44th Parl. 1st Sess.
May 30, 2024 10:00AM
- May/30/24 8:45:11 p.m.
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Uqaqtittiji, it has been disappointing to listen to the debate and how partisan it has been. I wonder whether the member can remind us of what the bill would do. As this is just the beginning of getting universal pharmacare started, what would the legislation do to ensure that more work is done to improve on it as time goes on?
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Mr. Speaker, I think throughout the debate on Bill C-64, whether at second reading stage or at committee, we have seen nothing but fearmongering on the part of the Conservatives, for a simple reason: They do not support the bill. They do not want Canadians to have pharmacare. In fact, they support a private health care system. That is why they have chosen every which way to put up blockades against the bill by inventing stuff. We heard the member opposite, the health critic for the official opposition, throughout the committee process make things up while witnesses kept telling him that was not the case. He is still repeating the same mistruths.
I want to ask the member, who gave an excellent speech, this: How does he feel the legislation, if passed by Parliament, would help his constituents get the medications they so deserve and need?
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- May/30/24 8:48:00 p.m.
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Mr. Speaker, through our bilateral health agreements with the provinces and territories for the Canadian dental care plan and now pharmacare, we are delivering on the promise that every Canadian deserves better health care.
Thanks to this plan, nine million women and gender-diverse Canadians across the country will be able to access the contraception and reproductive autonomy they deserve.
In addition, it will help 3.7 million Canadians living with diabetes get the medication and resources they need. Canadians should never have to choose between their health and their—
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Mr. Speaker, I am proud to stand on behalf of the people of Edmonton Manning tonight.
When a bill is brought before Committee, I expect that during the study done there that committee members would be able to make amendments that would improve the legislation. Sadly, that has not happened with Bill C-64, the pharmacare act, which is probably because the legislation is so flawed that nothing can fix it. The only proper fix is to bury it.
I wish that tonight we were debating the merits of a proposed national pharmacare program. Many Canadians would like to see such a thing, although they might not be so enthusiastic once they saw the price tag. The only resemblance the bill before us has to pharmacare is in the name. If we had asked Canadians what they expected to receive from the NDP-Liberal coalition besides ever-increasing taxes, high inflation, sky-high crime rates and housing shortages, they would probably have said, “Well, at least they have promised pharmacare.”
If we had asked what that meant, they would have said, “free prescription drugs for everyone: drugs to treat heart disease or cancer, life-saving drugs and maybe penicillin to treat any number of less serious illnesses”. Instead, what the government is offering is a pledge to consider funding contraceptives and diabetes drugs. It is not a pharmacare plan; it is an empty promise. It is not what anyone was expecting, but it is no surprise. It is not as if the Liberals really want a national pharmacare program. If they did, they would not have needed the NDP to push them into creating the bill before us.
The Liberals' plan is empty and it is pretty simple. They want to delay as much as possible to convince the NDP that a plan is coming and that therefore the incompetent government must be propped up. I have to give the Liberals credit for their political skill in this matter. They have the NDP so completely fooled that the government faces no chance of defeat no matter the scandals and no matter how much Liberal polices are hurting Canadians. The NDP is blindly accepting a Liberal promise, apparently unwilling to admit that they have been fooled.
I think it is safe to predict that when Canadians go to the polls, whether it is in October 2025 or earlier, the NDP will not be able to point to a functioning pharmacare program, not even the limited one that the bill calls for. However, the promise will have accomplished its purpose: keeping an undeserving government in power. It is the Canadian electorate that will hold both the NDP and the Liberals accountable for their actions. It is the Canadian people who will elect a Conservative government that actually cares about serving them and does not just care about political power.
The bill is being shoved through in haste by a government that is so desperate for approval. The Minister of Health is assuring Canadians that the pharmacare plan should not jeopardize the drug coverage that millions of Canadians have through private insurers. I am sure he is well-intentioned when he makes that statement; he may even believe his words, but good intentions are not reality.
The CEO of the Canadian Life and Health Insurance Association says that the bill could indeed cause disruption for those who have existing drug plans. Either he is right or the minister is right; it cannot be both. Given the Liberal track record, I suspect the minister is indulging in some wishful thinking, which is not surprising from a government that thinks budgets magically balance themselves, something that has not happened under the current Prime Minister.
