44th Parl. 1st Sess.
February 14, 2022 11:00AM
Madam Speaker, my colleagues across the aisle seem to think tests are of great import. They talk a lot about the science. My question is this: What is the danger with a rapid test that has a very, very poor sensitivity rate?
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Madam Speaker, my colleague notes a very important point here. I think it is important for us to recognize that this is one tool in the arsenal and it is not a silver bullet, but rapid tests make it possible for us to have a baseline of information that we may not have had otherwise. It gives us an additional piece of information from which to make informed decisions. They add a layer of information that then makes it possible for individuals to make decisions for themselves.
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Madam Speaker, I thank my colleague for his speech and for his work on the Standing Committee on Public Safety and National Security. It is a pleasure to work with him.
I will ask him the same question I asked his colleague just a few minutes ago. We are more or less in favour of this bill. It is rather simple and short. Quebec and the provinces are in need of rapid tests, but they also have other health care needs. The health care system has been weakened by the pandemic. Our health care system took a direct hit from the first wave. The system is in serious need of funding, and the federal government has responsibilities there.
Can my colleague tell me when his government will start negotiating with the provinces and Quebec regarding health transfers?
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Madam Speaker, I thank my colleague for her question and for her work on the Standing Committee on Public Safety and National Security. It is a pleasure to work with her as well.
We recognize that we need to work with the provinces and territories to improve our health care systems. We will work together. We all know that COVID‑19 has added another dimension. We will have to look ahead and consider how we will work together to improve and strengthen our health care systems. We will work quickly with the provinces to do so.
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Madam Speaker, I would like my colleague to elaborate a little bit in terms of the need in his home province for these rapid tests. I myself know that in the province of Quebec it was pretty tough to get them during the Christmas holidays when the peak of omicron was hitting the province.
Why is it so important to support the provinces and territories with respect to the need for these rapid tests and for them to be able to deploy them?
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Madam Speaker, access to rapid tests in British Columbia has been virtually impossible over the course of the last little while. I can say from personal experience that over the course of the Christmas holidays it was a source of anxiety for many of my constituents who wanted to know, at the very least, whether they were going to be able to take some kind of test for their small and limited Christmas holiday gatherings to be safer and to give them even a limited sense of confidence regarding the decisions they make.
We know these tests are not perfect, but giving folks the ability to know if in fact they have tested positive, to go for secondary testing and to access the supports they need is critical. In our province of British Columbia, being able to have access to rapid tests is going to make a world of difference for schools, community organizations and so many others who will be able to benefit as a direct result. I am very hopeful that we will be able to move the bill forward and get rapid tests into the hands of the folks who need them in British Columbia, and Vancouver Granville in particular.
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Madam Speaker, before I begin, I would like to say that I will be splitting my time with the member for Beauport—Côte-de-Beaupré—Île d'Orléans—Charlevoix. This large riding is home to many communities. It is also a very beautiful riding that I have been able to visit a few times.
I would also like to take this opportunity to point out that this is the evening of February 14 and I would like to say hello to my girlfriend. I want to let her know that I am here for a good reason today, which is to participate in this important debate.
Why is this debate important?
We are debating Bill C-10, which is not to be confused with the government’s defunct broadcasting bill. In fact, this Bill C-10 seeks to allow the government to spend $2.5 billion to buy and distribute rapid tests to the various Canadian provinces, and obviously to Quebec, which we wish were not a province.
We might be tempted to say that this seems fairly uncontroversial and few people people would object to having access to tests. Such a position would be irresponsible.
However, this goes far beyond simply being for or against spending $2.5 billion on rapid tests. I think that debate would be a short one, or at least it would be for us. That may be why the government did not want us to study the bill in depth and chose to issue a gag order. That may be why it did not want us to dig deeper. If we were to dig deeper and look closer, we might start questioning why the federal government needs to pump extra money into the provinces and Quebec, which need it to deal with the pandemic.
We are talking about an additional $2.5 billion, which seems to have come out of nowhere, and the federal government is swooping in with this money like Santa Claus or a superhero. They want to show just how wonderful, generous and excellent they are. We all know, however, that that money is our tax money. It did come from somewhere, namely our own pockets. We are all paying.
Quebec's health care system is short on money, and the same is probably true for the health care systems in the other Canadian provinces. That is why this bill calls for deeper consideration. Even though the federal government keeps bragging about how amazing it is, every time we ask if there is going to be more money for the health care system, it tells us it spent money like never before during the pandemic.
First, I do not know if that is something to brag about. I think spending like never before is not something to boast about. What the government should be boasting about is fixing problems. Unfortunately, they are still not fixed. The pandemic is still here. I do not blame the government entirely. I think this is a global issue.
