SoVote

Decentralized Democracy

Ontario Assembly

43rd Parl. 1st Sess.
November 16, 2022 09:00AM
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  • Nov/16/22 1:40:00 p.m.

I appreciate the opportunity. I want to thank all my colleagues who have spoken so far today and who I know will be speaking further to this opposition day motion this afternoon.

Speaker, there is no doubt whatsoever that we have a crisis at our hospitals. You are well aware of this. McMaster Children’s Hospital in Hamilton is strained to the limit. We’ve had ERs shut down this past summer alone more than 86 times. In October, the emergency room in Chesley was forced to shut its doors for eight weeks.

The reason for this strain or crisis on the system is not mysterious: We have a body of workers—nurses and health care workers—who have been pressed to the limit through the pandemic, who were suffering under a huge strain before the pandemic and who have been put in a box of a 1% wage increase per year. These people who risk their lives, who risked the lives of their families, were told that they were heroes, yet their financial needs, their aspirations to live a decent life, have been kicked to the side, have been forgotten.

Until we get rid of Bill 124, until we actually bring in compensation that will retain these people that we need to have, until we actually bring in compensation that will bring back some of the early retirees, we will not be able to make up for the number of people that we’re losing in our health care system, in our hospitals. That will mean the crisis that we face will continue.

Speaker, this motion to set in place an approach to retention and to recruitment is going to be critical to make sure that any of us in this room and our families will be able to get the urgent medical care they need when they need it, will be able to get the surgeries that they need when they need it—not delayed six months, not delayed a year or two years, but when they need it. If we fail to do this, we are putting the people of Ontario in an impossible position, a position where their lives are at risk, the lives of their children are at risk, the lives of their friends and family are at risk.

I am urging the government to not only vote in favour of this motion today, but, upon passage, to actually take the steps necessary to implement these very critical measures so we have a health care system that works, that will deliver and once again will be the envy of people around the world.

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  • Nov/16/22 1:40:00 p.m.

It’s my honour to stand in support of our NDP opposition motion calling for a health staffing shortage strategy so we can recruit, retain and respect—and pay, quite frankly—HCWs, who are supporting our community, supporting those in St. Paul’s and across Ontario.

Let me be clear: Any new beds or hospitals this government has promised do not mean anything without the staff, without the front-line health care workers, in place—not burnt-out, not stressed out, not sick themselves—there to do the caring work.

In order for the Conservative government to do what they need to do, they must repeal Bill 124, a wage-suppressing bill, a bill that takes away workers’ collective bargaining rights. And frankly, these workers are predominantly women and BIPOC folks, as I have said over and over. Bill 124 is driving our front-line health care heroes, our workers, angels—whatever you want to call them—out of the profession.

We need to ensure that internationally trained professionals can enter the workforce. The Conservative government had a chance to support the member from Scarborough Southwest’s legislation, and they chose not to. The government has had opportunities to support the member from Sudbury’s PMB to raise the wage floor for hard-working PSWs so they can simply make a livable income.

The government is not listening. The impact of them not listening means that our ERs are closing down. Children are being turned away. Parents like Lisa, a mom in my riding—she has pulled her 15-year-old daughter from school because the risk of her contracting COVID in a mostly unmasked classroom, thanks to the Premier, is too high and life-threatening given her lifelong cardiac and respiratory medical complications. If this 15-year-old needs service, she will be triaged into an adult facility, because there’s no space in child ICUs.

In the Niagara region: Myself and the MPP for St. Catharines wrote to the Minister of Health in September about the crisis happening there with sexual assault survivors who cannot access kits, because, frankly, there aren’t enough specialized staff, the sexual assault nurse examiners, to administer those kits. September 29—I’ve got the letter right here to the Minister of Health; no response. We need a response.

This government needs to give health care workers 10 paid sick days so they can actually heal and stay in the profession when they’re sick.

And finally, Speaker, they must end the scheme—because this is a scheme. Their Christmas wish is to privatize health care, and there isn’t a single Ontarian who is on board with that and neither are any of our health care workers. The government needs to create a health care strategy to keep our front-line health care workers on the job, happy, respected, paid and protected.

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This is about health care, and there are often times when members of the opposite side won’t listen to us, so I’m going to read some letters that I have about the real crisis in health care. I’m going to ask my colleague to let me know when I start running out of time.

