In our clinical experiences we regularly see patients burdened by the cost of medicines and unable to fill their prescriptions. We know how aware of this you are from your medical practice too. We are shocked by how medication costs are determined in Canada. Canadian physicians, residents, and medical students expect healthcare policy in this country to be evidence-based, and we have placed our trust in you to do this. We have the evidence now that a National Pharmacare Strategy would be cost effective, eliminating a long standing barrier to implementation – the belief that a universal publicly funded pharmacare plan would be too expensive. The landmark 2015 article published in the Canadian Medical Association Journal builds on an already robust literature base articulating the need for a National Pharmacare Strategy. The findings of this cost-benefit analysis are that universal public drug coverage would reduce total spending on prescription drugs in Canada by an estimated $7.3 billion [link to study]. Citizens need provincial and federal buy-in for a pan-Canadian solution. As you have said, we need to do things differently. We need to bargain more effectively and revisit our relationship with Big Pharma, not accepting price inflations that are then offloaded onto third party insurers and out of pocket payers. We need to purchase smarter through national bulk purchasing strategies in order to secure lower, more reasonable drug prices. We need to use the best available evidence under the guidance of objective academic drug detailing programs and harness our purchasing power to bring costs down. During the election, as doctors of tomorrow we sought federal leadership that would return to undertaking pan-Canadian healthcare responsibilities. We have new CMA leadership from a long-serving rural physician, Dr. Granger Avery who, at the Canada 2020 Summit on a new Health Accord reiterated the need for a National Pharmacare Strategy. The CMA has identified that Universal Pharmacare is an integral component of a high performing system that cannot be ignored; it is a tenet underpinning every area of healthcare and would have the most substantial impact of any changes made to our system. With the billions saved, funds could be redirected towards home care, care of the elderly, care of Indigenous populations, and comprehensive mental health services. Consistent with the universality and equitable accessibility promised by the Canada Health Act, a National Pharmacare Strategy would be the epitome of action to fulfill Prime Minister Trudeau’s words of establishing strong national unity. As you have said, the last time a doctor was the Minister of Health was perhaps nearly a century ago. We appreciate your efforts to take steps towards lowering costs that Canadians face for their medications. This includes working to install regulatory changes to the way drug prices are set in Canada, and working with the Patented Medicine Prices Review Board. It is actionable steps like this that will pave the way toward Universal Pharmacare in our future. Yet, in order to most effectively move towards a goal, it needs to be stated with clarity and conviction. The current medico-political climate is unique, Dr. Philpott. We have informed physicians in leadership roles with awareness of evidence, relationship-building capacities to forge new alliances, and abilities to mobilize changemakers. We need to be bold and “think big” to make real change happen. Thus, we urge you to draw on your courage, seize this critical time in our Canadian history and commit to a National Pharmacare Strategy. If you don’t, who will? #makecanadianuniversalmedicareuniversal Visit a recent CBC Fifth Estate episode on Canada's Drug Problem (http://www.cbc.ca/fifth/episodes/2016-2017/the-high-cost-of-phamaceuticals-canadas-drug-problem) and Minister Philpott's full interview (http://www.cbc.ca/fifth/blog/full-interview-with-minister-of-health-jane-philpott). See http://pharmacare2020.ca/ for additional information. Additional Reading: - Canada is the only country in the world that prides itself on universal healthcare, yet contradictorily does not have universal medication access. Canada has 19 publicly funded drug plans and over 1000 private insurance programs: a fragmented, non-equitable patchwork that leaves many uncovered. We spend 30% more on drugs than nations with Universal Pharmacare programs! - Canadians spend more than $700 US per capita for prescription, non-prescription, and personal health supplies, whereas the average per capita expenditure for OECD countries is $500. - In a recent Angus Reid Institute national survey nearly 1 in 4 Canadians did not take a prescribed medicine because she/he could not afford it. Food and shelter costs undermine medication costs when it comes to day-to-day survival. Inadequately treated chronic disease inevitably decompensates. Hospital admission for acute disease management then culminates in hefty inpatient costs. - Our generic drug prices are dependent on patented drug prices, established as the median of seven comparator OECD nations. This list includes the four places on the globe where drugs are most expensive. - Prices for the same medicines vary depending on province or territory of residence. In order to make drug prices more appealing to provincial and territorial governments, pharmaceutical companies artificially inflate prices to present the government with a “discount price,” whilst channeling the cost burden to third party insurers (10% higher costs compared to government costs) and most significantly to out of pocket purchasers, many of whom are the working poor. - Take the price of the common cholesterol medication, atorvastatin, which is cheapest in Ontario and costs 31 cents. Compare this to that same pill in New Zealand, which costs 2.6 cents!