By using time allocation, the government is rushing the bill through the House without opportunity for proper scrutiny, which is no surprise. Despite having had two years to figure out how they were going to implement their deal with the NDP, the Liberals put together the legislation at the last minute.
It is window dressing, designed not to define pharmacare, but to keep the government in office for a few more months to deny Canadians what they want most, which is an end to Liberal overspending and incompetence.
The proposed bill is a promise, and Canadians know what happens when Liberals make promises. They have made promises in the past nine years. The reality is that, when the Liberals make a promise, things always seem to get worse. They promised affordable housing, and housing costs have doubled under their watch. They promised that the carbon tax would not cost us anything, and we find now that 60% of families are paying more than they collect. The Liberals promised that taxes would go down, and taxes have gone up. They promised safe streets, and then delivered crime, chaos, drugs and disorder. It is no wonder Canadians are afraid things will get worse when the Liberals promise pharmacare.
If the government were serious about helping Canadians, it would have gone about things differently. It would have consulted with the insurance industry, found out what the private insurance sector was offering and what the non-profit sector was providing, examined existing provincial coverage, and discovered if there were gaps that needed to be addressed. Instead, the Liberals decided to rush blindly ahead.
Canadians know the government is not worth the cost. That has been proven time and time again over the past nine years. Is this pharmacare program worth the cost? An honest answer is that nobody knows because the minister cannot tell us how much it will cost. Any numbers he tosses around are more wishful thinking than reality.
Canadians are struggling and looking to the federal government for help. Inflation eats away at their paycheques. Every trip to the grocery store, it seems the prices are going up. Liberals' catch-and-release bail policies are turning violent offenders loose to commit yet more crimes. Despite an ever-increasing carbon tax, the government has no plan to balance its books.
The Liberals apparently have no desire to fix the problems created by their wasteful spending. They believe that water runs downhill but never reaches the bottom. They know they will not be in government when the bill for this mismanagement comes due. Food Banks Canada's 2024 poverty report card shows that almost 50% of Canadians feel financially worse off compared to last year, while 25% of Canadians are experiencing food insecurity.
The cost of living has become so high that food banks have seen a 50% increase in visits since 2021. As a direct consequence of the government's inflationary spending and taxes, millions of Canadians are struggling to keep their heads above water, yet the Liberals ask us to take on faith that they know how to set up and run a pharmacare program without turning it into a disaster.
This is the government that spent more than $50 million on an app that was supposed to cost $80,000, and it cannot tell us how or when that cost overrun happened, or who is responsible. Why should Canadians trust it to run anything?
The good news is that this is not a serious piece of legislation. As I said, the Liberals have no idea what they are doing and no real intention to institute a pharmacare program. Bill C-64 is a public relations exercise with which they hope to fool the NDP and Canadians into thinking they are doing something to help people. Given the Liberals track record, I doubt many Canadians will be fooled.
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- May/30/24 9:02:34 p.m.
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Mr. Speaker, I cannot believe how easy it is to fool the NDP. We heard the NDP member stand up to talk about universal pharmacare. We have this bill in front of us, and it is covering two important things, which are contraception and medication for diabetes, but it is being promoted as universal pharmacare.
What does my colleague from Edmonton think Canadians are going to think about this? Again, this is another promise that is not being fulfilled, but the way it is being presented is really deceptive. What does he think Canadians are going to think about that?
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Mr. Speaker, I am rising in the House today to speak to what our government is doing, and plans to do, to help millions of Canadians who are struggling to pay for their prescription drugs.
Statistics Canada has indicated that one in five Canadians reported not having insurance to cover the cost of prescription medications in the previous 12 months. We have heard, time and time again, that Canadians who do not have drug insurance coverage struggle to afford medications and are left to make extremely difficult decisions to choose between paying for these medications or other basic necessities of life, such as food and housing.
No Canadian should have to make this type of a decision. This is why we introduced Bill C-64, the pharmacare bill, and continue to work with all parliamentarians and colleagues to ensure its speedy adoption.
This bill is needed for so many reasons. It proposes the foundational principles for the first phase of national pharmacare in Canada. These principles of access, affordability and appropriate use and universality have guided, and will continue to guide, our government's efforts in moving towards national, universal pharmacare.