The first one is from an RN: “I am a registered nurse in the province of Ontario and I do have a deep appreciation of the current situation in our diverse sectors of health care. I am reaching out this afternoon, not as a nurse but as a very concerned patient currently in the system. Last summer I was diagnosed with bilateral pulmonary embolisms from which I almost died.

“During this hospital stay, I was made to wait 24 hours in the emergency department as no critical care beds were available.

“While I survived this ordeal, I am still not fully recovered and need further testing done and possibly surgery to remove the blood clots in both of my lungs.

“I had to wait at least a month to have a CT scan of my lungs.

“My biggest concern at this time is that I will need surgical intervention that cannot be done close to home. I will need to travel to southern Ontario for this procedure.

“With the current state of our health care system, how long will this be?

“How many times will this procedure be cancelled and rebooked due to a lack of physicians and nurses?

“Will I need to pay for the procedure and for any further diagnostic tests that I my need?

“I cannot afford to pay for expensive procedures and test if the” Conservative “government moves ahead with privatization of our health care system.

“While all of this was happening, I was also laid off from my full-time job. I am only able to find part-time work and therefore I have no benefits, no sick time, and I must pay out of pocket for medications, which total roughly $400 every three months.

“I am having to make the hard choice to remain on my medications and not be able to purchase enough groceries. At times, I have to deny myself meals in order to pay for medications and maintain my household expenses.

“Please help not only myself, but the many ... patients who are in similar situations.

“When will” the Premier and the Minister of Health “realize that our system is in crisis now and this crisis will not improve unless Bill 124 is repealed and they are willing to listen to the people who are currently facing such challenges?

“The plan to privatize the health care system is not the solution.”

Karen is an RPN. She reached out to me.

“I am a constituent in your riding of Sudbury.

“I am ... one of Ontario’s 50,000 registered practical nurses (RPNs) who has been working on the front lines of this pandemic, providing critically needed care for the people in your community. I am writing today to share my concerns that RPNs continue to be undervalued for the important care we provide, despite going above and beyond the call of duty.

“Ontario’s RPNs are college-educated, regulated nurses who combine nursing skill, knowledge and judgment to deliver exceptional care....

“I work alongside RNs and perform the same care, and am paid considerably less....

“Though the RPN role is much more similar to our registered nurse (RN) colleagues, our compensation continues to be more closely aligned with personal support workers (PSWs)....

“RPNs are continuing to be squeezed by growing workloads as they care for an increasingly complex patient and resident population, while facing stagnant wages. We have also seen inflation grow to over 4.5%”—higher since she wrote this. “I am paying more for gas, groceries, insurance as well paying my licensure and mandated liability insurance through WeRPN. This is over $700 per year.

“More and more nurses are considering leaving the profession at a time when we need them most. As my elected official, I am urging you to take action to recognize the extremely challenging realities that RPNs like myself are facing.... As a first step, I am asking that the government take immediate steps to increase the wages of RPNs to align with the current realities of their role.”

I am asking on behalf of her for the government to repeal Bill 124.

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  • Nov/16/22 1:50:00 p.m.

I’m proud to rise and speak on behalf of my good people of Scarborough Southwest to speak to this bill to recognize the staffing shortages that we’re facing in our province and, frankly, propose solutions, because this government—seeing the crisis that we’re facing in our health care sector, seeing the crisis we’re facing in our hospitals—does not have a clear plan to respond to the health human resource crisis that we’re facing in Ontario.

Hospitals, long-term-care homes, home care and community care settings are all reporting critical staffing shortages, and it is causing major damages across the board. When we look at the Health Quality Ontario report, they reported the average wait time was seven times the provincial target of two days in Kingston and six times the target in Milton, Oakville, London, Toronto and Scarborough. And 13 hospitals reported that patients have waited over 24 hours on average—and that’s just the average.

I was recently in an emergency room and I have seen first-hand what people are facing, what kind of injuries people are sitting with and the amount of excruciating pain people are having to go through. I just look at the faces of the nurses and the doctors and how hard they’re trying to be able to just keep up and the amount of time they would come back and say, “We’re trying our best. We’re trying our best.” You could see the stress in their faces, their eyes. They want to help, but we are failing them and we need to do better, and this does that.

I heard from a constituent, Farzana Ghani, recently. Her husband has cancer and he was diagnosed at Michael Garron Hospital. He waited for months for an oncologist appointment, and now they are waiting another month just to get a PSW and a caregiver. This family had to lose their income just to take care of him because they are waiting for a caregiver. We don’t have enough PSWs and caregivers.

