Over the weekend, the Star ran a brief interview with Dr. Eric Hoskins, former Ontario health minister and the person that Justin Trudeau initially tasked with writing a report on getting to pharmacare, about the current situation between the government and the NDP over getting to just that. Hoskins says he’s trying to have high-level engagements with both parties, because this could be the last opportunity to get this to work in a long time, but some of that means getting the NDP to back down on their arbitrary timelines (which is more than reasonable considering how much their stupid timeline demands has meant a poor rollout of dental care, because proper implementation can take time).
This having been said, I was struck by the fact that the story completely left out the role of the premiers in this, and I cannot stress this enough, because healthcare delivery is a provincial responsibility, you cannot in any way, shape or form, get to national, universal pharacare without the provinces on board. And no, this isn’t something that they can just opt-in to over time, like the NDP seem to think—they need to be in on it from the ground floor, so that they can shape the direction of the Canada Drug Agency, and negotiate a national formulary rather than just the federal government pulling it out of their asses and, again, expecting the provinces to sign onto it (again, like the NDP seem to think). Hoskin’s whole report premised on the provinces being active participants in the process, because this affects them fundamentally. And it’s the provinces who have been the biggest hold-up for moving forward with this—only PEI has moved ahead, and thanks to the gradual build-up they’ve implemented with the federal government, they have a low-cost co-pay system running in the province, which is a wild step-up from the virtually nothing they at the provincial government level before.
The way that media keep talking about pharmacare is that this is something the federal government will do on high, and will somehow pay for entirely themselves, which again, is not how this would work. The PBO’s report cites a figure that the federal and provincial governments together would be paying (using whatever a methodology that may or may not survive reality), but doesn’t have any breakdown about what the cost-share would be, because of course that would need to be negotiated. It would be great if the national conversation, particularly that is happening in media, could actually include the crucial role of the provinces, but we all know that legacy media is allergic to the issues around jurisdiction, and it means a much worse discourse as a result.
Ukraine Dispatch:
Russian forces intensified their push toward Avdiivka in the east, and Kherson in the south, while six people were killed in a Russian missile strike on a postal distribution centre in Kharkiv. Russian forces claim that they foiled several attempts by Ukrainian forces to cross the Dnipro river near Kherson over the past day. Meanwhile, here is a look at Ukrainians preparing for another winter of attacks on the electricity grid, as they prepare firewood and candles.
Kharkiv region. A Russian missile struck a post terminal. Ordinary civilian object. Unfortunately, there are killed. My condolences to all of their close ones!
As of now, it is known that at least 13 people were injured. First responders and all services are working on the spot.… pic.twitter.com/gN94DOIJtL
— Volodymyr Zelenskyy / Володимир Зеленський (@ZelenskyyUa) October 21, 2023
"Freedom is the open window through which pours the sunlight of the human spirit and human dignity."
Herbert HooverThe combat losses of the enemy from February 24, 2022 to October 22, 2023: pic.twitter.com/81ZPJYgDkQ
— Defense of Ukraine (@DefenceU) October 22, 2023