The KW Chapter of the Council of Canadians hosted a Pharmacare Town Hall Meeting in Waterloo this week. The discussion was moderated by Ron Ward, and featured University of Waterloo School of Pharmacy Assistant Professor Dr. Sherilyn Houle, Catherine Fife Waterloo’s NDP MPP, and the Green Party’s Stacey Danckert
What Is Pharmacare?
Pharmacare is a government program that ensures all citizens have access to the medicine their doctor prescribes.
Of all the countries that provide citizens with Universal Health Care, Canada is the only one that doesn’t have Universal Pharmacare. At the
“Overall, it estimates a universal pharmacare plan would save up to $11.4 billion a year, with $1 billion of that saved just by no longer duplicating administrative costs in the current “patchwork” system.”
However, Prime Minister Justin Trudeau’s federal Liberal Government have more important things to worry about than the health of its citizens, so the Ontario Liberals Government has stepped up to the plate with an intention to add publicly funded pharmacare coverage for children and youth ~ adding to the patchwork system.
“Because Ontario is adding universal, comprehensive pharmacare coverage to the age group that uses medicines least often. Many working-age Ontarians, who are far more likely to require medicines than children, will still be uninsured.”
Our AMerican friends are debating whether Heal Care is a human right. Canadians decided that it was long ago. Which is why it is bizarre that, of all the countries with Universal Health Care, Canada is the only country that doesn’t have Universal Pharmacare? In 2014, Dr. Eric Hoskins ~ Ontario’s Liberal Minister of Health and Long-Term Care ~ wrote an OpEd for the Globe and Mail explaining Why…
Our American friends are debating whether Health Care is a human right, but Canadians decided that it was long ago. Which is why it is bizarre that, of all the countries with Universal Health Care, Canada is the only country that doesn’t have Universal Pharmacare!
“Overall, it estimates a universal pharmacare plan would save up to $11.4 billion a year, with $1 billion of that saved just by no longer duplicating administrative costs in the current “patchwork” system.”
However, Prime Minister Justin Trudeau’s federal Liberal Government have more important things to worry about than the health of its citizens, so the Ontario Liberals Government has stepped up to the plate with an intention to add publicly funded pharmacare coverage for children and youth ~ adding to the patchwork system.
“Because Ontario is adding universal, comprehensive pharmacare coverage to the age group that uses medicines least often. Many working-age Ontarians, who are far more likely to require medicines than children, will still be uninsured.”
1. Implement through a Federal law, a Pan-Canadian Universal Pharmacare Plan, in this 42nd Parliament; and
2. Implement a National Formulary for medically necessary drugs including a drug monitoring agency providing regulations and oversight to protect Canadians.
Previously I had heard Kitchener—Centre MPP Daiene Vernile was the scheduled Liberal representative. That makes a lot of sense in light of the recent provincial Liberal announcement about extending pharmacare to children and youth.
But when it was announced that Ms. Vernile was to be replaced by Kitchener Centre MP Raj Saini, the rookie federal Liberal MP campaigned hard on his background as a pharmacist. It made sense for the Federal MP , to bring his specialized expertise to this discussion.
But I’ve just learned Kitchener Centre MP Raj Saini has backed out. Is this an indication neither federal or provincial Liberal majoritie governments are actually committed to pharmacare?
Come out on Tuesday night to find out why Canada needs pharmacare policy and what the NDP and Greens would do with this issue given the chance.
Women in Politics In 2015 twelve members of Prime Minister Stephen Harper’s cabinet (approximately 30%) were women. The Harper Government: 77 female MPs ~ 25%. The Trudeau Government: 88 female MPs ~ 26%. Prime Minister Justin Trudeau’s decison to name 15 women members to his 30 seat Privy Council made news around the world “because…
But we need to remember the reason Prime Minister Trudeau’s gender balanced cabinet was newsworthy — it did not happen naturally. Although Canadian women make up about half the population, electing 25% women to the House of Commons was a record when Mr. Harper’s government managed it, just as electing 26% was a record for Mr. Trudeau’s government.
Whoop de doo.
That’s not exactly fair representation, but that is what you get with a First Past The Post electoral system.