Another constituent in Scarborough Southwest reached out. Her adult daughter has experienced trauma recently. There is an 18-month waiting period to access the trauma program at the Women’s College Hospital—18 months. That’s the norm that she was told.

Another mother actually wrote, and because I have a short time, I am just going to say that all she asked is, “Can you ask this government, ‘Has everyone given up? Are we accepting this as the norm? Has everyone given up?’” Because if we look at the government’s fiscal update, it looks like they have given up. They don’t see the health care crisis.

We need to have a multi-layer health care worker recruitment and retention incentive package that includes short-, medium- and long-term solutions to recruit and retain workers across all health care sectors with good jobs. We need to repeal Bill 124. It is the number one thing that’s causing so many health care workers to leave our province and go to other professions, because they do not feel respected and they do not feel appreciated. Even though we’re calling them heroes, we’re not paying them the wages that they deserve.

We need to restore workers’ rights to bargain for wages that reflect their worth and we need to recognize the internationally trained professionals, the internationally trained health care workers, who are waiting to contribute to this province, who have waited for years. There are workers across this province who are Canadian citizens, are Ontarians, who can be contributing right now to this province, but we’re not making it easy for them.

We need to do better by all of these people and we need to do better by all the kids who are waiting in our hospital rooms. We need to do better for our seniors who are waiting to have better care and we need to do better for all our health care workers.

Please pass this. I hope the government will listen and, this time, come up with a strategy.

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  • Nov/16/22 1:50:00 p.m.

I recognize the member for Scarborough Southwest.

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Thank you to my colleagues opposite for your contributions to this debate. I am excited to talk about this today. I wanted to start by saying that I am really proud of our government, and particularly our government’s health care recruitment, retention and training strategy, which has been in place now throughout the pandemic, and we keep adding and enhancing it. We have short-, medium- and long-term solutions to recruit, retain and train our health care workers, and I am proud that we brought in the elements of that strategy at the beginning of the pandemic and ongoing throughout our term in office. So I am really excited to have an opportunity to speak today about the investments in our health human resources and our health human resource recruitment, retention and training strategy—the largest of its kind in Ontario’s history and probably the largest of its kind across Canada, given that Ontario is a big part of Canada.

First off, I want to reiterate how I am amazed every day by the ongoing, remarkable commitments, dedication etc. of all of our health care workers, all of our health care providers, to give every Ontarian the best care possible, often under trying circumstances. They do that every day and I think we all owe them at least a little applause for that, because they do such a great job.

But I can certainly tell you that, from the outset of the COVID-19 pandemic, our government has been taking deliberate action on a health human resources recruitment, retention and training initiative that is, as I said, the largest of its kind. We’ve done everything we can to meet the health needs of Ontarians, and our commitment to that goal has not wavered in any way. We have worked and we will continue to work tirelessly to ensure that Ontarians’ health workforce is supported, equipped and able to respond to the needs of patients across our health care system.

Since the beginning of the pandemic, programs launched by our government have already added over 12,000 health care professionals to the system, including acute care settings, including long-term-care homes and including our home and community care settings that help to preserve hospital capacity, and we’re still doing more of that. After our initial work to create additional capacity through the Ontario matching portal, we invested $52.5 million to recruit, retain and support over 3,700 health care workers and caregivers, to ensure continuity of safe care for patients and long-term-care residents in the province.

In addition to the work we’ve done to increase the supply of health care workers to the province, we have worked to support and retain our existing workforce. We introduced temporary pandemic pay as a measure to recognize the dedication and the long hours of working to contain the COVID-19 outbreak. We introduced that, and Ontario’s pandemic pay program is one of the largest of its kind in the country, and it’s unprecedented in the province’s history. Under that, over 375,000 of Ontario’s front-line workers are receiving or have already received pandemic pay, of which over 225,000 are in the health care sector. On average, a nurse receiving pandemic pay received $12,000—on average, each nurse—of temporary pandemic pay during the period of the heart of the pandemic. From, say, March 2020 to March 2022, they received that $12,000 extra in temporary pandemic pay.

And the government has continued to invest in Ontario’s health care workforce. Since October 1, 2020, the government invested more than $1.3 billion to provide a temporary wage enhancement to more than 158,000 personal support workers and direct support workers providing publicly funded services in hospitals, long-term-care homes, home and community care, and social services. We’re now investing $2.8 billion over the next three years to make this temporary wage-enhancement program permanent.

