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We care about what you care about.
Drugs and Politics in an Election YearNoel MacKay CEBS, Principal ConsultantCowan Insurance Group
The Evolution of Public Health Care in Canada
2
1947
First provincial
hospital insurance
programs introduced
in Saskatchewan by
Tommy Douglas
1957
Paul Martin Sr.
introduces national
hospital insurance
program
1965
Justice Emmett Hall
Royal Commission
calls for universal
and comprehensive
national health
insurance program
1966
Federal government
creates a national
public health care
program; Ottawa pays
50% of provincial
health costs
1984
Canada Health
Act passed
unanimously by
parliament
1997
The Romanov
Royal Commission
on the Future of
Health Care in
Canada
National Pharmacare 2018-2019
3
Ms. Petitpas TaylorFederal Minister of Health
Dr. Erik HoskinsChair, Advisory Council
on the Implementation of
National Pharmacare
The federal government is to
work with provincial and
territorial governments to
establish a universal, single-payer
public system of prescription
drug coverage in Canada.
Council
recommendation:
National Pharmacare 2018-2019
4
National Pharmacare should
provide coverage for a
national list of prescription
drugs and related products
(i.e. a National Formulary)
A list of essential medicines
should be implemented
starting January 1, 2022,
followed by a full National
Formulary by January 1, 2027
Out-of-pocket costs for all products
listed on the National Formulary will
include a co-payment of $2 per
prescription for essential medicines,
and $5 per prescription for all other
drugs, combined annual out-of-
pocket maximum of $100 per family
Canadians allowed to purchase
private insurance to
supplement proposed
coverage under National
Pharmacare, to cover
copayments and drugs not
listed on National Formulary
Projected net cost of
$19.3 billion (2016-2017),
$22.6 billion (2020-2021)
2019 National Pharmacare Campaign Planks
5
• Little detail on what plan would be
• Parliamentary Budget Office (PBO) estimates cost to be $27 billion
• Promising to bring in a universal pharmacare program within one year if elected
• The NDP’s estimate is based on the PBO's 2017 conclusion that a national plan
would cost nearly $23 billion to implement in 2020
• Crickets…
Public Pharmacare Today
6
Each province decides how to
allocate funds to meet the CHA
for hospital services, doctor
services, drugs dispensed in
hospital, and drug coverage
for some residents
(e.g. ODB in Ontario)
The Canada Health Transfer
(CHT) was $385,837,000,000
in 2018-2019
The Government of
Canada provides financial
support to provincial and
territorial governments
Rx Drug Approval and Pricing
Health
Canada
Pharma
PMPRB Pharma
Wholesale
Pharmacy Insurance
Company
Employee
Benefit Plans
7
PMPRB
8
The median of the ex-factory prices of the same strength and dosage form of the same patented drug product sets the Maximum
Average Potential Price for a new patented drug product
The Patented Medicine Prices Review Board (PMPRB) ensures that prices charged by patentees for patented medicines sold in Canada are not
excessive
PMPRB
9
PMPRB
10
In Canada, a little-
known drug
regulator shows its
teethReuters, May 7, 2019
Ottawa promises to
save billions with
tweaks to patent
drug systemCBC News, Aug 9, 2019
Drug companies
challenging Trudeau
government policy
aimed at lowering
pricesGlobal News, Aug 25, 2019
Companies file suit in
Canada challenging
new rules to lower
drug prices Yahoo Finance, Aug 23, 2019
Drug policy experts
accuse industry and
patient groups of
'fearmongering'
with concerns about
new drug pricing
rules Financial Post, Aug 9, 2019
11
All of This is Going Where?
Election Day 2019
12
To check if you are registered on
the electoral list, visit Elections
Canada’s online voter registration
service at ereg.elections.ca, or
contact the federal agency by
phone at 1-800-463-6868.
October 21st