That's very helpful. I think most fiscal federalism is often really just a larger conversation about health care costs. It's provinces, over many governments and many decades, citing the facts of increasing health care costs and aging population. For a number of years.... It's hard to beat the law of numbers. If transfers are going up, say, only by 3%, but health care costs are going up by anything more than that, you eventually get to more of a burden on provinces where this is where the expenditures are.
Is it time, perhaps, for Parliament to consider a really tough discussion on health care about how we can preserve the universality of the system we have, but focus more on outcomes? How can we deliver the right outcomes for people and help contain costs? I'll point out that the Deputy Prime Minister recently said that we should be measuring outcomes.
That's not necessarily a bad thing. If some provinces find different ways to deliver that care while preserving the universality, is that not something we should be having a more honest conversation about, as parliamentarians?