access to medicines
Never bring a knife to a gunfight. And yet, the global tuberculosis (TB) community has been doing precisely that for decades -- fighting a protracted battle with antiquated, inefficient tools, including an insensitive diagnostic (i.e. sputum microscopy), a low-efficacy vaccine (i.e. BCG), and drug regimens that have hardly changed for decades.
Surveys and polls often show Canadians are proud of our universal health system, which provides publicly funded care for doctor and hospital services. Canadians don't have to worry about filing for bankruptcy to get care for themselves or their families when they need it. But when it comes to prescription medications, our health system comes up short.
You will know well from history that real change won't happen by providing more federal money with unconditional transfers.Real change will require helping provinces to shift the focus of our health system away from those who are relatively well resourced to new areas of care, such as essential pharmaceuticals and homecare.