Three Choices for the Future of Medicare
 
Gregory P. Marchildon, April 2004
 

This paper argues that Canadians are at a crossroads in terms of the future of medicare.  Critical directional decisions will be made at the First Ministers Meeting in a few months.  Ottawa must decide its role before it negotiates with the provinces the future of a policy that is an integral part of the country’s identity. 

 

One option is to continue with a dysfunctional status quo.  A second option is a withdrawal by Ottawa from medicare through final, permanent tax transfer.  The third option is for the federal government to once again become a real partner by working with the provinces to reshape the national dimensions of medicare and by sharing the fiscal risk of health care costs with the provinces.  This last option should focus on the transformation of the health care system, with Ottawa supporting the provinces in the difficult task of improving access, quality and outcomes in as cost-effective manner as possible.

 

Now a professor of public administration at the University of Regina, Gregory Marchildon was a key player in federal-provincial negotiations over medicare and Executive Director of the Romanow Commission.

 

Greg Marchildon can be reached for comment at (306) 337-2390 or greg.marchildon@uregina.ca


ISBN - 1-55382-103-3


View full document in PDF format.

Copies of our publications are also available, upon request, in Microsoft Word format. Please contact the Caledon Institute for information.

HAVE YOU SEEN

-A Renewed Voice for Social Canada -It's time to tear down the "welfare wall" for persons with disabilities -Why core housing need is a poor metric to measure outcomes of Canada's national housing strategy -National Child Data Strategy: Results of a Feasibility Study -Dismantling the Welfare Wall for Persons with Disabilities -The 2017 Farewell Budget -Poverty Reduction and Disability Income -Welfare in Canada 2015 -May 19, 2016: Michael Mendelson Addresses the Standing Senate Committee on Social Affairs, Science and Technology on changes to the Employment Insurance program in the 2016 federal Budget -Video - Data Rescue -Video - Sherri Torjman: Five Good Ideas about Policy -Video - Sherri Torjman: Canada@150 address -Video - Sherri Torjman: Shared Space & Community Recreation -

Poverty Reduction and Disability Income

Sherri Torjman, February 03, 2017

For years, Caledon has written about the need for a reformed architecture of income security in which constituent

More >