My question is to the Minister of Health. Some 2.2 million Ontarians don’t have a family doctor, and that number is going to double in two years. According to the Ontario Medical Association, Toronto alone is short 305 family doctors. As a result, we’re seeing private family clinics charging annual subscription fees for care pop up across Ontario under this minister’s watch.

My question is, what should Ontarians in need of a family doctor but who cannot afford to pay out of pocket do?

The Conservatives will have an opportunity today to vote on an NDP motion which proposes a practical solution that will address the problem by freeing up time for family doctors to take on more patients. It is a solution proposed by doctors themselves.

Will you support this plan so we can close the gap for people in Ontario who desperately need a family doctor now?

There’s no denying, I think, that Ontario’s health care system is deeply frayed. More than—we often say 2.2 million, but the numbers are actually increasing daily; we’re now up to more than 2.3 million, in fact, since I introduced this motion, who are currently without a family doctor.

Primary care providers and community health centres across the province are overwhelmingly understaffed, and all of us here in this room know exactly what that has led to: crowded emergency rooms; excruciatingly long wait times; overworked, underpaid health care workers who are exiting the community health sector, exiting health care faster than we can ever recruit and retain them; seniors, kids, vulnerable Ontarians being left to wonder if they’re going to get the care they need when they need it.

Along with those critically low staffing levels, Ontario’s health care system is also seeing a wave of physicians retire. Currently, 1.7 million people in the province of Ontario are looked after by a doctor who is 65 or older. Let that sink in. How did the members across the aisle not see that one coming? Doctors are human too. New Democrats have been sounding the alarm on this for decades now—in the previous Liberal government, as well. But members across the aisle can’t see a storm coming for them until it’s knocking on their door.

Just on Thursday, I was in Kingston, where the shortage of doctors has left 30,000 people without access to primary care. The shortage is so dire that when four physicians at CDK Family Medicine and Walk-In Clinic announced that they would take on 4,000 new patients, hundreds of people lined up through the night, in the rain, to claim a spot. That’s desperation. If this doesn’t cry urgency to the Premier of this province, I don’t know what will.

Only two weeks ago, we had a few retired United Steelworkers workers here with us from Sault Ste. Marie. The members opposite will remember that they joined us here at Queen’s Park because they were asking this government to step up and do something about the almost 10,000 people, mostly seniors and retirees, who were de-rostered from the Group Health Centre in the Soo. It’s the only clinic in the area. They’ve lost physicians to retirements, to resignations, and there are no replacements available—and that is going to go up to another 6,000, to 16,000, in just a matter of months. By the end of the year, nearly 30% of the population in Sault Ste. Marie and Algoma could be left without a family doctor. That is going to be a sad day.

We are losing doctors. We are losing nurses. We are losing health care staff. People are stressed, and they are worried about whether they’re going to get the care they need. And where is Premier Ford? Where is this Conservative government? They’re too busy patting themselves on the back with these vanity ads instead of actually improving access to care for the people of Ontario.

The doctors and nurse practitioners who are still on the front lines are having to spend hours filling out insurance forms and coordinating referrals, and it’s cutting into quality time with patients. The Canadian Medical Association studied how many more hours doctors could be spending with their patients if they weren’t buried in paperwork, and that number is 19 hours a week. That’s 40% of their time. That’s up to five hours on administrative work per day. Any of us who have spoken to family physicians out there in our communities know this; they’ve been saying it for years. They’ve been saying, “Do something about this. That’s five hours that we could be spending seeing patients.” That’s 19 hours a week filling out forms when we have people sitting between 12 and 15 hours in waiting rooms just to see a doctor. If doctors are freed up from this administrative work, they could serve—get this—two million more patients. Do the math. That’s like adding 2,000 doctors to the system—so, 2,000 doctors to the system, or relieve the administrative work and see two million more patients.

Training and hiring new doctors—we know it’s going to take years. But funding and properly staffing primary care right now? That can happen right now. We could be doing this today. It’s a question of priorities.

The Ontario College of Family Physicians—by their research, 94% of family doctors say they are currently overwhelmed with administrative and clerical tasks. They are telling us what they need.

I want to share the words of one such expert—an actual, front-line health care provider, Dr. David Barber. He’s the OMA chair of general and family practice. Here is what he has to say about this issue: “Paperwork takes an average of 20 hours per week and includes burgeoning insurance forms, sick notes and requests for drugs.” Family doctors who didn’t go into medicine to do paperwork are doing that paperwork. “We want to see patients; this takes away from it.”

I want to just stop here for one moment and say that last week, when I was in Kingston, I had the great pleasure of meeting Dr. Dick Zoutman, who made the point, when we were talking about this issue, of saying, “Let’s be clear: These are not optional forms. This isn’t an option. This is what we have to do.”

