2026-09-11 from todayville.com

Canada’s provincial health-care systems have long suffered from a policy-driven confluence of high spending and poor performance. While some provinces have attempted minor reforms, most (with the notable recent exception of Alberta) have largely remained committed to the status quo of monopolistic health care dominated by government. This lack of provincial policy innovation is at least partly driven by the federal government’s involvement in provincial policymaking through the Canada Health Act (CHA) and the cash transfers tied to provincial compliance. 

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