44th Parl. 1st Sess.
February 14, 2022 11:00AM
Madam Speaker, I will be sharing my time with the member for Saint-Hyacinthe—Bagot.
I rise today in the House to speak to Bill C-10, an act respecting certain measures related to COVID-19. This bill was introduced by the member for Québec and is currently at second reading.
What is the purpose of this bill?
First, this bill would authorize the Minister of Health to make payments of up to $2.5 billion for any expenses incurred in relation to coronavirus disease tests.
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- Feb/14/22 12:53:29 p.m.
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I must interrupt the member because there seems to be a problem with his microphone.
It is working now.
The hon. member for Rivière‑des‑Mille‑Îles.
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Madam Speaker, I will continue.
Bill C‑10's main purpose is to authorize the Minister of Health to pay up to $2.5 billion for expenses incurred on or after January 1, 2022, in relation to coronavirus disease tests.
Second, it authorizes the Minister of Health to transfer to any province or territory, or to any body or person in Canada, any coronavirus disease tests or instruments used in relation to those tests acquired by Her Majesty in right of Canada on or after April 1, 2021.
Basically, Bill C‑10 provides a one-time sum of up to $2.5 billion to the provinces and territories for testing-related expenses as of January 1, 2022.
It goes without saying that the Bloc Québécois supports Bill C‑10. As our leader once put it so eloquently, “You can't be against apple pie”.
After all, that money is to help the provinces and Quebec absorb extra pandemic-related costs. The government itself has already boosted health transfers by $5 billion in this Parliament alone: $4 billion for urgent health care system needs and another billion for the vaccination campaign.
These amounts are significant; we acknowledge that. However, they are still not nearly enough to meet the Bloc Québécois's calls to increase health transfers to 35%, rather than the current 22%. It is clear that this government is using the pandemic to postpone the heavy lifting that will be needed to negotiate health transfers.
We in the Bloc Québécois see this increase as urgent. It has been called for by the Quebec National Assembly, the Council of the Federation, health care workers through their union, and 85% of Quebeckers and Canadians, according to a recent Leger poll. Even the Liberal member for Louis-Hébert considers his own party's position on this matter untenable.
What will it take for the government to at least sit down with the premiers to negotiate?
Personally I think this shows a lack of respect. It feels as though we are being taken for fools. The Liberal government is the only one that does not see that the Quebec and other provincial governments must be able to depend on stable, predictable and adequate funding to fight this pandemic effectively. I repeat, “stable, predictable and adequate”.
The Liberal government's obsession with centralizing powers and its tendency to interfere are offensive. Quebec delivers all health care services, and this pandemic has obviously weighed heavily on Quebec's health care system.
Quebeckers pay taxes to Ottawa. Unfortunately, the Liberals are turning a deaf ear to our demands, but it is still our money. The federal machine would not work, would not exist, if it were not for the taxes from the provinces.
The Bloc Québécois is calling on the federal government to acknowledge that fact and treat Quebec and the provinces with the respect and deference they deserve. The Bloc is calling on the federal government to plan ahead and give the provinces their fair share, instead of lagging behind and watching from the sidelines.
As we know, pandemics are here for good. There will be more. The Director-General of the World Health Organization said that the pandemic will not end until the rich countries stop monopolizing all the vaccines. Canada, like several wealthy countries, emptied the shelves of the global vaccine market. It acted urgently to protect the public, and far be it from me to criticize it for that.
However, now that there are enough vaccines available for Quebeckers and Canadians, we have a duty of solidarity to those who are not lucky enough to have our collective wealth.
The Bloc Québécois is calling on the federal government to ramp up its efforts so that less fortunate countries can benefit from vaccines.
As I was saying, unfortunately, it is probable that this pandemic will last for some time and that more will emerge in the future. The federal government must therefore plan ahead—an important phrase—and provide Quebec and the provinces with the financial means to manage this crisis and all those that will follow.
