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Decentralized Democracy

House Hansard - 94

44th Parl. 1st Sess.
June 22, 2022 02:00PM
  • Jun/22/22 3:10:42 p.m.
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Mr. Speaker, our government was there to support Canadians during the pandemic. The Canada Revenue Agency is expanding its audit and recovery efforts, but I want to reassure those who are affected that we are also here to help them. Anyone who needs help can contact the CRA to find a solution tailored to their unique circumstances, and I can reassure my colleagues that the CRA will proceed with empathy and compassion.
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  • Jun/22/22 5:41:06 p.m.
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Madam Speaker, the COVID pandemic has exposed long-standing issues affecting long-term care. In response to what the country now knows about the shortcomings, it is the duty of the government to work with the provinces and territories to improve seniors’ living conditions as well as workers’ conditions in long-term care, to be more equitable across this country. As a New Democrat, I am happy to say that we have used our power to secure a commitment from the federal government, through the confidence and supply agreement, to bring in a safe long-term care act that would ensure seniors receive the care they deserve, no matter in what province or which long-term care home they live. This long-overdue legislation must be implemented without delay, and I thank the member for Avalon for introducing this motion, which takes another step forward in speeding up the necessary action to protect seniors and the workers who care for them. I would like to thank all the workers who have supported seniors throughout this pandemic and who support seniors every day in this country. I offer my heartfelt gratitude to every single worker who did double duty as a caregiver and an emotional supporter when families could not visit or hug their loved ones for months on end during this pandemic. When family support was not available, every care worker stepped up to fill that gap. I will also take a moment to recognize Frank, a long-term care resident and loved dad and uncle who finds himself again in lockdown as we work through the COVID-19 pandemic. Care workers have a special constitution, a moral connection to their clients and skills that deserve great respect. Their work is hard, stressful and both physically and emotionally taxing. This is why the working conditions and pay of long-term care workers need to improve as we work to improve long-term care itself. COVID-19 magnified the unequal and under-resourced long-term care system across Canada, and the lack of accountability, especially in privatized care. This lack of accountability is due to lax enforcement of standards and regulations. For example, a CBC investigation revealed that 85% of long-term care homes in Ontario had routinely violated health care standards for decades, with near total impunity. Let me be clear that there is no fault on the workers here, who give their all in a system that is undervalued by the government. Decades of underinvestment and under-regulation have resulted in short-staffed institutions and underpaid workers. Inadequate wages have forced care workers to take on long hours and to work at multiple care homes just to make ends meet. That practice serves neither workers nor seniors and must change. Deeply troubling in this country is the move to privatize long-term care, where corporations are focused on profits rather than the care of the people they are supposed to serve. Long-term care is medical care, but it is not covered under our universal, not-for-profit health care system in Canada, and because long-term care lies outside the Canada Health Act, too many care homes are run first and foremost for profit. Privatization of long-term care does not work for seniors and does not work for the workers either. Decades of research have demonstrated that long-term care homes that run on a for-profit basis tend to have lower staffing levels, more verified complaints and more transfers to hospitals. In addition, during the pandemic, many for-profit operators paid out millions in bonuses to CEOs and dividends while accepting subsidies from the government and neglecting the residents under their care. While those CEOs were taking home bonuses, workers in long-term care had to work multiple jobs to pay rent and keep food on the table. During COVID-19, they were getting sick and injured and their mental health suffered. We must recognize and value the essential labour of those who take care of us. Crucial policy actions need to include better and faster recognition for credentials received outside Canada for care workers, higher wages, paid sick days, accessible and affordable child care, and mental health supports. Let us also include dental care and pharmacare. In recent testimony out of the HUMA committee on long-term care, Katherine Scott of the Canadian Centre for Policy Alternatives told us that women represent 75% of workers in care occupations and have lower average employment income than their male counterparts. In 2015, a female care worker earned an average of 81% of a male care worker’s wage. Naomi Lightman told the HUMA committee, “we know that the process of transferring credentials needs to be accelerated. It needs to be faster, it needs to be easier and it needs to be more affordable.” She said that many immigrant women who work in the care sector are sending remittances to their home countries and are working multiple part-time jobs just to make ends meet to support their families. She also said the current process does not allow them the time or the financial