Roundup: The uncertain final direction of pharmacare

The political reality of the pharmacare legislation is sinking in with one party, but not another, and you can probably guess which. Both Justin Trudeau and Mark Holland have been fairly circumspect in talking about where the system is going, and how coverage of the two classes of drugs will wind up looking like and costing because that’s entirely up to negotiations with the provinces, and nobody wants to wake up to that fact. This programme has been oversold from the beginning, and the NDP keep doing this victory lap while sticking their fingers in their ears and shouting “LALALALALA!” whenever anyone mentions the provinces, because they don’t want to hear it, and don’t even get me started on legacy media ignoring the provinces in this either.

One of the key details as to the future of pharmacare is that the Canadian Drug Agency will be doing work on a list of essential medicines within a year of royal assent, which could be the basis of a national formulary, but this again needs to be negotiated with the provinces—yet another one of those things that the NDP keep loudly ignoring whenever it gets raise. If this is to be a cost-shared programme—and it needs to be because there is no way the federal government can pick up the whole tab on this—then provinces need a say in that formulary. The Agency can also help coordinate the bulk purchasing that is what makes national pharmacare economically viable, and is going to necessarily be the cudgel that gets the provinces on board—there is more purchasing power if the whole country does it in one fell swoop rather than each provinces or a group of them banding together, and we need to remember that this is not just over-the-counter pharmaceuticals, but those used by hospitals and in clinical settings, which is why the provinces should have a vested interest in making this happen, because they pay for those out of their healthcare budgets.

I would also point out that the federal government has been doing the actual work of making this happen for years, because they got the Agency up and running quietly over the course of several years, while the NDP were alternately screaming and preening about this framework legislation that remains a case of putting the cart before the horse. So while the NDP take turns patting themselves on the back for this bill, the Liberals have been pretty quiet about doing the actual hard work, which again, baffles me entirely because they have a good story to tell if they actually bothered to try.

Ukraine Dispatch:

Russians appear to be massing a large force near the city of Chasiv Yar in the eastern part of the country, hoping to make a breakthrough in the Donetsk region, as they now have the advantage in ammunition and personnel. The Netherlands has signed a security agreement with Ukraine, and is promising more artillery funding.

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Roundup: Blaming the wrong government for the shortage of doctors—again

Because this is sometimes a media criticism blog, I turn to the big piece on the weekend the CBC ran about family doctors, and which its author, JP Tasker, pursued while in the fill-in host’s chair on Power & Politics yesterday. This is something Tasker has been on for a while now, and he seems to think he’s on a righteous crusade about the shortage of doctors in Canada, and yet his article misses almost all of the important parts of the discussion, while he kept trying to set up this dichotomy on P&P between more doctors and pharmacare, getting that wrong as well, as it too will rely on provincial governments.

Reading the story, you wouldn’t know that healthcare is a provincial responsibility. There are mentions of the deals that the federal government has been making with provinces, but the focus remains on this somehow being a federal issue when its not. And the main cause of the shortage of doctors traces back to the cuts in the 1990s, when provinces cut the number of medical school and residency spaces as part of their cost-saving measures after the federal transfer cuts. While this isn’t mentioned, what is also not mentioned is that when the Martin government re-invested in health transfers, the provinces didn’t similarly reinvest. They didn’t significantly re-open training or residency spaces like before. And as the health transfers were rising at six percent per year, health spending by the provinces were certainly not, and a lot of that money that was supposed to go to healthcare went to other things (often lowering taxes or reducing provincial deficits). And now here we are reaping what has been sown, but are the provinces being blamed for the problems they created? Of course not.

These were their choices. It’s their jurisdiction. They should be the ones who shoulder the blame here, but in this country, legacy media is allergic to holding premiers accountable for pretty much anything (except maybe education), and once again, they get to skate after shitting the bed, while the federal government is being given all the blame. If there’s a chef’s kiss of just how terrible Tasker’s article is, he got a quote from someone who said the ArriveCan money should have been spent on hiring doctors, as though that was something the federal government could do. Slow clap.