The Bloc Québécois knows how to improve this situation. It is not complicated: The government must increase provincial health transfers. Why does the federal government always wait for things to become a crisis before doing what needs to be done? Why on earth is it not doing what is required when we are in the midst of the crisis? This government does not know how to plan ahead, and the Prime Minister does not know how to lead. In my opinion, the protests that have been paralyzing Ottawa for almost three weeks provide yet more proof of these two serious flaws.
Quebec is fortunate to have one of the best health care systems in the world. The next step is to improve what we have. The increase in health transfers that we are calling for will not solve all our problems instantaneously, but it is nevertheless a crucial step in the process of building a universal, public and high-quality health care system worthy of a G7 nation.
Simply put, I think that the Liberal government's stubbornness during this crisis has only highlighted the urgent need for Quebec to take its economic future into its own hands. Jacques Parizeau, may he rest in peace, said that he believed that the main reason Quebec should become independent was so that it could take responsibility for itself in a democracy in which the government is fully accountable to its citizens. In an ideal world, the Quebec government would be the only one responsible for collecting taxes from Quebeckers, and it would not need the the approval of a foreign parliament to govern itself as it sees fit. It also goes without saying that the Quebec government would be fully and completely accountable to its citizens.
Today, the fact that the Liberals will not listen to the call for health transfers reminds everyone why the Bloc Québécois is so necessary and why independence is so desirable.
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Madam Speaker, it is no surprise the Bloc raises the issue of health care transfers. However, there is a fundamental disagreement I have with my friends in the Bloc, which is that the constituents I represent, and I would argue they are very much reflective of Canadians from coast to coast to coast, feel that the national government does have a very important role to play in health care. It would be highly irresponsible, I would argue, to do nothing but just hand money over.
There are things that we can learn through this pandemic, such as with the long-term care facilities and the need for national standards. There are other issues of mental health and so many other aspects. Would the member not recognize that there are many people across Canada, including in the province of Quebec, who do want to see the national government play more of a role than just giving cash?
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Madam Speaker, in answer to my esteemed colleague, I would say that we are the ones who manage health in Quebec. We are the ones who manage people like doctors, nurses, support workers and respiratory therapists in Quebec. Health falls under Quebec's jurisdiction. Yes, the federal government's only role is to distribute money. Health falls under our jurisdiction. We are the ones with the expertise.
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Madam Speaker, my riding, Laurentides—Labelle, and my colleague's riding, Rivière-des-Mille-Îles, are both in the Laurentian region. The health care network in the Laurentian region is in urgent need of assistance.
People who work in this sector point out that there is a labour shortage across the region. There is no money for staffing or modernization. Although I trust that there will be health transfers, I would like to ask my colleague what would happen if Quebec's health care network, in particular in the Laurentian region, did not receive health transfers.
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Madam Speaker, my colleague has highlighted a major problem in both of our ridings.
The Lower Laurentians are experiencing a drastic labour shortage, but that is not the only problem. The most expensive aspects of the medical system are infrastructure and equipment, which are becoming increasingly expensive and sophisticated.
The transfers could help with modernizing equipment and, in the case of Lachute and Saint‑Eustache, expand the hospitals, which would address a serious problem.
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Madam Speaker, I would be happy to talk about health care, the health care system and the things we could do to help. What we are talking about today is whether we should be taking this bill to committee to discuss those things that are important. As the provinces go into cancelling the restrictive COVID measures, there is the potential for the uptake of rapid tests to rapidly decline.
What is important is that we find out what the financial exposure is going to be so that, if there is money needed and there are changes to be done, we can see whether we would be able to deal with that.
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Madam Speaker, I did not quite catch my colleague's question, but I will say that $2.5 billion is not the end of the world. In my opinion, this is an urgent and important investment.
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Madam Speaker, I would like to begin by wishing all of our colleagues a happy Valentine's Day, and I hope they will be able to celebrate it even though many of them are in Parliament, far away from their partners. Nonetheless, I wish them a very happy Valentines Day.
Today, I am pleased to be speaking about Bill C-10, which authorizes a one-time payment of up to $2.5 billion to be made to the provinces and territories for any expenses incurred on or after January 1, 2022, in relation to COVID-19 tests. The bill also allows the Minister of Health to transfer tests and instruments used in relation to those tests acquired on or after April 1, 2021, to any province or territory, or to any body or person in Canada.