means needed to do the upgrading the government requires. How can we expect to attract and retain workers in this highly gendered occupation when the industry discriminates against them? The exploitation of care workers needs to stop. We must make every care job a good job, to protect seniors and workers across the country. In a HUMA study on seniors, we were told that staffing levels in long-term care facilities also need to improve. Care homes are having trouble hiring more staff. This is no surprise given that these facilities are known for low wages and difficult working conditions. The Liberals must act immediately to ensure both seniors and their care workers get the dignity they deserve. Successive Liberal and Conservative governments have failed our care workers. As a result, the current government has also failed our seniors. It has not legislated improved standards in long-term care, has not ensured workers are paid adequately and has not respected the skill and importance of care work. Instead, it continues to let the market erode our long-term care. As it embraces the profit-driven model, it turns a blind eye to the inadequate care for seniors and the exploitation of workers. The NDP will work relentlessly to change that. Profit has no place in the care of seniors, just as it has no place anywhere in our primary health care system. We must continue to work collaboratively with seniors, their families, caregivers, not-for-profit and public care providers and provincial and territorial governments to develop national standards for long-term care, which must include accountability mechanisms and data collection measuring outcomes, as well as funding. All people in Canada deserve to live in dignity, with their human rights upheld and protected. It is my expectation that the government live up to its commitments and act quickly and boldly to fix the deteriorating conditions in long-term care, not just for the residents of Port Moody—Coquitlam, Anmore and Belcarra, but for everyone across Canada. It must also stop the exploitation of care workers immediately.
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  • Jun/22/22 5:57:11 p.m.
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Madam Speaker, I am pleased to speak on Motion No. 47. As of 2021, Alberta had a total of 186 long-term care homes. From June 6 to 12, Alberta celebrated Seniors' Week and honoured the vital contributions seniors have made, and will still make, in their respective communities. Now, it is our turn to reciprocate. As we are all aware, it was difficult during the pandemic for many, especially seniors in long-term care. It was an eye-opener for all of us. Our long-term care facilities needed to be improved. The NDP-Liberal government must meet its provincial counterparts to ensure our seniors are taken care of properly. During the pandemic, I received complaints from families worried about their parents' well-being. Seniors were isolated. They had to stay in their rooms and have their meals in their rooms, and their daily exercise routines, as well as their socialization with others, was not permitted. Although health care is primarily a provincial issue, the federal government needs to increase the health transfers to help provinces with the ongoing challenges they are facing. Even though the provinces use the health transfers at their discretion, the federal government can make recommendations. The government's uncontrolled spending that is exacerbating skyrocketing inflation leaves seniors and other vulnerable demographics behind. The government needs to commit to long-term care with accountability and to long-term care that serves Canadians' best interests. For years, experts, residents and caregivers have identified the need for the same rigorous standards and accountability across Canada. The COVID-19 pandemic has shed new light on the long-standing challenges with our health care system, and we need to tackle those challenges head-on. We can no longer afford to ignore the issues that have long existed in long-term care and home care. These health services were crucial in helping older Canadians to remain active and engaged in society and to live with dignity. The pandemic has exposed the unacceptable conditions in many long-term care homes across the country that people with serious health conditions have been required to live in for decades. Home care clients were left without basic personal care services, such as bathing and laundry, during the pandemic. This is reflective of the larger issue with home care. Its capacity to improve health and reduce costs continuously fails to be recognized and funded by governments. When long-term care and home care fail older adults, families and friends step in. Informal caregivers provide an estimated 80% of community care and 30% of care in institutions. As Canada's population ages, relying on informal caregivers to bolster the health and social systems will have major ramifications for our society and our economy. Now is the time to implement enforced principles and national standards for long-term care developed in collaboration with provincial and territorial governments. As part of our national seniors strategy, these standards must specify conditions and criteria the provinces and territories must meet to receive federal health and social transfer payments, with repercussions for failing to meet the outlined conditions and criteria. This would ensure a standard level of quality care, availability of equitable and consistent services across the country, and adequate levels of funding for these types of care. It would also ensure greater public accountability of government delivering on long-term care and home care. For decades, research has shown that our