My question is to the Premier.

There’s no question that Ontario’s health care system is in crisis, but make no mistake, this crisis is by design. This government has underfunded our hospitals, held down the wages of our health care workers, and now, after years and years of neglect, the government has tabled a new bill that uses this crisis as an excuse to expand for-profit health care in Ontario.

Hospitals and long-term-care homes are already desperately fighting to retain nurses and doctors in what is really a staffing crisis across the system, and they’re now going to face competition from new two-tier investor-driven clinics. Nothing in this bill prevents that from happening.

Can the Premier guarantee today that these for-profit clinics will not poach staff from our publicly funded hospitals and long-term-care homes?

I want to go back to the Premier again: This bill also includes no actual oversight mechanism to ensure patient safety. The Minister of Health yesterday couldn’t even say which body would be overseeing these clinics to ensure that procedures are done safely—couldn’t even say that.

What concrete guarantees can the Premier make today regarding people’s safety in these for-profit clinics?

And the fact is, Speaker, the government is asking Ontarians to just trust them. But the minister said yesterday that they wouldn’t be able to share some details because of the—and I want to quote her—“business-model nature” of these new clinics. The minister says there are guardrails, but beyond saying people can complain to the Ombudsman, the bill doesn’t guarantee oversight for public funds or public safety.

So again: How will this government ensure that the interest of patients takes precedence over people who just want to make a buck?

And perhaps they’ll stay.

As a result of Bill 124, we heard from multiple delegations and we’ve heard from many different organizations that nurses have left in droves because they feel insulted. For many years, as I’ve said, as the past Liberal government strangled and underfunded the health care system, they have been holding up that system by the virtue of their good nature, by the virtue of their hard work. That’s absolutely wrong. Ten years to go without a raise? It’s unconscionable. It’s an honourable profession. It’s a caring profession. It takes a strong and a capable person—but I don’t think that anyone deserves to be treated the way that this government has. Bill 60 could have taken the opportunity to rectify that, to admit that mistake—it’s not.

We also heard from multiple delegations about the wage disparity between home care, long-term care and acute care within hospital settings. This does nothing to do that—in fact, as I’ll get to in my comments if I have time, it actually makes it yet worse.

In terms of profit-making, no one should look forward to or hope for somebody else to become ill because that will line their pockets. That’s disgraceful. I think we should all be able to agree with that. But this bill opens the door for these profiteers, people who will be doing just that. It’s almost worse than ambulance-chasing. When someone is sick, our health care system pays for that care. These are people who want to skim off the top. When they skim these public dollars off the top to put in their own pockets, that means yet less care. They latch on to the public system, and they’re going to slowly bleed it of resources.

We saw this with home care and long-term care. When privatization was suggested as a model for that, it was touted as the greatest thing since sliced bread. They said, “There’s going to be choice. There is going to be competition, and prices will stay down.” Well, we know that the exact opposite is true. The COVID-19 pandemic exposed what has been going on for many years. The Wettlaufer crisis exposed what has been going on for many years. And yet, this government refuses to treat seniors with respect.

Conservatives and Liberals have always been very comfortable bedfellows. There has long been a Liberal-Conservative consortium when it comes to this for-profit care model.

In 2017, Liberals tried to pass legislation to allow for community health facilities, and guess who supported them? The Conservatives. Of course they did, because they have always been in it together when it comes to wresting public dollars from our health care system into private pockets. Fortunately, this bill died at committee. That was 2017. Here we are, in 2023. Oh, they’re not called “community health facilities”; they’re now called “independent health facilities.” It’s old wine in new bottles, but it’s the same program, isn’t it?

There has been an ideological blind adherence to this for-profit model, and I want to point out in my remaining time some of the myths about private health care that have been put forward, because this government has been relying on some very deep misunderstandings.

Our Premier said, “We just can’t as a province keep doing the same thing and expecting a different result.” Well, “doing the same thing” was underfunding health care and strangling it of resources. Of course, it’s not going to have a different result from the Liberals, but this is the result that he wanted.

Funding health care properly and ensuring health care would be different, ensuring that money was spent on front-line care, ensuring it was spent on those nurses would be different from the status quo. But you’ve maintained the Liberal status quo, so congratulations on that.

Myth number two: Private clinics are needed to clear the backlog. This implies by its very nature that publicly funded surgeries are at full capacity, but we know that hospital hallways are not full of people waiting for a knee replacement or a hip replacement. In fact, there is a complexity of care, but this government won’t fund that care properly.

I also want to point out some concerns that I have with this legislation.

Schedule 2 attempts to deregulate health care settings. It expands the definition of “regulated health professionals” to include those who are not part of a regulatory college. Just when you thought that this government could not attack, insult, degrade, demean and humiliate health care workers more, they’re trying to take away their titles. They’re actually making it so that, according to schedule 2, this definition of “physician” becomes nebulous; this definition of “registered nurse” becomes something different. Does that mean, by this, that anyone can be deemed to be this role within these settings? It will be interesting, because, quite frankly, the oversight isn’t going to be here, because that is something that is also not included properly within Bill 60.