Wait a minute, aren't PRs entitled to the same HC services as the native Canadians? We are not talking about qualifying periods
Qualifying periods apply to Canadian citizens as well.
We are talking about a PR with valid status, who is in Canada and has met the provincial requirement. Not having PR card has nothing to do with existence of PR status. Is it consistent with law to deny health coverage to someone who qualifies for it, by virtue of being PR and meeting provincial requirement on residence???
I actually agree on this point. Note that this does NOT apply to all provinces, each province has their own administrative approach - but since it seems to be an issue in both Ontario and BC, where a large proportion of immigrants end up, it is significant.
It's really a collision between the two levels of government. Provinces require some documentation an immigrant is a PR (fair enough) - but there's no document that reliably demonstrates a PR
still has PR status. Conversely the feds do not provide such a document - although traditionally a valid PR card has been seen as the best
prima facie evidence that the PR status is still valid (since revocation of PR status is not that common and five year period of validity, well, close enough).
In other words the provinces really should not be using valid PR card as required documentation - but the feds haven't provided a substitute.
I do not know the legal side of this - whether a PR without-a-card would succeed in court - but certainly worth trying, for PRs that can stomach the legal expense and likely timeframe. Note though that of necessity, this could only be a suit against the provincial governments - and quite possibly with limited applicability in other provinces (may not be useful precedent in other provinces).
In other words, legally, this is not really a federal responsibility. (A lawyer who knows details of law might find a way to get the govt of Canada on the docket, though).
What would be far easier and more logical would be for feds and provinces concerned to come up with a way for feds to (for example) share which PR statuses (by UCI and/or name DOB) have been revoked - since at root it is really only the cases of PRs who have lost PR status that are the issue. There may be privacy issues but govts deal with that type of issue all the time, they sign various protocols on how to deal with that.
Unfortunately though: this specific issue - of eg PRs who have returned and cannot renew PR card until back in compliance - likely concerns a fairly small number of individuals a year - perhaps a couple thousand at any given time (just a guess on my part).
It comes up prominently in this particular forum because that's what this forum is about, issues that arise because of residency obligation. Ask a forum for left-handed lacrosse players how much of an issue the dearth of left-handed lacrosse sticks available is, it's going to be fairly high - but that's not going to translate into an equally high level of attention from the political classes.
And there will be some who claim that this 'policy' serves as a disincentive to return when not in compliance; that is a) clearly just accidental and not intentional, because it's implemented only in some provinces (or is the 'policy' to push such individuals to move to different provinces instead?); b) fundamentally at odds with the basic idea of health care and the "residency non-compliance is not the same as illegal presence" which undergirds the RO framework.
It's mostly just a stupid, unintentional conflict of administrative systems.