global counterparts that have national standards for long-term care and home care have better health outcomes and quality of life for their older populations. Research conducted during the pandemic has reaffirmed this, demonstrating that countries with national standards experienced dramatically lower numbers of COVID-19 cases and fatalities tied to long-term care and home care. In Canada, during the first wave, more than 80% of COVID-19 deaths occurred in long-term care facilities. We cannot let this happen again. This government needs to commit to ensuring Canadians from coast to coast to coast have access to quality care and safe care by supporting the implementation of enforced principles and national standards for long-term care. It is time to reimagine older adult care. It is time for the federal government to take a leadership role in establishing enforceable national standards tied to funding, and it is time for territories and provinces to unite to collaborate and fix long-term and home care. We must look out for the best interests of older Canadians by supporting the implementation of enforceable national standards for long-term and home care. We need improvements in the quality and quantity of care work. We need concrete strategies and real action to ensure everyone has the right to receive quality care. This includes the right to decent work for those providing care. Canadian care standards need to be implemented to address shortfalls and inequitable levels of care for seniors and persons with disabilities, including in long-term care, home care and palliative care. Building an inclusive and equitable recovery must mean investments in better, safer jobs and stronger care systems to support care workers, ensuring that all those who need care have access to quality, public care services. This can be done by establishing an e-health strategy that includes virtual care, expanding MyHealth Records and similar programs for patient portal information capabilities, developing secure messaging and collaboration services to enhance communication, and developing a privacy and security framework for virtual care. According to Statistics Canada, the demographic of those aged 85 and over has doubled since 2001, and it is expected to double again by 2046. A significant proportion of those in this demographic will reside in long-term care facilities. We are all aging, and one day may find ourselves in long-term care. Let us fix it now. This federal government must invest and repair Canada's failing care systems. How we emerge from the crisis in long-term care will define us as a society. I think that part of my concern with Motion No. 47 is the fact that we have not kept up with the issues our seniors are facing in long-term care, as well as those many other issues our seniors are facing. It seems like we have almost taken them for granted, and that they are not part of our society any more. Instead, they are locked away, and we do not have to worry about them. However, that is not the attitude that we should be taking as a government. We should be there honouring and respecting our elders, giving them the best quality of life they possibly can have, not only now, but also for years to come. That is why we need to start improving all of our long-term care facilities and making sure they are not just places where people go to die, but places where people want to be and need to be, and where they are taken care of properly. That is what we are lacking, not only with the government, but also other governments. To make these improvements, yes, money will have to be spent, but we will be much better as a society if we are able to accomplish this as a country united to improve the quality of care for all seniors.
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  • Jun/22/22 7:17:22 p.m.
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Madam Speaker, there is no obligation on the hon. House leader for the Conservatives or on his colleagues to use any of these provisions. They can show up to this place 100% of the time. When they have had COVID or been sick, they have used these provisions and voted through them. If they would rather not vote or participate and not represent their constituents using these tools, that is an option they have. On this side of the aisle, we do not find it acceptable for somebody who is sick to attend. As I said, we had five individuals just last week, as we are still in the middle of this pandemic, who had COVID, and despite that, they were able to continue to participate. They did not come in here and they did not spread it. I think that is responsible, and it allows us to continue to do our work. Rather than debating this for an entire summer, leading up to having to deal with it again in the fall, this would provide us with the stability and clarity we need.
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  • Jun/22/22 7:21:37 p.m.
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Madam Speaker, I think what we demonstrated in this vast, enormous country, the second-largest country in the world, where we traverse enormous distances, is that in this global pandemic, a virtual environment allowed us to do our work despite those incredible challenges. There will be a separate process at the Standing Committee on Procedure and House Affairs to look at its utility outside of the public health circumstance. Inside the public health circumstance, when we take people from all ends of the country, put them in airplanes, put them in a small room and then send them back to their home communities, that is not a safe environment. That is not a good way for us to be operating and that is why, in a continuing pandemic, we need to have the flexibility to keep people safe.
