44th Parl. 1st Sess.
February 14, 2022 11:00AM
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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Madam Speaker, I also enjoyed serving with my hon. colleague on the health committee. However, I must, with respect, disagree with many of the premises of her question.
The Conservatives did not call for rapid tests a year ago. They started calling for rapid tests a year ago and continued month after month. As I remember, right up until November of this year they wanted rapid tests for themselves in this chamber so that anyone who was not vaccinated could prove they were safe by coming up with a negative test through a rapid test. What I do not understand is that after months of pushing for rapid tests, today they stand up and argue against it, and worse, they are questioning the science and value of rapid tests. The previous speaker, who serves on the health committee, very shockingly said that we needed this issue to go to the health committee to determine if rapid testing works. Of course it works, and it is going to be key to getting out of this pandemic. Canadians have to have some method of showing that they are COVID positive or negative, and that is a key component. I challenge the Conservatives to come up with a single reputable expert in this country who has said that we do not need testing as a core piece of moving forward to get out of this pandemic.
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Madam Speaker, we agree with the idea of funding rapid tests, but we do not agree with seeing health transfers decline year after year. In the 1960s, the federal government covered 50% of health care costs, but now, it contributes only 22%.
At the same time, it is interfering in other sectors while continuing to refuse to increase health transfers. We often see the NDP supporting these federal attempts to interfere in areas like dental insurance and pharmacare.
What does my colleague think about this?
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Madam Speaker, where I think the New Democrats and the Bloc join together is on our position that we need the federal government to play a proper role in funding health care in this country. Notionally, 50% is what the federal government should be paying. Where I disagree with my hon. colleague is on what role the federal government plays. The federal government has shared jurisdiction in health, and when we talk about conditions of health transfers, I have three words for my hon. colleague: Canada Health Act. The Canada Health Act has five conditions that must be be met, and no province gets any funding from the federal government unless they agree to abide by those five conditions. My hon. colleague is simply wrong when he thinks that the federal government is an ATM machine and is obligated to give money to the provinces with no obligation whatsoever on how the provinces spend the money. That is constitutionally wrong, and it is belied by the Canada Health Act.
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Madam Speaker, I know we are here today to debate Bill C-10, which is meant to accelerate funding for rapid tests in support of the current health measures, but at the same time, we need to have a real talk about the health of our democracy.
Our democracy is currently under threat by extremist alt-right movements that have hijacked frustration regarding the pandemic and public health measures to boost the alt-right and recruit new people into the movement. Over the last few weeks, we have witnessed illegal occupations in cities and border crossings across this country. Fuelled and funded by many extremist organizations in Canada and the U.S.A., including leaders with ties to such groups as the Soldiers of Odin and the yellow vests, which are hate groups, we are witnessing the rapid rise of white supremacy and the growing threat of fascism.
Across this country and around the world, people are struggling. About 200,000 jobs were lost in this country in January alone and people are losing their homes. Meanwhile, the price of all essential needs is going up, including groceries. This is making it even more difficult for individuals and families to make ends meet. In fact, we are living in a time of despair and struggle, and as we have witnessed in history, times of despair create fertile grounds for the far right to spread its hate. A clear example is the Great Depression that led into the Second World War, when we witnessed the rise of fascism, resulting in the loss of life and a genocide.
As we enter the second year of the pandemic, with the frustrations and well-being of people in Canada in great flux, we are witnessing our democracy, although inherently flawed, come under threat. We must work together across party lines to protect our democracy against the rise of fascism. Now is not the time for petty politics. Our democracy is under real threat.
I do not believe that the roots of this occupation are about vaccine mandates, including passports. As shared by a brilliant colleague, El Jones, during the rabble.ca panel, “Where is the outrage? Where has the outrage been with the carding of police of Black and indigenous peoples? There was no illegal occupations popping up around Canada or, in fact, indigenous people who fall under the Indian Act who are forced to carry Indian Act identification cards to prove their Indian status.” There was no revolution and no protest for freedom.
The fact is, we have seen Confederate flags, a symbol of slavery, and swastikas, and both symbols are linked to fascism and genocide. This is not about freedom.
