43.
A small step has been taken in the direction of a national agency with the creation of the Canadian Co?ordinating Office for Health Technology Assessment, funded by Ottawa and the provinces. Under it, a Common Drug Review recommends to provincial lists which new drugs should be included. Predictably, and regrettably, Quebec refused to join.
A few premiers are suspicious of any federal?provincial deal?making. They just want Ottawa to fork over additional billions with few, if any, strings attached. That?s one reason why the idea of a national list hasn?t gone anywhere, while drug costs keep rising fast.
44.
Premiers love to quote Mr. Romanow?s report selectively, especially the parts about more federal money. Perhaps they should read what he had to say about drugs.
A national drug agency would provide governments more influence on pharmaceutical companies in order to try to constrain the ever?increasing cost of drugs.
45.
So when the premiers gather in Niagara Falls to assemble their usual complaint list, they should also get cracking about something in their jurisdiction that would help their budgets and patients.
Quebec?s resistance to a national agency is provincialist ideology. One of the first advocates for a national list was a researcher at Laval University. Quebec?s Drug Insurance Fund has seen its costs skyrocket with annual increases from 14.3 per cent to 26.8 per cent!
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