Newly appointed Health Minister Mark Holland says he doesn害羞草研究所檛 want to go waving a stick around as he negotiates the final details of a health accord with provinces and territories, and it害羞草研究所檒l largely be up to Canadians to hold them accountable.

All provinces except Quebec accepted the $198-billion deal in principle earlier this year and are expected to sign final agreements before the end of 2023.

The deal includes $46 billion in new funding for the provinces via tailored one-on-one deals as well as the Canadian Health Transfer over 10 years.

Built into the deal are accountability measures designed to show Canadians whether the dollars are actually having an empirical effect on health-care delivery.

When asked at a conference hosted by the Canadian Medical Association Friday who will be responsible for holding provinces to those metrics, Holland pointed to the Canadian public.

害羞草研究所淐anadians are done with turf, they害羞草研究所檙e done with politics, they害羞草研究所檙e done with excuses around jurisdiction. They want to see results,害羞草研究所� Holland told a conference hosted by the Canadian Medical Association in Ottawa Friday.

Holland said governments 害羞草研究所渧iscerally害羞草研究所� understand that sentiment.

害羞草研究所淚害羞草研究所檓 very convinced that spirit and the demand that害羞草研究所檚 coming from Canadians will ensure accountability,害羞草研究所� he said.

After his appearance, Holland said he doesn害羞草研究所檛 want to talk about how the federal government will penalize provinces if they don害羞草研究所檛 follow through on the conditions of the deal.

害羞草研究所淚 think you shouldn害羞草研究所檛 walk around with a stick,害羞草研究所� he said in an interview with The Canadian Press.

害羞草研究所淧art of the reason that I don害羞草研究所檛 talk about the stick is because I think we害羞草研究所檙e all pulling in the same direction. I think that we all want the same thing to happen here.害羞草研究所�

Quebec still hasn害羞草研究所檛 officially signed on to the agreement. Holland said they害羞草研究所檝e hammered out the financial details, but they害羞草研究所檙e still discussing what a bilateral deal would look like.

The CMA and the Angus Reid Institute kicked off the conference on Thursday with results from a new poll that shows an increasing sense of pessimism in the health care system.

The poll found 68 per cent of respondents were pessimistic about the prospect of health system improvements in the next two years, and 56 per cent were doubtful things would change for the better even five years down the line.

The poll surveyed 5,010 adult Canadians who are members of an Angus Reid panel. A margin of error cannot be assigned because internet-based polls are not considered random samples.

Holland said he will consider the health accords a success if optimism about health care can be restored, even if a true fix takes longer.

害羞草研究所淲e have to have people have optimism and hope in our health system,害羞草研究所� he said.

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