The federal government promised to reimburse half the cost our universal health service if the provinces would take care of delivery. That no longer holds: The provinces still deliver, but Ottawa now pays just 22 per cent.
The collapse of negotiations between the provinces and Ottawa over health-care funding brought home just how little ownership the federal government retains in medicare.
No serious effort was made to build any kind of program management around the new “benefit.” The federal government is simply mailing cash to families who qualify. The five-year cost is estimated at $9 billion, money Ottawa couldn’t find for medicare. This attempt to direct attention elsewhere became apparent when Duclos met with the provincial health ministers.
That was always a bridge too far. Two decades later, after billions have been spent, the project is still unfinished.In 2005 Ottawa attempted to set up a new nationwide public health system called Panorama. The objective was to manage infectious outbreaks. Years later, and still not completed, Phoenix had either overpaid, underpaid or failed to pay nearly 80 per cent of the country’s public servants.
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