Is it Time for the Federal Government be More Hands on with Healthcare?

It took awhile but the media has finally woken up to the fact that health care services in most of Canada have not been up to standard this summer. The media tried to ignore it for quite some time, instead talking about delays at Pearson Airport, Justin Trudeau's new hair cut and other banalities.

However, despite it going on for some time they could just not ignore the state of health care services any longer. As a result, health care has become the most pressing issue for Canadians, if you are to believe the latest public polls. 

The reason for the state of health care is the neglect of the system by Conservative provincial governments in this country of course. They all want to introduce some form of privatization into the system and they believe the best way to do that is to starve the public system so that people will accept more privatization as the solution. I do not believe that will actually work as they believe but they will still try.

One of the issues that has lead to this situation is the fact that provincial governments have taken funds from the Federal government, that were supposed to be used for health care, and used them for something else. It is probably not unreasonable to assume some of the $4 billion the Federal government transferred to the Ontario government paid for the licence sticker rebates before the last provincial election. Ontario was not unique but that has not stopped all of the provinces from crying poor and demanding more Federal funding to not spend on health care.

The Federal government is rightfully hesitant to throw more money at the provinces knowing full well that the money will be misappropriated. However that does not mean the Federal government cannot increase health transfers, they just need to skip over the provincial governments and transfer funds directly to health care providers.

In the next few months the Federal government should announce programs to do just that. The funding should be made available through Grants and Contributions programs, which are the most common way to provide funding to individual Canadians and organizations.

Such an approach would create a great deal of pushback from the Provincial governments but if the Federal programs are designed properly they would not have a leg to stand on. The administration of health care is the responsibility of the Provincial governments but that does not mean the Federal government cannot get involved in providing direct funding and assistance to health care providers. The programs would have to be designed so that they do not interfere with the Provinces' abilities to administer health care but it is doable.

Such as approach would also help the Liberals politically. Yes, the Provincial governments would have conniption fits but that is to be expected and it would have the same impacts on our politics as past Federal/Provincial disputes, namely none. With health care and its problems on everybody's minds proposing such programs would be widely appreciated by the electorate. The general sentiment would probably be "Finally, the Federal government is taking action to "save" our health care system". Such a proposal would put the Conservatives into a real bind. Their default position is to reject any proposal from the Liberals and to promise to cancel any program created by them. Having such a position with regard to programs designed to sustain and enhance the public health care system would turn off the very voters they would need to win an election. Even the Bloc would have a hard time opposing this for the same reason.

As for the NDP, I mentioned in my last post that the Liberals should move to vacuum up some of the centre-right voters, who currently do not have a political home, by proposing some policies that would appeal to them. Such a strategy could endanger the agreement the Liberals have with the NDP on money and supply motions in the House but the NDP would be hard pressed to reject them if it meant rejecting health care programs. They would do it if they believed the Liberals were in political trouble, we have seen that in the past, but if the Liberals are still in good political shape then they would not be able to bring down the government.

For decades Conservative provincial governments have been introducing privatization into our public health care system with impunity because they have been subtle about it. They have been nibbling around the edges. The pandemic has exposed the flaws these actions have created in the health care system, along with others that existed as part of the system to begin with, and it would appear that all of the Provincial governments have decided to be less subtle. Many Canadians are very worried about our health care systems, including Canadians who generally support conservative parties, so the situation is ripe for an intervention by the Federal government. If done right it could stabilize the system, wrong foot Conservatives across the country and help the Federal Liberals politically for the next few years.