This spending is obviously necessary, since health care costs are skyrocketing nationwide. Health care spending grew by 12.8% in 2020, approximately three times the average growth rate from previous years, and 2021 saw record spending.
The government played a role in this increase, of course, by increasing health transfers by $5 billion during the pandemic. Of this amount, $4 billion went to meeting urgent needs in the health care system, and $1 billion was invested in the vaccination rollout. This may seem like a lot of money, and it is. It undoubtedly covers some of the additional expenses generated by the health crisis, but only a fraction, considering that more than $30 billion was needed to finance pandemic-related activities in 2020 alone. These one-time payments are simply a band-aid solution. They do not address the real problem, which is the lack of structural health care funding. This underfunding is one of the major reasons that health care workers in Quebec and across Canada are in distress. They lack the resources to fight the waves that have been hitting us for the past two years.
I would like to reiterate the Bloc Québécois's demand, which has united Quebec and the provinces in a manner rarely seen. Even the National Assembly is unanimous. The federal government must increase its contribution to overall health care costs from 22% to 35%, or from $42 billion to $70 billion. If the federal government is to maintain its 35% contribution, which is far lower than the 50% it used to pay up until the 1980s, the transfers will have to be indexed at 6%. This annual indexation will be necessary to offset the costs associated with population aging, drug costs and technological advances.
Our request that the federal government increase its contribution to health care to 35% of overall costs is reasonable and realistic. The Conference Board of Canada proved that this increase will be economically viable for both the federal and provincial governments. Until the health care systems of Quebec and the provinces are adequately funded, the government will have the Bloc Québécois to deal with. We will not stop pressing this demand, since it is the key condition for ending the COVID-19 crisis once and for all.
We need to face the truth and think about the future. It will take many years and a lot of resources to catch up with the backlog that was already a problem in our health care system before the first outbreaks and that will only get worse with the delays currently caused by the pandemic.
My colleagues and I call on the government to start negotiations on health transfers immediately in order to “strengthen our universal public health system,” as the Minister of Health’s mandate letter clearly states.
I would also like to take this opportunity to remind my colleagues of something I have mentioned before in the House in previous speeches. The fight against COVID-19 will continue as long as Canada does not provide support for the global vaccination effort, especially in developing countries. All of the experts we had the opportunity to talk to are unanimous: As long as the pandemic is not over everywhere, it will continue to threaten us here.
Of course, Canada contributes to the various global vaccination initiatives of the World Health Organization. However, it can and must do more. It must provide logistical support for developing countries so that the vaccines can be efficiently distributed to the population. It must donate its surplus doses in a predictable manner in order to allow the receiving countries to administer them within a reasonable time frame.
The federal government must also stop saying that it is open to lifting the patents on the vaccines and treatments while voting against the proposal when it comes time to take an official stand. The Bloc is asking the government to play a leadership role by openly taking a stand in favour of lifting the patents at the next meeting of the World Trade Organization on the Agreement on Trade-Related Aspects of Intellectual Property Rights, or TRIPS.
These past two years have also unequivocally shown the importance and urgency of improving the independence and reliability of our supply chains. This pandemic will not be our last, especially in this era of climate change.
An analysis of the challenges we have faced since the initial outbreaks makes it clear that we must rebuild Quebec’s pharmaceutical sector. We need targeted tax incentives to promote the establishment of biopharmaceutical research and production centres. Partnerships between our university research centres and industry must be encouraged through support for issue tables focused on these goals, and we must continue increasing research budgets.
The consolidation of our supply chains will ensure, among other things, that our national emergency reserve is supplied by Canadian providers. Shortages of rapid tests like we saw last December are unacceptable when the pandemic has been going on for almost two years. Local production would allow us a certain independence from foreign suppliers, who are driven solely by the laws of supply and demand, and help manage our reserves so as to ensure that we have sufficient supplies for our needs and can prevent loss by channelling our surplus doses to NGOs that will make good use of them.
