Federal, provincial, and territorial leaders are engaged in the development of a new multi-year Canada Health Accord;
CDM believes the federal, provincial, and territorial governments have shared responsibilities in the financing and delivery of comprehensive and universally available health care services to Canadians. In partnership, each government is responsible for co-funding health care services, with the power to spend non-targeted resources as they each see fit.
• The federal government provides leadership and a unified national vision for the health care system, ensuring that the needs of Canadians are uniformly met across all regions of the country; develops, administers, and upholds national standards that are enforced through the fiscal powers in the Canada Health Act; and supports and/or delivers health care to specific populations.
• Provincial and territorial governments manage, organize, and deliver health care services, taking into consideration the unique population needs of their respective jurisdictions.
Canadian Doctors for Medicare calls upon our federal, provincial and territorial leaders to negotiate a new Canada Health Accord that honours the objective and five principles of the Canada Health Act.
The funding formula included in the renewed Canada Health Accord should:
a) Be developed in partnership with the federal, provincial and territorial governments;
b) Ensure health transfer payments from the federal government allow provincial and territorial governments to have certainty over their health care budgets;
c) Provide targeted funding to address priority health issues in Canadian health care;
d) Fund and foster innovation in health-care services to spread and scale proven and promising approaches that improve the quality of care and value-for-money.
We call on federal, provincial and territorial leaders to create and implement a health accord that targets funding as follows:
e) Determines areas of shared priority, and improves the co-ordination, continuity, quality, availability, and appropriateness of health services for Indigenous peoples, including incorporation of the health care-focused Calls to Action from the Truth and Reconciliation Commission;
f) Continues primary care reform. Given the fragmented character of primary care in Canada, a vital requirement for progress is development of effective primary care governance at local and regional levels;
g) Acknowledges that home and community care is an increasingly effective choice for patients recovering from acute illness or medical interventions, or those who otherwise need or want care closer to home and outside of institutional settings;
h) Addresses the chronic underfunding of public health through specific initiatives designed to prevent injury and disease and promote health with a focus on research and the social determinants of health;
i) Recognizing that one in five families fail to take needed medications due to cost, includes a national pharmacare strategy that provides universal coverage of appropriate prescription medicines;
j) Addresses mental health needs, particularly those identified by the Mental Health Commission of Canada, which are increased access to services, community care, housing supports and suicide prevention as well as the integration of economically sound creative approaches.