We have seen these principles reflected in the work that is already under way, including launching the national strategy for drugs for rare diseases and improving affordable access to prescription drugs, which is the initiative with Prince Edward Island. I would like to take a moment to highlight the impact that both of these initiatives would have on national pharmacare.
In March last year, the Government of Canada launched the first-ever national strategy for drugs for rare diseases with an investment of up to $1.5 billion over three years. As part of the overall $1.5 billion investment, the federal government will make available up to $1.4 billion over three years to provinces and territories through bilateral agreements.
This funding would help provinces and territories improve access to new and emerging drugs for Canadians with rare diseases, as well as support enhanced access to existing drugs, early diagnosis and screening for rare diseases. This would help ensure patients with rare diseases, including children, would have access to treatments as early as possible for a better quality of life.
With respect to Prince Edward Island, the Government of Canada established an agreement with P.E.I., in August 2021, to improve the affordable access to prescription drugs and inform the advancement of national universal pharmacare. The $35-million investment has allowed for P.E.I. to add new drugs to its provincial formulary and lower out-of-pocket costs for drugs covered under existing public plans for island residents.
As of March of this year, P.E.I. has expanded access to over 100 new medications to treat a variety of conditions, including heart disease, pulmonary artery hypertension, multiple sclerosis, psoriasis and cancer. In addition, effective June 1, 2023, P.E.I. reduced copays to $5 for almost 60% of medications regularly used by island residents. I am pleased to share that, through this initiative, within the first nine months alone, P.E.I. residents have saved over $2.8 million in out-of-pocket costs on more than 300,000 prescriptions.
These two initiatives highlight how the principles of access, affordability, appropriate use and universality are reflected in our government's work, but they also underscore the importance of working with provinces and territories. Provinces and territories are, and will continue to be, a key partner in ensuring that Canadians get the health care they need. Our government will continue to work with provinces and territories to help ensure that this goal is met.
Finally, I would like to highlight another key component of Bill C-64, and that is the Government of Canada's intent to work with provinces and territories to provide universal, single-payer coverage for a number of contraceptives, as well as diabetes medications and supports. Similar to other initiatives that we have put in place, our work to provide contraception and diabetes medications would be guided by the principles I mentioned earlier and will involve working closely with our provincial and territorial partners. The importance of this provision within the bill cannot be understated.
We have likely heard over the past few weeks, since the introduction of Bill C-64, Canadians sharing their stories of how this bill would help them, how they are currently suffering from diabetes and do not have the insurance coverage, so they have to pay for their insulin, syringes and test strips out of pocket. Similarly, we are hearing stories of young women who do not have the drug coverage needed to pay for contraception or are limited in the choice available to them because more effective contraception is financially out of reach.
We have been receiving, and I certainly have received, numerous letters from Canadians across the country expressing their full support for Bill C-64 and asking the same question of when these drugs would be available to them. There is definitely a need for both of these sets of essential drugs, and I applaud the work of my parliamentary colleagues in getting the bill one step closer to a reality for Canadians.
Bill C-64 would allow for nine million Canadians of reproductive age to have better access to contraception and reproductive autonomy. This will help reduce the risk of unintended pregnancies and improve an individual's ability to plan for the future. As I mentioned, cost is the single most important barrier to access to these medications. Bill C-64 would ensure that Canadians will have access to a comprehensive suite of contraceptive drugs and the devices that they need. Similarly, we know that there is no cure for diabetes, but it can be treated with safe and effective medications.
Due to cost, 25% of Canadians with diabetes have reported not following their treatment plan. Improving access to diabetes medication, as outlined in Bill C-64, will help improve the health of almost four million Canadians living with diabetes and reduce the risk of serious life-changing health complications, which can include amputations or blindness. That is what Bill C-64 would do. It would give Canadians access to medications to maintain their health and give them a choice to determine which medication is best for them. In addition, these efforts will help avoid additional costs to the health care system.
In closing, our government will continue to work toward a national pharmacare plan that focuses on the principles of accessibility, affordability, appropriate use and universality. We will do so in partnership with provinces and territories, and we will do so knowing that Canadians need this immediately to help them access the drugs they need to live a healthy life.
