SoVote

Decentralized Democracy

Ontario Assembly

43rd Parl. 1st Sess.
June 4, 2024 09:00AM
  • Jun/4/24 11:30:00 a.m.

My question today is for the Minister of Health. Today, I’m asking for support for a constituent of mine, Noor Ayesha. Noor has a rare form of cancer, and her doctors have told her it can only be treated by a drug named Pemazyre. The drug is approved by Health Canada; Quebec and other provinces are close to funding the drug; and it is the standard of care in the United States, United Kingdom and China, yet not covered here.

Noor’s family applied for funding under the CBCRP program but were denied. Having access to this treatment could mean more time for Noor to spend with her 18-month-old daughter.

So my question for the minister: With Noor’s doctors and experts asking for approval, why are Noor and others with this rare cancer being denied access to this life-saving drug?

Again to the Minister of Health: While some drugs save lives, there are others that have no place in our ORs. For example, desflurane, also known as des, is an anaesthetic gas that is being banned in jurisdictions across the world and in Canada because of its negative environmental impact and the availability of more cost-effective alternatives. Several hospitals in Ontario have banned this gas. Health Sciences North in Sudbury saved $250,000 last year, and Trillium Health in Mississauga saved $125,000 last year, all while slashing emissions.

My question for the Minister of Health: Will you take an important step today, ban desflurane and save hospitals thousands of dollars, cut emissions while also ensuring good patient outcomes?

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  • Jun/4/24 3:10:00 p.m.

I’d like to thank Sally Palmer and the group from McMaster University, and I think it would be fitting, today of all days, on Disability Without Poverty day, to read this petition. It’s a petition asking us to double OW and ODSP rates.

During the COVID pandemic, CERB, basic income was found—the income to survive was $2,000 a month. People are living in legislated poverty, and it’s time we recognize this and double ODSP and OW rates and stop the clawbacks.

I support this petition. I will sign it and hand it to page Grace.

I support the “Stop Bill 166” petition. I will sign it and hand it over to page Tristan.

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I’m grateful for the opportunity to speak about Bill 185. It has a pretty serious impact on my region, the region of Waterloo. I’m grateful to see the member for Cambridge and the member for Kitchener South–Hespeler here.

We, as a region, rely solely on groundwater. We are not attached to a lake. We rely solely on groundwater. If we run out of groundwater, it will cost $2 billion at today’s estimates to build a pipeline to a lake to get more groundwater. So, by removing regional planning, we remove hydrogeologists from looking over our approvals. We remove the view of the watershed when we think about the land used for development. For example, recently, with the expanded boundaries put forward by lower-tier municipalities, we will now pave over the water recharge area. What that means is, this type of land is full of gravel and it helps our water from the sky replenish our groundwater to ensure that we have water for the generations to come. What I worry about is that that water will be scarce as we pave over the water recharge area and we create sprawl development, and we don’t have this level of oversight by the region to ensure that we have sustainable water resources going forward.

Also, our regional official plan: The region of Waterloo put a lot of time and energy into creating a plan that protected our countryside line, that recognized the Waterloo moraine and environmentally sensitive areas. Now, with that regional planning gone, we will jeopardize the protection of our farm economy, as well as our environmentally sensitive spaces that sequester carbon, that filter water and are important for our biodiversity.

I truly believe that this focus on sprawl development will actually hinder housing. If you ask any construction worker—I talked to a friend of mine this weekend and he said, “We are already building at 110%. We can’t double what we’re doing right now. We are maxing out our capacity.” We know there is a lack of labour, that we face labour shortages, and we also know that we face supply shortages. We have a construction price index problem, so our inflation rates have gone down, but our construction inflation has not, which needs addressing.

Sprawl development, we also know, is two and a half times more expensive for municipalities to service than density, and so we look to see more double-digit property tax increases going forward because of this focus on sprawl development. And we know that tall-and-sprawl only benefits a small group of developers, rather than the missing middle development that opens up the possibility of construction of more units to many more people, which is why we believe in ending exclusionary zoning.

In the region of Waterloo alone, in greenfield developments, we have over 38,000 units that have been approved that have not been built. We know that focusing on greenfield development will not get us further to our housing targets.

Our farming sector, the OFA in my area, has asked and written and sent emails. Our experts in the farming sector in my region have asked us today to not pass Bill 185. They know that we are losing 319 acres of farmland every day and that we can’t eat money. The price, because of speculation, because of this government’s focus on sprawl development and zones going out and then in and out and then in have not only delayed housing development in the region of Waterloo by two years—our regional official plan came out in the summer two years ago—because of flip-flops, all of that housing has been put on hold.

In addition to that, we know that farmers are struggling to buy land because now we know that—I could name about five developers who are buying up farmland only to sit on it. This leads to a lack of development. They are not going to put barns. They’re not going to invest money into the soil, because they’re renting it from developers who are sitting on it, waiting for the prices to go up, waiting for the right moment to flip it or sell it or turn it into something else.

