Golly gee - after continuing exactly the same emission targets as Harper's Conservatives,  the Healthcare deal is principally  the same as the Harper deal with a bit of extra cash thrown in - but the potential to lose a few bucks by averaging GDP over three years. If the GDP has a good year and goes over 3%, it would likely get dragged down by the averaging formula. The Harper deal had no averaging - if it was over 3% in any year, more cash was made available.

Here's one of those Trudeau promises that got him elected:

"We are committed to renegotiating, to re-engaging on the health care accords, on the Canada health transfer, with the provinces ... We need a federal government that is willing to sit down and work with the provinces, not dictate at the provinces but set clear targets and expectations."