44th Parl. 1st Sess.
October 20, 2023 10:00AM
Mr. Speaker, I am very proud to rise on behalf of the New Democratic Party to talk about Bill C-284, an act to establish a national strategy for eye care. I want to thank my colleague, the member for Algoma—Manitoulin—Kapuskasing, who brought forward Motion No. 86 in a previous Parliament to make this a reality.
In 2003, the Government of Canada promised that we would have a national vision health plan. Twenty years have gone by, and nothing has been done. The issue of health and vision care is fundamental to quality of life.
I will say at the beginning that I have had bad eyes my whole life. I have had to wear glasses. When I realized I had a cataract, I was shocked. The effect it had on my ability to work was dramatic. I could not read reports. I was stunned at how quickly my vision deteriorated, yet in the midst of the height of the COVID crisis, I was able to get into a public hospital in Canada to get treated. My quality of life turned around immediately. I know it was much to the chagrin of Conservatives that I was back at work the next day, holding both the Conservatives and the Liberals to account.
Issues of health care and vision care are fundamental. We see that cataracts, for example, affect 3.5 million people. Age-related macular degeneration affects 1.5 million people, and glaucoma affects 294,000 people. Diabetic retinopathy affects 749,800 people. This is affecting people in Canada, so to have a strategy to make sure we are including vision care in the overall understanding of health care is very important.
Certainly at the heart of the New Democratic Party's vision of health care, from 1961 with Tommy Douglas, is the belief that we need head-to-toe health coverage for everyone in Canada. It is not just about quality of life; it is also about the impact on our economy. It is about those we love being able to live lives of dignity. Deloitte just put the cost at $33 billion in 2019, from a lack of proper eye care for people.
If it is diagnosed early and people have access to treatment, vision loss can be prevented in 75% of cases. How do we make sure that happens? It is about having timely access. It is about being able to go to an eye doctor. I mention this because in Ontario, the government of Doug Ford, the man who promised the people of Ontario that he would give them buck-a-beer, targeted eye care against seniors. As of September 1, once-a-year eye coverage that had been available has now been moved to once every 18 months. The Conservatives say that this is not a problem and that it is saving us some money, but here is the kicker: When someone is 84 years old, suddenly has a worsening eye condition and is told that they are not allowed follow-up eye coverage and will have to wait another 18 months to be seen, this is the difference between being able to see and going blind. However, Doug Ford said that seniors are no longer eligible for that care.
Adults with lazy eye are also no longer covered in Ontario. I talked about cataracts and having lived through the frightening impact of suffering a cataract. People are no longer eligible to have cataract surgery in the Ontario of Doug Ford unless they can prove that their condition would cause significantly decreased vision. It is up to the person who is not able to see to prove to the Conservative bureaucrats in Ontario that they are eligible and that they deserve cataract surgery.
Doug Ford also does not think retinal disease is an issue that should be looked after. Corneal disease is no longer a priority for Doug Ford. Optic pathway disease is no longer a priority for Doug Ford. In each case, the person must prove they are suffering significant impacts before they are eligible for treatment. Otherwise, they pay out of pocket. For people who cannot pay out of pocket, particularly in times of high inflation, the impact is the potential of going blind.
I think that any ordinary, decent human being would realize and agree that that is a real misuse of public trust, but then this also is the government that decided that, instead of favouring seniors with eye care, it would look after Mr. X in the Greenbelt.
Who was his other friend, the guy who calls himself the Phoenix Kiss? Is this like an episode of the Sopranos? Mr. Phoenix Kiss says, “Meet the fixer.” He really fixed Doug Ford, with this bogus transfer of public land so that insiders could make money. Then, of course, there were the gifts at Doug Ford's family wedding. There were developers showing up to give money.
Members do not want to stand up and defend Doug Ford? Okay, I will continue.
One could hear the music playing as if it were right out of The Godfather. That was criminal, corporate, Conservative culture to a T. Those are the same people who say, “You know, when we get into power we're going to do nothing for people except sell off a whole bunch of public buildings paid for by the taxpayer to our friends”. I wonder if Mr. Phoenix Kiss and Mr. X will be invited. Actually, Mr. X does know the member for Carleton who lives in the mansion at Stornoway.