The investments provided for in Bill C-10 are essential, but we expect the government to immediately start tackling the numerous other challenges we face. We have an opportunity here to develop a strategic economic sector while taking drastic and appropriate action to strengthen our health care systems, the institutions that are the very foundation of our social contract and that have been hit hard. I urge the federal government not to miss the boat.
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Madam Speaker, we have arrived at many of the same conclusions. Conservative cuts to health transfers did a lot of damage, and the Liberals only compounded the error, which bears repeating.
The health care system is under pressure, and the federal government needs to increase transfer payments in a sustainable, stable and permanent manner. We are aware of this, and we agree.
There is also another solution for saving money. Does my colleague agree with the FTQ, the CSN, the CSQ and the Union des consommateurs du Québec that we need a truly universal public pharmacare program that will reduce the cost of drugs for people, businesses and our health care network?
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Madam Speaker, we agree with the principle of a public pharmacare program. However, Quebec is often well ahead of Canada and the provinces when it comes to social programs.
When the federal proposal clearly includes the right to withdraw with full financial compensation, we will vote in favour. We absolutely support the fact that Canada needs to improve its plan, provided that Quebec can get its hands on its share of the money and improve its own programs.
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Madam Speaker, I would like to congratulate my colleague from Saint-Hyacinthe—Bagot, and I wish him a happy Valentine’s Day as well.
I would like to know why we have seen a dramatic change in health transfers since the 1960s. We are well aware that what the federal government was really interested in was the world exchanges, what was happening in international markets and its position on the international stage. I would like my colleague to tell me how, all of a sudden, what was a noble gesture on the federal government’s part became a proposal to reduce health transfers, but with conditions.
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Madam Speaker, Ottawa is always trying to centralize powers.
Canada is increasingly evolving into a unitary state. It is trying to infringe on jurisdictions that are often not its own.
In this instance, we are told that the government is going to move forward but only on the condition that all kinds of programs and supports are created that allow it to encroach on Quebec's jurisdictions. By adding conditions to the funding, the government is condemning Quebec, which has been engaged in state building since the 1960s, to once again becoming a province like any other that is permanently obsessed with funding its health care system. Quebec will be forced to abandon all of its other efforts.
It is becoming more difficult to build our nation state as the home of the Quebec nation because the province is being fiscally starved.
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Madam Speaker, this bill is two paragraphs long. I agree with my hon. colleague that we need more money in the health care system. I believe in further transfers, but this would give $2.5 billion to buy rapid tests that would then be distributed to the provinces.
I am just wondering whether my colleague agrees with that. Does he think there is any reason why this should be slowed down? Does he see any problem with the intent behind this bill?
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Madam Speaker, I am going to be brief.
I actually said that we were in favour of the bill. There are things missing from it, but we are in favour of it. We cannot be against what is right. This is a transfer, and we are by no means against transfers.
I do not think I ever said in my speech that we needed to slow down transfers for rapid tests.
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Madam Speaker, I am honoured to rise today to speak to Bill C-10, an act respecting certain measures related to COVID-19, and I am particularly delighted to be splitting my time with my hon. colleague for Winnipeg Centre.
This legislation is very straightforward. In fact, in my time in the House of Commons over the last 14 years, I have rarely seen a bill that is shorter. It is two sections long and would, first, authorize the Minister of Health to make payments of up to $2.5 billion out of the consolidated revenue fund for any expenses incurred on or after January 1, 2022, in relation to COVID-19 tests. Second, it would transfer to any province or territory, or to any body or person in Canada, any COVID-19 tests or instruments used in relation to those tests acquired on or after April 1, 2021. In other words, it would authorize, on an emergency basis, the purchase and delivery of rapid tests to Canadians.
New Democrats strongly believe that we must expand access to COVID-19 testing for Canadians as quickly as possible. Therefore, we will be supporting this legislation and we are supporting its rapid passage through the House, unlike my colleagues in the Conservative Party and in the Bloc Québécois. However, I must underline our profound disappointment that Canada is still playing catch-up on COVID-19 testing as we enter the third year of this pandemic.
