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Decentralized Democracy

House Hansard - 321

44th Parl. 1st Sess.
May 30, 2024 10:00AM
  • May/30/24 8:42:47 p.m.
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Mr. Speaker, with respect to all Canadians such as physicians, nurse practitioners and pharmacists who are listening and who are out there prescribing medications this evening, I find it fascinating that the member would be suggesting that their appropriateness is actually inappropriate and that we need the government now to tell physicians what to prescribe. Think about someone with hypertension, sitting in their family doctor's office if they are fortunate enough not to be one of the seven million people without a family doctor. What is the family doctor going to do? Are they going to call the “1-800-who-cares” phone number provided by the people who cannot even get them a passport, and wait on hold while they say which medication should be prescribed? I find that to be an absolutely terrifying prospect for Canada's incredibly well-trained frontline prescribers in this country who have the independent ability to make those decisions, the best decisions on behalf of the patients, many of whom they have known for an incredibly long time. Maybe the member could answer this: Would they now be setting up a 1-800 number for doctors to ask which medication should be prescribed? Perhaps, as I mentioned, they could call it “1-800-who-cares”.
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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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