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 (particularly Quebec and Alberta) just want Ottawa to fork over additional billions with few, if any, strings attached. That's one reason why the idea of a nationalist 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 a bout drugs.