While Mr. Trudeau is to be commended for attempting to redress that wrong, implementing a gender quota is an artificial fix. One side effect is that such a policy severely limits the pool of cabinet choices when half the cabinet must be chosen from a quarter of the MPs. Whether true or not, whenever a quota system is used, there are always mutterings asking if those who are chosen may not in fact be qualified for the job.
Cabinet Ministers are chosen entirely at the discretion of the Prime Minister. Any MP can be quickly scooped up for a Cabinet position, and just as easily turfed out again, all at the discretion of one man: the Prime Minister.
In Mr. Trudeau’s Cabinet, however, the male members are being chosen from three quarters of the MPs, so there will be no doubt they are worthy of the power and authority they’ve been given. But female members are being chosen from a mere quarter of the MPs. This certainly can be easily used to undermine the public perception of the value of female Cabinet Ministers. The optics of this combined with a quota certainly undermines the idea that Ministers are chosen purely on merit.
The very existence of this quota is entirely at the Prime Minister’s discretion. Which means it us not a permanent fix: it can be discarded at any time. This Prime Minister could easily change his mind about gender parity (just as he did with his Electoral Reform promise). Or the next Prime Minister may as easily choose to exclude female MPs from his Cabinet altogether. Like any policy developed under First Past The Post, this could become a pendulum issue swinging back and forth between Liberals and Conservatives.
Women chosen to serve as Ministers are well aware they owe the PM a debt of gratitude for bestowing this honour on them. When the man with the power tells the Minister of Democratic Institutions that Proportional Representation is not an option, what can she do but go along. Because female Cabinet Ministers surely know the prize can be peremptorily withdrawn at his discretion for any reason. Or none. Such context will most certainly guarantee that some (if not all) women Ministers will be very careful to do as they are told. Will they fight for what they know is right or will they toe the party line to protect their status and position?
On the other hand, if Canada elected women in more proportional numbers in a more natural way, such a quota would hardly be necessary. There would be a reasonably large pool of women MPs from which Ministers can be chosen on merit. If they share a level playing field, women and men could assert themselves with confidence (and hopefully do what’s right). Wouldn’t that be something!
Diversity
It also seems the claims that Prime Minister Trudeau’s Cabinet is “the country’s most diverse” need also be taken with a grain of salt.
AS Rachel Décoste points out, “The previous Harper cabinet included women, Aboriginals, South Asians, East Asians, Quebecers and a person with a disability. If that’s not diversity, I don’t know what is.” Ms. Décoste goes on to explain:
“For visible minorities, PM Trudeau’s inaugural cabinet is decidedly less diverse than PM Harper’s. The absence of East Asians (Chinese, Filipino, Vietnamese, Japanese, Korean, etc.) is jarring.
“The presence of black Canadians, the third largest racial demographic, is also deficient. Despite a record four Afro-Canadian MPs elected from a voter base blindly loyal to the Liberals, PM Trudeau shut them out of cabinet.
“Harper did not name any African-Canadians to cabinet. He had no black MPs to choose from. Despite a record four Afro-Canadian MPs elected, Trudeau shut them out of cabinet.”
Canadian Politicians: Kathleen Wynn, Elizabeth May, Andrea Horwath, Catherine Fife, Bardish Chagger, Lorraine Rekmans
Electoral Reform
Instead of relying on the temporary fix of patchwork quotas, the Canadian Government’s continuing failure to reflect the diversity of Canadians in the House of Commons could be addressed in a more stable and balanced manner through adoption of some form of Proportional Representation. As demonstrated in my graph, as a rule it is the countries using Proportional Representation that outperform Canada in both gender parity and overall citizen representation.
Equal Voice thinks it could take the Canadian Government 90 years to achieve gender parity naturally if we continue on as we are. Frankly, if we keep First Past The Post I think that’s wildly optimistic. Any way you slice it, this is simply unacceptable in a representative democracy.
It’s great that the suffragettes fought for our right to vote; but it’s too bad they didn’t win effective votes for Canadian women. On this International Women’s Day, it is important for all Canadian women to understand: if the Canadian Government is serious about gender parity it must begin with Proportional Representation.
This is the thirty-first article in the Whoa!Canada: Proportional Representation Series
The all-party committee on electoral reform (ERRÉ) has just finished four months of expert and public consultations. They will make their recommendation to Government by December 1st.
