Tag Archives: Pharmacare

Roundup: Freeland’s first big budget

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The budget was released yesterday, and lo, the commitment to child care was huge – $30 billion over five years in order to build a national system of $10/day early learning and child care, which is huge money – money that will make it very, very hard for provinces to refuse. It’s not going to be immediate, but a process to build to that system, which they have already put work into over the past five years, but it’s a much more robust commitment than we have seen in the past. It means more negotiations with provinces, however, as well as an asymmetrical agreement with Quebec so that they can still get funding to augment their existing subsidised child care system.

While there is a good overview here, other items in the budget include:

  • Some $17.6 billion in new spending for GHG reductions.
  • New taxes on foreign investors in housing, with more commitments to the national housing strategy.
  • $18 billion over five years has been earmarked for Indigenous communities to close the socio-economic gaps.
  • There is a commitment for $400 million to combat sexual misconduct in the military, plus funds to revitalise NORAD and to cover our NATO operations
  • They plan to make it easier and cheaper to obtain a criminal pardon.
  • There will be new taxes on big global tech companies.
  • Here are twenty new or expanded benefits and taxes.
  • There is the usual pearl-clutching that the budget predicts some $686 billion in accumulated deficits over the next five years.
  • Here are ten smaller items in the budget that are of interest.

Something that did come up over the talking heads discussing the budget was pharmacare, and how there wasn’t a big song and dance about it, as that was largely reserved for childcare. I did read the section on pharacare in the document, and it notes continued investment in things like the catastrophic drug plan to help those who need it most, but we have to remember that they have been trying to negotiate this with the provinces, and the provinces have said no. There’s only so much the federal government can push them on this, so it may require waiting until a few provincial governments change hands before more progress can be made. That’s the thing about these kinds of programmes in provincial jurisdiction – you need to have willing partners at the table, or it can’t go anywhere.

Meanwhile, Heather Scoffield grouses that there is too much conventional thinking in the budget to deal with the problems exacerbated by the pandemic. Susan Delacourt looks to all of the promises that rely on federal-provincial negotiations to make them happen. Paul Wells offers a fairly sober assessment of what’s in the budget, and whether the enthusiasm for this child care spending will last the next couple of years.

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Roundup: Closure, and false hope

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The government followed through on their plans to invoke closure on the assisted dying bill yesterday, and with the support of the Bloc, they had final debate and a vote, which passed, sending the amended bill back to the Senate. (The NDP, incidentally, voted against it simply because they refuse to recognise the legitimacy of the Senate). Because the government only accepted a couple of the Senate amendments, and modified others, it will require another vote in the Other Place, but it is most likely that they will allow the bill to pass in time for the court-imposed deadline.

There have been a lot of disingenuous comments about this bill. Certain disability advocates have insisted that this makes it easy to kill them, which it doesn’t, and these advocates ignore that other people with disabilities have requested assisted dying and won in the courts – which is why this bill exists. Many of those advocates are trying to re-litigate the case they lost at the Supreme Court that allowed for the assisted dying regime to be created in the first place, which isn’t going to happen – that decision was unanimous and the Court is not going to revisit it. As well, one of these amendments puts a two-year time limit on the mental health exclusion so that more guidelines can be developed. That exclusion is almost certainly unconstitutional, and the government knows it – but again, there is a cadre of disingenuous commentary, including from some MPs, that this would allow anyone with depression access to assisted dying, which is unlikely in the extreme, and more to the point, it conflates other mental illnesses with depression, and it stigmatises mental illness by excluding it, effectively undoing years of trying to treat mental illness like any other illness.

