The principles of universality, comprehensiveness and accessibility seem to be mostly rhetorical, given the state of health care in Canada.
The CEA lists core curriculum requirements reflecting the schools of 1966: reading and writing, French and English, mathematics, history, physics, chemistry, biology. Imagine a school district in 2023 with no instruction in computer science, statistics, environmental science, economics or indigenous history.
There would be no hosannas for a court that ruled this compliant with the accessibility principle or a government whose solution is to recruit Filipino teachers. Drugs, mental health and rehabilitation are not “medically necessary” services because they are not explicitly listed in the CHA, yet we are to accept that medicare is comprehensive.
Words should mean something, especially the words in iconic legislation. Legal challenges to medicare typically aim to weaken or destroy it by opening the door to more private pay, for-profit care.Article content One is to repeal the CHA to free us from the spectre of its hollowness and let the provinces choose their own paths. A second is to pass new legislation that updates and clarifies what the CHA principles promise and limits how badly governments can fall short.
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