Of the ERRÉ witnesses with a position on voting systems, 88% recommended Proportional Representation. This reinforces the findings from decades of research from around the world and of 13 previous electoral reform processes in Canada, including two thorough and impartial citizens assemblies.
When the Government launched the process without a mechanism for collecting empirical data, Fair Vote Canada, a multi-partisan advocacy group, started tracking the process very closely. We are releasing the results of our work to the media because we believe the process needs to be transparent and accountable.
(You can find key a list of results below with links our spreadsheets.)
Despite a strong call for proportional representation across all of the consultative platforms, we believe reforming the electoral system could be in serious trouble based on recent comments from Prime Minister Trudeau and Minister Monsef.
President Réal Lavergne expressed Fair Vote Canada’s concerns “We are worried that the Minister and the Prime Minister are saying that we cannot count on the government keeping its promise to make every vote count. Yet experts and Canadians have clearly expressed themselves in favour of proportional representation, which is what it really means to “make every vote count.”.
David Merner, Vice-President of Fair Vote Canada and former LPC candidate (2015)
David Merner, Vice-President of Fair Vote Canada and a Liberal candidate in last year’s federal election adds “This is not the time for back-tracking. The Prime Minister and the Minister of Democratic Institutions have personally created a sense of hope in Canadians, building on the 2015 Liberal campaign promise of Real Change. Millions of voters believed that the government intended to keep its promises. We believed the political cynicism of the Harper years was behind us, and thousands of us participated in the government’s consultations in good faith.”
Merner says “Now is the time for the government to deliver on its promises.”
Highly regarded Conservative strategist and spokesperson for the Every Voter Counts Alliance, Guy Giorno, adds that “committee members must endorse what’s right for Canadians, not what benefits any particular party. Given the weight of the evidence before the committee, the only legitimate option is a recommendation for proportional representation. Let’s also remember that electoral reform was a major issue at the last election, and voters overwhelmingly supported parties promising change.”
The weight of expert testimony in favour of PR was echoed across the country in hundreds of town halls and public dialogues.
Over the next few days the ERRÉ will negotiate a recommendation for a new electoral system for Canada. The final report is due on December 1.
Fair Vote Canada’s President Réal Lavergne explains that “Once that recommendation has been made, it will be incumbent on the minister to carry it forward and for the government to act on it. Leadership will be required to educate both the public and parliamentarians, and to champion the proposed reform.”
“Based on all the results of the expert and citizen consultations, the committee’s only legitimate option is to recommend in favour of proportional representation.”
Key indicators from ERRÉ hearings
Canadian Electoral System expert Dennis Pilon testified before the ERRE Committee.
88% of expert witnesses who expressed a preference called for proportional representation
4% supported the Alternative Vote
(majoritarian ranked ballot systems tend to evolve towards a two-party system, often favour centrist parties and could further entrench the distortions brought about by our existing majoritarian system. )
67% thought a referendum was undesirable or unnecessary.
Here are basic indicators from the 27 dialogues or town halls hosted by citizens and community groups posted on the ERRÉ site or for which we have directly obtained the information so far:
Total number of participants: 1,058
88% (22 events) – A majority of speakers calling for proportional representation
8% (2 events ) – A majority for change but no majority for any one option
12% (3 events) – Report does not allow any majority view to be identified.
We are aware of at least 15-20 other community dialogues that are not yet posted on the ERRÉ site.
Minister Monsef organized two types of town hall consultations: ones in her own riding, and others as part of a cross-country tour. Here is an extract from the report submitted to the ERRÉ on town halls held by Minister Monsef in her Riding of Peterborough:
“It is clear that there is an appetite for thoughtful change to the electoral system. While opinions on the various electoral systems did vary, most participants indicated their support for a more proportional electoral process that still respected the need for local representation and simplicity of the ballot.”
Although Minister Monsef routinely conducted straw polls on issues such as mandatory voting and online voting in town halls on the road, she did not do the same regarding support for proportional representation. FVC volunteers attended these events across the country and shared their opinions. Here are a few quotes from participants:
Toronto: “PR was clearly the main issue for most. With respect to PR, many attendees spoke passionately and eloquently in favour, and if anyone present opposed it, he or she was not bold enough to express that view.”
