44th Parl. 1st Sess.
February 16, 2023 10:00AM
- Feb/16/23 11:16:20 a.m.
- Watch
Madam Speaker, I thank my friend and colleague for his collaboration.
The quotes he shared were primarily from provincial organizations representing the workers in those provinces, which is important, but I think they were directing those comments to provincial governments.
We heard from Canadian organizations, like the Canadian Medical Association, the Royal College of Physicians and Surgeons of Canada, the Canadian Nurses Association, SEIU Healthcare, The College of Family Physicians of Canada and HealthCareCAN, including Children's Healthcare Canada. This is a quote from the latter, which said, “We are incredibly pleased to see children's healthcare services identified as an urgent priority by the federal government. We look forward to learning more about earmarked investments for Canada's kids.”
I re-emphasize the need to ensure that all of those funds are delivered equitably, universally and publicly, and that our system continues to have that and to be compliant with the Canada Health Act. I appreciate everybody's collaboration through the health committee process and look forward to more questions.
173 words
- Hear!
- Rabble!
- add
- star_border
- share
- Feb/16/23 1:20:55 p.m.
- Watch
Madam Speaker, it is a huge honour and privilege to rise today on the NDP motion that was brought forward by my good colleague, the member for Vancouver Kingsway, our NDP health critic.
This is a critical debate because we are facing a pivotal moment in Canadian history. We have a universal health care system, but provinces are trying to circumnavigate the rules of the Canada Health Act by using loopholes to grow a two-tiered health care system in Canada. Today, we are asking every MP in the House to decide whether health care funding should be used to rebuild the understaffed public health care system or to set up for-profit corporations that will poach nurses and doctors from the universal health care system. I think Canadians know which side New Democrats stand on.
We know that everybody in this country, despite what income bracket they fall into and what circumstances they have, deserves a health care system that is ready when they need it, no matter the size of their wallet. No one should have to wait in pain or suffer because there are not enough health care workers and not enough access. No one should have to wait longer because one's family doctor or surgeon is busy treating patients who can afford to pay cash.
Under the Liberals, people are waiting for hours right now, in pain, in the ERs. Folks are losing their quality of life while they wait for surgery. The same health care workers that we lauded through COVID-19 and who had our backs are run off their feet, burnt out and exhausted.
A surgical company owned by an investment firm is charging $30,000 for a surgery. Galen Weston and Loblaws, which own Maple, are charging $70 for a doctor's appointment and making a profit. These cash-for-care corporations are already draining doctors and nurses from our hospitals and family practices.
The Prime Minister can make things better for patients by hiring for and rebuilding the public health care system. Otherwise, he can make the crisis even worse by allowing this circumnavigation of the Canada Health Act. He is allowing funding of for-profit schemes that are poaching staff.
We are not surprised to hear that the leader of the official opposition, the Conservative leader, loves for-profit care. It is pretty clear: It will make billions for corporations and enrich CEOs, his friends. It is right out of the Conservatives' playbook to starve a public service; we saw that when they cut a third of Veterans Affairs and then used outsourcing companies, such as the big six that we are going to go after at the OGGO committee because of the NDP motion to do that.
We also saw what they did with the Phoenix pay system. They got rid of the payroll staff, and then it turned into a boondoggle. Therefore, Canadians should know what is coming if the Conservatives come into power. They will use this as an excuse to hand it off to the private sector. The Conservative leader says that everything is broken because he wants to tear it down. That is exactly what he wants to do.
The Prime Minister campaigned on stopping for-profit care, but then he did the opposite. He flip-flopped. He calls Conservative premiers out, but he actually refers to their for-profit corporate care as innovation. He does not actually call them out, and neither does the leader of the official opposition.
We know that medical officials have been raising the alarm for months about our health care system, saying that it is on the brink of collapse. One in five Canadians cannot access a family doctor. We rank near the very bottom of the OECD in wait times for essential care and the number of physicians per 1,000 people. This has declined drastically over the last 25 years, as members know. A prepandemic analysis predicted a shortage of over 117,000 nurses in Canada by 2030.
