The biggest rationale for the U.S. not to sign on to that is all their labour standards and so on are state by state. The federal government there does not have the authority to actually sign on to that, and that's part of the problem.
On the national pharmacare program, how do you ever envision that happening when the first hurdle you have to cross is that this is totally provincial jurisdiction? At the federal level, we can't even get them to talk together about bulk buying, which would make a huge difference in pricing.