So I beg that this government focus on density, focus on all kinds of housing, not just sprawl, because this will lead to better transit access. It will lead to more affordable housing, and it’s a better, more efficient way to use the scarce resources we have to put more units on the market. Instead of building big mansions, we can build multi-plexes, and that will service a lot more people in the province of Ontario.

I hope you will not support Bill 185, because I want to see water and food for my kids going forward.

So, yes, I agree with speeding up the process, but I think we really need to be keyed into the labour issues we’re facing in our planning departments. One way we could speed up approvals is ending exclusionary zoning. To be honest, we wouldn’t have to bring these small and medium-sized builds even to council at all if we got rid of exclusionary zoning. When we’re building a subdivision, let’s just allow schools to be built. Instead of—

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I think you make good decisions when you base it on data. What I would like to say is that I don’t think it’s all developers, because we had a lot of delegations in one of the earlier bills and they support density. This was an Ottawa home builder; our member over there would get to know these home builders. It’s not all home builders that support this bill.

I think if we really want to get home building done, we need to talk to all developers and all home builders, and leaving out stakeholder groups like environmentalists is nearsighted. I worry about some of the sensitive areas and if we don’t have expertise from biologists, hydrogeologists etc. and we don’t even allow them to speak, I think we will go very far in doing harm by not including many perspectives on what good planning actually means.

We know we have a scarcity of building supplies. If you talk to anyone, cement is the number one most expensive thing that we can use right now. So these gentle density houses in the middle of town, we can use wood and sustainable resources and reduce our cement dependence.

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  • Jun/4/24 4:40:00 p.m.

I really appreciate the time to talk about this issue today. Not many people know what desflurane is, so I totally understand why this circumstance came about, but I look forward to the opportunity of talking a bit about it and why it is the lowest of low-hanging fruit in terms of reducing emissions and saving money for our health care system.

The World Health Organization says that climate change is the biggest health threat facing humanity, and what we’re noticing is that people don’t always understand the impacts of climate change on their day-to-day lives, but we see more and more how it’s affecting our health with increased emergency room visits from slips and falls, extreme heat days, smoke inhalation, increasing rise in asthma and other health consequences.

I’m sad that the member from Cambridge—he’s interested in this topic. There is a glacier called the Doomsday Glacier. It is enormous and it’s sitting on the edge of a bowl, ready to go into that bowl, which will lead to a massive sea level rise across the planet. So I’ll look forward to hearing what he has to say about that.

Desflurane is not commonly known outside of medical circles, but more and more, the health sector has been moving away from this gas. I know the minister was curious what experts had to say, so I am here to share that today.

The Canadian Anesthesiologists’ Society recommends not using it. Ontario’s Anesthesiologists also support eliminating des from our hospitals. It’s also being banned in the European Union, Scotland and other jurisdictions around the world. So we know that experts in this field recommend banning des from our operating rooms. Why? Well, it costs more; it costs a lot more. In Health Sciences North, the hospital in Sudbury, they saved $250,000 by banning desflurane. In Mississauga, Trillium Health Partners saved $125,000 by banning it.

Not only is it good financially for hospitals to ban this, but it’s also a good way to reduce emissions. Des makes up about 5% of the carbon emissions of our hospitals, and if hospitals were a country, they would be the fifth-largest emitter worldwide. So that’s a benefit not only financially but also environmentally. So I hope that we can look forward to the government banning this anaesthetic gas.

Environmentally speaking, for example, the carbon emissions saved by Health Sciences North equated to driving to the moon and back four times. This is how much carbon emissions were reduced simply by banning desflurane.

One might ask: Well, why aren’t we banning it already? Good question, because there is an alternative, sevoflurane, which is 26.8 times less carbon emissions, and it’s cheaper. So we already have anaesthesiologists using the alternative. The companies who produce desflurane also produce the sevoflurane. It won’t have a negative impact on our economy. And so it makes a lot of sense. So if we don’t do it based on the reduction in carbon emissions, we should do it just based on the reduction of our budget to hospitals, the savings that they would see.

It’s part of a bigger work, though. I’d be remiss if I didn’t say that the Ontario Medical Association is looking for changes as part of a bigger work, like creating an office of sustainability. Yes, banning desflurane is a first step in reducing emissions in hospitals and saving money, but the OMA is looking to create a bigger, more holistic approach to reducing waste, reducing emissions in hospitals and saving more money in our hospitals sector.

We’ve seen since COVID the rise of single-use plastics and single-use apparatuses. Some of the stories are quite alarming of just throwing things out. A lot of newcomers who work in our hospitals sector are aghast at the amount of waste that we create, and I think if any of us has spent time in hospitals, we’re alarmed at the amount of garbage that’s going out the backdoor.

To say a few more words about that, at the Trillium health network, for example, using inter-surgical circuits saved $37,000 in one year; bring-your-own reusable bags saved $19,000; using Stryker sustainability services, they reduced their budget by $145,000; using reusable gowns—they don’t have a number, but they saved 15 tonnes of waste; and addressing the HVAC optimization saved $4,400.

I haven’t even mentioned a lot of the other types of waste and CO2 reductions—

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