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Pharmacare Consensus Principles

A diverse coalition representing health care providers, non-profit organizations, workers, seniors, patients and academics has come together to issue a statement of consensus principles for the establishment of National Pharmacare in Canada.

Our coalition believes that National Pharmacare should be a seamless extension of the existing universal health care system in Canada, which covers medically necessary physician and hospital services, and therefore operate in harmony with the principles of the Canada Health Act.

National Pharmacare should be governed by the following principles:

  1. Universality
    Coverage for all residents of Canada on equal terms and conditions.
  2. Public, Single-Payer Administration
    A publicly administered and delivered program that is integrated with the Medicare systems in which it operates, directly accountable to the public it serves, and leverages single-payer procurement to maximize purchasing power for the entire Canadian population.
  3. Accessibility
    Access to covered medications without financial barriers or other impediments.
  4. Comprehensiveness
    Coverage for as many medications as judged safe and effective by scientific evidence and based on the best value for money.
    Ensure the public servant experts who select medications for coverage are appropriately insulated from political pressures and marketing campaigns.
  5. Portable Coverage
    Continuous and consistent coverage for residents who move within Canada.

In addition to the five principles above, our coalition believes that the federal government must offer leadership in order to achieve National Pharmacare. This must include substantial funding commitments, sufficient to induce provincial and territorial governments to opt-in to the national program.


National Organizations

Acorn Canada
Action Canada for Sexual Health and Rights / Action Canada pour la santé et les drois sexuels
Alliance for Equality of Blind Canadians / Alliance pour l’égalité des personnes aveugles du Canada
Be the Change Earth Alliance
Broadbent Institute / Institute Broadbent
Canada Without Poverty / Canada Sans Pauvreté
Canada’s Building Trades Unions / Syndicats des métiers de la construction du Canada
Canadian Association of Community Health Centres / Association canadienne des centres de santé communautaire
Canadian Association of Emergency Physicians / Association Canadienne des Médecins d’Urgence
Canadian Association of Retired Persons
Canadian Association of Retired Teachers / Association des enseignantes et des enseignants retraités du Canada (ACER-CART)
Canadian Association of Social Workers / Association canadienne des travailleuses et travailleurs sociaux
Canadian Association of University Teachers / Association canadienne des professeures et professeurs d’université
Canadian Cancer Survivor Network / Réseau canadien des survivants du cancer
Canadian Centre for Policy Alternatives / Centre canadien de politiques alternatives
Canadian Doctors for Medicare / Médecins canadiens pour le régime public
Canadian Federation of Medical Students / Fédération des étudiants et des étudiantes en médecine du Canada
Canadian Federation of Musicians / Fédération canadienne des musiciens
Canadian Federation of Nurses Unions / Fédération canadienne des syndicats d’infirmières et d’infirmiers
Canadian Federation of Students / Fédération canadienne des étudiantes et étudiants
Canadian Health Coalition / Coalition canadienne de la santé
Canadian HIV/AIDS Legal Network / Réseau juridique canadien VIH/sida
Canadian Injured Workers Alliance
Canadian Labour Congress / Congrès du travail du Canada
Canadian Medical Association / Association Médicale Canadienne
Canadian Nurses Association / Association des infirmières et infirmiers du Canada
Canadian Nursing Students’ Association / Association des étudiant(e)s infirmier(ère)s du Canada
Canadian Office and Professional Employees Union / Le Syndicat canadien des employées et employés professionnels et de bureau
Canadian Paediatric Society / Société canadienne de pédiatrie
Canadians for Tax Fairness / Canadiens pour une fiscalité équitable
Canadian Society of Hospital Pharmacists / Société canadienne des pharmaciens d’hôpitaux
Canadian Union of Postal Workers / Syndicat des travailleurs et des travailleuses des postes
Children’s Healthcare Canada
Citizens for Public Justice / Citoyens pour une politique juste
College of Family Physicians of Canada / Collège des médecins de famille du Canada
Community-Based Research Centre / Centre de recherche communautaire
Community Food Centres Canada / Centres communautaires d’alimentation du Canada
Congress of Union Retirees of Canada / Association des syndicalistes à la retraite du Canada
Council of Canadians / Conseil des canadiens
Council of Canadians with Disabilities / Conseil des Canadiens avec déficiences
CUPE (Canadian Union of Public Employees) / SCFP (Syndicat canadien de la fonction publique)
DisAbled Women’s Network of Canada / Réseau d’action des femmes handicapées du Canada
Faces of Pharmacare / Visages de l’assurance-médicaments
Global Foundation For Social Harmony and Sustainable Development
Health Providers Against Poverty / Fournisseurs de Soins de Santé Contre la Pauvreté
Inter Pares
International Alliance of Theatrical Stage Employees, Motion Picture Technicians, Artists and Allied Crafts of the United States, its Territories and Canada (IATSE) / Alliance internationale des employés de scène, de théâtre et de cinéma des États-Unis, de ses Territoires et du Canada (AIEST)
Millennial Womxn in Policy
National Association of Federal Retirees / Association nationale des retraités fédéraux
National Association of Women and the Law / Association nationale Femmes et Droit
National Council of Women of Canada / Conseil National des femmes du Canada
National Farmers Union / Union Nationale des Fermiers
National Organization of Retired Postal Workers
National Pensioners Federation / Fédération Nationale de Retraités
National Union of Public and General Employees / Syndicat national des employées et employés généraux et du secteur public
Pediatric Chairs of Canada
Pharmacare 2020
Polaris Institute / Institut Polaris
Professional Institute of the Public Service of Canada / Institut professionnel de la fonction publique du Canada
Public Service Alliance of Canada / Alliance de la Fonction publique du Canada
Realize / Réalise
SEIU Healthcare
Society of Rural Physicians of Canada/Société de la médecine rurale du Canada
United Church of Canada / Église Unie du Canada
United Food and Commercial Workers / Travailleurs et travailleuses unis de l’alimentation et du commerce
United Steelworkers / Syndicat des Métallos
Upstream: Institute for a Healthy Society
Urban Alliance on Race Relations
Women’s Shelters Canada / Hébergement femmes Canada