In February 2022, to retain nurses across the health care sector and to stabilize the current nursing workforce, the government announced that it would invest, over two years, $764 million to provide Ontario’s nurses with a retention incentive of up to $5,000 per nurse. Taken together, then, during the period from March 2020 to March 2022, the average nurse in Ontario received $12,000 in pandemic pay and $5,000 in a retention incentive, for a total of $17,000 extra during that period of time—which, of course, they earned, because they all were working so hard, but this is important to recognize, that that was during that period of time.

In the summer of 2020, our fall preparedness plan invested $52.5 million to recruit, retain and support over 3,700 health care workers and caregivers, to ensure continuity of safe care for patients and long-term-care residents. Amongst other things, we supported the Nursing Graduate Guarantee program, providing nursing graduates, registered nurses and registered practical nurses in Ontario with temporary full-time employment above staffing complement, to support their successful transition to practice and to full-time employment. The program provides 20 weeks of funding for each new nurse approved to participate in the program, and includes 12 weeks of funding for the nurses’ transition-to-practice period and eight weeks of funding to reinvest in existing front-line nurses and their professional development.

In 2021-22, more than 1,500 new nurses were matched to employers through the Nursing Graduate Guarantee program. So far, in 2022-23, more than 1,200 nurses were matched to employers through the Nursing Graduate Guarantee program.

The plan also supported the community commitment for nurses, which offers registered nurses, registered practical nurses or nurse practitioners a $10,000 incentive in return for a one-year commitment to practise in a hospital, long-term-care home or home and community care agency in high need.

While COVID-19 has been a testing time for the system and for all of us, the PSW return-of-service program and the Community Commitment Program for Nurses are examples of programs that will be instrumental to us in the future as we continue to work to distribute the workforce effectively, placing our precious resources where system gaps appear or where the demands are the greatest. We hope to place up to 3,000 nurses in areas of need through the program ever the next two years. Over 600 nurses have already been placed with employers through the program since it relaunched in May 2022, and the government is supporting important actions to attract our new nurses to where they are needed most in the province.

Additionally, the government has announced the new Learn and Stay program. Starting in the spring of 2023, up to 2,500 eligible post-secondary students who enrol in priority programs, such as nursing and paramedic and work in underserved communities in the region where they studied after graduation, will be eligible for grant funding.

I know the young pages around here are listening intently because they can see there’s some good opportunities in health care in Ontario.

Certainly our physician workforce needs to grow too, so that we can continue to meet demands in the system. In March 2022, the government announced a significant expansion of medical school education in Ontario—so pages, listen up; this could be you—adding 160 undergraduate seats and 295 postgraduate positions over the next five years. This is the largest expansion of undergraduate and postgraduate education in over 10 years. The expansion aims to increase access to family and specialty physicians all across the province. Training more doctors will ensure that Ontarians can access the health care they need, when they need it and wherever they may live.

Internationally educated health care providers are a large and important part of our health care workforce that has been neglected for many years, but we’re fixing that. This government is taking action to fix that. That’s why we’ve got lots of expanded opportunities for internationally educated providers across the province, including our supervised practice experience partnership program, which provides internationally educated nurses the opportunity to achieve their evidence-of-practice and language proficiency requirements to obtain their nursing designation. As of November 4, 2022, over 1,700 internationally educated nurses are actively enrolled in that program, and ever 900 have achieved their registration to practise through this program since it launched in January of this year.

That probably has been plaguing Ontario’s health system for years and has never been addressed until now. It is this government, fronted by a Premier who cares very, very much and a health minister who is willing to consider all options, that we’ve come up with these solutions, and we’re making a real difference for immigrant communities who come here with lots of talent and want to apply them, and we need them to work in our health workforce. So I’m so glad that we’ve managed to get that done. That is a serious plan to address our health human resource needs.

We are also approving regulation changes, including internationally educated nurses to register in temporary class and begin working sooner as they go through their full registration. As the pandemic has unfolded, of course, the government has recognized mental health challenges faced by our health workforce. In response, because we have a Premier who cares so much, we have invested a continuum of supports for health care workers, including in-person and virtual supports, with funding of $3.8 million in 2021-22 and $8.7 million in 2022-23.

These investments support existing and expanded mental health and addiction supports for our health care workers whose mental health has been adversely impacted by COVID-19 and workplace and occupational stress.

I find it interesting that the members opposite have chosen to highlight some of the challenges our health care system is facing without acknowledging the role that they played for 15 years.

