I assume he means it'll have to function like medicare, with each province operating its own system with some kind of cost sharing formula whereby Ottawa contributes a portion. However, I wonder if the provinces will want to get into this as Ottawa isn't always a reliable dance partner. It hasn't always held up its end of the bargain on general health care funding and has often used its role to bully the provinces. So I can't see a lot of upside for the provinces.