible, that deals with the gaps, that doesn’t throw out the system that we currently have,” Morneau said during a morning event hosted by the Economic Club of Canada.

“There are parts of the system that are working well. There are parts of the system that really aren’t working,” Morneau said, adding that about 1 million Canadians can’t afford the prescription drugs they need.

In the Commons, NDP MP Guy Caron accused the Liberals of foot-dragging, saying no further study of the idea is needed. “The time for universal pharmacare is now,” Caron said. (Source: Toronto Star) 

 

Saturday April 29, 2017

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday April 29, 2017

Proposed: Publicly funded drug plan for all Ontarians under 25

Give one cheer for the Liberals. Kathleen Wynne’s Ontario government has finally bit the bullet on publicly funded pharmacare.

February 24, 2017

Their scheme to provide those under 25 with free prescription drugs isn’t comprehensive. Nor, in spite of Finance Minister Charles Sousa’s boast, is it exactly path-breaking.

Saskatchewan already offers a similar, albeit less generous, drug plan to children 14 and under.

But it is a start.

The plan, announced in Thursday’s budget, would allow any Ontarian age 24 and under who needs prescription drugs for medical purposes to receive them at no cost.

March 10, 2017

Unlike the province’s drug plan for seniors, there would be no co-payment and no deductible. Unlike the drug plan for welfare recipients, there would be no means test.

Rather, like medicare, it would be universally available and cover the entire cost of roughly 4,400 drugs.

Experts can argue whether the Liberal pharmacare plan is better or worse than that pitched by Andrea Horwath’s Ontario New Democrats. The NDP proposes a scheme that would cover everyone under 65 but only for 125 commonly prescribed drugs.

But the Liberals have the advantage of being in power right now. If they follow through on their promise, their truncated pharmacare plan will come into effect next January.

March 8, 2016

For these reasons, any move toward universal publicly funded pharmacare is welcome and probably irreversible. Progressive Conservative leader Patrick Brown told reporters Thursday that he would prefer a scheme that is means-tested. But Ontario already has a drug benefit program for the poor.

What is useful about this scheme is precisely what Brown doesn’t like about it: It is a step on the road to universal pharmacare.

Sousa told reporters that he hopes Ontario’s move will persuade Ottawa and other provinces to act. Perhaps it will. (Source: Toronto Star)