Speaker, for years Ontario has been facing a rising number of individuals in the province without access to primary care physicians. After cuts to residency programs and caps on medical school spaces from the previous government, it’s our government with a Premier who really cares and wants to do something about it and is looking for solutions that is putting forward those solutions.

In the 2012 Auditor General’s report on health human resources, it was revealed that northern Ontario had a shortage of 200 physicians, or 40,000 hours of care, and yet little was done. And that was 2012. I know the member from Mushkegowuk is concerned about the lack of access in his community. These things existed in 2012, and yet, when the members opposite held the balance of power, when the NDP held the balance of power, they did nothing to solve this problem.

It’s important to note that at that time there was a minority Liberal government supported by the members of the NDP, many of whom are the same members here today complaining that nothing was done.

Interjections.

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  • Nov/16/22 1:50:00 p.m.

Ontario needs a human resources strategy for our health care system, which is why we brought forward this motion.

“There are more vacant positions for nurses than nurses working in one GTA” hospital, as CTV reported last week, “a sign of how dire staff shortages are ‘deteriorating’ a medical system already on edge.

“A consultants report for Lakeridge Health calls the situation at its Oshawa hospital a ‘crisis’ as it lays out how” workers are leaving the system en masse, primarily because of “low morale, misaligned incentives, and EMS offloads,” which are compounding the problem.

The chief emergency room doctor said, “Normally we would internally try to work on solutions and try to improve our efficiencies ourselves, but realistically the government is not coming in on a stallion to fix everything for us,” which means that they do feel abandoned.

“He said that the hospital is far from the only one feeling the shortage of nurses who, because of stress and overwork, are choosing to retire or leave at faster rates than they can be hired or trained....

“It’s extremely troubling that there’s a majority of vacancies. More vacancies for nurses than there are nurses.”

They are going south of the border.

Natalie Mehra of the Ontario Health Coalition said this “is indicative of what’s happening in large hospitals all across Ontario. We’ve never seen anything like it. It is really serious.”

As the finance critic, I want to point out that the government, just this week, said in their mini-budget that there’s no new money for health care in their economic update because they already prepared for the surge in illness. Parents are being sent home from my local hospital of Grand River Hospital, which is at 150% capacity in our pediatric ICU unit. It doesn’t sound like you’re prepared, it doesn’t sound like you invested, and it doesn’t sound like you are fighting for health care.

This province has the money. That’s the important part I want to tell you. The FAO has forecasted a $100-million surplus just this year. He is projecting surpluses for the foreseeable future. If the political will were there, if this government cared, they would use the unallocated contingency funds, which the FAO has said, over the next six years, will balloon to $44 billion. This is not about money; this is about political will and this is about not having a human resources strategy which recognizes how important our health professionals are to maintaining a publicly funded health care system.

I urge the government to listen to this motion and to work with the NDP—His Majesty’s official opposition—to bring forward solutions to serve the people of this province.

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  • Nov/16/22 2:10:00 p.m.

Last week, the member for London North Centre and I met with RNAO’s Middlesex-Elgin chapter, and we listened to the nurses who attended that meeting. These were nurses who worked in home care, long-term care. They worked in emergency and pediatric emergency. They worked in the ICU. They worked offloading patients from ambulances. They worked in public health. It was a mix of experienced nurses, student nurses, nurse educators. They told us that they are exhausted, they are burned-out, they are done, and they have no faith that anything the government is going to do will help make a difference. They saw the growth of hallway medicine under the Liberals, and they have seen the weaponization of Bill 124, legislation that directly targets a predominantly female workforce and tells health care workers, tells nurses, that this government does not value them, does not respect them and does not care about the demoralization they feel after almost three years of a pandemic and the workload pressures, the stress and the violence that they face every day on their job.

Speaker, I hear daily from Londoners who contact my office who can’t find a family doctor, whose routine screening tests were cancelled, whose surgeries were postponed. I hear from worried parents who are reaching out to my office, asking me what is going to happen if their child becomes seriously ill and they have to take that child to a children’s hospital in London where there are waits of hours—hours-long—with a desperately ill child. Imagine how you would feel as a parent, knowing that if that child had to be admitted to an ICU bed and they’re over 14 years of age, it may be to an adult ICU bed or it may be to an ICU bed in another community altogether.

Speaker, we have heard the Minister of Health say that this surge was expected, that the overwhelming of pediatric emergency rooms is not a surprise to this government, that the number of children being ventilated is nothing to worry about, that they have a plan, and that plan, this government claims, is so good that no additional resources or measures were necessary in the fall economic statement.