That does not change the fact that underlying problems resurfaced with the pandemic, are still not fixed and will have to be addressed someday. For example, we could talk about vaccination capacity, which is nearly non‑existent. We used to have a thriving pharmaceutical industry in Quebec a few years ago. It has all but disappeared. Traces of it remain in my riding and on the north shore in Montreal, but it is nothing compared to what it used to be.
The irony is that, recently at least, the federal government keeps trying to tell us how Quebec should run its health care system. When there is a disaster and everything is going wrong, it is easy for it to say that it could have done better. However, when we look at things properly, we might wonder if it really would have done better.
Consider one of the things the federal government is supposed to look after in case of a pandemic or catastrophe: the national equipment stockpile. It is not as though the pandemic was something that nobody could have ever predicted, and yet when the government opened up the stockpile, it turned out all the equipment was expired. Imagine if Quebec hospitals managed things like that. It would be a bad situation.
We really cannot count on the federal government, nor can we count on it to fund our health care system adequately. Quebec's health care system was really put to the test. A lot of people say the system is struggling. It is in trouble. Things are bad.
If we want to get to the root of the problem, we need to talk about the federal government's financial contribution. In 1958, the federal government covered 50% of health care costs. In 2022, it covers about 22%. There is a big difference between 50% and 22%. They are not even close. Even so, the federal government will not stop talking about how great it is. When we ask the government when it will give us money for health care, it says it has spent more money than ever during the pandemic. When we look at the actual numbers, the federal government's share of health care funding has been shrinking steadily. That is a fact. Let us look at the real numbers. The government says it is putting more money into health care. Sure, it has increased funding annually in constant dollars, but if we look at the proportion of health care costs, the answer is no. It has not kept up. The government did this knowingly.
Members will recall the budgets of Paul Martin and Jean Chrétien from a time not all that long ago. I had not yet been elected, of course, but that did not stop me from taking an interest in politics. At least I was born already. It is not such a distant memory for many people. Members will recall both Paul Martin and Jean Chrétien, rubbing their hands together, practically giddy, when they realized they could balance their budgets by reducing transfers. As a result, on the receiving end of that plan, the provincial and Quebec governments have been struggling ever since. They have had to bring in their own austerity measures, because the federal government is starving them of funds.
Jean Chrétien liked to brag about it. In interviews not so long ago, he said that making budget cuts made him look good, and that the world was angry with Quebec. Unbelievable. That is when people began seeing the problem.
When people go to the hospital and have a hard time getting good care, they get angry and upset. The Quebec government manages health care, but people forget that a large part of it was funded by Ottawa. I say “was” because that “large part” keeps shrinking, and this is causing more and more problems.
The Bloc Québécois is calling for an increase in health care funding to 35%. We are not even asking for 50%, but 35%. It is not huge, but it would make a huge difference in the care people receive. It would make quite a difference.
Instead of patting itself on the back every time it spends $5, the government should sit down at the table and tell us what it can do to really change things and address existing problems. That is where the government should be heading, rather than looking for every possible way to starve and drain the provinces and the Quebec government, all of which need help. The feds brag about working miracles, when all they are doing is sticking band-aids on a wound that is not healing.
Naturally, with all these cuts to the federal government's contribution year after year, our health care system suffered during the pandemic. Every time that a slightly stronger wave arrives, or every time that case counts rise, the health care system becomes overloaded and can take no more. We could talk about this to all health care workers, who have had enough. They would like to be heard a little and helped. That is why we are speaking out today. We are telling the federal government that it is time to come to the table.
I was elected in 2015, and I believe that the Bloc Québécois has talked about health transfers constantly since then. It is a big problem, and it will only get bigger, because health care costs continue to grow, yet the federal government's contribution continues to shrink. That is not right, and that is why the Bloc Québécois has been joined by Quebec and all the provinces of Canada in asking the government to increase health care funding. Sometimes Ottawa is hard of hearing when Quebec speaks, and even more so when the Bloc Québécois speaks, but once in a while, the message does get through.
All that is to say that we are not giving up. For that reason, we have proposed a summit on health care, so that the federal government comes to the table and we finally solve the problem.
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Madam Speaker, the question around rapid tests has been a significant one.
In the province of Alberta, it actually took the provincial government taking their own initiative and requiring, I believe and I could be corrected, an exception from Health Canada in order for them to even procure these rapid tests. I find it interesting that we are debating this. It is an important tool to fight COVID, yet it seems like it is maybe a little late when these have been called for, for a very long time.
I wonder if the member would have further comments on that.
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Madam Speaker, I have to admit that I am not familiar with the measures in Alberta or with how the Alberta government chose to manage the pandemic.
What I do know, though, is that the way the Conservatives want to combat the pandemic is, essentially, to lift public health measures. I have a harder time with that because I do not think the pandemic is over. We need to send the message that this is still serious, that the blockades outside Parliament need to stop and that people need to peacefully make their way home. The lockdowns will ultimately be lifted, but for that to happen, we need to start by getting the pandemic under control.