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  • Jun/22/22 7:23:24 p.m.
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Madam Speaker, my friend and colleague raises a very important point. All members of Parliament take their responsibility to represent their communities as sacrosanct, as something that is deep within them. This would put members in a situation of having to choose whether to not represent their constituents, not show up, not participate and not vote, or come in and get everybody sick. Remember, if we come in sick because we want to represent our constituents and be able to vote and be able to participate in a critical debate, we are going to make other people in the chamber sick, and then those sick people will go back to every corner of the country and make everybody else sick. In talking about ending this in the middle of a pandemic, we are literally incentivizing members to come in sick so that they can represent their constituents and then act as super-spreaders across the country. That is not responsible. I understand that there is a debate about how we can or cannot use these provisions outside of a pandemic circumstance, but since we continue to be in a pandemic right now, shutting off that option and incentivizing members to come in sick is not the right approach.
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  • Jun/22/22 7:25:14 p.m.
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Madam Speaker, I think I just explained what is different about the Canadian circumstance, and I do not think I could have been any clearer in my example. When people are forced to make a choice between coming to work sick, representing their constituents, voting and participating in critical issues, or else staying home and not making people sick, the ramifications in a pandemic, I think, are exceptionally clear. This is particularly the case in a country as big and vast as this country. We are pulling people in from communities all over the second-largest country in the world and putting them into a small, confined space. Eliminating the ability for them to work when they are sick and incentivizing them to come in when they are ill does not make sense. We continue to be in a pandemic. This hybrid format makes sense. It would last for a year, and there is every opportunity for the procedure and house affairs committee to take a look at the utility or lack of utility outside of a public circumstance. We deserve to have that debate. It should take place, and I look forward to it.
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  • Jun/22/22 10:28:11 p.m.
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Madam Speaker, I thank my colleague from Kitchener Centre for his question and his concern for homeless people in his community. I share that concern. We believe that all Canadians deserve to have a roof over their heads and to live in dignity, but there is a lot of work to do to get there. Some 35,000 people across the country experience homelessness on any given night. That is why we developed the first national housing strategy in Canada using a human rights-based approach. This comprehensive 10-year strategy, supported by an over $72-billion investment plan, gives priority to the most vulnerable members of our society. Over the past two years, these people have been disproportionately affected by the pandemic. During that time, we increased the number of projects for them under the national housing strategy. Thanks to budget 2022, we will soon be able to launch measures that will help them even more. For example, the rapid housing initiative is a very successful program that has helped thousands of Canadians who were living in precarious housing during the pandemic. Two and a half billion dollars has already been allocated to the program, which will quickly create over 10,000 new affordable homes for Canadians who need it most. In this budget, we are proposing an additional $1.5 billion over two years to extend this initiative, based, in particular, on comments that were made last year. This new funding is expected to help create at least 6,000 new affordable housing units, of which at least 25% will be allocated to housing projects for women. As my colleague from Kitchener Centre might already know, three housing projects in his riding were made possible through the rapid housing initiative. Together, they will create more than 70 permanent, affordable housing units for the people who need it most. One of those projects is oneROOF. It will soon be able to give people experiencing homelessness, people with mental health or addiction issues, and indigenous peoples a place to call home. Our government also remains committed to ending chronic homelessness through Reaching Home, Canada's homelessness strategy. We have committed over $3 billion to address homelessness, including doubling annual funding for four years in response to the pandemic. With budget 2022, we will provide $562 million over two years to continue providing doubled annual funding for this program. We will also support research on eliminating chronic homelessness and a new veteran homelessness program. Our government is making significant and sustained investments in housing. We are working hard to make housing more affordable for Canadians. As my colleague surely knows, and he would agree with me, our federal leadership and the significant investments we have made in housing across the country through the national housing strategy are some of the most significant we have seen from this government and in Canada in over 30 years now.
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