When I tweeted about this last night, I got a lot of pushback from a certain segment that coalesced around the narrative that the government would not provide supports for people with mental illness but would let them kill themselves; and furthermore, they tried to further say that the government that voted against pharamcare was doing this. There is a lot to unpack in those statements, but there are a few things to remember. One of them is that most disability supports, as well as treatment for mental health, are both in provincial jurisdiction, so the federal government can’t offer more supports for them. Hell, they can’t even simply send $2000 per month to people with disabilities – as the NDP are demanding – because they don’t exactly have a national database of people with disabilities (and they had a hard-enough time kludging together a special pandemic payment through use of the flawed disability tax credit). They do have jurisdiction over the Criminal Code, which is what this legislation covers.

As for the pharmacare bill, we’ve already covered repeatedly that it was unconstitutional and unworkable, and would not have created pharmacare, as the NDP claimed (while the government is already at work implementing the Hoskins Report). But as we’ve seen here, they sold a bill of goods to these people, and gave them false hope as to what they were doing. They lied to vulnerable Canadians to score cheap political points. The sheer immorality of that choice is utterly shameful, but this appears to be what the party has reduced itself to. I sometimes wonder how their brain trust sleeps at night.

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QP: Concerns over hotel quarantine

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There were four Liberals in the Chamber today, including Catherine McKenna as a designated front-bench babysitter, which we can’t seen in ages – praise be! Erin O’Toole led off, in person and with his script on his mini-lectern, and in a theatrically grave tone, worried about the Chief of Defence Staff and asked if the government was aware of any other senior command staff under investigation. Chrystia Freeland read a script that they take all allegations seriously. O’Toole then turned to the allegations of violence going on in quarantine hotels, essentially demanding the programme be shut down, and Freeland said that they were concerned by the reports. O’Toole demanded to know why the programme was still running, to which Freeland replied that it’s in place because no Canadian is safe from the pandemic, and no one should be travelling for non-essential reasons. O’Toole repeated the question in French, and Freeland said that if Conservatives don’t want to protect Canadians from COVID, it’s up to them, and repeated her concern about the allegations. O’Toole demanded a fix for the programme, for which Freeland recited that the government has some of the strictest border measures in the world.

Alain Therrien led for the Bloc, and he decried that this government wasn’t taking hotel quarantine seriously enough, for which Freeland repeated that these were some of the strongest measures in the world, and that people shouldn’t be travelling. Therrien again railed that the government wasn’t doing its work, and Freeland repeated her reassurances in a calm and measured tone.

For the NDP, Jagmeet Singh led off in French, and he whined that the NDP pharmacare bill was killed and accused the government of being in the thrall of Big Pharma, for which Freeland read the script that they have already done more than any government in a generation to lower drug prices, and they were negotiating with provinces. Singh repeated the baseless accusation in English, illustrated with a sob story out of Oakville, and Freeland repeated her same answer, adding details about the Canadian drug agency, establishing a national formulary, and a rare disease drug strategy.

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QP: Working in the real world, within the constitution

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For Wednesday, proto-PMQ day, Justin Trudeau was in the Chamber, thankfully, with a mere two other Liberals along with him. Erin O’Toole led off, also in person with a script on his mini-lectern, and complained that only eight percent of Canadians would be vaccinated by April, for which Justin Trudeau gave the “good news” of vaccine deliveries that are arriving. O’Toole was not impressed, and quoted Dr. Theresa Tam saying that it was a fact that a lot of people won’t be vaccinated for months, for which Trudeau stated that they are getting doses as quickly as they can. O’Toole said demanded the plan to get 300,000 people vaccinated per day, and Trudeau said that they are supporting provinces to get ready for the “big lift” as deliveries ramp up. O’Toole switched to French to repeat the question, got the same answer, and then O’Toole whinged that we were so far behind other countries, and Trudeau said that he believes in the provinces and territories to administer the vaccines (which may be optimistic on his part, given that certain provinces are run by incompetent murderclowns).

