Every article I read regarding provincial drug reform leaves me with the same question: are we hanging our hat on the hope that this is the answer to drug plan sustainability? With changes to drug plan management not keeping pace with changes to the pharmaceutical landscape, traditional cost management tools eroded by inflation and becoming less effective with every annual increase to health care premiums, employers are scrambling for solutions to the increasing cost of providing a comprehensive health care benefit. It doesn’t appear that the proposed reforms are going to be the answer. Until plan sponsors, advisors, administrators, claims processors, pharmacy providers, government and the drug manufacturers all step out of their polarized positions and work together to resolve the issue of drug plan sustainability, there is no imminent solution. This leaves plan sponsors “holding the bag” and the bag is getting very heavy.