Going back to the comments of Dr. Barber: “The government hasn’t sent any signals to family doctors on the ground that they know what is happening. When doctors aren’t hearing from the government that it has their backs, family doctors are just giving up. That is why we are seeing so many leaving.”

Those are the words of Dr. David Barber, the OMA chair of general and family practice.

This is time that doctors could be spending with patients, with people who are aging—our population is aging—with those new babies we see out there, with new moms and new families, with teenagers who are struggling. These are hours that could be devoted to them right now.

It’s not like we don’t know what works. That’s what I find so frustrating after 20-odd years of looking at this issue in health care policy. We’ve seen how effective our solution is through the community health centre model, where primary care providers like doctors and nurse practitioners have a fully staffed and resourced team so they can focus on providing care, not filling out paperwork. But rather than support those centres, what does this government do? Cut funding, so they’re forced to reduce services, see less patients.

And let me say, on behalf of all of those community health centres that I have visited over the last few weeks alone, my goodness, don’t those workers deserve to be paid the same as those folks in our hospitals? They’re paid 20% less.

I know the minister tries to minimize how important that administrative work is that health care providers are doing. She belittled this, this morning, in her responses to our questions.

Our solution can be life-saving. That’s why we’re putting this forward.

How short are we of family doctors? This is based on current numbers: Windsor, short 36; London, 68; Hamilton, 114; Barrie and Muskoka region, 118. Toronto—can you imagine? Nobody can imagine that there’s a family physician shortage in Toronto, but boy, 305—let alone trying to get a physician who actually speaks your language. Peterborough, 40; Kingston, 23; Ottawa, 171; Sudbury, 33; Thunder Bay, 50; St. Catharines, 51.

As I travel across this province and I listen to people, I hear this every day.

In Alvinston, I was at the Maple Syrup Festival the other day. I was standing in line with a bunch of folks waiting for the school bus to take us to the Maple Syrup Festival. That was fun. Those seniors were talking with me about how none of them have a family physician. These are folks with walkers, with chronic health conditions. Where do they go?

Nursing home residents I met with last week in Nepean and Orléans are stuck in a situation with a bad-actor nursing home company, and they can’t afford to leave it because they can’t afford to lose their nurse practitioner. They’re putting themselves and their families at risk.

Here in Toronto, I met a young man just the other day in my riding, in downtown west end Toronto, who moved there from Brampton and has never in his life had a family physician—can’t get on a list.

This government could start clearing that patient backlog by putting out job postings today for health care team members to support doctors and get people of this province the health care they need right now.

I’m going to end by just referring to one other thing: When I came to the province of Ontario, what, 30 years ago from Newfoundland, one of the reasons that I stayed here was because you could imagine raising your family here on a working-class salary. You could imagine having a good public school for your kids. Do you know what else? You could get a family doctor—not something we had a lot of in Newfoundland, even back then. But you could imagine getting—

Interjection.

This afternoon we’re talking about a motion that will improve the lives and save the lives of hundreds of thousands, if not millions, of Ontarians. Having a family physician, having a family doctor, changes people’s lives. This is where the health promotion discussions happen. When you don’t have a family physician, there’s nobody to encourage you to stop smoking, there’s nobody to talk to you about how much alcohol you drink, there’s nobody to talk to you about healthy weight, healthy food, exercise. Those are all discussions—we call them “health promotion discussions”—that you have with a family physician, that you have with your family doctor. When you don’t have one, things change for the worse really quickly.

People already know that 40,000 of the people I represent do not have access to primary care; they do not have a family doctor. When the rate of smoking in Ontario is at about 12%, the rate of smoking in my riding is at 28%. Why? Because people don’t have access to a family physician. Why? Because people don’t have access to have those discussions that people who have access are able to do.

What happens when you don’t have those discussions about health promotion? Well, we know that one out of two smokers will end up dying from having smoked all their lives. They will end up, more than likely, with lung cancer—I don’t wish that upon anybody—ending up in the hospital, ending up in the cancer treatment centre, ending up using up resources.

We’ve all lived through the pandemic, when, for a time, people were afraid to go to the hospital; they were afraid to go to their family doctors or other primary care providers because of everything they were hearing about the pandemic, and they wanted to stay home and stay safe. We saw what that meant. It meant that a whole bunch of people did not have early detection of disease and sickness. We have the knowledge and skills in Ontario; we know how to detect those early, and we know how to treat them early. But if you don’t have access to primary care, you’ll wait till you are sick with some pretty severe symptoms before you go and wait 36 hours at Health Sciences North, in the emergency room, because it usually takes over a day—if you’re lucky, 26 hours. More than likely, it will take a day and a half before you’re seen, because Health Sciences North will see all of the life-and-death cases before you—you’re not a life-and-death; you just haven’t been feeling very good. And then we realize that you have stage 4 lung cancer because you did not have a primary care doctor to look after you.