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- May/30/24 9:14:13 p.m.
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Mr. Speaker, I have a lot of admiration for the member for St. John's East. I always listen quite attentively when she is speaking because she brings a wealth of knowledge and experience as a registered nurse, and now in her role as the chair of the national seniors caucus.
I know she spends a lot of time talking to seniors. I would like to know what she is hearing from seniors across our country around the Canadian dental care plan, as it has helped over 120,000 seniors in just three weeks. What is she hearing from seniors in terms of pharmacare, like access to diabetes medications at no cost?
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- May/30/24 9:15:06 p.m.
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Mr. Speaker, I thank my colleague for his question. It highlights some very important aspects of this bill and why I am so pleased to speak about it this evening. As chair of the national seniors caucus, I meet with seniors across the country from coast to coast to coast, and they talk about the need for pharmacare.
I think what we are missing in many of our conversations today is how difficult it is for many people in the country to manage the cost of daily living, housing and medication. They pick and choose what medications they take based on affordability. It impacts their health outcomes.
It is clearly demonstrated that they enter the health care system in points of crisis. It costs our government and our systems disproportionate amounts of money. Preventative care is essential for us to be able to manage our health care system.
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- May/30/24 9:28:11 p.m.
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Mr. Speaker, according to the Fédération du Québec pour le planning des naissances, every dollar invested in contraception saves the Quebec government $90 in health care costs.
Not all forms of contraception are available at this time. For example, IUDs are not covered by pharmacare. I would like to ask my esteemed colleague what she thinks about increasing access.
It is not a matter of jurisdiction, but rather it is about saying that we will work with Quebec. We want to ensure that all women in Quebec do not have to choose between paying for contraception and paying for groceries. They do not have to choose.
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- May/30/24 9:30:44 p.m.
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Mr. Speaker, I will simply answer with a piece of advice. Why does the member not just go talk to the National Assembly and explain to its members how pharmacare would work for Quebec?
I am sorry, I forgot, they already offered. How did the National Assembly respond? It told the NDP to mind its own business. The health care system is Quebec's responsibility. The NDP has nothing to teach the Quebec health care system about how to operate.
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- May/30/24 9:33:31 p.m.
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Mr. Speaker, it is a historic day: We are going to be voting on the first steps toward universal pharmacare. The Liberals have been promising pharmacare to Canadians since 1997, and for decades Canadians have been waiting to have access to essential medication.
I want to start off by sharing a story. In 2021, I was out door knocking in a subsidized housing complex. When I knocked on one of the doors, the first person to come to the door was a little girl. She was holding two mermaid dolls and she was adorable. She might have been three or four years old, and she smiled up at me. Then her siblings came running out, and they called for their mom. When I talked to her mother, she had these bright eyes, and she was listening and staring up at us. Her mom said she had not a chance to think about policies or what needs to happen because she was so stressed about how much the devices for her little girl's diabetes cost and how much the medication costs.
This family had been struggling to afford essential medications, and the costs were so high that this mother was wondering how she was going to care for her little girl. I do not know how anyone could look that little girl in the eye and say that she does not deserve access to life-saving medication. I promised that mom that I would come here to Ottawa and fight for universal pharmacare so that her little girl would have her medication covered. I am so proud to be part of a team that is delivering on that promise.
For that family and their struggle, and for families across Canada that are in the same position, it is not inevitable. They are working hard. They are doing everything right. They are trying their best to provide a good life for their kids. However, with the choices of Liberal and Conservative governments for decades, they have decided to side with the biggest pharmaceutical companies instead of everyday Canadians, instead of that little girl.
Liberals have promised this for decades, but it is only now that New Democrats are in a position of power and are able to force the government to deliver on pharmacare. While the Conservatives try to do whatever they possibly can to stop people from getting access to life-saving medication, we are going to keep fighting to deliver on the promise to that mom, to that family and to families across Canada who deserve pharmacare.
I once shared a bit of that story and then asked the Leader of the Opposition how he could look that little girl in the eye and say that she does not deserve access to diabetes medication, that she does not deserve access to life-saving devices. His answer was to spew misinformation. He said that pharmacare will “roll back the rights that unions have fought so hard and so long to secure. Our labour movement fought too hard to secure private drug plans, and we will never let a big, centralizing, bureaucratic government in Ottawa take those rights away from workers.”