Ukraine Dispatch:

Russian forces say that they have crushed the last pockets of resistance in Avdiivka now that the Ukrainians have pulled back. Those Ukrainian forces are now digging in to new positions just outside of Avdiivka to repel further advances. President Volodymyr Zelenskyy visited the front lines in the north-eastern part of the country.

https://twitter.com/zelenskyyua/status/1759625711353053426

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QP: Call in the RCMP…that we don’t direct

Both the prime minister and his deputy were present today, as were all of the other leaders, so that was nice to see. Pierre Poilievre led off in French, and after reciting some slogans, he mischaracterized the Auditor General’s report into ArriveCan and boasted that he wrote to the RCMP to call on them to expand their investigation into wrongdoing and demanded that the prime minister not block their efforts. Justin Trudeau stated that the pandemic was a once-in-a-century event and that they expected rules to be followed in spite of this, and that the RCMP will do their job, but that this government is for border security, which the Conservatives vote against. Poilievre listed some revelations in the report and demanded that the prime minister respect the independence of a criminal investigation. Trudeau assured him that they would, and that there would be consequences for any civil servants that broke rules. Poilievre switched to English to repeat his boast that he wrote the RCMP to expand their investigation, and Trudeau repeated that the pandemic was once-in-a-generation event, and that they expected civil servants to follow the rules, but they don’t need to tell the RCMP to do their jobs. Poilievre howled that Trudeau keeps blocking investigations and accused him of filling the pockets of friends, all of which is specious on its face. Trudeau said that this was an example of Poilievre reverting to type and playing partisan games. Poilievre tried to spin this as Trudeau calling the Auditor General the conspiracy theorist, which was bizarre. Trudeau said that Poilievre needs to work on his listening skills, and that they await the results of the investigation so that those who broke the rules will be held to account.

Yves-François Blanchet led for the Bloc, and wanted the government to adopt the motion to allow for advanced directives on assisted dying. Trudeau recited that this is a very personal decision, and that they responsible for ensuring that vulnerable people are protected. Blanchet insisted that they move ahead with their motion, and Trudeau insisted that these are the kinds of conversations they need to be having.

Jagmeet Singh rose for the NDP and quoted the National Housing Advocate and demanded that he follow her recommendations. Trudeau said that he welcomed the NDP’s support in their housing measures. Singh repeated his demand in French, and Trudeau said that they will continue to listen to community organisations and municipal partners. 

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Roundup: The hit piece that wasn’t

Remember a week ago when Pierre Poilievre put out a tweet declaring that the Toronto Star was attacking him, and he tried to pre-spin a forthcoming story about he and his wife buying a $300 splash pool for their kids? Well, we finally saw that story on the weekend, and lo, it was nothing at all like Poilievre whiningly described. Instead, it was about how security upgrades have been made at Stornoway because of concerns that included those from the Sergeant-At-Arms of the House of Commons. Some “attack.”

This is, of course, how Poilievre likes to frame every media interaction, no matter what. The attacks he’s been making against The Canadian Press for the corrections they made to a story were not misquotes or certainly not a “hit piece” like he keeps saying—the corrections were because the journalist drew the links that Poilievre was hinting at in the remarks he made to a radio station. That was it. With the stories about Danielle Smith’s anti-trans policies and trying to get comment from Poilievre on them, he keeps accusing them of “disinformation,” when it’s nothing of the sort. We all know, of course, that this is him playing for clips that he’ll feed to his base on his socials, and that his friendly outlets like Rebel and True North will pick up on his behalf, but come on. At some point, you would think that people would see that the stories were not attacks and that he’s being a big crybaby over nothing. Of course, that would mean that their cognitive dissonance wouldn’t also kick in to avoid criticizing their leader, but come on. You’re not the victim here.

Ukraine Dispatch:

Russia launched 45 drones over Ukraine early Sunday, after they previous hit Kharkiv the day before, which killed seven. Russian forces are pushing into Avdiivka, and getting close to main supply lines, which creates a major challenge for the new commander-in-chief. Russians have been found using Starlink terminals in occupied territories in an organised manner, while Starlink insists that they haven’t sold terminals directly or indirectly to Russia.

https://twitter.com/ukraine_world/status/1756210514835722290

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Roundup: Reviving the NEP to own the Libs?

It’s kind of amazing how little thought goes into some of the slogan-laden thinking in so much of the politics in this country, and no party is exempt from it. It’s also funny how some of these policies are just rehashing of old programmes that they hated before. Case in point? Alberta trying to make hay about New Brunswick importing oil rather than getting it from Alberta.

Or as I like to say:

Ukraine Dispatch:

Russian drones hit a petrol station in Kharkiv, causing a massive explosion. The new commander-in-chief wants to regain momentum in the conflict, but problems with manpower and dwindling ammunition remain structural challenges for him.

https://twitter.com/ukraine_world/status/1756210514835722290

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Roundup: Bad Supreme Court reporting is bad

There is a reason why journalists should have beats, and why it can be dangerous to write about topics or institutions when you’re not familiar with them. There was a case in point yesterday in the National Post which was trying to sound some kind of alarm about what’s going on at the Supreme Court of Canada—except there’s actually no story here. I’m really not trying to pick on the reporter of the piece, because he’s a good journalist, but he just doesn’t know the file, and got swept up in what a particular lawyer was telling him without having a proper bullshit detector.