We talk about health promotion. We also talk about disease prevention. We talk about chronic disease management. Many, many people have high blood pressure. Many people have COPD. Many people have diabetes. If all of those are well managed, you will be able to live a full life with minimum needs of the health care system, but you need to be followed by a primary care doctor, you need to be followed by a family physician; otherwise, things derail pretty quickly. But for 2.3 million Ontarians—the stats will apply to them like everybody else: 18% of them will have diabetes, 50% of them will have high blood pressure. I forget the stats for COPD, but it’s very high, too. They don’t have access to chronic disease management. What happens when you don’t have access to chronic disease management? Well, the disease progresses, gets worse. This is something that family physicians do all the time. They do it well. They keep people well and out of the overcrowded emergency rooms.

Do you want to have the biggest impact on decreasing demand on emergency rooms? Pass this motion. Give everybody access to primary care. The college of family physicians is ringing the alarm bell. Not only were we at 2.2 million when we tabled this motion; we’re now at 2.3 million Ontarians, and the numbers will double.

We know we are in a crisis right now. There are solutions that have been endorsed by the college of family physicians, that are endorsed by everybody who works within primary care.

Let’s get rid of some of the paperwork. We know how to do this. How do you do this? You let primary care physicians, family doctors work within an interdisciplinary team. You give them the support they need to do that paperwork. It takes a long time for physicians to review every single blood work—you’ve seen 100 patients in your week. There’s a chance that you spend the weekend looking at the results that come in from the lab. A nurse working with you could very well do that for you and flag for you the one that needs to be looked at because he or she is not too sure. It’s the same thing with sending referrals to specialists; somebody on your team could easily do this.

It’s the same thing with family physicians working on their own—it is really hard to provide quality care. I don’t wish harm upon anybody—but you’ve lost a loved one? A talk with a social worker will help you an awful lot. You’ve been diagnosed with diabetes? A talk with a dietitian, a nutritionist would help an awful lot. You’ve had that chronic back pain? Talk with a physiotherapist. That will help an awful lot.

Bring family doctors into interdisciplinary teams. Give them the support they need to focus on what they do well, while being part of a team. Every physician in Ontario who goes to school right now learns to be a family doctor as part of a team.

What are we waiting for? Those 2.2 million people cannot wait. Those 2.2 million Ontarians are at risk. Their health is at risk. Their lives are at risk. The overcrowding in our hospitals and the long wait-lists in our emergency rooms—all of that is at risk. All of that could change. All we need to do is pass this motion and act upon it. You will save lives. You will improve the lives of millions of Ontarians.

There is nothing wrong with having new medical schools. There’s nothing wrong with increasing the amount of people who can apply to those medical schools. We’re all for this. But it takes seven to eight years to form a new family physician—I’m not sure we have six, seven, eight years to wait before they come on-line. Attracting more nurses to Ontario—we’re all for it too.

But you need to fund interdisciplinary care, so that those 2.2 million people gain access. Will you do this this afternoon?

Speaker, 2.3 million people in Ontario do not have a family doctor. That’s 2.3 million Ontarians who cannot access the basic humane right of seeing someone whose expertise is in taking care of sick people. Many of those 2.3 million people have ended up on the doorsteps of our already understaffed, underfunded and overburdened emergency rooms—some of which have experienced shutdowns under this Conservative government due to its ongoing health care privatization scheme.

The goal should be to keep people out of ERs as much as possible, for as long as possible, but to do that, people need access to family doctors, so they can manage their physical and mental health needs. Statistics show that those without access to primary care are more likely to receive late diagnoses, which directly impacts both short- and long-term health outcomes. Without family doctors, if you need a specialist appointment, good luck on that journey, because you’re out of luck.

Every Ontarian deserves access to care. I say this as an MPP representing my community of St. Paul’s, I say this as a family member of folks in my own family who don’t have family doctors, and for many in this community—and many are racialized, let me tell you that. Many are in communities that are already underserved; many are rural; many are northern.

Today, we, the Ontario NDP official opposition, are giving this government yet another opportunity to help patients, to put them first. We are giving this Conservative government a solution to help our doctors get back to what they do best, that is, seeing patients, not having to fill out 19 hours a week of necessary, critical administrative work and paperwork. Help patients access more doctors by reducing the amount of time doctors spend on administrative work. That’s what we’re asking, Speaker. Help patients access more doctors by reducing the amount of time doctors spend on administrative work.

We are calling on this government to invest in administrative support staff and integrated health teams. By doing so today, we can add the equivalent of 2,000 more family doctors here in Ontario and help up to two million additional Ontarians get the help they need.

