The Truth Behind Canada’s Controversial Pharmacare Plan 

Canada can’t afford it, Canadians don’t want it, but the Trudeau government is implementing a Pharmacare plan to stay in power 

A national Pharmacare deal has been reached and NDP leader Jagmeet Singh is proclaiming it to be a huge win for his party. But amidst the Gatorade celebrations and public self-congratulatory statements, Singh and his MPs appear blind to the possibility that this deal may be the final straw that breaks what’s left of the back of Canadian healthcare.  

Most obviously, the plan is fiscally irresponsible. Healthcare already costs the federal government over $300 billion per year. Yet, in the past few months, as the gaping cracks in the system have become increasingly evident, the Trudeau government has added on a $13 billion per year dental plan that will soon go into effect. And now this – another $40 billion per year to fund a behemoth Pharmacare bureaucracy. It’s just another expensive add-on to our piecemeal system, which is already on life support because of a lack of cash and innovation.  

If $300 billion isn’t enough to fund the healthcare system that is now in place, it’s difficult to understand how the government thinks it can pay out an additional $53 billion to fund Singh’s political delusions. In fact, without innovation and change, there will never be enough money to sustain a universal, single-payer healthcare system. Healthcare delivery has changed, and the days of government-funded healthcare only are long gone. 

But Chrystia Freeland, the Liberal finance minister, seems just as unwilling to face reality, claiming the Pharmacare deal won’t have any impact on our federal financial situation. It’s an outrageous comment, as every Canadian knows that billions of dollars in additional spending will ultimately mean higher taxes, program cuts in other sectors, and/or another addition to our trillion-dollar debt. No matter which way you cut it, Canadians will pay for so-called free Pharmacare.  

Ironically, few Canadians even seem to want a national Pharmacare program.  

In December, a Leger survey asked Canadians to name their top healthcare priorities. Their top concerns were reducing surgical wait times (36 percent), building longterm care homes (32 percent) and expanding mental health services (30 percent). A national Pharmacare program was a priority to just 18 percent.  

The government’s own research showed similar results. In January, it was reported that the Privy Council Office (which provides internal government research and support) had paid $815,0000 to a research group to hold focus groups on various issues, including healthcare.  

Two reports emerged, dated June 12 and July 10, 2023, and they offered broad insights into the health care concerns and priorities of Canadians. 

In the June report, priorities included long wait times to access emergency care, a shortage of doctors and nurses, burnout among medical professionals and a “widespread dearth of mental health services.”  

The July report highlighted a lack of home care options for an aging population, limited access to virtual care options and a “perceived lack of prevention-base medicine.”  

An August 2023 report by the Canadian Institute for Health Information confirmed these results while emphasizing the current need to modernize healthcare information systems and electronic health information. 

A national Pharmacare program? Apparently, not that important.  

Why?  

Probably because Statistics Canada has shown that 79 percent of Canadians already have some form of prescription drug coverage through employers or other government-sponsored plans. Admittedly, gaps exist, but the bottom line is that prescription drugs are affordable for most Canadians.  

If Canada can’t afford it and Canadians don’t want it, why is the Prime Minister doing this?  

To stay in power. The Pharmacare and dental plan deals were a condition of the NDP’s confidence and supply agreement with the minority Liberal government and Prime Minister Trudeau. Over the past months, Singh has repeatedly warned Trudeau of the “consequences” that could ensue if his government failed to act on these two priorities.  

This is the sad result that occurs when healthcare is reduced to political expediency. Canadians and our broken healthcare system will end up paying the price for a government that is struggling to cling to power and keep the free family vacations.  

Too cynical? Perhaps. But backroom deals that serve politics rather than provide Canadians with the services that they need and want offer clear evidence that our federal government is out of touch with the realities of Canadian life. 

By Susan Martinuk 

Susan Martinuk is a Senior Fellow with the Frontier Centre for Public Policy and author of Patients at Risk: Exposing Canada’s Healthcare Crisis. 

Troy Media 

The opinions expressed by our columnists and contributors are theirs alone and do not inherently or expressly reflect the views of our publication. 

TAN 

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