TD Bank should be transparent in what it does with the money of its customers. I have deposited my hard earned money at TD Bank for many years and only recently discovered that TD Bank is using my money to support DAPL

On Monday, Prime Minister Justin Trudeau will be sitting down to meet with President Trump. I’m a mom, a highschool teacher and a Leadnow member. I started this open letter because I’m really worried that Trudeau won’t have the courage to stand up to Trump. Let’s urge Trudeau to set a courageous example for our children -- showing them how to stand up to bullies like Trump. Trudeau might ignore a letter from one teacher like me -- but if thousands of us add out names, we can get Trudeau’s attention and convince him to stand up to Trump on Monday Sources: [1] Donald Trump says he believes waterboarding works (BBC News). http://www.bbc.co.uk/news/world-us-canada-38753000 [2] A travel ban that descended into chaos, protests: What we know (CNN). http://www.cnn.com/2017/01/29/politics/immigration-crisis-what-we-know/ [3] Climate change denial in the Trump cabinet: where do his nominees stand? (The Guardian). https://www.theguardian.com/environment/2016/dec/15/trump-cabinet-climate-change-deniers

Govenor Palin has demonstrated a history of ignorance and intolerance to those social justice values and principals of diversity and acceptance so fundamentally held and defended by Canadians. Her representation in Canada would be a great disservice and likely weaken the long and valuable relationship held between Canada and the United States.

The political climate has changed and we can no longer sit idly by while this government accuses its democratic opposition of criminal acts. We've seen the damage this has done in the United States. We won't stand idly by and watch this travesty. Premier Christy Clark must fire the BC Liberal staffer who lied about this hack and apologize for her anti-democratic actions.

Trump lacks decency and the understanding that all humans are equal and deserve the same human rights. Let's put this to an end. We may not be able to protest alongside many in the US but we can make our voices heard by signing this petition

Chinatown is under siege. A proposed market rate development on 105 Keefer Street threatens the cultural and economic fabric of Chinatown. “Our Chinatown is being bought up by developers. What’s going to be left in Chinatown for people like me when the dust settles?” protested Ivy Su, a resident in the neighbourhood. Ms. Su’s concerns are real. Vancouver Chinatown was not-so-honoured to be designated a Top 10 Endangered Places List according to the National Trust for Canada. Intense market development pressure has pushed small businesses out and housing costs up. Chinatown is really under siege. And now, to add insult to injury, Beedie Group proposes desecrating the cultural heart of Vancouver Chinatown with a dominating luxury high rise development at 105 Keefer Street. How is the 105 Keefer site at the heart of Vancouver Chinatown? It is surrounded by the culturally significant Chinese-Canadian war veterans and railway workers monument, the Chinese Cultural Centre and the Dr. Sun Yat-Sen Classical Chinese Garden. The site is close to the National Historic Site where important heritage buildings such as the Chinese Benevolent Association and the Chinese Freemasons are located. A luxury market development at this site would violate/disrespect Chinatown's distinct character as well as the livelihoods of the people living here. Gentrification is already severely overrunning the entire Downtown Eastside and the plan by the Beedie Group to build a complex at 105 Keefer will only worsen this problem, which we and groups dedicated to saving Chinatown have been battling against for the past few years. On the contrary, Chinatown residents and organizations are proposing the site be used for low-income seniors housing and an intergenerational community space. Ms. Su offers a brighter future: “We hope that the government will purchase the land to provide housing for us so that we are not without homes”. Ms. Su continues, “We’ve seen Chinatown change so much over the past years, but the changes are overwhelmingly for the higher income people moving in. We need more developments that meet our needs for affordable housing and for spaces to socialize with each other.” We can’t afford to lose more of our precious Chinatown! (Photo Credits: Christina Lee)

CETA is not in the interests of the Canadian People.

It's unwise to give someone too much power and control, or allow them to run our Country for too long. People who serve too long in positions like this have the potential to become Despots.

