Sustainability of the publicly-funded system, access to primary care, the rising cost of pharmaceuticals and human resource shortages are the top issues facing health care in Canada, say stakeholders and opposition MPs. All these issues are interconnected, however, and as Canada moves toward the end of the 10-year health accord signed in 2004, the federal government must take a leadership role in bringing the provinces and territories together to negotiate a post-2014 accord.

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