However, the major unions in Canada are calling for universal single-payer pharmacare: the United Steelworkers, CUPE, the Canadian Federation of Nurses Unions and Unifor. I could go on. Many of these unions have specific campaigns advocating for single-payer universal pharmacare. Unions across Canada came out celebrating the fact that the NDP was able to force the government to first provide contraception and diabetes medications and diabetes devices, but also to lay the legislative framework for universal pharmacare.
This is a huge step, and I think about some of those huge steps. Tommy Douglas had a vision of universal health care. It was New Democrats who fought alongside Tommy Douglas to get our country to a place where if a person broke their leg, they were not going to be turned away because they could not afford to fix it. I think about young kids, and we know that dental surgery is the most common surgery at pediatric hospitals. If people have essential dental costs or if they have tooth pain, then for the first time in our country's history, there would be people accessing dental care who could not afford it. We would have people like that family I talked about accessing diabetes medication and not worrying about whether they could afford it. They would not have to choose between putting food on the table or paying the rent and could access life-saving medication. This is a historic, huge step forward for our country. I am so proud to be part of the team that is making this happen.
I want to also take a moment to talk about providing contraception across Canada and what that means for women and for gender-diverse people. It is huge. I want to give a special shout-out to Devon Black and Teale Phelps Bondaroff, who are the co-founders of AccessBC, and who fought, pushed and advocated, and were successful in bringing this issue to the attention of the provincial government. I am proud that the B.C. NDP has already paved the way, offering British Columbians access to free contraception. We know that countries around the world have been doing this for decades, and finally, the federal government acknowledges that contraception is health care.
It is not surprising that the Conservatives are fighting tooth and nail to stop women from having control over their reproductive health. We know that their MPs have brought forward legislation that is trying to bring back the debate around a woman's right to choose or a woman's control over her own body. A Conservative MP went out and spoke at the rally that was calling to end abortion access in Canada. I would hope that we were past a point in Canada when a major political party is accepting of its members of Parliament calling to end abortion access. Abortion is health care. Contraception is health care.
Now, in Canada, we could start expanding our universal coverage to essential medication and to dental care. I would like to see it also expanded to mental health care. We could have a system in Canada that, if a person is sick and they need health care, they could access it.
I want to end by calling on all MPs in the House to take a moment and to think about the historic steps that we are taking. This would make a tangible difference in the lives of Canadians from coast to coast to coast. I think about that family, that little girl and what this would mean to her. I am so proud to be voting in favour of pharmacare tonight. I am grateful to be able to work alongside 24 other New Democrat MPs who have fought tooth and nail to get this piece of legislation to this point. We are going to take it over the finish line to ensure that every Canadian would be able to access the medication they need.
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- May/30/24 9:43:30 p.m.
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Mr. Speaker, I appreciate the passionate speech by the member from the NDP. I agree that this is really a milestone. There are medications for rare diseases, which are very expensive. There are medications for cancer treatment, which are very effective but cost hundreds of thousands of dollars a year. How would this national pharmacare program help to ensure that these medications are affordable to our society? I would give a hint: It is probably because it actually looks like a national pharmacare system would end up saving health care dollars rather than costing.
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- May/30/24 9:44:15 p.m.
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Mr. Speaker, the member stole my thunder a little.
We are talking about a universal, single-payer pharmacare program. The reason it is so effective, the reason experts and labour unions have been calling for this, and the reason civil society has been calling for it is that it would save Canadians money, and it would give access to essential drugs. It would also mean that when we buy as a single payer, we would get to negotiate prices as a single payer. It would mean that we would have so much more negotiating power.
That is why pharmaceutical companies are so opposed to it. They do not want to lower our drug costs and make less money. By ensuring that we have a single-payer system, it means those kinds of drugs are going to be more accessible to Canadians. It means that Canadians would be paying less, and it would save money over time.
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- May/30/24 9:46:49 p.m.
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Mr. Speaker, just like the hon. member, I also ran on pharmacare, both when I was a provincial member in Ontario and federally.
