"The Harper government has a two-fold strategy to undermine medicare. One part of the game plan is to underfund medicare, creating "shortages" over the medium-run without making a politically unwise frontal attack against the not-for-profit publicly funded and organized health-care system cherished by Canadian citizens. When it expired in 2014, the Conservative government refused to renegotiate the 2004 Health Accord. According to research by the Council of the Federation, a body comprising Canada's 13 premiers, the provinces and territories will receive $36 billion less over the next 10 years. In effect, the federal government is balancing its budget on the backs of the provinces. In response, provinces are left with difficult choices: de-list needed services and invite more private health-care providers as wait times increase or raise taxes and redistribute tax dollars from education and other public services"