TAKE ACTION
issue logo

Health Care

Giving Provinces the Incentives to Deal with Wait Times and Rising Costs

Want more on this issue?

Subscribe for the latest!

issue-health
Thanks for subscribing!
Oops! Something went wrong while submitting the form.

Download PDF

Download

Share This Page

Option 1
(Althoughthe covid pandemic is essentially over, we are keeping this important policyproposal from the 2021 election campaign in our Platform to show how the PPC approach completely differed from that of all the other establishment parties.)

Issue

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.

Facts

Canada is among the OECD countries that spend the most on health care. Ottawa’s health care transfers to the provinces have more than doubled since 2006, from $20 billion to $49 billion in 2023-24, with nothing to show for it.

The fundamental problem is that we are the only developed country where the government has a monopoly on medically required care. All other OECD countries (with the exception of the United States) have universal mixed private-public systems that guarantee citizens equal access.

Patients in these countries have a lot more choice than Canadians. They can be treated in public or private hospitals, with the government or their private insurance paying for the treatment. Wait times are non-existent or very short, and nobody is denied care because of low income.

Our Plan

It’s time for Canada to implement reforms in line with the more efficient and less costly mixed universal systems of other developed countries. Throwing more federal money at the problem, as all the other parties are proposing, is not the right approach. On the contrary, it is part of the problem. Provincial governments will never make the tough decisions if they can always blame Ottawa for not sending enough money. We must end the current confusion over who does what and who is responsible for the problem.

A People's Party government will:

  • Reform Canada Health Transfers | Remplacer les transferts en santé

    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.
  • Public & Private Service Delivery | Prestation de services publics et privés

    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.
  • Equal Service for All | Un service égal pour tous

    Establish a temporary program to compensate poorer provinces whose revenues from the tax will be lower than the transfer payments they used to receive.
Updated
August 2023

Related articles

Browse all articles
No items found.
Health Care
issue-health
issue-health
Giving Provinces the Incentives to Deal with Wait Times and Rising Costs
Thanks for joining us!
Oops! Something went wrong.

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.

Heading

Join our mailing list to stay up-to-date on this & other important issues.
Thanks for joining us!
Oops! Something went wrong.

Maxime Bernier

800,000+

Active Supporters

Maxime Bernier

Stay in the know!

Join our mailing list to get the latest on this & other issues delivered straight to your inbox!

The PPC Record

No items found.
Text Link