The situation differs from province to province. Their capability and approach are very different. For the provinces and territories, the notion of leadership by the federal government includes a process of facilitation and collaboration so that they have assurances that diagnosis and approach will be the same. That can also facilitate their access to international information. They aren't asking the federal government to do programs for the provinces, because that's a responsibility of the provinces and territories. Collaboration between the federal government and the Public Health Agency of Canada improves the program and facilitates collaboration among the parts of the nation.
On May 30th, 2006. See this statement in context.