"The Canada Health Transfer has been growing at a faster rate than provincial health spending, he added, but that has not spurred significant improvements."

That's the crux of it.  We need efficiency improvements before the boomers really hit the system(s).

I think the feds should be spending much of that money on on that, and luckily there are some things that could be done at the federal level.  

For one, we should have a digital database for health records.  There is no reason records should not be transferable from province to province when you move or available to your pharmacist when you fill a prescription.  It would save money and lives.

Also, why not have a federal level drug purchasing agency.  It makes no sense for small provinces to be purchasing drugs when a federal one could be getting them at major discounts.