A/HRC/41/34/Add.2 on need and not on the ability to pay. The Canadian public health system also includes many elements compatible with the right-to-health framework, but a human rightsbased approach is still needed to allow the State to comply with its international obligations. 101. The quality of health-care services in-country is overall very good if a person can actually have access to them. Canada still faces structural challenges regarding services that are not covered by the public health insurance; disparities among provinces and territories; poor access to health care by persons in vulnerable situations, including indigenous peoples; and lack of parity between physical and mental health. 102. Canada has made major investments in health, including appropriate financial and human resources, and is doing well in that regard. It faces the crucial issue of directing and prioritizing resources and adopting rights-based criteria for federal health transfers. Cross-cutting to that is the issue of investing in the public health priorities of today, namely, the so-called “new morbidities” in children and adults, such as mental health, as well as the determinants of health, addressing drug use issues, and adolescents’ and young people’s health-related issues, including monitoring mechanisms to ensure the inclusion of an analytical right-to-health framework. 103. The Special Rapporteur recommends that the authorities in Canada: (a) Incorporate a human rights-based approach to health, including through positive measures that improve access to justice and effective remedies; (b) Include rights-based criteria to existing ones in federal funding under the Canada Health Transfer and consider adopting a rights-based health-care national framework/strategy; (c) Ensure the establishment of a national pharmacare plan or guidelines compliant with the obligations of Canada under the right-to-health framework; (d) Continue to support community- and rights-based civil society projects with funding over a longer time frame, while building human rights capacity among health personnel; (e) Develop measures to achieve parity between mental and physical health while advancing the realization of the right of everyone to mental health and the realization of all human rights of persons with psychosocial, intellectual and cognitive disabilities and autistic persons; (f) Develop measures to overcome early childhood adversities and to integrate mental health into primary care in order to reduce the stigma and discrimination still linked to mental health; enhance access to integrated and continuing care; and improve social integration; (g) Ensure that the international cooperation of Canada worldwide supports the modernization of mental health policies by prioritizing rights-based and community-based mental health services and that it does not support services based on over-medicalization, institutionalization and other forms of coercion; (h) Support initiatives that contribute to more effectiveness transparency in mental health services and the health-care system at large; and (i) Continue to address the root causes of the opioid crisis and related determinants, including poverty, discrimination, early childhood adversities, access to adequate housing and safe water, and access to healthy occupational and environmental conditions; (j) Ensure that federal authorities, in consultation with the community, improve medical services available in Red Sucker Lake and, in coordination with provincial/municipal authorities, provide broader support during medical relocations to Winnipeg; 20