I raise these issues because this is about issues of priority. In Ontario, senior citizens have a right and should be able to know that if they have problems with cataracts, or a degenerative visual disease for which they can get treatment, without regard to whether they are an insider developer who hangs out with the Ford family at their weddings. That is what public health care is about. Public health care is about the obligation of federal and provincial officials to put in policies that make sure that we develop the long-term benefits for the people of our country.
The New Democratic Party thinks this issue of a vision care strategy is really important. We are going to need to see, of course, some standards that we put in place to ensure that across Canada we are addressing the serious issues concerning lack of service for those who are suffering from visual impairment. For people who are blind, there is a real lack of services. We have seen in indigenous communities a lack of ability to access proper treatment, especially at a young age. When the inability of a child to see properly at a young age is identified, we are able to rectify problems that will affect their learning from the get-go. I certainly remember back in grade 3 when the nuns were yelling at me because I was heckling, it was also because I could not see the board. Then they gave me glasses and I became a much more focused heckler.
I know that my laser eye now has caused a lot of problems for both Liberals and Conservatives because I stay focused on the issues and it is not just the blur that it used to be. I can actually identify the differences between these parties and where they are both bloodily similar. That requires really good political eye progress.
I would stay all day talking about the issue of proper eye care coverage and the need for us to take responsibility on this issue, but I want to say that New Democrats support this bill. We think it is a good initiative. It is a bill that we have supported in the past. We supported it when it was sponsored by the member for Algoma—Manitoulin—Kapuskasing. We have waited 20 long years to have a national vision care strategy and we need to get it implemented.
We need to also start talking about a long-term path to providing public coverage for all forms of eye care. This kind of care is fundamental to the value and quality of life and it is fundamental to the value and quality of our society. We will certainly be supporting this bill.
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Mr. Speaker, I rise today to speak on an important matter, the future of eye care in Canada, Bill C-284, which was presented by the hon. member for Humber River—Black Creek and addresses a matter of national concern and would ensure Canadians have access to a coordinated and comprehensive eye care response.
I thank the member opposite for bringing this bill forward. I am happy we have had some productive discussions over its content. One of my first concerns when I heard about the bill was the possible overreaching of power between the federal and the provincial government, because this does end up in the hands of health care, which is the responsibility of provinces, but I am so glad this bill would not do this. It is more about collaboration and what we can do to make sure we have national eye care and health for all Canadians.
I am surprised by one of the statistics I found, which is that 75% of Canadians have some type of vision loss or eye impediment. I am a prime example; I wear glasses. It is no surprise that a lot of us, as we get a bit more mature, start having eye difficulties. The other side of this is the fact there are a lot of diseases, such as macular degeneration, which are very hard to deal with. Any time one has loss of vision, it becomes quite incapacitating.
I will go off topic a little. I was at a conference a couple of years ago, and one of the guest speakers was a motivational speaker. He was a thalidomide baby and was born without arms. He said that every time he went to a classroom, the first question people always asked was how he lived without arms and whether he missed them. He would reply that he never had them so never missed them.
For most Canadians, it is the exact opposite when it comes to eyesight. Most of us are born with healthy eyesight and we take for granted the fact that we have good eyesight and we never think about losing it. We do not wake up and say, “Wow, I can see this morning.” It is not until one has a disease or injury and loses their eyesight, or until one has an impediment to their eyesight, that people think about it.
I think it is very important we bring recognition to this. We also want to make sure there is a good strategy in place for Canadians and that we do not go after any vulnerable or marginalized communities. We need to ensure every Canadian, regardless of their social or economic background, has equal access to quality eye care. One's eyesight is very important. It is the number one sense that people are most afraid of losing. However, like I say, every day we take it for granted.
