In our politics and our health care, the price of dithering in Canada is structural decay | Canada News Media
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In our politics and our health care, the price of dithering in Canada is structural decay

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The official residence of the Prime Minister of Canada, at 24 Sussex Drive, is a rodent-infested mess. The once-stately mansion is crumbling inside and out, with water damage, rusty pipes, drafty windows, and electrical problems so serious that it’s become a fire hazard.

The PM and his family have moved out. The staff have evacuated. Yet, no one, from the PM down to the National Capital Commission – the federal agency responsible for its upkeep – wants to make a decision on what to do next. The paralysis over the decades has proven costly.

After decades of neglect, the state of disrepair is such that we need to ask: Can it be rehabilitated, or do we need to tear it down and start anew?

If this sounds familiar, it’s because there are eerily disturbing parallels between the slow, steady desuetude of 24 Sussex and the destruction-by-neglect of Canada’s medicare system.

The residence was once a private home owned by lumber barons until it was expropriated during the Second World War. It became an official residence in 1951.

Canada’s medicare system also had its beginnings in the wake of that war, when private insurance plans were supplanted by publicly funded hospital insurance programs, which were later extended to cover physician services.

Heady times followed, with new public programs like pensions and old age security (in addition to medicare). Governments spent big on public infrastructure such as hospitals, schools and community centres. Much of this investment was necessitated by the coming-of-age of children from the baby boom generation.

Yet, at the same time, the innate conservatism of Canadians remained. Prime minister Louis St. Laurent essentially made medicare a national program by agreeing to split costs 50-50 with the provinces, but he was otherwise hands-off. He also resisted moving into the newly minted official residence, fearing the potential optics of him living off the government teat. The compromise was that the prime minister paid rent to live at 24 Sussex, a practice that continued for two decades. (Could anyone imagine the U.S. President paying to live in the White House, or the British PM signing a lease for 10 Downing Street?)

Canadian fiscal puritanism knows no bounds. That goes a long way toward explaining why, for more than six decades, there has been virtually no substantial upgrades to 24 Sussex, save for the installation of a pool by then-prime minister Pierre Elliott Trudeau in 1975 (which was paid for by private donors).

In 2018, his son Justin Trudeau said out loud what many had been saying privately for years: “No prime minister wants to spend a penny of taxpayer dollars on upkeeping that house.”

And so it rots and houses rats as the repair bill mounts. It’s now estimated it would cost somewhere between $34-million and $100-million to make the property livable and secure, and the costs go up with every passing year.

We see a similar pattern of costly dithering with medicare. Of course, there is no reluctance to spend: Between 1975 and 2022, annual health expenditures grew from $7.4-billion to $331-billion (that works out to $324 per Canadian compared to $8,563, in that same time period). But there has been a stubborn resistance to making fundamental structural changes to adapt to new demographic realities and technological advances.

The Boomers have aged, but the system has not evolved to meet their needs – namely, more chronic care than acute care, and programs like supportive housing in addition to medical care.

There are now 6.5 million Canadians without a primary care practitioner. With a shaky foundation like that, the collapse of the larger system is as predictable as that of 24 Sussex.

Had the upkeep been done over the years, the Prime Minister’s official residence would be fine, or at least livable. The same is true of Canada’s health system. It’s the constant putting-off of necessary fixes – driven by fear of public backlash – that has made the situation untenable and urgent.

Essentially, politicians have done nothing but fiddle around the edges for 60-plus years because they worry that there is no public consensus on how to implement large-scale reform. (The popular rhetoric that any change will result in a “U.S.-style” system certainly doesn’t help.) So we do nothing.

Now, the rebuilding has become urgent. The house of medicare isn’t just decaying slowly; it’s on fire. The rats – private hedge funds and the like – are gnawing at the edges. Foundational health system reform is needed. And unlike an old house, we can’t just tear down medicare and start from scratch.

Or can we?

 

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NDP caving to Poilievre on carbon price, has no idea how to fight climate change: PM

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OTTAWA – Prime Minister Justin Trudeau says the NDP is caving to political pressure from Conservative Leader Pierre Poilievre when it comes to their stance on the consumer carbon price.

Trudeau says he believes Jagmeet Singh and the NDP care about the environment, but it’s “increasingly obvious” that they have “no idea” what to do about climate change.

On Thursday, Singh said the NDP is working on a plan that wouldn’t put the burden of fighting climate change on the backs of workers, but wouldn’t say if that plan would include a consumer carbon price.

Singh’s noncommittal position comes as the NDP tries to frame itself as a credible alternative to the Conservatives in the next federal election.

Poilievre responded to that by releasing a video, pointing out that the NDP has voted time and again in favour of the Liberals’ carbon price.

British Columbia Premier David Eby also changed his tune on Thursday, promising that a re-elected NDP government would scrap the long-standing carbon tax and shift the burden to “big polluters,” if the federal government dropped its requirements.

This report by The Canadian Press was first published Sept. 13, 2024.

The Canadian Press. All rights reserved.

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Quebec consumer rights bill to regulate how merchants can ask for tips

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Quebec wants to curb excessive tipping.

Simon Jolin-Barrette, minister responsible for consumer protection, has tabled a bill to force merchants to calculate tips based on the price before tax.

That means on a restaurant bill of $100, suggested tips would be calculated based on $100, not on $114.98 after provincial and federal sales taxes are added.

The bill would also increase the rebate offered to consumers when the price of an item at the cash register is higher than the shelf price, to $15 from $10.

And it would force grocery stores offering a discounted price for several items to clearly list the unit price as well.

Businesses would also have to indicate whether taxes will be added to the price of food products.

This report by The Canadian Press was first published Sept. 12, 2024.

The Canadian Press. All rights reserved.

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Youri Chassin quits CAQ to sit as Independent, second member to leave this month

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Quebec legislature member Youri Chassin has announced he’s leaving the Coalition Avenir Québec government to sit as an Independent.

He announced the decision shortly after writing an open letter criticizing Premier François Legault’s government for abandoning its principles of smaller government.

In the letter published in Le Journal de Montréal and Le Journal de Québec, Chassin accused the party of falling back on what he called the old formula of throwing money at problems instead of looking to do things differently.

Chassin says public services are more fragile than ever, despite rising spending that pushed the province to a record $11-billion deficit projected in the last budget.

He is the second CAQ member to leave the party in a little more than one week, after economy and energy minister Pierre Fitzgibbon announced Sept. 4 he would leave because he lost motivation to do his job.

Chassin says he has no intention of joining another party and will instead sit as an Independent until the end of his term.

He has represented the Saint-Jérôme riding since the CAQ rose to power in 2018, but has not served in cabinet.

This report by The Canadian Press was first published Sept. 12, 2024.

The Canadian Press. All rights reserved.

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