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Decentralized Democracy

House Hansard - 320

44th Parl. 1st Sess.
May 29, 2024 02:00PM
  • May/29/24 8:47:53 p.m.
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Mr. Speaker, the first thing is the interpretation letters that we need to issue, which I think will be critically important in helping to stem that. Second, we recognize that provinces may have taken some actions coming out of COVID to try to reduce burden but that we need to see the gaps closed and public systems protected. Under the Canada Health Act, we have made reductions in instances where private health care has been present, and we have the ability to do that in other places.
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  • May/29/24 8:48:27 p.m.
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Mr. Speaker, in Ontario there is a Conservative Premier, Doug Ford. He has underspent his health budget by $1.7 billion. The health care spending there is among the lowest in Canada. Hospital capacity has been shrinking and doctors and nurses have been getting burnt out. Patients are receiving terrible care in Ontario. Can the minister tell the House why the Prime Minister was praising Doug Ford's approach on health care when things are getting so much worse in Ontario?
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  • May/29/24 8:48:53 p.m.
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Mr. Speaker, in the first order, there is the government of Nova Scotia and there is the government of Manitoba, and I am sure there are going to be others, where elections get decided on health. I am sure Ontario will be no different. My approach as health minister has been to try to focus on the positives. There are lots of places I disagree with my provincial counterparts, but one of the reasons that common indicators are so important is that we would be able to see in data how people are doing and get people to ask—
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  • May/29/24 8:49:23 p.m.
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The hon. member for New Westminster—Burnaby.
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  • May/29/24 8:49:27 p.m.
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Mr. Speaker, in Saskatchewan, a Conservative Premier, Scott Moe, is taking advantage of loopholes the Liberals have failed to close that allow him to send patients to out-of-province, for-profit clinics to receive surgery. I simply want to know why the government and the minister do not close the loopholes that Conservatives are using.
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  • May/29/24 8:49:47 p.m.
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Mr. Speaker, I have talked with Minister Hindley in Saskatchewan, and we had a conversation about the essential nature of public care. That is where we have to be, and I want to see that done through collaboration and co-operation. I think that is the best way to get there. It is going to be the continued approach, but the Canada Health Act is my responsibility, obviously, to enforce, and keeping care public is essential.
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  • May/29/24 8:50:13 p.m.
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Mr. Speaker, with respect to long-term care standards, with seniors living in long-term care homes, there were horrible effects during the COVID-19 pandemic. Seniors died from negligence. Families lost loved ones before they could say goodbye. Can the minister inform the House when Canadians can expect to see mandatory standards for the quality of care in long-term care homes?
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  • May/29/24 8:50:37 p.m.
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Mr. Speaker, obviously, what happened in long-term care facilities across the country was devastating coming out of the pandemic, and that is one of the reasons that in our supply and confidence agreement, we have an agreement to move forward with the safe long-term care act. I look forward to working in an expeditious manner with the member opposite to realize its fulfillment.
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  • May/29/24 8:50:58 p.m.
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Mr. Speaker, I hope it would have the same impact as we have had on pharmacare and dental care. More than 54% of long-term care homes in Canada are privately owned; 57% of long-term care homes in Ontario are for profit. New Democrats, as the minister knows, have committed to removing profit from long-term care because the health of vulnerable seniors should go ahead of profit. Will the minister commit to removing profit from long-term care so seniors get the best level of care possible?
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  • May/29/24 8:51:26 p.m.
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Mr. Speaker, I will agree that every senior has to be able to have access to the care they need. Our aging with dignity agreements have that at their core. That is what a very significant part of the spending on the tailored bilateral agreements was about. However, I certainly want to say that we want to continue to work with the member to make sure that it is affordable for every senior to be able to get the care that they need, ideally to age at home, and where that is not possible, to be able to go to a home they can afford.
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  • May/29/24 8:51:56 p.m.
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Mr. Speaker, in the last election, the government promised to hire 50,000 new personal support workers. Records show so far that it has been a little over 9,000. Why has the government not put in place better wages and working conditions, and why have they not met the goal of 50,000 new PSWs?
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  • May/29/24 8:52:15 p.m.
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Mr. Speaker, it is a very big priority for me to get an agreement on personal support workers signed with each and every province and territory. I hope to have more news on that soon, but it is an objective that I share with the member, a commitment we made and a commitment I intend to keep.
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  • May/29/24 8:52:35 p.m.
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Mr. Speaker, now I will move on to women's health care. Abortion is health care, and the Liberals promised to expand access to sexual and reproductive health. Abortion care is still inaccessible for far too many women, especially in northern and rural communities. Clinic 554 in Fredericton, the last remaining abortion clinic in New Brunswick, closed its doors earlier this year. Can the minister explain why the government failed to save Clinic 554 and what his government is doing to hold provinces accountable when they restrict abortion care? When will the government re-establish abortion care in New Brunswick?
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  • May/29/24 8:53:10 p.m.
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Mr. Speaker, of course abortion care is absolutely essential health care, and all women should have access to it no matter where they are in the country. There are still options in New Brunswick, but not enough of them. This is a conversation I have had with Minister Fitch with respect to the clinic that has been referenced. That is obviously under provincial jurisdiction, but there have been instances where we have withheld, because of actions taken on this issue, transfers under the Canada Health Act, but I would like to be able to fix this, again, with co-operation. It is essential that women have access to the care they need. Also, we talked about pharmacare and what we are doing—
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  • May/29/24 8:53:44 p.m.
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The hon. member for New Westminster—Burnaby.
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  • May/29/24 8:53:47 p.m.
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Mr. Speaker, if the New Brunswick government is not co-operating, what will the federal government do to re-establish abortion care in New Brunswick?
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  • May/29/24 8:53:55 p.m.
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Mr. Speaker, Minister Hindley is retiring and there will be a new health minister. I am talking to Minister Hindley and the incoming minister on that very matter.
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  • May/29/24 8:54:04 p.m.
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Mr. Speaker, breast cancer is the most frequently diagnosed cancer in Canadian women. One in eight women in Canada is expected to be diagnosed with breast cancer. Early detection, as the minister knows, can improve health outcomes and save lives. Breast cancer advocates and the Canadian Cancer Society have been advocating to lower the breast cancer screening age from 50 to 40. Will the minister commit to updating the screening guidelines so women are able to access critical early-stage diagnosis?
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  • May/29/24 8:54:35 p.m.
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Mr. Speaker, I have seen the same science that the member opposite has; it is very compelling, and it compels me that reducing the age to 40 and having early screening is highly effective. We are waiting for the release of a report tomorrow from an independent, arms-length body. Obviously there will then be a consultation period and we will be able to respond to that. However, we have to stay very close to science, and I see that seven provinces have now adopted the lower age standard, and I think that Canadians rightfully expect to see federal leadership.
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  • May/29/24 8:55:10 p.m.
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Mr. Speaker, first nations, Inuit and Métis people often do not have access to health care. As clinics in or near their communities are closed, folks in the far north are frequently required to fly south, often alone and often receiving health care in a language they may not understand. Can the minister explain why the government, including the Department of Indigenous Services, has not responded to the health care needs of indigenous peoples?
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