We just heard the parliamentary assistant talk about the recruitment programs that this government has put in place. But I have news for this government: Investing public dollars to recruit workers who don’t stay in the health care profession won’t do a thing to shore up the health care workforce.

What we need to do is compensate them fairly. We need to improve their working conditions. We need to support them with appropriate mentorship programs, training programs, other programs. We need to repeal Bill 124. These are the measures that would really make a difference.

I call on this government to support the motion before us today, to consult with unions and health sector stakeholders to develop a multi-layer health care worker recruitment and retention incentive package that includes short-, medium- and long-term solutions. We need to do everything possible to recruit, retain and return health care workers.

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  • Nov/16/22 2:10:00 p.m.

They’re asking me where I was. Well, I wasn’t elected then, so I couldn’t make a change. But you could have, sir. You could have made a change, and you did nothing.

If the members opposite truly wanted to improve access to primary care at that time or at any time, they could have made it a condition of their support. Yet they chose not to do that.

The former Premier admitted to freezing hospital spending for years and, in 2015, eliminated 50 medical residency positions from Ontario. They defended their decision to eliminate the 50 positions, when 800,000 Ontarians were without a family doctor, by saying they were, “scaling back to make better use of scarce health care dollars.”

This reduction came in the same year that 250 nurses would be laid off from hospitals in communities across the province, including Newmarket, Sarnia and London. If the members opposite were committed to improving our health care system, they could have done it then, and yet they did nothing.

Madam Speaker, I get tired of listening to some of the complaining going on. I get tired of listening to people trying to make a crisis and make fear in the population at a time of pandemic even worse by using words and expressions like “the worst crisis in generations” and “oh my God, the government is going to privatize,” trying to scare people. I think it’s irresponsible to be talking like that at a time when the health care system is of course under strain.

The interim leader for the NDP said that the reasons for the crisis are not mysterious. And the first two he listed, I agree. People worked hard before the pandemic in our health care system, and they worked very hard throughout the pandemic. That is true. That is why we continue to work to improve the system and pay them back.

But let’s remember that these waits in emergency rooms for health care have been going on for many, many years. I personally have waited—what was the example given, 14 hours and 20 hours? Is that normal? No, it’s not normal, but I have personally waited that long over 10 years ago with my parents in the emergency departments. So that is not new, unfortunately, in Ontario. That is why this government is taking steps to address it.

At the same time, in 2019, before the pandemic arose—November 2019, as I recall—emergency rooms were being closed in Nova Scotia. I remember the story on the national news. It said there’s a sign on the door in the emergency department of this town in Nova Scotia: “Don’t go to this emergency room because no one is here. Drive to the next town.” That is not a new issue. It was a pre–pandemic issue, and it’s a staffing challenge.

Why do we have a staffing challenge? The members opposite are correct. There is some pressure in our staffing, but let’s talk about that. It’s not a funding issue. It is a staffing issue because there are not enough health human resources—

I just went through a lot of things we’re doing to fix that problem, but let’s just talk about this for a second. Part of the reason that we need so many new staff is because we have so many more jobs for them, because we’re trying to hire more, right? We’re trying to hire 27,000 new PSWs and nurses for our long-term-care homes. That will make more jobs available. So, yes, there are more vacancies. And we’re trying to hire nurses. We’ve just added—

Interjections.

Somebody over there said, “We’ve never seen anything like this before”—

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  • Nov/16/22 2:10:00 p.m.

That’s a funding issue.

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  • Nov/16/22 2:10:00 p.m.

Opposition, come to order please.

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  • Nov/16/22 2:20:00 p.m.

I usually get up and say I’m happy to rise to speak in this House, but this is a subject that hits close to my heart because I’m married to someone back home who is one of those health care professionals at CHEO dealing with kids who are struggling to breathe—struggling to breathe. This is Canada—struggling to breathe.

We have flu season every year. We don’t have seven kids over a weekend having to be resuscitated. We don’t have little kids like the one I talked about this morning, Chloe, fighting to breathe—fighting to breathe, and our friends in government are saying, “Crisis? What crisis? There is nothing happening here to be concerned about. We’re giving the system more money than we ever have before.” Chloe’s fine. My partner working her tail off back at CHEO is fine. Everything’s great. Shouldn’t we applaud them for how innovative they’re being in this moment?

