“Medicare is so central to our national narrative that how we reform it
will determine the future nature of our country,”
Roy Romanow
Medicare needs strong federal vision
The unifying force medicare has played in Canada
is being eroded by Ottawa’s decision to make health care transfer
payments to the provinces without overall national goals attached,
former premier Roy Romanow says.
“The federal
government is out of the picture and this opens the door to huge
disparities. I don’t think that’s the way you build a modern day health
care plan and for sure it’s not a way to build a more unified,
progressive and strong Canada,” Romanow said after speaking to a public
policy conference at the University of Saskatchewan on the future of
medicare.
Canada needs a national vision for
health care to prevent provinces with greater wealth benefiting from
enhanced care while poorer provinces receive less, Romanow said.
“This
not only makes a disparate national program, but it raises the prospect
of a dis-unifying dimension to Canadian unity, which is always a very
important aspect of Canada’s life.
A country as
spread out and diverse as Canada won’t have identical care everywhere
but it should have programs to ensure “roughly similar principles and
quality of outcomes as a right of citizenship,” he said.
“I
would like to see our premiers generally, take the position of standing
up to Mr. Harper and saying, ‘Look, we want a federal-provincial
conference. We want to talk about these costs-driver factors. We want to
see what the new programs are, which can ease the cost and improve our
health care and we want a public debate about it.’
With
the federal government “unwilling to take a role for itself” in shaping
medicare, premiers are left “scurrying to ‘innovate,’” Romanow said.
“You
have 10 premiers, 10 different economies, local circumstances, varying
ideologies, how are you going to bring this all together — since the
flood of technology and drugs keep coming on stream — in a cohesive,
coherent fashion?”
Medicare began 50 years ago
with the federal government transferring 50 per cent of health budgets
to provinces with conditions that all agree to similar objectives as to
what that funding will achieve.
“Medicare is so
central to our national narrative that how we reform it will determine
the future nature of our country,” Romanow said.
-Saskatoon Star Phoenix