My grandfather had macular degeneration, and he told me an interesting story. He was not fully blind, but he was legally blind, and he could still see out of the corners of his eyes. He was legally blind and hard of hearing in his early 90s, and he said it made for a very long day. He still lived on a farm and he looked forward to cutting the grass in the summer, but he would cut the grass every day. I asked him how he saw to cut the grass, and he said that he could still see out of the corners of his eyes. He figured that if he cut it every day, he would cut every piece of grass at least once in a week, because he did not think he would miss the exact same piece of grass seven days in a row. This was something he did to keep his mind active and keep busy throughout the whole summer. This was one of the things he lived for. Unfortunately, he passed away a number of years ago, but that is life. At least he tried to live his life as best as he could with the impairment he had.
The big challenge when one has an eye impacted, whether it is through disease or injury, is to try to make the best of the situation. It is so easy to get down and ask what we can do now and think that because we cannot see then we cannot do anything. However, as we have seen through many different types of programs for Canadians, such as service dogs for the blind, Canadians can lead a functioning life.
We know that on every street corner, there are beepers to make sure they know when to cross the street. There are many things we try to do, but the main thing is hoping that Canadians do not have to go through this type of situation of losing their vision. A very important thing about this situation is that we want to make sure Canadians have a great eye care service.
Something else I found out are the studies on exposure to blue light. One might think, “What is a blue light?” Every one of us looks at our cell phone at least once or twice a day, or we look at computer screens. This is actually starting to have an impact on our vision. It is quite a horrible thing, when we start thinking that it could cause earlier macular degeneration in our children or our young adults. We need to start looking at what kinds of opportunities there are so we do not have these kinds of things affecting our eyesight.
For myself, the glasses I have right now do have a blue light filter on them so that it is not as hard for me to look at computer screens. People are already starting to use technology in place to offset some of the things that are affecting our eyesight.
I have to admit that, even growing up, I was one of those people who probably did not take care of my eyes as well as I could have, because, being on a farm, it is quite easy to be in dusty conditions. When someone is using a grinder and not using goggles, they might even get a bit of a grinding file in their eyes. I have experienced a few horrible situations, yet one does not think about it and how it could impact one's life later on. As with any injury, all of the issues that could potentially happen seem to materialize the most later in one's life.
The thing with vision loss is that it is not just about how it impedes a person's life. It is also about their abilities, their mental health and the social integration and productivity they have. I talked about how one can have service dogs for the blind. Someone can have a cane to monitor where they are, but we want to make sure that people do not get to that stage. That is the one thing about this whole bill: making sure we have a structure in place between national and provincial jurisdictions to make sure that Canadians are taken care of the best they can be.
I did talk a little bit about how modern technology, such as the blue light filter, can help with eyesight, but there is also laser eye surgery. I know that the first time I heard about this, I was quite young, and I was wondering why anyone would want to cut the cornea of their eye to shape it so that they do not have to wear glasses. However, if someone wore glasses with very thick lenses, it was actually quite liberating to not have a heavy pair of glasses on their eyes. People were always concerned, wondering whether the scar tissue would be as strong as the original skin cells themselves. I think, as time has progressed, laser surgery has really materialized into a safe procedure.
Another thing is cataracts. People did not think about them. In the past, cataracts would go across one's eyes, basically like wax paper, and there was not much that could be done. Now, however, not only can doctors reverse that process, but they can also actually, when the lens is changed, get people back to 20/20 eyesight.
There are a lot of technologies out there that are helping with eye research and how it can advance Canadians, to make sure that they do not lose their vision. Technology is one of the biggest ways through which I am hoping we can solve a lot of our problems around the world, but more so with eye care, so it is very important that we have brought this forward.
In many cases, we can talk about how good technology is. At the same time, there are always limitations. One of the limitations I learned about regarding macular degeneration is that there is some new technology that was proposed that it is still in the final testing phases with Health Canada. How can that be rectified? I think, bureaucratically, there are some opportunities that need to be looked at so we can address that. That is something we need to start looking forward to. What kind of new technologies are out there that can save our vision?
I think it is very good that the member did bring this bill forward. Hopefully, we can actually get a better case for our health care for our eyes, and in the future, work collaboratively with the Government of Canada as well as with all the provinces.
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