I just want to appeal to the hearts of the government members opposite and ask them to truly consider the gravity and ethical implications of making comments like that, because it is one thing to ask first responders and health care workers to sacrifice, which is what they signed up to do every single day—it’s one thing to do that, but it’s another thing to tell us a story about how there’s no significant problem here and how we’re investing more money than ever before and we’re just fantastic, because it doesn’t correspond to the reality of the nurse or the doctor or the orderly or the custodian holding the hand of the mom with the breathing tube in the kid’s face. There is a disconnect. I want my friends in government to understand that disconnect. It hurts.

What also hurts is when they see government in July give 44 members of this government caucus a parliamentary assistantship—the greatest percentage of parliamentary assistantships in Ontario history. That’s a $16,000 raise while you’re giving 1% to people in hospitals keeping kids alive, a $16,000 raise while you’re telling people that you’re doing the best you can and it’s the best it has ever been.

I just want to appeal, through you, Speaker, to the government to acknowledge that we are in the middle of an unprecedented crisis. I asked the Premier this morning to lead by example and wear a mask in this place. The Premier would not stand and answer my question. He deserves the opportunity to honour the office he holds for the province of Ontario, to wear a mask and to actually be on the ground in communities across this province, repealing Bill 124 and the other legislation which is not only hurting health care workers but it’s insulting their everyday reality.

Stop the insult. Fund the health care that we need. Fix it right now.

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  • Nov/16/22 2:20:00 p.m.

I think you’ve heard loud and clear from all my colleagues during our oppo day where the needs are and where the answers are also located. There are many answers that have been provided to this government, many suggestions that have been provided to this government.

This government continues to force hospitals and long-term-care homes to use agency nurses, which are three times the cost of what we know would work effectively. Give that opportunity for individuals to return to the workforce, to return under good working conditions: Repeal Bill 124 to remove those conditions that are there, but add 10 paid sick days so individuals can go back to work without any worries and care for the people who they work with, but also stay at home when they need to stay at home.

This government has created a self-imposed crisis. We ask ourselves, “Why did they create this crisis?” The simple answer to it is to accept them doing an action. What is that action? A lot of it comes down to privatization of those services. This government can stand in their place and deny it, but you can see it happening in all of the communities. It’s apparent this is your path. It’s in your DNA. There’s no changing it, and you cannot continually stand in this House and continue to deny that.

In Algoma–Manitoulin, a lot of the hospitals are operating their ER departments. Why? Because they have locums. We’re paying high fees for those locums to make sure that our ER—thank goodness that we have the ability, but that’s not the answer, because primary care is being set aside. Patients in their communities are not getting the care that they need. There are nurses—we had an excellent breakfast this morning with registered nurses who have the answers for this government. You need to sit with them, listen, provide them with the opportunity to expand their services. That’s part of the answer.

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  • Nov/16/22 2:20:00 p.m.

I am pleased to rise on this motion today calling for a solution to the health care crisis, especially after we have just heard the government side say, “Crisis? What crisis?”

Let me tell you about the crisis in Ottawa, Speaker, a crisis which the chief of staff of CHEO has just called an “unprecedented” crisis. The pediatric ICU at CHEO is at 280% capacity. This weekend we saw seven kids resuscitated. A child who went to the hospital by ambulance for a severe allergic reaction waited 13 hours to be seen. That’s “what crisis” we are seeing in Ottawa.

And it’s not just limited to CHEO. At the Queensway Carleton Hospital this weekend, there are 22 beds in the ER. There were 24 patients admitted and waiting for a bed in the hospital, yet the emergency room staff still had to see an additional 240 patients with no beds in the ER available. Wait times at Ottawa hospitals are as long as 17 hours. These are people in pain. These are people struggling to breathe. These are people experiencing some of the scariest moments of their lives, and they’re not getting the support that they need from this government.

At the same time, Speaker, I am hearing heartbreaking stories from the nurses and health care workers who are supporting them day in and day out, the nurses of ONA Local 83 and ONA Local 84 at the Ottawa Hospital and the Queensway Carleton Hospital: stories about nurses being assigned to units that they are not trained for, including the ICU and the emergency room; about a nurse who had served only a few short months being asked to take responsibility for a unit by herself overnight; about nurses who are beginning every shift in tears because they’re being asked to do work they don’t feel qualified for or that they are not being supported to do.