The supposed crisis is that the Court is hearing fewer cases lately, and a lot of what it is hearing is being decided in rulings from the bench, meaning they generally don’t release written decisions, and that this is somehow bad for developing case law. Because he talked to one lawyer who tracks stats, he figures that’s the story. Except it’s really not. They’re hearing fewer cases as a direct result of the pandemic, which slowed down the ability to hear cases at the trial court level, which then slows down appeals, which slows down their ability to get to the Supreme Court. They piece pooh-poohs that almost four years later this is still a problem, when of course it is. These things take a long time, particularly when courts were operating on a minimal standard for nearly two years. And because they were operating minimally, most of what they did hear were criminal cases, because they have timelines attached lest they get stayed for delays. That means that most of what does filter up to the Supreme Court are criminal cases, many of them as of right (meaning that at the appeal level, it wasn’t unanimous, so it automatically goes to the Supreme Court of Canada). That’s why a lot of these cases are being decided from the bench—there isn’t any matter of national importance being decided, so they have few needs for written rulings. In the Court’s current session, only two of the cases are not criminal because that’s how the lower courts have been operating. It’s a problem for sure, but it’s one because provinces aren’t funding courts adequately, and the federal government is too slow to make appointments to fill vacancies. This is not a Supreme Court problem.

Furthermore, the piece quotes from a literal constitutional crank—a particular law professor who is of the “burn it all down” school—because it’s a lazy journalist’s trick to make the piece sound more controversial or edgy. But here, he’s saying that he can’t believe they weren’t hearing certain cases without actually saying what he wanted them to hear, and then, out of nowhere, says the Court is going to have to expand, but doesn’t explain why. It makes no sense other than it’s piggybacking on an American issue that has nothing to do with our Court. There is also concern that the court’s decisions are a lot more divided these days and not unanimous without actually exploring that. This is largely because of the different styles of chief justice—under Beverley McLachlin, she strove for more unanimous decisions, and in the end, many of the rulings became so narrowly focused in order to achieve unanimity that they were largely useless for the purposes of developing case law. There is more dissent now because Richard Wagner isn’t concerned with achieving unanimity to the detriment of the decisions, and you have a couple of judges on the court who like to be contrarians. That’s not a bad thing. There is no crisis with the Supreme Court, and if the reporter had any grounding in the institution, he would have seen that there’s no smoke, no fire, and stats without context are useless.

Ukraine Dispatch:

The fighting is now inside the city of Avdiivka, which Russians have been trying to capture for months. There was another prisoner swap yesterday, with 100 exchanged on each side. President Volodymyr Zelenskyy has replaced the top army commander, looking for fresh ideas on how to push Russian invaders back. (More about the new chief here).

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Roundup: It’s auto theft summit day

It’s the big auto theft summit happening in Ottawa today, and it’s more than just federal and provincial governments and police who are meeting—it’s also insurance companies and auto manufacturers, because part of the problem are the ways in which auto companies have made unsecured RFID technology with key fobs and so on part of the recent lines, which means thieves can capture the frequency of your fobs and steal your card by cloning said fobs. Insurance companies could wield their might in insisting on these changes, which could make a measurable impact. As a down-payment of sorts, Dominic LeBlanc announced a $28 million boost to CBSA’s ability to detect stolen vehicles with more detection tools and analytics.

Meanwhile, as Pierre Poilievre tries to insist that this problem can solely be attributed to Justin Trudeau because of certain legal changes around conditional sentencing and bail (which were in response to Supreme Court of Canada decisions, it must be stated), he’s also made a bunch of specious correlations about how car thefts were lower in the Harper era in order to back up this claim. Except, that’s mostly not true either. But then again, facts, logic or honesty are never really in play when Poilievre is speaking, and this is no different.

Ukraine Dispatch:

Ukrainian forces downed 11 out of 17 drones in the early morning hours of Thursday. Russia launched massive attacks on Kyiv and other cities over the day yesterday, which killed five and wounded more than thirty. The mobilisation bill has now passed first reading. Here’s a look at the corps of retired Colombian soldiers fighting for Ukraine

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Roundup: Asbestos and rodent-free!

We are due for another round of sighs and hand-wringing as 24 Sussex has been declared asbestos and rodent free (which were mostly mice, not rats as previously reported), and the old wiring and plumbing are also gone, so now the decision needs to be made on what to do with it—and while yes, it is ostensibly the call of the National Capital Commission, they require money from the government to make any plans come to fruition, so this does wind up being on the government’s plate.

