NDP health critic Don Davies says he expects the Liberal government to fulfil its renewed promise to deliver national pharmacare, but perhaps not all at once.
The Liberals have promised in their new confidence and supply agreement with the NDP that they will pass a Canada Pharmacare Act by the end of next year.
They have also agreed to task the National Drug Agency with the development of a national formulary of essential medicines and bulk purchasing plan by the time the deal ends in 2025.
In exchange for movement on pharmacare and a host of other NDP priorities, the opposition party has agreed to support the minority Liberal government through confidence votes, which means they would remain in power for three more years.
The Liberals made universal pharmacare a core part of their 2019 election platform, but by the 2021 campaign they gave it barely a mention. Pharmacare was also missing from the last throne speech.
Davies said he doesn’t necessarily expect to see a universal, national program tabled as part of the legislation, but rather see it built up over many years.
He compared the NDP’s progress on pharmacare to Tommy Douglas — dubbed the father of medicare — and his road to establishing public health care in Canada in the 1960s.
“You get it started, and then you build on it,” Davies said in an interview.
The Liberals’ deal with the NDP lays out a specific approach to dental care, starting with kids under the age of 12 in families with an annual income of less than $90,000. But the approach to pharmacare is significantly more vague.
There is no telling what could be included in the promised pharmacare law, and Health Minister Jean-Yves Duclos was tight lipped about how he plans to approach it.
“How exactly it will look like, that is going to be seen,” Duclos said at a press conference Wednesday. “There is a lot more to do and we look forward to doing it with the assistance and the collaboration of the NDP.”
While the government did not run on pharmacare in the last election, Prime Minister Justin Trudeau’s mandate letter to Duclos suggested he work toward pharmacare on a province-by-province basis.
The Liberals launched a $35-million pilot project with Prince Edward Island in 2021 to add to the list of drugs covered by the provincial drug cost assistance program and lower costs for people covered under other public plans.
NDP Leader Jagmeet Singh said Tuesday he believes pharmacare should be universal, but added it could start small.
“We might start by covering medication that is needed for people living with diabetes, or people that need heart medication,” he said at a press conference Tuesday, suggesting the formulary, or list of covered medications, could grow over time.
Duclos said the government has made steady progress toward pharmacare, with the ongoing establishment of the Canadian Drug Agency and investment in a national strategy for drugs to treat rare diseases.
Dental care may be, in some ways, easier to implement because it is a stand-alone federal policy while drug plans will need provincial buy-in.
Quebec Premier Francois Legault already has his back up about the Liberal and NDP alliance and any possible moves to wade into provincial jurisdiction.
“There is going to be a confrontation,” Legault told reporters Wednesday.
Ontario Premier Doug Ford is on the same wavelength, he said, and warned the federal leaders that the provinces would put up a “very strong common front” to block their way.
Quebec is the only Canadian jurisdiction that has achieved universal drug coverage by making drug insurance mandatory for all residents.
There are questions about whether a federal drug plan should be available only to people with less than a certain income, like the proposed dental-care scheme.
A report on national dialogue around pharmacare commissioned by the Liberals in 2018 strongly suggested a universal, single-payer, public pharmacare system.
—Laura Osman, The Canadian Press