text: The author, like all others who advocate for the creation of a national pharmacare program in Canada, uses the argument that most other Western countries have one: "If Canada is, like most other Western countries, going to embrace pharmacare...".  These health care writers, however, never mention that these other countries all allow the private sector to compete with the public sector in the provision of primary health care services, which is the reason that 10 countries have better health care systems than Canada's.