The Liberal government's refusal to learn from its past mistakes is, with respect, inexcusable. COVID-19 has long underscored the crucial role of testing. I might remind everybody in the House that one of the first things Canadians learned about this pandemic was the profound need for testing and tracing. This, we were told, was one of the core strategies to get us out of this pandemic. It also underscored the need for surveillance in controlling infectious disease outbreaks and guiding sound public health decisions. We cannot manage what we do not measure.
However, notwithstanding this, Canada has suffered from severe limitations on testing capacity through wave after wave of this pandemic due to the federal government's repeated failure to stockpile or procure sufficient supplies or to accelerate domestic production capacity. I will stop and say that, in my view, the federal Liberal government has taken an extraordinarily narrow view of its role in this pandemic. It seems to me that it might be rectified today, but up until now it has really only reserved itself the obligation to procure supplies.
This falls squarely within that. It is the government's job to procure testing, yet here we are in February, 2022, and Canadians in every province and territory across this land cannot get access to the tests they need in a timely manner. Health care workers cannot get access to the tests they need. Educators cannot get access to the tests they need. People have to pay out of pocket exorbitant amounts of money, if they can find tests. That underscores the failure of the Liberal government's prime responsibility to procure the kind of equipment that we need to get through this pandemic.
With the emergence of the highly transmissible omicron variant, an exponential surge of COVID-19 cases has once again overwhelmed Canada's testing capacity while the federal government scrambles to secure supplies in a highly competitive global marketplace. As a result, COVID-19 testing has become inaccessible for many Canadians. Reported case numbers underestimate the true number of infections, and contact tracing efforts have been largely abandoned. This has led to extreme frustration among Canadians who want to do the right thing and protect our loved ones from exposure to the virus.
In response to shortages throughout the omicron surge, many provinces have restricted access to polymerase chain reaction, PCR, testing to individuals who are at higher risk of severe illness and those in settings where the virus could spread quickly. PCR testing, as we know now, is more precise than rapid antigen testing, and positive results from rapid test kits are not reported in official COVID-19 case counts.
However, rapid antigen tests are considered an important screening tool. Research shows that they are instrumental in preventing asymptomatic transmission of COVID-19 because they provide quick and reliable results. Unfortunately, these rapid tests, as I have mentioned, have also been very difficult for Canadians to access, particularly during the recent holiday season. To date, most of the provinces' limited rapid antigen test supplies have been earmarked for schools, businesses, long-term care homes, health care facilities and other high-risk settings.
At the end of 2021, the federal government had only delivered 120 million rapid test in total, or about three per person, to the provinces and territories. To put this in context, Dr. David Juncker, department chair of biomedical engineering at McGill University, estimates that with the highly transmissible omicron variant, Canada could require 600 million to 700 million tests a month and then two tests per person every week once this wave subsides.
In early January 2022, the Liberal health minister confirmed that Canada's PCR testing capacity is “in crisis” and announced that the federal government would distribute 140 million additional rapid tests to the provinces and territories by the end of the month. However, unfortunately, the government failed to deliver millions of the promised tests. By January 28, 2022, the federal government had only delivered an additional 75 million rapid tests to the provinces and territories. Ontario confirmed it only received 17 million of the 54 million tests that were promised. Alberta received fewer than five million of its allocation of 16 million rapid tests. Manitoba was shipped a little less than half of the federal commitment. British Columbia, my province, received a little over six million rapid tests, with 18 million per capita share. Quebec was shortchanged by 5.8 million tests.
The New Democrats believe that accountability and transparency have been essential for maintaining the public's confidence throughout this pandemic. Clear communication is critical for allowing the provinces and territories to make effective plans in their respective jurisdictions. Although the federal government has contracts in place for the procurement of rapid tests totalling some $3.5 billion, details are not publicly available on when suppliers will actually deliver the rapid tests outlined in those agreements. For these reasons, the New Democrats have demanded measures to provide transparency on how the $2.5 billion outlined in this legislation will be present. We believe that Canadians deserve full details with respect to how many tests have been purchased, when and to whom they will be delivered, when they are delivered and how much of the funding has been expended.