At this point, with the abatement work completed, it seems like maybe this would be a good time to just go ahead and do the renovations, including reinforcing the roof to protect against drone attacks (because yes, this is now a serious consideration) because this is still a worthwhile property and I think there is some symbolic weight and value of being across from Rideau Hall, and the image of the prime minister having to cross the road to meet with the Governor General is a good one to have, rather than the current “running across the back garden” image, which doesn’t convey the same weight or gravitas. And Rideau Cottage isn’t suited for a lot of purposes, like entertaining, working dinners, and the kitchen is too small for the prime minister’s chef to work in, which is why they used 24 Sussex still until recently, and currently use an unnamed nearby facility and deliver the meals from there. Plus, it too would require more security upgrades. I’m also not terribly keen on purpose-building a new residence in the site of a current parking lot, as has been a proposal.

My one request remains that if they do the work to restore 24 Sussex as a working residence, that they restore the original façade because it had a lot more character and is more in keeping with the neo-Gothic elements of the Centre Block (and the stripped-down 1950s appearance it currently holds is indicative of the architectural sins of that era). But let’s just get it done, while Trudeau is in the declining years of his government, when he can’t be accused of doing it to feather his own nest but that it can be justified in doing the work for the nation, like it should have been all along.

Ukraine Dispatch:

President Volodymyr Zelenskyy visited troops in Robotyne, which is on the front lines in the south east, and the site of intense fighting. Over the weekend, two Ukrainian drones are purported to have struck the largest Russian oil refinery in the country’s south.

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Roundup: The dumb impulse to make hay of Jenni Byrne

Over the course of the week, Liberals feel that they found some kind of a clever wedge against the Conservatives in the “revelation” that Pierre Poilievre’s advisor Jenni Byrne’s firm is registered in Ontario to lobby the provincial government on behalf of Loblaws. Byrne herself has not lobbied, and the firm’s work has only done work around trying to get beer and wine into those stores, but those facts haven’t deterred the Liberals. Instead, it’s come up in Question Period and prime minister Justin Trudeau brought it up unbidden at a press conference because he wants the media to talk about it. This while their MPs start tweeting stupid things like “Conservatives have a vested interest in keeping food prices high.”

This is just sad, and it’s a sign that the party is flailing. There is no smoking gun here, and trying to insinuate that there is looks desperate. If anything, it certainly makes it look like the Liberals are going to start stooping to the kinds of dishonest lines that the Conservatives like to trot out in order to try and score points, which you would think the Liberals generally feel they are above, and if they too start going full-bore on fundamentally dishonest talking points to try and get ahead in the polls, then we’re going to be in serious trouble as a country if every party abandons any semblance of honest discourse. It also fundamentally undermines the actual message that the major cause of food price inflation is climate change, which you do not want to do. In other words, knock it off and grow up.

There is the added danger that this starts a contagion around other lobbyists and strategists that the parties rely on. Ottawa is a pretty small pool, and if you go after one party’s operatives who have lobbied, then it becomes fair game, and this escalates into a pretty scorched earth. Bringing up Byrne was a cute quip once in QP, and it should have been left at that. Trying to keep banging on this drum is going to have all kinds of collateral damage that nobody wants.

Ukraine Dispatch:

Knowledgeable Sources™ say that Ukraine has briefed the White House about plans to fire the country’s top military commander, while the defence minister has suspended a senior official in order to investigate suspected corruption. Russia continues to refuse to turn over any of the alleged bodies of alleged POWs from the plane they say Ukraine downed (because it totally isn’t a psy-op).

https://twitter.com/defenceu/status/1753430572150792628

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Roundup: A surprise substitution

As the parliamentary calendar ramps up, the president of the Slovak Republic is making a state visit to Canada today, but there’s just one little hitch. The Governor General, Mary May Simon, has COVID, and can’t engage in the usual diplomatic protocols of the initial meeting, and hosting a state dinner. Normally this would then fall to the Chief Justice of the Supreme Court of Canada, who is also the Deputy to the Governor General—except he appears to be out of town, as he was most recently visiting the Hague where he spoke at the sixth Judicial Seminar of the International Criminal Court, and met with other judges from around the world.

So, who does that leave to do the diplomatic hosting? Supreme Court Justice Andromache Karakatsanis, as the senior puisne justice of the Court. As these things go, if the Chief Justice is unavailable, then it goes down the order of precedence in the Court (so if Karakatsanis had been unavailable, it would fall to Justice Suzanne Côté, followed by Justice Malcolm Rowe, and so on). There have been occasions where these justices have been called upon to do things that the GG would normally do, such as signing Orders in Council and so on, even though it’s fairly rare, but it does happen from time to time. Nevertheless, I have a feeling that the President of the Slovak Republic is in good hands with Justice Karakatsanis.

Ukraine Dispatch:

Ukraine’s strikes inside Russia are demonstrating that Putin’s assurances that his invasion isn’t “hitting home” aren’t true.

https://twitter.com/ukraine_world/status/1751925683943534958

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