Cities have to spend this money, taken from local taxpayers, because Canada's medicare system is the only universal, public health care system among developed countries that does not include universal coverage of prescription drugs. It is not wrong for cities to care for their employees. But leaving these costs to the cities makes about as much sense as requiring every homeowner to maintain the roads and infrastructure surrounding their property. Here's why.
Despite being a vast land of mountains, forests and ice, Canada is an urban nation. Over 80 per cent of us live in large centres like Montreal, Toronto and Calgary, as well as rapidly growing communities like Regina, Surrey and Markham. This increasing concentration of people in cities is consistent with rapid urbanization over the whole planet.