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Decentralized Democracy

House Hansard - 321

44th Parl. 1st Sess.
May 30, 2024 10:00AM
  • May/30/24 10:08:37 p.m.
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  • Re: Bill C-64 
Mr. Speaker, after the NDP House leader, let us get this back on track and talk about the pharmacare bill, Bill C-64. I am pretty happy to take to my feet. I did have the opportunity to sit in committee for five hours a couple days ago and listen to some of the witnesses and some of the comments and concerns around the pharmacare bill, Bill C-64. I want to put some of my concerns on the record. I see the former health minister and I am looking forward to hearing him talk about it, if he is going to get to his feet. A year ago, I asked the former health minister how many provincial health ministers at an FPT meeting had asked to bring forward a pharmacare bill. Was it on the top of their priority list? At that time, the minister did not have an answer for me. In committee, a couple of days ago, I had the opportunity to ask the current health minister that exact same question. I do believe that health is a provincial jurisdiction. My question was whether they were able to name any health ministers who proactively came to the federal government to ask for this bill to be brought forward or whether there were other requests. I know, in Saskatchewan, that we have a shortage of nurses. We have a shortage of doctors. There are a lot of issues, and I think many provinces do have concerns around doctor and nurse shortages. I think we are short 30,000 doctors right now in Canada. That is a pretty big deal. I think around seven million Canadians do not have access to a family physician. I think that is something that health ministers probably brought forward at the FPT meetings. I believe that is something that we do need to look at: how we can support our provincial partners and have that conversation. Once again, the current health minister did not answer my question about whether this was a priority at FPT meetings. Tonight, I was able to ask that question again to the member from Winnipeg North. I asked if he could name a health minister who brought this pharmacare bill forward as a priority for the provinces. I have never seen him play hockey but he was pretty good at skating around that question. He went full circle, but he never really came to the crux of my question as to whether a health minister had asked for this. This is not partisan rhetoric. This is a legitimate question around public policy and the priorities of provincial governments. I heard from my colleague from Victoria. She talked about a child who needed diabetes care. I listened to her speech and when I asked her if she could tell me the age of full coverage in Saskatchewan, she could not. That is a very real concern of mine, the fact that they are bringing forward this legislation and that people voting for this bill do not know what the different coverages are out there in different provinces. That is a legitimate problem. We should know where the coverages are across the provinces. In my home province of Saskatchewan, I have been texting with our health minister, I asked him if this was one of the things he brought forward and he said no, that they just came to them and said they were going to do this, take it or leave it. Then they asked for details. The minister said that they never gave them any details because they did not have any yet. It is surprising for a provincial health minister to not have any details on a pharmacare bill. A pamphlet, in my opinion, is not a bill, as it is four pages long. It covers diabetes and contraceptives, but there is little detail given to our provincial partners and that is a legitimate concern that we have to discuss. They rammed this through. They bring in time allocation and then they just expect everything to be okay. We all know that this is just what the NDP asked for to keep the government in power for a little bit more time. This is part of the supply and confidence deal. They continue to tell falsehoods to Canadians. It is not coverage; two things are being covered. For NDP members to bring up Tommy Douglas in the House is laughable. He would be embarrassed by the NDP and the situation it is in right now. He would probably be a Conservative right now. He would be completely embarrassed by what the NDP, the rump of the NDP, has become: a bunch of activists. I think it is very funny whenever they bring forward the name of Tommy Douglas, because he probably rolls over in his grave when that happens. Being from Saskatchewan, I also had a time to be in government, with the Saskatchewan Party and former premier Wall, which takes me to another point. The NDP-Liberal government continues to bring in bills and then it says it is going to do consultation. I think that is a little bit backward. I remember being in Saskatchewan, and I was a member of the all-party traffic safety committee. We travelled around Saskatchewan for a couple weeks, in all corners, and took feedback from all of the stakeholders. We consulted. We gathered feedback. Then we made legislation. Is that not a novel idea? Talk to people, ask what is going on, ask what works and what does not work, and then put forward legislation, instead of bringing forward legislation and then asking if it can work. Sometimes, I just find that some of the things the government does are quite backwards. The same thing happened with nuclear consultations. We started nuclear consultations in Saskatchewan in the first term of 2007 and continued to talk to people and consult before we even got to the point of even the discussion of small nuclear reactors. That was how long we actually consulted with the people of Saskatchewan. Can members imagine having that approach here in this House, to continue to talk to people, instead of ramming things through based on political ideology and what people think they need to stay in power? Getting back to my point about diabetes, I have a cousin who plays for Regina Thunder. He was diagnosed with type 1 diabetes when he was two. That is why I am such a champion of diabetes care. His mother and father had to wake him up at night and prick his finger when he was a baby and when he was two or three years old. Then he would get insulin pills. Now he has tracking on his arm. He has a pump that is covered by the province of Saskatchewan. That is progress. That is how to listen to people and get things done. I think that is what we should take forward. The NDP have talked about compassion. Where is their compassion for the 27 million Canadians who have insurance, but who are scared right now that they are going to have less coverage? I know 1.1 million Canadians are under-insured. We can take care of them. Just imagine if one of the health ministers of the NDP-Liberal government went to a provincial-territorial meeting and asked how to get people insured under their provincial programs. What is the need out there? The Liberal government of the day wants to take credit for everything. There did not have to be a national program. Imagine if it had worked with its provincial partners and then supplemented their programs? Maybe the provinces would have needed extra money. I guarantee that it would not have cost $1 billion or $2 billion. This program is going to cost $2 billion. There are several public policy reasons why this bill should not go forward in the form it is in. We should continue to work with our provincial partners. I would love for one of these ministers of health to answer how many provincial health ministers asked for this program to come forward. The same could be said for the dental plan. Today is a pretty special day in my life. On May 30, 1944, my father, Ron Steinley, was born. I am not able to be home with him, but I want to wish him a very happy 80th birthday. He is in Swift Current, Saskatchewan. I am going to try and rip out there, maybe this week or next week, so we can take him out for supper. Happy birthday to my dad and all the best.
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  • May/30/24 10:21:58 p.m.
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Mr. Speaker, my colleague mentioned two important points that are missing here. One is that it was a top-down approach and there was a lack of consultation. The other is how many provincial ministers actually asked about it. One of the things the member touched on that I thought was really important is that many people in his province have very good coverage already. My question for the member is this: If it becomes a top-down approach, why does he fear the federal government would make it worse for the people who are doing good on their medication?
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