I also do not believe the illegal occupation is about workers. What kind of working-class uprising puts 1,500 retail workers at the Rideau Centre mall in Ottawa out of work for weeks, forcing them to lose income? What kind of working-class uprising forces auto plants to close for days on end, forcing temporary layoffs of workers?
In my riding of Winnipeg Centre, an iron foundry was unable to ship any orders because of blockades at the Emerson border crossing. What kind of working-class uprising, claiming to be led by truckers, is silent about the endemic wage theft in the trucking industry? Truckers, 90% of whom are vaccinated, have filed 4,800 complaints about unpaid wages to ESDC in the last three years. This occupation does not represent them or their interests.
I also do not believe it is about indigenous rights or solidarity with nations that have discovered unmarked graves and residential school survivors. Nor does the Orange Shirt Society, which has denounced the hijacking of Orange Shirt Day and the “every child matters” campaign to fuel a movement of hate and white supremacy.
It is about the far-right movement taking advantage of people's despair without offering any real solutions.
I was horrified to hear former President Trump give a thumbs up to this illegal occupation as he is currently being accused of fuelling and supporting the insurrection in the United States. Democracy is fragile and must be honoured. Our democracy is in danger, and this is not the time for petty politics or name-calling. All party leaders need to come together against the rise of the far right.
We should just look at what can happen, and look at the counter-protests we witnessed this weekend. People were fighting against fascism and standing up for their communities in places such as Ottawa and Winnipeg this weekend. They know and they get what is at stake, and they came together to protect each other and our fragile democracy. I am so very grateful for their efforts.
We also need to crack down on foreign anonymous funding that is helping to sustain the occupation. We need to tackle the spread of online hate and misinformation that is contributing to people's radicalization. We need to ban symbols of hate, which we have shamefully seen displayed in recent days.
We also need to address the root causes of people's insecurity and fear for their future. We need to maintain and expand pandemic income supports, and ensure that wage subsidies are used for the protection of jobs and not the provision of executive bonuses. We need to move toward a GLBI that lifts people out of poverty and creates a social floor below which no one can fall.
There is a lot of anger right now, and people have a right to be angry. I am angry that kids in Winnipeg Centre are going to school on an empty stomach because we have the highest child poverty rate of any urban riding in this country. I am angry that public money, which was supposed to help keep workers on the payroll during the pandemic, was used by CEOs to reward themselves with bonuses so they could buy another yacht or another Rolex.
I am angry that people in downtown Winnipeg are sleeping in bus shelters because we have a housing crisis that successive governments have failed to take seriously with adequate investment. We need to ensure that the anger is directed toward the powerful, not the powerless, and channelled in a way that strengthens our democracy, not undermines it.
When people are looked after and when they are not worried about how they are going to pay credit card bills or rent, or put food on the table, they are less likely to believe false narratives that scapegoat marginalized people, indigenous peoples, immigrants, refugees, Muslims, racialized people or LGBTQ+ individuals for their troubles.
There is hope. We can tackle the far right while at the same time raising the living standards of millions of people. We just need that political will and the sense of urgency that this moment is demanding of us. We need to do it so we can rapidly shift our focus toward looking after people, which is what we are trying to do today in our debate of Bill C-10.
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Madam Speaker, I truly recognize and appreciate the role the New Democrats are playing on this very important initiative. In fact, they have been very creative in ensuring there is that much more accountability.
I am wondering if the member can provide her thoughts. Being from the same province, we understand how important the demand is, particularly in late December and early January, because of the variation in the coronavirus and the impact it was having in the province of Manitoba.
How important is it that we pass the legislation to ensure we have the funding for rapid tests?
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Madam Speaker, certainly people in our NDP caucus support public health members and are in support of passing measures supporting rapid tests. What I am talking about here is the need to stop divisive rhetoric that is posing a threat to democracy, and the politicization by members of the House of the despair of individuals to fuel the rise of hate and white supremacy in this country. It is putting our democracy at great risk.
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Madam Speaker, I agree with the member. The symbols and messages of hate that have permeated these demonstrations are very concerning.
To that end, will the member be voting in favour of the bill put forward by my colleague for Saskatoon—Grasswood, which would make Holocaust denial and distortion a criminal offence in Canada?
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