Provincial & Territorial Organizations

Alberta Association of Community Health Centres
Alberta Council on Aging
Alberta Federation of Labour
Alberta Federation of Union Retirees / Fédération des syndicalistes retraités de l’Alberta
Alberta Union of Provincial Employees
Alliance for Healthier Communities (Ontario)
Alternatives North
ARCH Disability Law Centre
BC Building Trades
BC College of Family Physicians
BC Federation of Labour
BC Health Coalition
BC Nurses’ Union
BC Poverty Reduction Coalition
BC Rural Health Network
British Columbia Association of Community Health Centres
British Columbia Federation of Retired Union Members
British Columbia Government and Service Employees’ Union
British Columbia Government Retired Employees Association
British Columbia Retired Teachers’ Association
British Columbia Teachers’ Federation
Centrale des syndicats du Québec
Citizens With Disabilities – Ontario
Coalition des tables régionales d’organismes communautaires
Coalition solidarité santé
Confédération des syndicats nationaux
CUPE Ontario / SCFP Ontario
Disability Alliance BC
Fédération des travailleurs et travailleuses du Québec
Fédération interprofessionnelle de la santé du Québec–FIQ
Fight for $15 & Fairness / Lutte pour 15$
Friends of Medicare (Alberta)
Health Coalition of Newfoundland and Labrador
Health Sciences Association of Alberta
Health Sciences Association of BC / Association des sciences de la sante de la Colombia Britannique
Hospital Employees’ Union
International Brotherhood of Electrical Workers – BC Provincial Council
Living Wage for Families Campaign
MacKillop Centre for Social Justice
Manitoba Association of Community Health
Manitoba Federation of Labour
Manitoba Health Coalition / Coalition manitobaine de la santé
Manitoba Nurses Union
Médecins québécois pour le régime public
New Brunswick Common Front for Social Justice / Front commun pour la justice sociale du Nouveau-Brunswick
New Brunswick Federation of Labour / Fédération des Travailleurs et Travailleuses du Nouveau-Brunswick
New Brunswick Medical Society / Société médicale du Nouveau-Brunswick
New Brunswick Nurses Union / Syndicat des infirmières et infirmiers du Nouveau-Brunswick
Newfoundland and Labrador Federation of Labour
Non-Academic Staff Association (Alberta)
Northern Territories Federation of Labour
Nova Scotia Association of Community Health Centres
Nova Scotia Federation of Labour
Nova Scotia Government & General Employees Union (NSGEU) / Syndicat de la fonction publique de la Nouvelle-Écosse
Nova Scotia Health Coalition
Nova Scotia Nurses’ Union
OHIP for All / OHIP por Tous
Ontario College of Family Physicians
Ontario Federation of Labour / Fédération du travail de l’Ontario
Ontario Health Coalition
Ontario Nurses’ Association
Parent Support Services Society of BC
PEI Coalition for a Poverty Eradication Strategy
PEI Federation of Labour
PEI Health Coalition
PEI Nurses’ Union
Planned Parenthood NL Sexual Health Centre
Public Service Alliance of Canada, BC / Alliance de la Fonction publique du Canada, Colombie-Britannique
Québec Accessible
Quebec Association for the Defense of the Rights of Retired and Pre-Retired Persons / Association québécoise de défense des droits des personnes retraitées et préretraitées
Registered Nurses’ Association of Ontario / l’Association des infirmières et infirmiers autorisés de l’Ontario
Registered Nurses’ Union Newfoundland & Labrador
Retired Teachers of Ontario / Enseignantes et enseignants retraités de l’Ontario
Saskatchewan Federation of Labour
Saskatchewan Medical Association
Saskatchewan Union of Nurses
Save Our Northern Seniors / Sauvez nos aînés du Nord
Seniors United Now
Service Employees’ International Union – West
Sexual Health Nova Scotia
Union des consommateurs du Québec
United Nurses of Alberta
Workers Action Centre
Yukon Federation of Labour
Yukon Medical Association


This list was last updated on December 10, 2019. 

We welcome additional signatories. If your organization wishes to sign on, please email