This petition calls on the federal government to enforce and strengthen the Canada Health Act to prevent privatization and two-tier health care access.

The Canada Health Act establishes public administration, comprehensiveness, universality, portability and accessibility as national criteria for publicly funded health care;

Universal access to medically necessary health care based on need, rather than ability to pay, is fundamental to Canada’s health care system;

Evidence from systematic reviews has associated increased privatization and for-profit delivery of health care with poorer patient outcomes, reduced staffing, increased costs and inequities in access, while evidence that privatization improves quality of care remains limited;

The erosion of universal health care may occur through extra-billing and user charges, but also through the removal of medically necessary services from public coverage, inadequate public capacity, preferential access for those able to pay, or the diversion of health care resources toward private-pay delivery;

Changes in health care delivery must not permit the principles of the Canada Health Act to be circumvented;

We, the undersigned,People of Canada, call upon theGovernment of Canadato1. Vigorously enforce the Canada Health Act and its principles of public administration, comprehensiveness, universality, portability and accessibility; 1. Vigorously enforce the Canada Health Act and its principles of public administration, comprehensiveness, universality, portability and accessibility; 2. Introduce legislation to strengthen and modernize the Act, including clearer national standards for reasonable access to medically necessary care; 3. Prevent circumvention of the Act through patient charges, membership or preferential-access fees, removal of medically necessary services from universal coverage, or other financial or structural barriers; 4. Strengthen conditions attached to federal health transfers to protect adequate public health care capacity and prevent the creation of two-tier access based on ability to pay; and 5. Establish stronger transparency, compliance and enforcement mechanisms to ensure federal health funding supports accessible, universal health care.