For the Bloc, Yves-François Blanchet raised the government’s discussion paper on official languages and demanded that the government apply Quebec’s Bill 101 to federally-regulated sectors, and Trudeau gave a paean about French being under threat outside of Quebec and the government was working to protect it. Blanchet felt the government plan was too slow and demanded Bill 101 be applied immediately, but Trudeau said that while the Bloc was focused on Quebec, he needed to be focused on French all over the country.

Jagmeet Singh rose for the NDP, and in French, demanded support for this party’s (unconstitutional) pharmaceutical bill, for which Trudeau stated that they support pharmacare, but they would not support the NDP’s plan to impose a top-down solution in favour of negotiating with provinces. Singh switched to English to claim that his bill was according to the Hoskins Report (it’s not), and Trudeau listed the actions his government took to lower drug prices, and stated that because they respect the constitution, they are negotiating with provinces.

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QP: A moral panic competing with hysteria

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While the prime minister was in the building, he was not at QP today, though his deputy was, fortunately. Michael Chong led off, and he worried that Canada voted against Israel at the UN General Assembly earlier in the day, insisting this was contrary to policy. Chrystia Freeland said that Canada stands with Israel, and with Jewish Canadians in the face of rising anti-Semitism. Chong tried again, and Freeland spoke of the worrying rise of authoritarianism in the world, which Canada is standing up against. Richard Martel would took off and listed a number of judicial appointments in New Brunswick which have a connection to Dominic LeBlanc, to which Freeland read a statement about their recent appointment process. Martel raised another appointment who is connected to the justice minister — which media reports show that he was cleared for — and Freeland assured him that the process put into place was transparent and sound. Martel raised another name, who he claimed was denied an appointment because she was married to a Conservatives candidate. Freeland disagreed with the question and reiterated that the process is open and has increased diversity on the bench. Alain Therrien led for the Bloc, and he demanded support for the Bloc’s bill on requiring knowledge of French for citizenship in Quebec, to which Freeland said that they agree that the state of French in Quebec and Montreal is fragile and that they all need to work together to preserve it. Mario Beaulieu asked the same again, and Freeland reiterated her response, and added an example that they fought for cultural exemptions under the New NAFTA. Jagmeet Singh was up next for the NDP, and in French, he lamented that it took so long for climate accountability legislation, to which Freeland praised their bill’s commitment to reach net zero emissions by 2050. Singh switched to English to repeat the question, to which Freeland asked in return whether they would support the bill.

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Roundup: Pretending there’s a shortcut

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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.

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QP: Worries about the status of French

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None of the leaders were present in the chamber today, nor was the deputy prime minister present. Candice Bergen led off, and after a litany of false narratives about the state of the economy pre-pandemic, she worried about the state of the Keystone XL pipeline. Paul Lefebvre insisted that the government was unwavering in its support for the project and raised the project in the first call with Joe Biden. Bergen felt this wasn’t good enough and recited some false talking points about the old Bill C-69, to which Lefebvre repeated that Trudeau raised the matter with Biden and that Canada’s current climate plan was a point in their favour. Bergen remained unsatisfied, and repeated the question again, to which Lefebvre quoted Joe Clark slamming the Harper record on the environment. Gérard Deltell was up next, and he chastised something that Montreal MP Emmanuella Lambropoulos made about the decline of French in that city, to which Mélanie Joly assured him that they took the protection of French very seriously. Deltell complained that Official Languages Act had not yet been updated, to which Joly said they would be modernising it in due course. Claude DeBellefeuille led off for the Bloc, and she raised false narratives about judicial appointments, to which David Lametti assured her that they have an independent process based on merit and diversity. DeBellefeuille was not mollified, and repeated the question, and got the same answer. Jagmeet Singh appeared by video from his car, and in French, he demanded national standards for long-term care, to which Patty Hajdu reminded him they are working with provinces and territories on just that, and they gave them more money in the Safe Restart Plan. Singh switched to English to repeat false narratives about the ownership of Revera long-term care homes (they are not actually federally-owned, and insisting otherwise is being utterly disingenuous), to which Hajdu repeated her response.

