Keep in mind Canada Post is a national corporation; so policies that they make are nation wide. So that means that just because you live in a province that happens to put a picture on your health card; most provinces don't.
I know both Manitoba and Alberta offer the equivilant ID to a driver's license without actually having to take the driver's test.
Another option is places like Money Mart offer a photo ID card. Maybe check with Canada Post to see if that is acceptable.
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