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Madam Speaker, I think I definitely would agree with my hon. colleague that Bill C-10 and, of course, the motion that is shepherding it through the House in a fairly rapid fashion do show evidence of how quickly the federal government can move, when required, to bring in basic health policy.
I would agree with him. Now is the time if we are to learn any lessons from the COVID experience. We have to think about the legacy we will leave for future generations in Canada's health care system. Maybe if my hon. colleague could talk about the legacy system and about how this is really our opportunity to show that leadership and to show people right across the country and in communities everywhere that we need to leave them the health care system they are very much deserving of.
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Madam Speaker, I think that if we want to go further, we will also have to think about why there is a desire to increase health care funding. It is because we, as a society, chose to ensure that all Quebeckers and Canadians can access health care without being forced to sell their home or take on lifelong debt just because they got sick once or twice and went through some tough times. It can be stressful and extremely difficult on families when one member has to stop working because of a long illness.
We must continue to work together to ensure that our health care system reduces social inequalities. We must ensure that everyone has access to care and can have good quality of life, free from undue stress if they become ill.
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Madam Speaker, I somewhat agree with what I am hearing today. Yes, we must act quickly, but the government should have been more forward-thinking when it announced certain budgetary measures. I think the technology of rapid tests was already known, and we should have known that we would need more of them quickly.
Does my colleague agree that the government should have acted more quickly, but without imposing closure, as it is so apt to do to skip over the normal legislative stages of a debate?
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Madam Speaker, my colleague raises an excellent question. What we have been seeing since the beginning of the pandemic is that the government seems to be making everything up on the fly. When it has the opportunity to make decisions for the long term, it chooses to call an election or prorogue Parliament.
Essentially, it is not really willing to delve into certain issues or do things properly. It would rather shove decisions down people's throats as quickly as possible so they do not have time to think about it, analyze it or ask questions. It is a shame that the government is taking this approach.
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Madam Speaker, I would like to take this opportunity to wish a happy St. Valentine's day to my partner, who is lovingly supportive of my involvement in politics, as well as to my colleagues of all stripes in the House, and to all the people of Beauport—Côte-de-Beaupré—Île d'Orléans—Charlevoix, especially.
We urgently need the federal government to commit to increasing health care funding for Quebec and the provinces from 22% to 35%. That would make everyone, especially seniors, very happy. That should not come as news to anyone.
There is nothing wrong with spending an additional $2.5 billion on rapid tests, but this is exactly the kind of enticement we are all too familiar with. The government often uses such thinly veiled tactics to win people over. What people really want, however, is federal health transfers that are adequate, adapted, indexed and planned for the long term.
What has happened in recent years has been a nightmare, and the nightmare only became worse with the pandemic. I keep telling myself that we are going to wake up from this bad dream. As the saying goes, everything is connected to everything else. Today we are witnessing the frustrations of a certain segment of the population here on Parliament Hill and across the country, and while we have been hit hard by the pandemic's toughest waves, it is not because Quebec and the provinces lack the leadership or the skills to maintain an effective and functional health care system. Our expertise is more than sufficient.
We are lacking the resources to get through this. What is lacking is adequate federal funding. Imagine how different things would be if successive federal governments since 1958 had lived up to their responsibilities in health care. Imagine managing health care without constant cuts, suffocating reforms and restrictive measures, which in the long run cause people to steer clear of nursing programs. Imagine that there is no shortage of home care services, no triaging in hospitals, no psychiatric departments being closed, no striking workers and no pressure tactics motivated by inadequate wages and unsustainable conditions.
It is reasonable to conclude that had past federal funding been adequate, Quebec and the provinces would have had enough money to properly maintain their health care services, implement technological development tools and use forecasting tools for recruitment, training, hospital and paramedic services, and home care for an aging population, and better prepare for a potential health crisis.
There is also a wide range of community services and supports for caregivers, the homeless, psychological support and suicide prevention that would have benefited. In short, if there is one thing that we absolutely must take away from this pandemic, it is that health is the number one priority for the public as a whole and that the government has a duty to act on the public's priorities.
Unfortunately, since 1958, all the wonderful people in health care have had to keep coming up with ways to make up for the lack of federal funding, with the help of countless volunteers who I wish to sincerely thank. These volunteers go all out to help foundations, produce telethons and organize fundraisers with spokespeople who are usually from the arts sector and are always generous. The public has also rallied to compensate for the many shortfalls that have multiplied all these years. This has all served as a stopgap to counter the inertia, denial and indifference shown by the federal government since 1958, no matter which party has been in power, I would add.