This should not be a partisan issue, Speaker. Saving lives should be about humanity. The NDP has put forth a solution. The government has the opportunity today to save people’s lives. Will the government accept our proposal today? Yes or no?

High-quality primary care is the foundation of a health care system. Primary care through family doctors is the first point of access and interaction with our health care system for the majority of people. Having access to primary care through a family doctor consistently leads to improved health outcomes. It prevents minor ailments from turning serious. It can prevent and manage chronic problems, as one of the main functions of primary care is disease prevention and health promotion. Through that it reduces the burden on hospitals, as it results in fewer emergency department visits and hospitalizations.

Having a family doctor also allows for follow-up care once a patient has been discharged from a hospital. Primary care is the first line of defence and we cannot underestimate how essential primary care is to ensuring that the rest of the health care system works.

Investing in primary care provides substantial savings to the province’s finances. Some 2.2 million Ontarians do not have a family doctor right now and according to the Ontario Medical Association, that is going to increase to 4.4 million people in just two years, of course unless significant action is taken.

What action can be taken? It’s not that hard to figure out. Family doctors will tell you exactly what needs to be done. Listen to the practitioners. There are several changes that need to be made. The NDP motion today is one step and it’s an important one, because it is a solution that results in help quickly while we also work on longer-term solutions.

The Ontario College of Family Physicians estimates almost half of a family doctor’s work week is taken up by paperwork. By providing the appropriate administrative supports, we can increase a doctor’s capacity for patient care. This is a simple solution. It frees up time for current doctors to take on more people as their patients, simply by hiring staff to take on the administrative portion of the doctor’s work.

We’re calling on the Conservatives to support this proposal that can and will make a difference in the lives of millions of Ontarians without a family doctor.

This morning I shared the stories of Gloria and Susan, just two of the more than 65,000 Londoners who do not have access to primary care. In her response, the minister talked about the expanded family health team in Elgin, which will help about 1,200 of those 65,000 patients. This is completely inadequate to deal with the scale of the problem and frankly insulting to people in my community, who deserve to see a family doctor in London.

My office gets calls daily from people desperate to find a family doctor or nurse practitioner. Often, they haven’t seen a primary care provider in years. The only solution this government offers is to register with Health Care Connect and then wait indefinitely without ever hearing back about a doctor accepting new patients.

With burnout the number one issue facing family doctors in Ontario, more and more doctors are retiring without a replacement, leaving more and more people without care. When people don’t get the care they need, they are forced to rely on walk-in clinics that book up as soon as they open. They wait hours at St. Joe’s urgent care or have to go to one of our overwhelmed emergency rooms.

Speaker, this government’s tiny expansion of team-based care was described by one family doctor as about as helpful as an umbrella in a hurricane.

This is an all-hands-on-deck situation, which is why the NDP has put forward this motion. We are calling on the government to invest in the number of family health teams we actually need in Ontario. We are urging an investment in administrative staff to help reduce the paperwork burden that consumes about 40% of a family doctor’s time—time that could be spent seeing patients instead. Support this motion.

We here in the official opposition NDP believe everyone deserves a family doctor. We believe the people in Kiiwetinoong deserve a family doctor. Les gens à Hearst méritent un médecin.

The 2.3 million people in Ontario who are being denied access to the basic right of primary health care—they deserve a family physician.

There has been a 66% increase in the number of children and teens with no family doctor, and that’s shocking. Sixty thousand people in Hamilton right now have no family doctor, and that number is scheduled to double in two years.

I’d like to talk about a constituent, Kathy Archer, who shared her heartbreaking story. She’s a senior living in Hamilton who hasn’t had a family physician in over five years. She has multiple chronic conditions, and she said, without a family physician, “I’m begging for help ... I don’t want to die.”

Without a family physician, people miss out on life-saving preventive screenings to catch deadly cancers early. Undiagnosed heart diseases like Afib—we know that they go unchecked. Some 300,000 people right now are on a waiting list for a mammogram. I would just like to say, I welcomed grandchild number eight, and I can’t imagine, without access—

Interjection.

Access to primary care is the bedrock of our health care, but as we have been describing here, it’s in crisis. If you listened to the government side, you would think everything is fine and rosy. But here we listen to people, and we know that people are struggling without access to family doctors.

What we are proposing here today is a very clear, very practical solution that this government could pass, and you could implement that today. We are proposing that you invest in administrative staff so that we can unlock more time for doctors to take on an additional two million patients.

Instead of rereading endless talking points, we call on this government to act with urgency. Pass this motion and save lives. Pass this motion and end the pain and suffering of so many that don’t have access to doctors—2.3 million Ontarians. Pass this motion and join us in saying that everyone in Ontario deserves a family doctor.