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QP: Reaching on a false premise

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The prime minister was in attendance today, though his deputy wasn’t. Alas. Erin O’Toole led off, script on his mini-lectern, and he noted the two American CEOs who crossed the border without quarantines, and that if the public safety minister didn’t have the power to approve them, it must have been the PMO — a blatant reach based on a false premise. Justin Trudeau reminded him that these were decisions made by CBSA officers at the border in error — then congratulated the victors of last night’s by-elections. O’Toole then asked about the public inquiry into the Nova Scotia mass shooting, and Trudeau gave a somewhat platitudinous response about moving ahead with the inquiry at the behest of the families. O’Toole wondered just who was in charge of the RCMP if there were differing opinions in Cabinet about calls for her to resign, and Trudeau read a script about acknowledging systemic racism in the Force. O’Toole switched to French to lament rapid tests and the early numbers that came from China, and Trudeau explained everything they did to help families, which was what mattered. O’Toole then worried that the prime minister was blaming provinces for inaction and demanded they get to work, to which Trudeau reminded him there are areas of provincial jurisdiction and that he working with provinces to ensure that all Canadians were taken care of. Yves-François Blanchet was up next and raised blackface and the Indian Act as racist, while trying to defend that University of Ottawa professor. Trudeau reminded him that they were working with the First Nations to get past the Indian Act, but it can’t be done by decree. Blanchet went on a meandering path about what was nation-to-nation relations, to which Trudeau reminded him that there is a diversity of opinion among First Nations, which is why they were talking at the nation’s pace. Jagmeet Singh was up next that for the NDP, and in French, he demanded universal pharmacare, to which Trudeau recited his practiced lines about how nobody should be forced to choose between food and medicine, and that they were working with the provinces. Singh then raised that the federal government as a landlord raised the rent on a daycare facility forcing it to close, to which Trudeau said they would be looking into what happened.

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QP: Back in action, but feeling hollow

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The first QP of the new session is now officially a hybrid one, with a smaller number of MPs in the Chamber while the rest were on Zoom — a parliamentary abomination. Candice Bergen led off, and she demanded rapid testing options, to which Justin Trudeau took up a script to list what the federal government has done to support testing and procurement. Bergen accused a Trudeau of lacking any plans in his Throne Speech and called the last five weeks a waste of time. Trudeau asserted that the pandemic was the greatest challenge in a generation and it exposed problems in our society that they need to address. Bergen listed there people she claimed the Speech “left behind,” and Trudeau listed the measures that are helping Canadians. Gérard Deltell repeated the Québec premier’s claim that the Speech interfered in provincial jurisdiction, to which Trudeau reminded him that the premier didn’t mind when the federal government deployed the army to help Québec’s long-term care facilities. Deltell tried again, and Trudeau reminded him that they need to work together during the crisis to restart the economy. Alain Therrien was up for the NDP to carry on the accusation of interference and to demand more health transfers, to which Trudeau reminded him that they already increased transfers and more billions went out for the Safe Restart Agreement. Therrien tried again, and got the same answer. Jagmeet Singh was up next for the NDP, and in French demanded a plan for the second wave, to which Trudeau stated that they were working with the provinces to accelerate the testing process, and that they were helping seniors, families, students, and small businesses. Singh repeated his question in English, and Trudeau repeated his answer in English.

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Roundup: The Energy East distraction

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After wide reporting that Jason Kenney’s poll numbers have been tanking and that he’s currently tied with the provincial NDP, it was predetermined that Kenney was going to have to start coming up with something new to blame the federal government about in order to whip his voter base into a new round of irrational anger. He also, apparently needed to provide some cover to his friend Erin O’Toole after O’Toole’s meeting with the Quebec premier, and so Kenney’s distraction of choice was going to be Energy East, and blaming the federal government for its demise. Of course, that’s not true at all, and energy economist Andrew Leach has the receipts.

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