Bibliographic record
Abstract
Abstract The public provision of prescription drugs, normally considered an essential healthcare service, is a key element of nearly all national healthcare systems. Every OECD country with a universal healthcare system covers prescription drugs—except Canada. Pharmacare in Canada is not a program, but a patchwork of dozens of drug plans designed to support people who cannot access private drug plans, and many Canadians still fall in the gaps of the patchwork and struggle to access the prescription drugs they need. This chapter argues that the problem with Canadian pharmacare is that it is a patchwork; it is an inequitable, inefficient, and unsustainable patchwork with no coherence or purpose. While many think we can solve the problem by adding more patches, the core of the problem is that it is a patchwork. The chapter provides an outline of the current structure of drug coverage in Canada, emphasizing the issues of access and costs; it then explores the debates about reforming drug coverage in Canada and concludes with an analysis of recent federal legislation introducing the seeds of universal pharmacare.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.003 |
| Scholarly communication | 0.004 | 0.002 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.041 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".