Nurses want to provide great care, but the conditions this government is putting them in are not allowing them to do that. There are nurses leaving the health care sector for retail jobs because they are burnt-out and tired, and tired of feeling fundamentally disrespected by this government—this government which thanked them for being pandemic heroes and turned around and capped their pay, despite the fact that they were putting in long hours short-staffed; a government that has refused to budge on Bill 124, despite hearing of the impact on health care workers and on patients day in and day out; and a government that has seen this crisis in our health care sector—one that they won’t acknowledge is a crisis—and not put a single new dollar toward our health care system in the fall economic update.

That is why it is so essential that we take this time to acknowledge what is going on in our health care sector, to acknowledge the work of our health care workers and to actually ensure that we are providing the investments and resources and supports that they need, starting by repealing Bill 124 and giving them a decent wage; providing the investments in the health care sector; and recruiting, retaining and returning nurses to the sector so that they no longer need to be short-staffed and so that everyone who goes into a hospital in Ottawa and across the province knows that they are going to get the health care they deserve in a timely fashion.

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  • Nov/16/22 2:30:00 p.m.

Further debate? Further debate?

The member for Nickel Belt.

All those in favour of the motion, please say “aye.”

Those opposed to the motion, please say “nay.”

In my opinion, the nays have it.

Call in the members. There will be a 10-minute bell.

The division bells rang from 1436 to 1446.

Madame Gélinas has moved opposition day number 2. All those in favour of the motion will rise one at a time and be recognized by the Clerk.

Motion negatived.

Report continues in volume B.

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  • Nov/16/22 2:30:00 p.m.

Thank you, Speaker. I will be using my right of reply to the motion.

It was an interesting afternoon, where a lot of real-life stories that highlight the crisis in our health care system have been shared. There is a health human resources crisis in health care. Health care happens between two people. When the people who provide the care are burnt-out, when the people who provide the care feel demoralized and disrespected and just cannot continue to do their jobs anymore—jobs that they love, jobs that they are good at, jobs that they trained to do and want to do, but the circumstances in their workplace right now, whether it be in hospital, in long-term care, in home care, in primary care are such that they can’t take it anymore—we need to act.

We cannot continue to let this happen the way it is. How can anybody sit in their seat when you know that SickKids and CHEO—those are pediatric hospitals that are world-renowned. They provide the best children’s care. People come from all over to see what we do right here in Ontario. When we hear that their ICU is full, at 130% capacity, when we hear that there are little ones in every single ICU bed and bassinet and crib and there are no more ways to care for them, how come some people can stay there and say, “All is good. We have recruited 12,000 new workers”?

You don’t look at attrition. What is happening right now in Ontario is a mass exodus of health care workers who are afraid for their licence, who are afraid for their mental health, who are afraid for their own health, and who just give up. They would love to come back. In order for that to happen, we need to acknowledge what they have gone through.

We need to acknowledge that things were not good before. You’re absolutely right that there have been hospitals full, at 120% capacity, for years. There have been people admitted into TV rooms, lounges, ends of hallways, everywhere. There is a huge patient room in the basement of my hospital, next to the morgue, where eight people lay without a window, without a bathroom. We are full, over capacity—yes, our hospitals are—but don’t just sit there and say, “We’ve recruited 12,000 more,” because the exodus is there. Go on the website of any hospital in Ontario, go on the website of any long-term care, and you will see vacancies, 42,000 of them, right here, right now, as we speak, where there is nobody applying for those jobs.

And some of the programs that the government has put forward—yes, they took the training, they went and worked as PSWs, and four weeks later, half of them had given up on that job, because it was just too hard, too difficult for what they were getting out of it. They still could not pay the rent and feed their kids with the work that they were doing as a PSW.

What we’re asking through this motion is really a multi-layer approach that looks at how we solve the health human resources crisis. How do we bring people back? How do we respect them for the hard work, the important work that they do? This is what this motion is all about. We had nurse practitioners, who are here today, going into the different offices. They are telling you, right here, right now, that there are nurse practitioners underemployed right here in Ontario. Each and every one of them, if you were to fund the position in any nurse practitioner-led clinic, they would take on 800 patients that are unattached. You could do this right here, right now this afternoon.

But no, none of that is happening. They have recruited 12,000 new health care professionals. It doesn’t matter that there are 42 vacancies. It doesn’t matter that the exodus is continuing. We see a government that is very reluctant to act, and like everybody else, you have to wonder, “Why is that?” Well, the “Why is that?” is because they will come out with a solution of privatization. They’re not proud of it. They hide it. They don’t say it. But they do it.

Repeal Bill 124. Treat people with respect and you will be amazed what Ontario health care workers will do.

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