The NDP spent the day yesterday trying to make hay of their private members’ bill, which purports to create a national pharmacare programme. Unless the party has been secretly negotiating with the provinces, it will do no such thing, and it’s pretty much guaranteed that the bill is unconstitutional, both on the grounds that it delves into areas of provincial jurisdiction and the fact that it is inherently a money bill, which would require a Royal Recommendation – which they’re not going to get. Beyond that, this is performative grandstanding that seeks to short-circuit the actual work of implementing a national pharmacare programme that the government is already doing.
Because seriously – I was inundated with replies over Twitter about how the Liberals also promised pharmacare, so how was this different? It’s different because the Liberals a) promised negotiations with the provinces, and b) already have a roadmap to implementation through the Hoskins report, whose steps they are following and have invested money toward. I was also reminded constantly that this bill was modelled after the Canada Health Act, so everything should be fine – err, except that the CHA was the end-product of federal-provincial negotiations, not the starting point to be lorded over the provinces, nor does this address the fact that it is inherently a money bill, which Private Members’ Bills are forbidden from being.
I am also somewhat tickled by the fact that the NDP are considering this bill to be some kind of fait accompli, and in a press release, they claimed that this bill would “guarantee” coverage for Canadians. But that’s a lie, because none of it can happen if provinces don’t come to the table, and several of them are balking at it because it’s expensive (and the expected savings over the longer term won’t be realised right away), and we are already going through the usual hoops of Quebec saying their provincial plan is good enough and if the federal government wants to go ahead with a national plan then they should be able to opt out with full compensation – and you can bet that Alberta will make the same demand if Quebec is. This bill will not be a shortcut to those negotiations, as much as they might like it to be. The government is moving ahead with the Hoskins Report, which may be slower, but that’s how things get done. Trying to claim they’re not living up to their commitments is one more falsehood that the NDP have become adept in promulgating in order to score political points.