My way or the highway was a favoured opening gambit by Trudeau's dad. It worked when the provinces didn't stick together. If the provinces really to need more cash for their healthcare programs they should hold out. Healthcare is their responsibility and if it proves inadequate from lack of funding (fatalities from neglect or oversight, etc), Trudeau's ministers will get the blame for being too Harper-like.  Eventually, this will reflect on Trudeau, and we'll end up with another Mulroney. And wouldn't that be a shame.