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NEWS I CANADA
Ottawa pauses preventive health task force
T
ORONTO — Federal Health Min-
ister Mark Holland announced
Tuesday he is temporarily sus-
pending the work of the Canadian
Task Force on Preventive Health Care,
which has come under fire for not
recommending routine breast cancer
screening for women under 50.
The task force provides guidelines
for primary health-care providers
about screening and other prevention
and early detection measures for can-
cers and other diseases.
Holland ordered an external expert
review of the task force, which began
last October, after it declined to lower
the age for mammograms to 40, contra-
dicting many expert opinions including
the Canadian Cancer Society.
The external review panel has
finished gathering evidence and is now
finalizing its recommendations, the
minister said in a statement.
“The panel will make these rec-
ommendations to the Public Health
Agency of Canada to modernize the
work of the task force and ensure it pro-
vides evidence-based clinical practice
guidelines to primary care providers,”
the statement said.
“This will ensure preventive health-
care guidelines meet the needs of Can-
ada’s health-care system and support
the well-being of Canadians.”
Given the concerns expressed by ex-
perts and the public, Holland said he
has asked the Public Health Agency of
Canada to “pause” the group’s work in
the meantime.
Last May, the task force said it main-
tained its advice that routine breast
cancer screening start at age 50 and
end after age 74.
However, it said women in their 40s
could seek a mammogram after weigh-
ing the pros and cons of early screen-
ing, ideally in consultation with their
health-care provider.
A spokesperson for the task force
said last year that potential harms in-
cluded false positives, which could lead
to unnecessary painful biopsies, as well
as “overdiagnosis,” which puts a burden
on patients and the health-care system
for cancers that wouldn’t have caused
any harm if left untreated.
But many experts — and the health
minister himself — have countered that
most women would risk getting a false
positive rather than delay a potential
need for treatment.
Some provinces, including Ontario
and British Columbia, publicly fund
mammograms for women age 40 to 49.
Alberta funds them starting at age 45.
Dense Breasts Canada and Breast
Cancer Canada quickly issued state-
ments applauding the minister’s move,
saying the task force’s recommenda-
tions don’t reflect the latest scientific
evidence.
Dense Breasts Canada said it has
been pushing for “revision of the dan-
gerous breast screening guidelines” for
seven years.
“Through four health ministers, DBC
has consistently pushed for action on
outdated and biased guidelines that
limit access to lifesaving screenings
and fail to incorporate expert input and
the latest scientific evidence,” it said.
Kimberly Carson, CEO of Breast
Cancer Canada, said breast cancer
rates are rising in younger populations.
“We must take every possible step
to ensure that screening guidelines
reflect the realities of patient needs,”
Carson said in her statement.
“This pause presents a critical mo-
ment for progress, and we stand ready
to support solutions that will improve
breast cancer care across Canada.”
But a statement from the Canadian
Task Force on Preventive Health Care
said the suspension of its work “could
jeopardize” other screening and pre-
vention guidelines that are nearing
completion.
“In addition to breast cancer screen-
ing, guideline topics in late-stage de-
velopment include recommendations
on tobacco cessation, screening for
adult depression and depression in chil-
dren and youth, and cervical cancer
screening,” the statement said.
It said the pause will also affect on-
going work on guidelines for lung can-
cer and prostate cancer screening and
fall prevention in older adults.
“The task force has been very much
anticipating the insights and recom-
mendations of the external expert re-
view panel on how to improve guideline
development to support clinicians and
the health of Canadians,” Dr. Guylene
Theriault, the task force’s chair, said in
the statement.
“We welcome their recommendations
which may take time to implement, but
are surprised by this announcement
from the minister.”
The Canadian Cancer Society ac-
knowledged the importance of the task
force’s work in a statement Tuesday
afternoon, but also welcomed Holland’s
move as “an unfortunate but necessary
disruption before implementing the re-
view panel’s recommendations.”
“We hope that when the task force re-
sumes its role, it has a stronger focus
on patient voices, greater inclusion of
subject matter experts and increased
capacity to meet the demands placed
on it,” said Brandon Purcell, the cancer
society’s advocacy manager of preven-
tion and early detection.
— The Canadian Press
NICOLE IRELAND
Agency has come under fire for not recommending routine breast cancer screening for women under 50
ADRIAN WYLD / THE CANADIAN PRESS FILES
Federal Health Minister Mark Holland is temporarily suspending the work of the Canadian Task Force on Preventive Health Care.
B.C. budget brings record deficit, billions in trade-war contingencies
VICTORIA — The days leading up to
British Columbia Finance Minister
Brenda Bailey’s first budget had been
a blur, she said, each “blended into the
other” as she and her staff tried to keep
up with unspooling developments in a
potential Canada-U. S. trade war.
Hours after that conflict became a
reality on Tuesday, Bailey unveiled
a budget that she said defended the
province against U.S. President Donald
Trump’s “unjustified” tariffs on Can-
adian goods that risked tens of thou-
sands of jobs and tens of billions in eco-
nomic losses for B.C.
