44th Parl. 1st Sess.
April 28, 2023 10:00AM
Madam Speaker, what I have found is that when I started to do the research on Bill C-284, I knew very little about it. I have been fortunate to have pretty good eyesight all of these years, other than what my own family experienced through blindness.
What I have learned is that the number of things that happen with one's eyes is quite remarkable. When one suddenly starts to notice something about one's eyesight not being the way it was the day before, one needs to get immediately to a doctor, an ophthalmologist or an emergency ward to have that looked at.
Very often, people go completely blind within hours when different things happen, such as the pressure behind their eye and all of those things that the ophthalmologist and optometrists and so on will tell us about.
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- Apr/28/23 1:44:49 p.m.
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Madam Speaker, I would like to thank the member for putting forward this really important bill. Eye care is absolutely critical for Canadians. I say this as just a few months ago my husband was a patient having cataracts removed from both eyes, and seeing how much technology has changed, seeing how many things are available now to patients and how we can make that better for all in putting this forward.
On World Sight Day in October, I had the opportunity to meet with an incredible group that came with OneSight. In that group was Dr. Stan Woo from the University of Waterloo. He and I just connected; I guess it was the energy and excitement for what he does at the University of Waterloo, including the research and development and seeing what they can do for patients to ensure that they have the proper care. When there are opportunities for reversals they know what to do to ensure that the treatment, such as medication, can be used. The knowledge and what they are doing there, not just at the university but shared across this great country, and how they can ensure that access to eye care is available from Nunavut down to the Maritimes, is extraordinarily important.
People at the university, when I was there on my visit on January 20, shared with me all of the incredible things that they were doing for research. It was noted here in this bill: “promote research and improve data collection on eye disease prevention and treatment”. Being at the university, that is the type of stuff that I saw being done there: making sure that they knew what was happening among their own patient base and making sure that they had the expertise across the country working to ensure the best technologies were going to be there so that the future of eye care was going to be enhanced.
One of the best parts of doing research on private members' bills is looking at what I saw on cataract surgery, where it suggested that there are two separate surgeries. I brought my husband home just a couple of weeks before Christmas, after having double cataract surgery where he had two cataracts on one eye and one on the other, and wearing these cups on his eyes. Within 24 hours I woke up to a husband who for the first time could actually see me. I do not know if he wanted that, but he actually saw me for the first time because he was as blind as a bat in the morning. From the research I was doing, I saw that they used to do them separately and now they can do them together. It is all of this treatment and research and how they can do patient care better.
This is the type of work that I would hope we would see in a national eye care strategy, and promoting the information and knowledge-sharing between the federal and provincial governments and in relation to eye disease prevention and treatment.
I was very grateful that the member focused on four key issues here in looking at macular degeneration, cataracts, glaucoma and diabetic retinopathy. These are four key things that we see especially in our aging population.
For instance, AMD is age-related macular degeneration. We know that there are approximately 2.5 million Canadians being impacted by this and it is impacting people my age and older. It impacts younger people as well, but this is usually something that we see in the aging population, 55 and older.
Understanding things like reducing smoking, diet and genetics in the family through awareness campaigns and what we can do as the national strategy is really important so that people understand their vision. Some of the diseases have no symptoms, so it is important to make sure that we have a program so Canadians in every part of this country, whether they are living in indigenous communities or well-developed communities, have access to this type of care as well. So many of these diseases have no symptoms but absolutely need the kind of care that they have.
We can also look at things such as cataracts, which is the most common type of vision loss. It is something very simple. Many Canadians are going around wearing their glasses. I lose my glasses all the time. People could have that type of surgery, knowing that each and every day it is getting better. I can remember my father having his cataracts removed and now my husband. I am just seeing that with the research we are doing by the doctors working together, we are actually providing great programs and great opportunities for patient care.
Glaucoma is impacting over 728,000 Canadians, which is related to age. I will read this about it:
Glaucoma affects more than 728,000 Canadians and takes the form of a number of related disease types. The most common types are open-angle, which is more prevalent and can go unnoticed due to a lack of early symptoms, and angle-closure, which can be painful with a sudden onset.
These are the things that we learn in research, and being members of Parliament, we get to do the research and learn about these things. It is important that all Canadians understand this.
Currently, there is no cure for glaucoma, but there are treatment options. When people have pressure in their eyes and may not understand what it is, they need to recognize the importance of going to see an optometrist or ophthalmologist to ensure they get the proper care they need.
I am also very supportive of clinical trials. As I said, there is work being done at the University of Waterloo and work being done at the London Health Sciences Centre in my hometown area, in my backyard. We have seen some incredible research, not only at the University of Western Ontario, but also throughout the Collip Circle area, where people are working to make sure that patient care is the number one priority.
Finally, when we are looking at this, I want to talk about the considerations. The bill notes, in subclause 2(3), “The national strategy must take into consideration existing frameworks, strategies and best practices related to the prevention and treatment of eye disease, including those that focus on addressing health inequalities.”
I will let the member know that I am very supportive of this bill, but this is where I have to say the government approach has to be right. We cannot do what it has done in the past.
We know the Canadian Dental Association, back in 2014, had a national oral health strategy. We saw the hygienists do it. We saw a number of organizations talking about oral and dental care. When it came to having a program with the government and Canadian dental benefits, it took none of those suggestions.
Instead, the government implemented its own dental program, which was not supported by the Canadian Dental Association at the time because it was not part of those discussions. That is one of my only fears. We need to make sure that people are at the table. We need to make sure that we have the researchers, the ophthalmologists, the optometrists, the patients and the academia, and that we have everybody working together so we have a proper strategy. Unlike the dental program, which was brought out by the government, not everybody was at the table. When we are talking about that, we need to make sure we have diverse opinions as well.
