44th Parl. 1st Sess.

February 14, 2022 11:00AM

Mr. Mario Beaulieu (La Pointe-de-l'Île, BQ)

Feb/14/22 10:18:17 p.m.
Watch
Re: Bill C-10

Mr. Speaker, Bill C‑10 establishes a one-time payment of $2.5 billion to Quebec and the Canadian provinces for expenses incurred since January 1, 2022, in relation to testing. We agree with that, but the main problem, and my colleague spoke at length about this before me, is that cuts to federal health transfers are compromising the health care system in Quebec and in the Canadian provinces. From our Quebec taxes that we send to the federal government, the money transferred to Quebec for health care formerly represented 50% of the funding for that sector in the 1970s. We cannot say it enough. Despite being increased a few times, like when the Bloc Québécois obtained a $3.3‑billion increase in transfers in 2007, Ottawa's share of the cost of health keeps going down. Today, the transfers represent only 22% of health spending. Just before the election in 2011, the Bloc convinced Ottawa to catch up and to keep increasing the transfers by 6% over five years. Unfortunately, the Conservatives decided that starting in 2016, the transfers would stop keeping pace with the increasing costs and capped them at 3%. However, health care costs have been increasing by roughly 5% a year, due in part to population aging. In Quebec, where the population is aging faster than the Canadian average, we are being hit hard. That is what we call the fiscal imbalance. We are paying nearly half our taxes to Ottawa, but most of the public services are being provided by Quebec or the Canadian provinces, while the federal government does whatever it wants. At the end of the day, Ottawa is undermining Quebec's finances, and Quebec taxpayers are paying the price and receiving fewer and fewer services. According to a study by the Conference Board of Canada, with the current transfer method, in 20 years, the federal government should rake in a $110‑billion surplus, based on this calculation method, but the provinces will run a combined deficit of $172 billion. That is how the federal government can afford to interfere in the jurisdictions of Quebec and the provinces. If the trend continues, federal health transfers will drop from 22% of health care expenses to 18% within a few years. It is no wonder that Quebec and the Canadian provinces are calling for the federal government to increase health transfers to cover 35% of health care spending, which would be more than $6.5 billion for Quebec. The government's position of putting off discussing the funding issue until after the pandemic is completely out of touch with reality. I have been a member of Parliament for the Bloc Québécois since 2016. The one thing that struck me when I came to the House of Commons was that the Canadian government is always quick to interfere in areas under the jurisdiction of Quebec and the Canadian provinces, but it does not step up when it needs to take care of its own business, in its own jurisdiction. The federal government must not continue to use these payments as an excuse to increase its funding and interference in areas under provincial jurisdiction and put off discussing health transfers. The Bloc Québécois will continue to make the point that increased health transfers are a necessary part of getting us through this pandemic, and it will be even more difficult to rebuild and stabilize our health care systems. The needs are urgent in my riding of La Pointe-de-l'Île. The proportion of people aged 65 and over is higher than in the rest of Montreal. Life expectancy is lower than the average. Approximately two in three people aged 65 and older in La Pointe-de-l'Île have at least one chronic illness. Lung diseases and respiratory illnesses are more common in La Pointe-de-l'Île. Quebec's health care challenges are not strictly a management issue. The refusal by the Liberals and the other federal parties to increase health transfers to 35% is a prime example of predatory federalism. Quebec is the one providing health care services, and we are in the middle of a pandemic. Quebec pays close to half our taxes to Ottawa, yet provides the lion's share of the services. The Bloc Québécois succeeded in passing a motion to increase health transfers even though the Liberals voted against it. We know more money will not fix everything overnight, but without higher health transfers on an ongoing basis, we cannot start building the health system we want. That includes services available to everyone when they need them, good working conditions for nurses so we can retain them, training to hire more nurses and doctors, and support services for people dealing with addictions. We cannot make these decisions and achieve this vision unless the federal government agrees to give back the money it takes from our taxes to fund the health care system. Health transfers must be restored urgently so we can breathe life back into our system. I would also like to emphasize a key point here. While it is up to Quebec to choose the specific health services it wants to provide, respect for jurisdiction is quite simply an essential condition for respecting democracy. There are provincial jurisdictions and federal jurisdictions. If that is not respected, when people vote for a government in Quebec, that means they are voting for any old thing because we do not have the power to fulfill our commitments. Quebeckers need to be given the right to determine their specific preferences with regard to health. The Bloc Québécois is against the federal government's centralist tendency. Ottawa is using the pandemic as an excuse to interfere in all sorts of domains, including long-term care institutions, mental health services and pharmacare. These elements are provincial responsibilities. Since Quebec and the provinces know what their people need, they should be the ones to determine how this money is allocated. As we have pointed out, the government is completely isolated on this issue. My colleague said so earlier. All the opposition parties are calling for an increase in health transfers. All the provinces are calling for an increase in health transfers. All the premiers of the provinces and Quebec are calling on the federal government to increase health transfers. A 2020 survey found that 81% of Quebeckers want the federal government to increase its health transfers. That should be clear enough, but it is never clear enough. We ask questions all the time and remind the Liberal members of this, and we are told again and again that funding has increased during the pandemic and so on. An increase in health funding during a pandemic is not a recurring increase. If health transfers are not increased, the federal share of health care spending will steadily decline, and our health care systems will be under enormous pressure. The provinces cannot make cuts to hospitals. We are asking once again, and we will continue asking, that the federal government increase health transfers. It is urgent.

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House Hansard - 30