And in Ottawa, Prime Minister Paul Martin has been missing in action on the issue, although federal NDP leader Jack Layton indicated last week that he would bring it up when Parliament resumes sitting next week.
The proponents of two tiers have not been nearly so reticent in the wake of the Supreme Court ruling in what is known as the Chaouilli case (after the appellant, a Quebec doctor named Jacques Chaouilli). They got a resolution through the annual conference of the Canadian Medical Association last month effectively endorsing two tiers.
Next month two apostles of the right, Mike Harris and Preston Manning, plan to release a paper extolling the virtues of "freedom of choice" in health care — a euphemism for two tiers.
And in November in Vancouver, a group of private health-care advocates is staging a conference to recommend changes to medicare "that conform to the guidelines of the recent Supreme Court decision." Chaouilli and Manning will be among the featured speakers.
Referring to this conference, Roy Romanow, the former Saskatchewan premier who has become Canada's champion of single-tier medicare, last week issued a "clarion call" to today's politicians.
"Get on with badly needed reforms to medicare before those clamouring for its destruction gather more momentum," he told a conference on Chaouilli sponsored by the University of Toronto's faculty of law.
New Democrat leader Jack Layton, speaking a week before Parliament resumes sitting, complained on Tuesday that the Liberal government was doing nothing to address the real concerns of Canadians.
"As you look at the challenges ahead, it's difficult not to reach the conclusion that the federal government is giving up on Canada ... there's a growing sense that Canada's interests have no voice," he said in a speech.
If the New Democrats opposed the Liberals in vote of confidence, the result would most likely be the defeat of the government and a new election.
Opinion polls show the Liberals are gaining ground and might even win a majority, prompting some observers to speculate the government could try to bring itself down sooner rather than later. Martin aides dismiss this idea.