I am pleased to state to the House today that our negotiations with the government have resulted in an agreement by the government to produce that information to the House every six months. I want to congratulate my colleagues in the Liberal government for doing that. I think it is a sign of how effective opposition can make legislation stronger and better instead of holding up something that is urgently needed in a time of pandemic in this country, as the Conservatives and Bloc Québécois joined together to do today.
Furthermore, the New Democrats are reiterating our long-standing call for the federal government to expand domestic manufacturing capacity for all essential medical equipment in this country, including COVID-19 tests and other critical COVID-19-related tools, such as personal protective equipment, treatments and vaccines. Canada's chief public health officer, Dr. Theresa Tam, has been clear that the virus will continue to evolve and that further waves will occur. These surges could be quite severe and we need to be ready for them. COVID-19 testing will allow us to move forward with greater freedom and confidence, but we need to secure a resilient supply. To do so, Canada must break our dependence on fragile global markets. The federal government must take immediate action to mobilize Canadian industry with support for research, accelerated market approvals and manufacturing and supply chain development. We need to bring back domestic manufacturing to this country, especially for essential medicines, vaccines, equipment and supplies.
All Canadians have been horrified to see throughout this pandemic that Canada has faced a shortage of essential equipment like ventilators, personal protective equipment, vaccines, which we are still not producing in this country, and life-saving medicine. That is why the NDP has proposed constructive proposals like establishing a Crown corporation for a better chain for Canadian suppliers and domestic production.
I want to read a quote from Barry Hunt, president of the Canadian Association of Personal Protective Equipment Manufacturers. He said:
The prime minister himself and the federal government made a commitment to our industry to buy products. What we've seen is the exact opposite: buying only from multinationals, buying only commodity products, locking health-care workers out of new and innovative products, and essentially, decimating the new PPE industry.
That is the exact opposite of what we need to do, so today, I call on all parliamentarians to recognize the urgent situation we are in, pass this legislation quickly and get rapid tests into the hands of Canadians to help them get through this pandemic as soon as possible.
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Madam Speaker, I did not catch my hon. colleague's entire speech, but I did hear him, at the end of his remarks, talk about the importance of Canada having domestic supply chains to support vaccines, PPE and other things. It was his position that the NDP is in favour of a Crown corporation to drive these types of initiatives.
I had the opportunity to speak with the Minister of Innovation, Science and Industry the other day about the important work the government is doing to partner with companies like Moderna and partner with the private sector to drive this innovation in the country.
Would the member opposite at least recognize the way that the government has responded, notwithstanding past issues with governments not meeting this challenge? This government is stepping up to make sure those investments and private capital are coming into Canada on this front.
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Madam Speaker, the NDP has the broadest policy on this. We recognize the important role that the private sector plays in producing all sorts of products and equipment in this country. What we want to do is broaden the private sector to include the public sector.
Private enterprise is important and so is public enterprise, and we see the importance of having a Crown corporation with the same model as Connaught Labs, which the federal government owned for many years, to produce low-cost, innovative medicine for Canadians, like insulin. One of the reasons Canadians pay such a high price for insulin in this country is that the federal Conservatives sold Connaught Labs and privatized it. Now we do not have any way to produce this life-saving medicine for Canadians at an affordable cost. That is wrong, and we think a Crown corporation should be restored to produce those kinds of essential medicines for Canadians.
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Madam Speaker, I thank the member for Vancouver Kingsway for his speech. I very much enjoyed serving with him on the health committee.
He is quite correct that over a year ago we were calling on the government to come up with rapid tests, and rapidly come up with rapid tests. However, the medical experts are now saying that with omicron, there is so much transmission that we are not in this tracing and isolating mode anymore and that we really need to start lifting travel restrictions, which are not working, and other mandates.
Will the member join with us today to call for a plan from the government to end all of the mandates so we can exit this pandemic and restore the economy?
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