By Ray Rivers

March 5th, 2018

BURLINGTON, ON

Keeping ourselves healthy is important. Part of that involves getting well again should we get sick. Enter single payer health insurance – the only efficient way to deliver health care. John Robarts gave us OHIP back in the late sixties with a little help from the federal government. Then Bill Davis added a senior’s drug plan in 1972.

Last year the Kathleen Wynne government introduced OHIP+, a pharmacare program to ensure that no child got left behind because of affordability. And that perhaps prompted the federal Liberals to decide the time was right for a national universal plan. In any case it was an obvious choice for Mr. Trudeau to ask Ontario’s health minister, Eric Hoskins, to head up a consultative process with the provinces, territories, health experts and communities on how best to proceed.

Canadians have one of the better health care systems anywhere, and it will only get better with the addition of a single payer drug plan. Oh sure Americans like to talk about our waiting lists for elective surgery, but at least all residents here have access to care. And if we were to double our health budget, the equivalent of what Americans pay per capita, those waiting lines would be a lot shorter. But most importantly, we sail past the US when it comes to health outcomes. We have lower infant mortality, are generally healthier and we outlive them.

The last coal fired generating plant in Ontario

The Liberal government in Ontario started to phase out dirty coal electricity plants soon after coming to power in the early 2000s. Between 2006 and 2015 smog-causing nitrogen dioxide emissions dropped by 32 per cent, sulphur dioxide by 48 per cent, carbon monoxide by 53 per cent, and fine particulate matter by 25 per cent. Despite population growth and an increase in the number of motor vehicles on Ontario’s roadways, the air above our cities, like Toronto, is cleaner than we’ve seen in our lifetimes.

According to the Ministry of Environment…“There were no smog advisories issued in 2015, compared with 2005 when there were 53 smog days. Based on the Air Quality Health Index, the province’s air quality was rated in the low risk category for 90 per cent of the year in 2015.”

And Ontario’s carbon ‘cap-and-trade’ system, which started last year, will continue to deliver that kind of good news.

The province estimates that improved air quality is saving over $4 billion annually in health care costs. But then the provincial auditor general estimates that moving to green energy has cost almost forty billion over the past decade or so. That would be a wash – except that these are all mostly hypothetical numbers, the kind accountants and economists like to fiddle with as they make their political arguments. What matters most is whether our quality of life has improved and whether we can afford this improvement in air quality in the face of increases we’ve seen in the cost of hydro.

Smoking in public is getting harder and harder to do – unfortunately it is the younger people taking up the habit.

The Liberal government also fought an uphill battle banning smoking in public places and restricting toxic lawn pesticides. We all understand the health benefits of not smoking, though pesticides are less well understood when it comes to their relationship to diseases like asthma and cancer. But a recent Conference Board report recognizes Ontario with the lowest rate of respiratory mortality in Canada, despite having the most concentrated population.

OHIP+ is estimated to cost roughly half a billion dollars a year. And the province claims to be running a balanced budget even without the kind of without additional federal finding we might expect coming out of the new federal initiative. The provincial NDP have yet to release their election platform though Andrea Horwath, supportive of OHIP+, has mused about implementing a universal program.

None of the PC leadership contenders have committed to continuing the OHIP+ program, let alone any expansion of it. The platform passed by the party last November does speak to continuation of the Liberal initiated program, but the candidates have been careful to avoid adopting a platform which also contains plans for a $4 billion dollar carbon tax.

That is troubling on a number of fronts, particularly since at least a couple of the candidates have talked about also killing the cap-and-trade program which reduces other air borne pollutants associated with the combustion of fossil fuels in addition to CO2. In fact the preoccupation of the these candidates is with the conflicting goals of tax cuts and debt reduction.

The current cap and trade CO2 emissions program pumps tens of millions into the provincial economy. If cancelled where would funds for health care come from?

And that means that money will need to be found elsewhere to satisfy these goals, most likely in the most expensive part of the budget – health care. There already was a financial hole in the Patrick Brown platform – right smack dab in health care. So it would not be unrealistic to expect Ontario to opt out of any national universal pharmacare program should the PC’s win the election later this year, and maybe even shelve OHIP+.

It’s politics too, as we witnessed by the confrontational attitudes permeating the last PC candidates debate. Why would a Tory government in Ontario agree to anything a Liberal federal government wants to do. Even if, in the case of a carbon tax, the money stays in the province. In Brown’s platform the money would have been returned in lower income tax rates for the middle classes – revenue neutral.

The Harris government took millions and millions out of education and health care – it took decades to restore those services.

We have seen this movie before. It was the late ‘90s and Ontario took Mike Harris at his word, having come to office with a promise not to touch health care, and then desperately looking at the health budget to pay for his income tax cuts. He closed hospitals, fired nurses, and threw the entire system into chaos.

Ontario moved to the back of the line in health care, owning the longest surgery wait times in Canada. Gurneys stacked up in hospital corridors as we watched our loved ones suffer in despair. Heart patients were literally dying waiting for surgery and cancer patients had to be bused to Buffalo for radiation treatment. Let us never go back to those days.

Ray Rivers writes weekly on both federal and provincial politics, applying his more than 25 years as a federal bureaucrat to his thinking.  Rivers was once a candidate for provincial office in Burlington.  He was the founder of the Burlington citizen committee on sustainability at a time when climate warming was a hotly debated subject.     Tweet @rayzrivers

Background links:

OHIP+

Health Report Card –    Canada’s Rank –    Cost Effective Care –

OHIP+ Details –    Hoskins –    Ontario’s Plans –    Conference Board –

Ontario Climate Change –    Canada vs USA –   OHIP+ –

Ontario’s Cap and Trade –