WHEREAS the Election Act of British Columbia presently prohibits individuals under 18 from participating in the electoral process; WHEREAS early engagement in civic affairs is believed to lead to the establishment of a pattern of engagement that endures throughout life; WHEREAS the 2011 report of the Chief Electoral Officer of BC recognized that "The lowest voter registration rates are for young voters 18-24 years of age"; WHEREAS by the age of 15, BC residents are legally permitted to be employed on a full-time basis in accordance with the Employment Standards Act; WHEREAS by the age of 16, BC residents may apply for a license to operate a motor vehicle on a public highway; BE IT RESOLVED that the residents of British Columbia call upon the governing party to adopt as a policy that the age of eligibility to be an elector in future provincial elections be lowered from (18) to sixteen (16) years.

For years, Christy Clark’s government has been slashing education funding and delaying much-needed seismic upgrades. As a parent, it felt like the Vancouver School Board were the only elected representatives who were on our side and willing to fight for safe, fully-funded schools. The Vancouver School Board was planning to finally pass a balanced budget in a meeting tonight, in order to secure essential funding for seismic upgrades -- but incredibly, the Education Minister fired them before their meeting.[3] Now, the Vancouver School Board is essentially being run out of the Premier’s office, by an unelected political appointee. This could become a major scandal that will follow the BC government all the way to the ballot box in May’s provincial election, and they know it. It starts with a huge petition calling on Education Minister Mike Bernier to reverse this terrible decision. If you agree that firing the elected VSB trustees is an outrage, sign the urgent petition to Education Minister Mike Bernier now. Sources: [1] Vancouver School Board fired by B.C. education minister (CBC) http://www.cbc.ca/news/canada/british-columbia/vancouver-school-board-fired-1.3808674 [2] Former Vancouver School Board chair Mike Lombardi calls firing ‘outrageous’ http://globalnews.ca/news/3007688/b-c-education-minister-mike-bernier-set-to-address-vancouver-school-board-situation/ [3] Vancouver School Board to approve budget after months of delay, controversy (CBC) http://www.cbc.ca/news/canada/british-columbia/vancouver-school-board-intend-budget-approval-1.3808204

A strong democracy requires freedom of expression. That's why the blunting of the ability of civil society to advocate and to engage in that most fundamental democratic right – debate and, occasionally, dissent – should concern us all. But that's what's happening today in Canada. You see, CRA rules permit Canadian charities to devote up to 10% of their organizational resources to "political activities." And charities report annually what they're up to to show how they're complying with this rule. Back in 2012, the Harper government decided to spend millions auditing environmental groups, and later anti-poverty and human-rights charities, to see if they were doing too much "political work." Interestingly, right-wing charities, like the Fraser Institute, reported zero political activity and didn't catch the attention of CRA.[3] Earlier this year, National Revenue Minister Dianne Lebouthillier announced CRA would begin "winding down" these audits, but later reversed course and announced 24 political activity audits launched during Harper's time in power would continue as planned (but no new audits would be launched). One of the charities, Canada Without Poverty, has now launched a constitutional challenge to stop the CRA from stripping its tax-exempt status on the grounds that it's too politically active. The group says its constitutional right to free expression is being violated unreasonably. "They’re not wrong," The Globe and Mail argues in a recent editorial.[4] "The case is a vestige of the former Conservative government’s 2012 decision to pour millions into targeted CRA audits of charity groups – something many in the charitable sector denounced as a witch hunt. The Liberals halted all new audits this past January, but allowed 24 probes to continue. "As a concept, charity has its roots in 17th-century English law. But the more appropriate modern definition might be: whatever the Canada Revenue Agency and its political masters say it is." It's time for the political masters to step in and do the right: end the political-activity audits of 24 charities that just happened to disagree with policies of the Harper government. Sources: 1. As Harper's CRA audits continue, right-wing charities report zero 'political activity' again: https://www.pressprogress.ca/as_harper_cra_audits_continue_right_wing_charities_report_zero_political_activity_again 2. Liberal platform: https://www.liberal.ca/files/2015/10/New-plan-for-a-strong-middle-class.pdf 3. Stephen Harper's CRA: Selective Audits, "Political" Activity, and Right-leaning charities: https://d3n8a8pro7vhmx.cloudfront.net/broadbent/pages/16/attachments/original/1430005311/Stephen_Harper's_CRA.pdf?1430005311 4. Like unions and political parties, charities deserve freedom of speech: http://www.theglobeandmail.com/opinion/editorials/like-unions-and-political-parties-charities-deserve-freedom-of-speech/article31728320/