People are waiting for hours, in pain, in the ER; folks are losing their quality of life. Health care workers are run off their feet, burnt out and exhausted. We need to ensure that the recently announced health care transfer to the provinces is not used to expand for-profit health care. We have to have that assurance. Right now, Canadians do not have that. That funding has to be used within the public system to hire more staff and reduce wait times. Private, for-profit health care further increases wait times and reduces the quality of care as private corporations seek to cut corners. It is a fact. We can look to Australia, and I will get to that if I have time.
However, we already have a two-tiered system in one area of the health care system, which is in mental health. Members know that I have spoken about that many times. I have kept members here very late at night every week for months on late shows to talk about that.
We can see what the outcomes are for Canadians who need health care treatment and supports. Every member in this House knows a story about a constituent, family member or friend who is struggling, who has not gotten help or who did not get help, and the fatal outcomes that come with that in the worst circumstances. Right now, most mental health and substance use services are only covered by our universal health care system, if people can get access through that. Otherwise, they have to go to community-based mental health services, which are often chronically underfunded, and substance use organizations, which do not have the resources to deliver just-in-time treatment.
Counselling, peer support, substance use prevention and treatment services are provided by these non-profits or by charitable donations and grants, and they just do not have the resources to keep up with the demand for services. The Mental Health Commission of Canada and the Canadian Centre on Substance Use and Addiction recently found that a third of respondents reported moderate to severe mental health concerns. However, fewer than a third of the people experiencing them accessed treatment. Among Canadians with problematic substance use concerns, under one in four access services. The report identified that the key barrier to accessing services was financial constraints.
We know this is happening in mental health. The barrier is there. It is financial. We need to ensure that the people who are struggling can access mental health care regardless of their ability to pay. Canadians simply cannot be forced to rely on non-profits and private insurance, especially the many people who do not have private insurance. It is just not working. The average wait time for adult residential treatment for people who have substance use concerns is 100 days. That is far too long.
In Ontario, 28,000 children alone are on wait-lists for community-based mental health services that range from 67 days to more than two and a half years. That is what a private-public model looks like: Children who are waiting up to two and a half years for help.
A friend of mine just had a family member in treatment. He talked about how he could afford it, but he knows so many who cannot. Right now we also need a system that has built-in relapse, just-in-time relapse, so that the system is there to respond so someone can get into treatment should they need extra help. In this way, they can come back into the health care system if they are relapsing, which is part of recovery.
We know that for people who are waiting too long for treatment, again because they cannot afford it, the privatization and lack of mental health and substance use supports are resulting in more overburdening of the health care system.
I was at my own doctor, and I asked him if it was at adding pressure at his office. He said that 50% of the people coming through his office are needing either mental health supports or supports regarding substance use, and it is actually impacting his ability to help those with physical ailments.
The government has not delivered its $5.3-billion promise on mental health. I was just talking to Judith Sayers of the Nuu-Chah-Nulth Tribal Council about the crisis that is happening in indigenous communities in my riding and about the need for rapid access, addiction resources and detox. It is not there. The cost to the system of not having these services in play is enormous.
Members have heard me talk about the toxic drug crisis, the need for treatment on demand or just-in-time treatment, and the need for prevention, education, recovery and a safer supply of substances. These points are all critical. However, they need to be delivered through a universal system. Again, Australia introduced a parallel private system. One alarming statistic is that those in the lowest socio-economic group were 37% more likely to die of cancer than those in the highest socio-economic group.
We have seen Ontario and Saskatchewan circumnavigating the system to bring in services. We have seen Veterans Affairs using a company owned by Loblaws to deliver services to veterans, and veterans are waiting while this is being outsourced. We are seeing the privatization.
Right now, this is a critical vote. We are calling on each member of Parliament to decide: staff up to rebuild the public system and cut wait times or use public health care funding to set up for-profit corporations that would poach nurses and doctors.
We know which side we stand on. It is the side of patients, Canadians and health care workers. We will continue to stand up and defend them against the threats that are coming right now because we see that the Liberals and Conservatives are not willing to defend public health.
1669 words
All Topics
- Hear!
- Rabble!
- add
- star_border
- share
