Health Care
Canada’s public health care system has the dubious distinction of having the worst wait times of any developed country. Health care costs have been increasing at an unsustainable rate, putting more and more financial pressures on the budgets of provincial governments. The situation is likely to get worse with Canada’s aging population. And as we saw during the covid pandemic, our health care system is too rigid and bureaucratized to quickly adapt to a crisis situation.
Health care is an exclusive provincial jurisdiction. However, for years the federal government has insisted that the provinces satisfy a series of conditions set in the Canada Health Act in exchange for transfer payments. These conditions discourage innovation. Also, the money does not directly fund health care services. It is simply added to the provinces’ budgets and they decide where and how they spend it.
All this confusion and undue interference leads to bickering between Ottawa and the provinces over who is responsible for the failings of our health care system, and how much money Ottawa should contribute. It prevents the implementation of sound reforms.
A People's Party government will:
Replace the Canada Health Transfer cash payments with a permanent transfer of tax points of equivalent value to the provinces and territories, to give them a stable source of revenue. In practice, Ottawa will give up its Goods and Services Tax (GST), and let provincial and territorial governments occupy this fiscal room. In 2023-24 the GST is expected to bring in about $51 billion in revenues, almost the same amount currently transferred by Ottawa.
Repeal the Canada Health Act, and create the conditions for provincial and territorial governments to set up mixed private-public universal systems like other developed countries. They will be fully responsible for health care funding and management, and fully accountable to their citizens for the results, while Ottawa will respect the Constitution and stop meddling.
Establish a temporary program to compensate poorer provinces whose revenues from the tax will be lower than the transfer payments they used to receive.