The budget includes a record deficit
that tops $10 billion for the first time, as
well as $4 billion in annual contingen-
cies for each of the next three years to
cover “unpredictable costs” including
tariff responses.
Bailey said the budget was focused
on education and health care, while also
boosting a “self-sufficient economy.”
She said the U.S. tariffs would come
at great cost to B.C. — but now was not
the time to retreat by cutting spending
on public services.
“While our economy is built to with-
stand this threat better than most prov-
inces, the impact would still be severe,”
Bailey said in a speech to the legisla-
ture.
The extraordinary backdrop to Bail-
ey’s inaugural financial platform was
underscored when Premier David
Eby delivered a pre-budget address to
media, government staff and stakehold-
ers at the Victoria Conference Centre.
He said “all bets are off” in the eco-
nomic conflict with Canada’s biggest
trading partner.
“We have no choice but to respond
in kind to the United States,” Eby said,
standing in front a screen emblazoned
with “buyBC” logos.
Eby said the budget came in the con-
text of a “massive shift in global pol-
itics,” citing Trump’s decision to freeze
military funding for Ukraine, an event
he called “deeply disturbing.”
“We will meet this moment with
dignity, with courage, resolute in our
willingness to stand up for what we be-
lieve in,” he said, adding “we will fight
and we will win.”
Government-run B.C. liquor stores
would no longer sell products from Re-
publican U.S. states, he said.
Despite the peril posed by the trade
war, Bailey said core services would not
be cut, even if there were no “splashy”
expenditures this year.
The budget includes $4.2 billion over
three years to increase capacity in the
health system, and a further $15.5 bil-
lion for capital investments in hospitals
and other facilities over the same per-
iod.
“We will manage our finances care-
fully so we can continue our work to im-
prove health care, education and other
core services, without adding fees or
hiking costs,” she said.
The budget predicts a record deficit
of about $10.9 billion in the next fiscal
year starting April 1, up from a revised
forecast of $9.1 billion this year.
The province’s rising deficit has pre-
viously been eyed skeptically by rat-
ings agencies, with S&P Global Ratings
dropping B.C.’s credit score last April
for the third time since 2021. Another
agency, Moody’s, maintained the prov-
ince’s long-standing AAA credit rating
but revised its outlook to negative.
In updated forecasts provided with
the budget on Tuesday, the Finance
Ministry said the trade war with the
United States could cost B.C. $43 billion
in cumulative GDP losses and 45,000
jobs by 2029.
B.C.’s annual revenue losses could
reach as much as $3.4 billion, a sum
Bailey said was more than the budgets
for most provincial ministries with the
exception of health, education and so-
cial services.
Corporate profits could tumble by as
much as $5 billion per year, the fore-
casts show.
“When faced with big challenges,
there are those who might say we
should retreat and respond by cutting
spending on the public services that
people rely on,” Bailey said.
“But we know that this would only
weaken the services we all need and
drive up costs for people when they can
least afford it.”
B.C. Conservative finance critic
Peter Milobar said after the budget was
presented that there was nothing that
countered the tariff response for mean-
ingful programs or supports or even
possibilities.
“When the minister talks about $4
billion in contingencies, including
supports for impacts of tariffs, I’d be
remiss if I didn’t point out that last
year’s budget projected a $3.88 billion
contingency fund in this year’s budget.
That means $112 million extra is in this
budget than what they were already
planning on budgeting last year. Hard-
ly an aggressive response to potential
impacts of tariffs.”
Rob Botterell, the BC Green Party’s
finance critic, told reporters that Bail-
ey has a tough job in these extraordin-
ary times and that he will vote in favour
of the budget in accordance with the
confidence agreement the two Green
members signed with the NDP.
He pointed out, however, that the
province’s systemic issues, such as the
need to increase innovation and reduce
poverty, still need to be tackled.
“This is a standstill budget. It’s not a
stand-strong budget,” Botterell said.
The Greater Vancouver Board of
Trade gave the budget a letter grade of
C- and expanded its report card to give
the Trump tariffs a letter grade of F.
Board CEO Bridgitte Anderson says
the multibillion-dollar deficit left the
government little room to respond to
the unjustified tariffs.
“Budget 2025 includes another rec-
ord-high deficit, as we spent our fiscal
advantage, with overall debt projected
to balloon by $75 billion by 2028. While
the government has talked openly
about the need to grow the economy
and attract private sector investment,
we await the transition from words to
action.”
Fiona Famulak, the CEO of the BC
Chamber of Commerce said the budget
was sobering for both business and B.C.
residents.
“It does not deliver the economic
incentives, tax changes, programs or
policy shifts that are required to kick-
start our economy and which we have
been advocating for since before the
last election,” she said.
— The Canadian Press
MARCY NICHOLSON
CHAD HIPOLITO / THE CANADIAN PRESS
B.C. Finance Minister Brenda Bailey tables
her budget in Victoria on Tuesday.
;