Vancouver: “It seemed that 90% of the audience… did want some form of PR.”
Edmonton: “ It seemed most people were in support of some sort of proportional representation.”
Yellowknife: “She asked whether the participants liked FPTP to remain, or Ranked system or STV or MMP or Proportional Representation implemented. One voted for FPTP. Many voted for MMP and a few voted for PR.”
Yukon: “Some Yukoners came in support of our current electoral system (First Past the Post); more were on the side of moving towards proportional representation.”
Halifax: “The feedback from the groups certainly favoured PR.”
Montreal: “There was an overwhelming support for PR in the room.”
Thunder Bay: “Of the dozens who rose to spoke, everyone spoke in favour of PR.”
Gatineau: “ Participants spoke to PR at every opportunity they had… However, the format made this difficult… Taking into consideration those interventions that spoke to the issue of PR vs FPTP or AV, the overwhelming majority of interventions – in the order of 70% or more – were in favour of PR.”
Waterloo: From the report of 4 MPs: “Every group discussed the need for our new electoral system to feature some degree of proportionality.”
Charlottetown: “ About 90% of the people there were pro-PR.”
Winnipeg: After noting that three people were for FPTP because they feared losing local representation. The rest of the comments I heard were mostly just preferences for the different PR systems.”
Happy Valley-Goose Bay: “What we said was that we wanted PR BUT, it had to be a hybrid type that considered the lack of population and massive land mass of not only Labrador but 60 % of Canada, i.e. the North.”
Calgary: “There was overwhelming support for getting rid of the current system, with different groups mentioning STV or MMP as their top choice.”
A concluding note
And, to conclude, this eloquent quote from a Fair Vote Canada volunteer at the Victoria town hall where the Minister said she “can’t promise you that I’ll be advocating for PR because I haven’t heard that from an overwhelming majority across the country.“
Victoria:
“The wheels were skidding out of control as we tried to combat the spin we received at last night’s town hall on Electoral Reform. Maryam Monsef, the Minister of Democratic Institutions hosted the gathering in Victoria billed as “the last chance” to give your input. But the tone of the meeting was quite acrimonious. They were clearly managing the message while backpedaling from an election commitment about changing the electoral system. Not only did she defend Trudeau’s recent comments about no longer needing this reform because we voted for HIM.”
“After months of hearing expert witness by the proportionally cross-partisan panel, and while MPs held public consultations with thousands of Canadians across the country, are we now to believe there is no appetite for Proportional Representation? Monsef said that she has not yet made up her mind but the implication of her words was troubling. Will the government diminish the committee’s well-researched, democratic report in December by championing their predetermined preference? For many of us who attended last night the so-called consultation felt like a sham.”
PS from Laurel:
I’ve chosen to used my own photographs, here, not only because they are free culture photos (licensed to share under a Creative Commons Attribution 3.0 Unported License) but because the number of electoral reform events in and around Waterloo Region has been staggering, and I wanted to share some of them with you, but there were so many local ERRÉ events that I attended (and I didn’t attend them all) that there isn’t enough room here to use photos from them all!
There was a time not long ago when I knew nothing about electoral reform. It was only when I was asked to take photos at local Fair Vote Waterloo events that I found myself listening to what the Fair Vote folks had to say, and after a while I even started understanding it. This was not an easy process, nor was it fast. It can take a while to really gain an understanding of something completely different from what we’re used to.
That’s why every electoral reform event must incorporate an education piece. The thing that I have seen over and over again is that even though Canadians may not know the words for it, or how to fix it, we know something is wrong with our voting system that needs to be fixed.
That is why Mr. Trudeau’s “We will make every vote count” resonated with so many people.
And what I have learned from every discussion and every ERRÉ event I’ve attended is that when Canadians have a chance to understand the difference between winner-take-all and Proportional Representation, we almost always want some form of PR. I think that’s because most Canadians value fairness, and the only way to get to a point where the votes of most Canadians actually count will require some form of Proportional Representation.
Fair Vote Canada suggests Canadians who want to see the implementation of some form of Proportional Representation would do well to let the ERRÉ Committee know about it, and to make it easier for us, they have an automated tool to help us send a letter urging the committee to recommend PR here:
This is the thirty-first article in the Whoa!Canada: Proportional Representation Series
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A concluding note
