a) one plan run by Feds
b) one plan run by provs; financed by feds
c) many plans, with public backstop to ensure national' complete coverage.
All are 'national'!
* provs/terrs run their own plans.
* if provs meet fed standard for coverage they get 100% funding of incremental cost
* private plans can cover extras not on national fomulary.
So, heed Andrew and keep your eye on this. Be cautious about 'national' claims..
As a big picture item, does this make sense?
I think *yes*. Fed long-run fiscal situation is very healthy. Provs needs some help. This pharamcare proposal eases long-run provincial fiscal burden.
He proposes it could only be amended with strong provincial consent, not unilaterally by Ottawa like other transfers.
That's...very difficult to do.
Gross cost is about $15B in 2027, but the *net* financial cost may in fact be negative--since firms and individuals will be relieved of paying for drugs and there may be $B's of savings available.
The @DrEricHoskins proposal will partly crowd out--but not outlaw--private coverage.
If there are things not covered by the national formulary, supplemental plans can cover.
* Fed financing+standards/prov admin is good choice.
* fed govt has long-run fiscal capacity to take this on.
* fed-prov transfer $ may need work.
* how "universal"? Some provs opt out; private insurance continues.