I am really excited to see that our government party is working closely with the NDP to make this a reality for millions of Canadians. During this process, especially through the committee, we heard a lot of fearmongering from the Conservatives, especially when it comes to private health care, that somehow this pharmacare would take away primary health care. That was not the case in the Ontario experience.
Could the member for Victoria respond to the fearmongering that the Conservatives have been raising about the state of people's private health care when we pass pharmacare through this legislation?
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- May/30/24 10:17:51 p.m.
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Mr. Speaker, I have to start by saying remembering our humanity in this place is really important. I, too, wish a very happy birthday to the member's father. I think it is a beautiful thing to have these opportunities. We are away from them far too long.
Through you, Mr. Speaker, I just want to remind everybody in this House that, in fact, Tommy Douglas was very clear. His first step was going to be medicare, and the second step of his vision was pharmacare. I stand here as a proud New Democrat, feeling that I am carrying a legacy forward in a profound way. I will always be proud of that.
I do not know if the member knows this, but, in my province, the B.C. NDP are making sure that all contraceptives will be covered, knowing that is an important right. When this program is in place, it will actually free up resources so that the province can reallocate funds to a different place. I just hope the member understands that and is looking forward to what his province will receive based on this allocation.
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- May/30/24 10:19:53 p.m.
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Mr. Speaker, my question is rather simple. If the member believes in respecting jurisdictions and can talk about the pharmacare that exists in several provinces of Canada, then why did his party vote against the Bloc Québécois' proposed amendment to the budget? That amendment sought to require the government to respect jurisdictions in its budget, including Quebec's jurisdictions. Why did his party vote against that amendment?
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- May/30/24 10:22:58 p.m.
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Mr. Speaker, I am pleased to rise to speak to this issue and this bill, finally.
As others have already pointed out, Canada is the only country with a universal health care system that does not provide some sort of universal drug coverage. Under the British, Australian, New Zealand, French and Belgian systems, basically to some degree or another, people's medications are paid for by the government and they do not have to pay for them. Having said that, admittedly, in some countries there is copay.
This is an important bill. It is the first step in creating a national pharmacare system, and this I truly support. However, I did not always feel this way. As somebody who has long-practised in the health care system, I was a bit worried, because with the health care system as it presently is, we are struggling to pay for it. It occurred to me that what the government ought to be doing in health care is making sure that this sucker stays on the road. Certainly, I had a bit of trepidation with the idea that we were going to add another cost like pharmacare. However, having thought about it and having sat through committee meetings where we talked to experts, I have changed my mind because I think that a national pharmacare system would save the health care system money, not increase costs.
The current system, as we have it, which is a patchwork of private and public plans, is really inefficient. Multiple studies and recommendations since the 1960s have all basically said that. In fact, one study from the Canadian Medical Association Journal in 2017 concluded that we in Canada pay 50% more for our drugs than people do in 10 other wealthy countries that have national pharmacare programs. In addition, the inefficiency of our pharmaceutical system is demonstrated by the fact that we in Canada pay the second most for drugs of any people in the world. The Americans pay more, but other than that, we pay more for drugs than anyone else.
The inefficiency of our system comes from the fact that we provide pharmacare in Canada like the United States does. We, like the United States, have a patchwork system of private and public providers, and the private providers are often set up through employers. At times, these are non-profits, but for the most part they are for-profit companies. Similarly, there are public systems and public plans, and there are multiple public plans. For example, in Ontario, there is the Ontario drug benefit plan for those over 65, there is a Trillium plan for higher-cost medications and there is OHIP+.
Basically, we pay for our medications in Canada like Americans pay for all parts of their health care system, but our system for paying for medications, like the U.S. health care system, is really inefficient. Americans pay twice as much for health care as Canadians do. On average, Americans pay $12,000 per person for health care, and in Canada we pay $6,000 for health care per person, and they have worse outcomes than we do. For example, they have a lower life expectancy than we do in Canada.
I studied health law and policy both in Boston and at Georgetown University in Washington, D.C., and learned a bit about the health care system. I was certainly impressed by the inefficiency of the American health care system. They have private hospitals, private health care providers and private insurance companies, and each of these organizations has administrators who basically spend half of their time scheming on how they can decrease costs and increase profits. They have to pay for these administrators. Similarly, they have to pay the CEOs and the higher-up executives, who all bring in the big bucks, for working in those positions. On top of that, and most of all, a lot of money goes to the shareholders of corporations, which are legally obliged to financially benefit shareholders. All this money comes out of the health care system, money that ought to be going toward trying to improve the health care of Americans.
