
The Harper government has set in motion a strategy that will lead to the unravelling of Canada’s national health system. All Harper has to do is nothing. By abdicating the essential federal responsibilities in health care, the system will fragment on its own into 14 separate pieces.
OTTAWA—There is a deficit of political leadership in health care, especially at the federal level. Prime Minister Stephen Harper stated in a year-end interview recently that he had no idea how to secure the future of health care in Canada. Instead, he said it is up to the provinces to find “solutions.”
Harper’s recent unilateral, non-negotiable decision on the future of federal health financing stunned provinces. It seems the federal government intends to limit its role to signing blank cheques with no strings attached and no accountability. If rumours on the Hill are true, once the current arrangement expires Harper may replace cash transfers entirely with tax credits.
The Harper government has set in motion a strategy that will lead to the unravelling of Canada’s national health system. All Harper has to do is nothing. By abdicating the essential federal responsibilities in health care, the system will fragment on its own into 14 separate pieces.
In order to understand the implications of abandoning federal responsibilities in health care, it is important to identify what they are, especially since the Harper government never misses an opportunity to say that health care is a provincial/territorial responsibility.
The federal role in health care is very clear and well described on Health Canada’s website.
The federal government is a funder, and transfers more than $40-billion a year to provinces and territories for health care. In addition to health-care cash transfers, the four most important federal duties in health care are: 1. guardian of the national standards in the Canada Health Act; 2. regulator of pharmaceuticals, medical devices and food; 3. Health-service provider to First Nations and Inuit communities; and 4. catalyst for innovation and best practices.