but the federal government is not enforcing the Canada Health Act

Pretty big hint, right there.

Here's the thing. Carney fundamentally believes that private industry does it better. That's why he's looking to privatize airports. He doesn't view healthcare any differently, he's just not dumb enough to think that people won't resist that a lot more strongly than a few airports. But he absolutely believes in privatizing healthcare, and he's not gonna get in the way of any province that wants to move in that direction. So I hope you are all ready to fight to defend it, because we will not be getting any support from this federal government.