The reason I will continue to elaborate on the Canadian Dental Association is that the government has talked about the number of children who have been impacted by this program, which is sending out cheques to parents. As a person who comes from the dental health field, I would have loved for the government to consult with members of Parliament.
I actually used to go out to teach about dental health. If someone wanted to see a lady who could teach them how to brush their teeth, or if they wanted to sit in my chair, I would show people how to do their little, round brushing.
Those are the types of things that we should be focused on when we are looking at a dental health program. Instead, we saw a government say that it was going to send cheques out to Canadians, and that they will go to get their dental health needs dealt with.
Right now, we are in a crisis in Canada. Families cannot afford to put food on their tables. The government is coming out talking about the number of families, and I think they are saying 250,000 Canadian children have been able to use this program. However, I ask how it got those numbers. Nothing has been audited. We do not have information coming from the Canadian Dental Association or any of the providers that would be providing this type of information because they would not know. All we know is that we gave out cheques to families.
We have the healthy smiles program, which has been working here in Ontario. We should have been using its existing framework and working on that. That is the same type of work I want to see here. I hope we have success with this program and strategy because Canadians need it.
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- Apr/28/23 2:24:17 p.m.
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Madam Speaker, I am pleased to be joining this debate. Like the member said previously, today is the National Day of Mourning for those who were injured or killed in the workplace. That reminds me, before I get into the subject matter of the bill, that there used to be a Sobeys in my riding in Douglasdale on the Douglasglen side. I do not know if many constituents know this, but there is a plaque there. There used to be a factory there where five or six workers were killed many decades before. That happens to be on the side of a Gold's Gym. I think most people have forgotten it, because it kind of sits in a corner, but it has a very lively description of that event and what happened, so this is an important day for all of us to remember.
We are on this private member's bill we are debating today. I obviously have eye care needs. I wear glasses now. About 10 years ago I realized I had trouble driving at night, because I could not see white lines very clearly. I went to see my family's optometrist, and they said I do need glasses. It is not very bad for me, but it runs in my family on two sides, and that is why I will be supporting the bill.
On my father's side, he has had many problems with his eyesight throughout most of his life. He still has very thick glasses made of glass; they are not the plastic ones, because glass is the only type that can actually help him with the type of eye care he needs. There is my brother. Shortly after we landed here in Canada we thankfully obtained Canadian citizenship, because I do not know if we could have afforded the expensive operations my brother required to keep his eyesight. He would have lost his eyesight if not for the Quebec health care system at the time. He almost did, because the care being provided at the time was not as good as it should have been. His eyes were actually infected, so he lost quite a bit of his eyesight. He is legally blind in one of his eyes, and the doctors told him just a few years ago, just before the pandemic, that if he did not start practising and doing different exercises to strengthen his muscles, he would have his driver's licence taken away eventually. It is very difficult to keep one's job if one loses their eyesight in Canada. He would still be able to see enough, but he just would not be allowed to drive anymore.
I think this is an important strategy for this Parliament to debate. Like the previous member who spoke, I think there is a lot more that could be included in the private member's bill. Hopefully the member would be willing to consider some of those amendments.
I know it is being moved by the member for Humber River—Black Creek, and I salute her efforts on this. She is a long-time parliamentarian. I have a lot of respect for her work and her time in this House.
I do have a Yiddish proverb, so I will put it in now, just in case I forget about it later on: “When the heart is full, the eyes overflow”. It is a beautiful proverb. It describes when someone is so happy they begin to cry out of happiness, and it usually blocks their eyesight. If there is a great joke or the situation one finds themselves in, typically with family, fills them with so much mirth it brings tears to their eyes, it is a good kind of happiness.
I will recognize the fact that the member is also going to be making age-related macular degeneration month in the month of February. It happens to be the same month my brother was born in, so I just thought that was providence. It is nice to see as well. It does not just happen to the old. Like I mentioned, my brother almost lost his eyesight when he was little, and he needed an operation.
All my children are affected, as many members know, by a rare chronic kidney condition called Alport syndrome, and although it is a kidney condition, it also affects the eyes. It affects the eyes and can lead to four conditions. One is peripheral coalescing fleck retinopathy. Do not ask me what that is in detail. I hopefully never will discover. The others are corneal opacities, anterior lenticonus and cataracts, and temporal retinal thinning.
My youngest son, Enoch, has glasses already. His need for glasses is related to this rare kidney condition that also affects the eyes and all the organs of the body. In his particular case he will probably need both hearing aids and glasses. Maybe some day we will get to the point where we will do a hearing aid national strategy in this place, but eye care for my children is something we are always watching for, because it is something they need.
I know many of us are looking at seniors who suffer through age-related loss of sight, and that is something I see in my parents as well. It also happens for the young.
Both sides of my family have members, old and young, who are affected by the need for better eye care. Other members have mentioned that eye care in Canada does not come cheap, depending on whether someone needs basic eyeglasses or if they need more attentive care from an ophthalmologist.
In the case of my family, we do need of an ophthalmologist, because my family members require much more in-depth care. The Province of Alberta provides excellent coverage for young people, those under 18, but especially those under 12 get excellent coverage for their eye care.
In the case of my children, like I said, because of this rare chronic kidney condition, they get a lot of specialist follow-up for their eyes. I met a lot of youth who needed much more care as they got older because of this condition called Alport syndrome, which leads to a degeneration in the eyes much earlier in their lives.
As we debate the importance of both research and the quality and availability of care, some members mentioned the possibility for improvements and additions to this private member's bill, maybe expanding in some areas and perhaps tightening in certain areas.
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