Similarly, in Canada, we currently have 1,100 private and public plans according to a Lancet 2024 study, although according to the Hoskins report, we have 100,000 private plans. If instead of having all these plans, we just had one plan, then surely there would be tremendous savings coming from economies of scale. We would not need 1,100 organizations with 1,100 sets of administrators administering their own plans. We would not need hundreds of CEOs siphoning money that would otherwise go to health care, and there would be no profits going to shareholders rather than going to health care.
There would be all sorts of savings from economies of scale and increased bargaining power. For example, if someone went to a provider or manufacturer of drugs and bought 10 million pills rather than 10,000 pills, I am sure they would get those pills at a cheaper cost, so there are savings there. Also, shipping costs are lower when buying in bulk, and there are fewer inspections needed.
When we add up all these savings, how much do they add up to? Well, according to the 2019 Hoskins report, with national pharmacare by 2027, which is when it would come into effect, total spending on prescription drugs would be $5 billion lower than it would be without national pharmacare. That is money we could use in the health care system for other things. That means more money to afford expensive cancer therapies, more money to address the long waiting times for either surgeries or diagnostic tests and more money to do research and try to find new cures for things like cancer, ALS, etc.
However, it is not just about saving money in the system. It is also about helping Canadians who struggle to meet the high costs of medications. According to the Hoskins report, between 5% and 20% of Canadians are either uninsured or under-insured, which amounts to two million to eight million people. Furthermore, one in five households reported that a family member in the past year had not taken a prescribed medicine due to its high costs, another three million Canadians said they were not able to afford one or more of their prescription drugs in the past year and almost one million Canadians borrowed money in order to pay for prescription drugs.
For all these reasons, I support this legislation and moving to the next step toward a national pharmacare system. I also welcome that we will be able to provide diabetic medications and contraception to people as one of the next steps in getting to a national pharmacare system.
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- May/30/24 10:31:07 p.m.
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Mr. Speaker, my colleague from Thunder Bay—Rainy River is always thoughtful here and mindful of the shortfalls of things the government puts forward. There are a couple of things, though, to think about. At the health committee, we had two of Canada's experts, Drs. Morgan and Gagnon, and as the member well knows, they had no input into but much criticism about this bill. It related to the fact that it would not create a national, universal, single-payer, first-dollar pharmacare system. I heard them say that and I know the member across heard them say that as well.
The other criticism we heard clearly is that the newly formed Canadian drug agency will have absolutely no oversight, especially from the point of view of an Auditor General's audit, with respect to its activities. We know on behalf of Canadians that at the current time, the time from application to approval for a drug in Canada is one of the longest among the OECD countries.
I would appreciate my hon. colleague's comments with respect to those two things.
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- May/30/24 10:33:10 p.m.
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Mr. Speaker, I have worked with the member very closely on a number of files, and I know him to be a very honourable member of this place.
He referenced the Hoskins report many times, and of course this is the report that was commissioned by the government to look at this. It found that $5 billion of savings would be available if we were to put in a national pharmacare program. Like the member, I recognize that this is not a full pharmacare program. This is a framework on which we could build a pharmacare program.
Could the member comment on the medications or drugs that he thinks should be next in the pharmacare program now that we have dedicated this particular step to diabetes medication and devices and to contraceptives?
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- May/30/24 10:34:00 p.m.
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Mr. Speaker, the member's question is very pertinent. I have some background in this. Once upon a time, years ago, I worked in a tiny country in the South Pacific, Vanuatu, on its essential drug list, which was its first essential drug list. The WHO is trying to do this with a lot of countries.
Similarly in Canada, this act calls for the creation of an essential drug list. On that essential drug list, we would have the input of physicians and other specialists from across Canada to determine what the priority drugs are that a government finance system ought to supply its citizenry.
That is an important question, and it is one of the next steps. I, like her, realize that this does not bring us to a national pharmacare system, but it is an important step on the way to that.
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