SoVote

Decentralized Democracy

Ontario Assembly

43rd Parl. 1st Sess.
February 28, 2023 09:00AM
  • Feb/28/23 9:20:00 a.m.
  • Re: Bill 60 

The member raises a great point. This is crisis-by-design. The minister, back in the day, spilled the beans that it was happening when she wasn’t supposed to. Comms tried to cover it up and to fix that issue. But here we are, seeing exactly what she had said years ago with the for-profit system that is going to siphon our precious health care dollars that could be paying for those surgeries, that could be paying for those kids’ critical needs and nurses at home instead of having moms struggling, not being able to go to work, instead of 12,000 kids on wait-lists for surgeries. All of those things could have been paid for instead of investing into a for-profit system helping those investors get money back when they shouldn’t even be in there in the first place.

This bill will do nothing to correct that. It is going to be the same number of nurses, the same number of doctors. You’re just splitting them in half.

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  • Feb/28/23 9:30:00 a.m.
  • Re: Bill 60 

Thank you to the member for that question. Having supports in the north is very important, and in underserved areas. That’s why, with the new Learn and Stay grant, we’ve seen those areas specifically identified not just for nursing, but for lab technologists, for paramedicine.

With the work that we’ve been doing to ensure that there are more doctors, this is the first time in 10 years that we’ve seen a seat expansion for doctors: 160 undergraduate spaces and 295 postgraduate spaces. This was not done under the Liberal government. It was this government that came in and said, “We need to ensure that people have access to doctors.”

I can tell you that in my own area, I’ve talked to families who are experiencing not having a local doctor, but accessing the work at some of our community care clinics through our local health teams and the resources and supports that are served there. So we do recognize the need for more doctors in the north, but also in rural and underserved areas across this province.

The status quo is not working. We need to do better for the people of Ontario. Before COVID, we were working hard, and COVID just expedited that as well, but the investments are being made. We’re here to support all Ontarians and ensure that you’re going to the doctor or a hospital and using your OHIP card and not a credit card.

I just have a note from my staff that says that as of 9 a.m. today, the Ontario Learn and Stay Grant website has had over 405,000 visits, so the word is getting out there. It’s to support northern and rural communities, the ones you’re talking about, that we’re encouraging students and paying for their education to get them to learn in those communities and make that commitment of staying for two years, because if you’re staying there for two years, you’re starting to set down roots. You are becoming familiar with the community and maybe meeting someone there and staying in that area.

But the supports that we’re giving to ensure that more nurses, paramedics, lab technologists—we’re also working with the Northern Ontario School of Medicine to ensure there are more doctors in the north as well, so that everyone has access to quality care.

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  • Feb/28/23 9:30:00 a.m.
  • Re: Bill 60 

My thanks to the member for her presentation. At the beginning of her comments, she noted that a lot of what is driving this is concern that services be made available to people who are in remote locations who may not be close to major medical centres.

I just want to note that last year, the payments to doctors for doing remote and virtual consultations were cut dramatically, so that many doctors have now abandoned that. Talking to my friends from the north, their experience has been that those arrangements allowed people for the first time, for many of them, in their lives to access a doctor quickly. Why did you cut that support for virtual consultations while you are espousing support for greater access to medical help?

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  • Feb/28/23 9:50:00 a.m.
  • Re: Bill 60 

Thank you, Madam Speaker. It’s good to see you in the chair.

Thank you to the member for Ottawa West–Nepean for that presentation this morning. One thing I don’t think has been touched on in the debate that I’ve heard so far is that Bill 60 talks about expanding the number of physicians who can join a family health team. I’d like to know the member’s position on that, if she supports expanding access to family health teams with more doctors.

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  • Feb/28/23 10:10:00 a.m.

Speaker, for as long as I have represented my constituents of London–Fanshawe, there has been a doctor shortage in my community. For over a decade, I have seen constituents struggle to find a family doctor in the fifth largest city in Ontario. I’m sure you can imagine what it’s been like for people living in rural, northern and other small communities.

The past few years have taken us past the crisis point. On February 25, the Ontario College of Family Physicians said more than 65,000 people in Middlesex-London are without a family doctor. On the provincial level, 2.2 million Ontarians have been left without a family doctor, a significant increase from the previously reported 1.8 million in 2020. Worse, there was a 66% increase in children and teens who do not have a family doctor between 2020 and 2022. These numbers are hard to comprehend. When I speak to women on ODSP who cannot get care or a man who has been waiting years for a family doctor, I share their pain and I share their helplessness.

But this government can take action. They can commit to real changes to help people to address this crisis, like expediting recognition of credentials for thousands of internationally educated nurses and doctors, and repeal Bill 124.

I challenge this government to heed the calls of medical professionals and the 2.2 million people who need care, and take action on this doctor shortage immediately.

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  • Feb/28/23 10:40:00 a.m.

In 2018, when our government came to power, I can tell you there was hallway health care; the health care system was broken.

Since 2018, we have 60,000 new nurses, 8,000 new doctors who registered to work here in Ontario. In fact, last year we had over 12,000 new nurses registered and ready to work, and in the colleges and universities there are 30,000 new nurses ready to come on board.

We’re putting—these are staggering numbers—$50 billion into building new hospitals on 50 sites right across this province, focusing on the infrastructure, and we’re going to make sure we have the best health care system anywhere in North America.

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  • Feb/28/23 4:40:00 p.m.
  • Re: Bill 60 

Thank you, Madam Speaker, and I thank the member for her debate today.

I just want to ask the member a few questions. I hope that she can answer them.

Do you go to LifeLabs and do you use LifeLabs? It’s a private organization where you pay with your OHIP card. And if you do have a family doctor, which most of us do have, it is another private organization where you pay with your OHIP card. So are you against family doctors and LifeLabs? Do you want us to put them back into the hospital?

As well, the late Jack Layton, rest his soul, used Shouldice Hospital to have his hernia repaired. Do you agree with what Jack Layton did?

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  • Feb/28/23 4:50:00 p.m.
  • Re: Bill 60 

Well, that was a multi-pronged question that went in all directions, but I would take from it that you’re asking me if I think that it’s okay, because I am forced to go to a privatized LifeLabs, a privatized diagnostic clinic, that I agree that the Liberals began the privatization of health care? No, I don’t think that makes any sense at all. I don’t agree with that.

Do I support family doctors? Of course I support family doctors. I want to give a shout-out to my doctor, Dr. Nathanson, who has been looking after me and my family and all my brothers and sisters for many, many years. Absolutely we support the idea that people should have access to health care, publicly delivered, publicly funded.

Yes, the Auditor General, particularly when it comes to cataract surgery, identified in this report that people were being overcharged for specialty lenses, that the surgeon said, “I only work with that kind of lens,” that they paid the money and afterward didn’t realize that it was optional. There were pressure sales tactics to spend extra money for something that should have been covered under the public dime, so it’s absolutely happening already.

I think what’s really important to note is that we’ve had the warning from this government and that they’re not being heeded. This is only going to continue, so people that are already stretched thin and are seeking care in their most vulnerable moments will be pressured into spending money that they don’t have and they don’t need to spend.

We think that the whole idea of dental care is something that people should be able to have covered. People go to emergency rooms—I think one in five visits to the emergency rooms are for pain in people’s teeth. That is a waste of a service when we could be covering dental practice in a publicly funded system.

And eye care: Eye care is very, very expensive for families that can’t afford the tests for their young children. They can’t afford the glasses. We should be bringing that into a public system to allow people, from head to toe, to have the kinds of supports they need to keep themselves healthy.

Interjection: Your constituents will thank you.

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