The Bloc Québécois represents Quebec's social democracy, offering hope for an education system and universal public health system that are worthy of a G7 country.
Quebec and Canadian taxpayers get up in the morning and go to work wanting to participate in society because they believe in it. They believe that it is the right thing to do. If we make them feel like their efforts are worthless, that their taxes and money are not worth anything; if, the more they are taxed and after years of taking their lumps and staying the course, they see that their efforts are in vain because they met their obligations, but the government did not do the same, then we end up in the situation we are in now: an impasse.
Not everyone is out in the streets. Not everyone sees themselves in this muddled mood with mixed messages and demands, but many are at home deeply disappointed about the current situation and the federal government's crisis management, simply because federal money is not getting to the right place in the right way. They are losing confidence, quietly disengaging and becoming cynical. Is that a shame? Yes. Is it surprising? I hope not.
Of course not everything is black or white, but there is no denying that the impoverishment, the fragility, of our health care system is directly linked to the fact that the federal government is not paying its fair share to Quebec and the provinces. There is very clear evidence of cause and effect.
I would add that the reason we have to keep maintaining, then easing, and then reimposing health restrictions is not just because a handful of individuals refuse to get vaccinated, despite overwhelming evidence of the benefits of vaccines. It is also because our health care systems are unable to absorb the unexpected number of patients created by the pandemic.
With vaccination rates close to 90%, we might have expected to be getting out of the pandemic or at least have the end in sight. However, we are missing two essential, critical ingredients: a government willing to participate actively and fairly in the global vaccination effort, and robust and well-funded provincial and Quebec health care systems. Right now, we have a health care system that is broken.
Even though the vast majority of people are not out in the streets protesting right now, it does not mean that they are satisfied. People are fed up, but they still hold out hope for something better.
To those who are disillusioned and worried, to neglected and injured seniors, I say this: As long as I am standing here in the House, I will never stop defending the French language, their values, and their interests, and supporting their plans and their brilliant ideas.
My father used to say that there is nothing harder than to wake up someone who is not sleeping. If the federal government wants to spend $2.5 billion to provide rapid tests to Quebec and the provinces, fine. However, if it is still using this fragmented and unsustainable support to justify refusing to increase health transfers to 35%, I would say that it has totally forgotten the whole point of politics, which is to serve.
I would add that the best Valentine's Day gift we could give the public right now would be to agree to have the government commit to paying Quebec and the provinces their fair share of health care funding. If the government ends up refusing to meet its obligations, I would say that there is nothing harder than to wake up someone who is not sleeping.
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Madam Speaker, we will have to agree to disagree with the Bloc on the whole issue of health payments. I believe the federal government contributes its fair share, and we continue to contribute in different ways.
Having said that, I am glad Bloc members seem to want to support the bill, but along with their friends in the Conservative Party, they are not recognizing the sense of urgency for the legislation. In the past, the Bloc would have recognized the urgency given the very nature of rapid tests. Why would the Bloc not support the importance of getting this bill through in a timely fashion by supporting the closure aspect of the motion today?
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Actually, I think the parliamentary secretary and I do not have the same concept of what urgent means.
It is not urgent to fund rapid tests. What is really urgent is—
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- Feb/14/22 7:17:14 p.m.
- Watch
I will stop the clock, because we do not seem to have interpretation. I also saw that the image froze for a moment.
I invite the hon. member to repeat what she said.
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Madam Speaker, I would like to say again to my colleague, the parliamentary secretary, that we do not have the same concept of what urgent means. Of course it is urgent to support the purchase of rapid tests, since public health authorities have assured us that they are necessary and effective and that we must use them.
However, what is urgent for us in the Bloc Québécois are health transfers and the need for a robust health care system. It is urgent because our health care system is broken. We cannot wait any longer. This is even more urgent than funding the purchase of rapid tests to buy time, which is what the government is doing on a regular basis these days.
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Madam Speaker, there has been a lot of discussion around the role of the provincial government and the role of the federal government, and then, of course, there is the role of municipalities as well.
Specifically, when it comes to rapid tests, I know the Province of Alberta was forced to procure tests at a significant expense because the federal government simply did not have the supply to keep up with the demand at the time. It appears that this bill is spending significant dollars to endeavour to address a problem that was really significant a number of months ago, but certainly one can call into question the relevance of that today. I am confused about how Liberals invoke closure to send the bill to the Senate, which is adjourned this week so they can debate it next week.
Does the member have comments on those points?
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Madam Speaker, I did not understand if there was a question, but I can add to my colleague's comments by saying that there is no rush for rapid tests. It is not a matter of minutes or days.
A visit to hospitals throughout Quebec and the provinces will show that there are emergencies. They are caused by a shortage of staff, money and available beds. Solving this problem is very urgent, because patients are waiting right now in hospital hallways.
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