44th Parl. 1st Sess.
February 8, 2023 02:00PM
- Feb/8/23 4:43:42 p.m.
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Mr. Speaker, Canadians cherish public health care. It is part of our national identity, a social contract that ensures we will be cared for when we are vulnerable, regardless of the size of our bank account. It is an affirmation of our collective commitment to equality and justice.
However, our health care system is in crisis. Emergency rooms are overwhelmed; health care workers are burning out; millions of Canadians lack access to a primary care provider, and patients are facing massive backlogs for surgeries, diagnostics and other procedures.
Although the COVID-19 pandemic has undeniably placed enormous strain on our health care system, it did not cause the current crisis; it exposed it. In fact, its roots can be traced back to decades of poor policy choices and underfunding by successive Conservative and Liberal governments.
When our health system was first created, it was based on a fifty-fifty cost-sharing partnership between Ottawa and the provinces, but over the years the federal government’s contribution has declined far below that. This has profoundly shifted the fiscal burden for health care delivery and exacerbated pressures caused by an aging population, technology advances and increasingly expensive treatments and pharmaceutical drugs.
The results of this are clear to see on the front lines of care. Where Canada used to have 6.9 hospital beds per 1,000 people, we now have just 2.5. One in five Canadians cannot access a family doctor, the primary portal into our health care system, and Canada now ranks near the very bottom of the OECD in the number of physicians per 1,000 and wait times for essential care.
Tommy Douglas warned Canadians about the threat posed by this “subtle strangulation” strategy. He understood that opponents of public health care would attempt to starve our system of resources to lay the groundwork for private, for-profit care.
Unfortunately, his prediction appears dangerously accurate. Across Canada, Conservative premiers are exploiting the current crisis to pursue privatization, with the tacit approval of the federal government.
Alberta premier Danielle Smith has brazenly called for patients to fundraise for their own health care needs. Her government is implementing health spending accounts, a Trojan horse to inject user fees and private care into Alberta’s health system.
In a recent throne speech, Manitoba premier Heather Stefanson announced her government’s intention to expand private partnerships to deliver health care.
Ontario premier Doug Ford is planning to divert funding from his province’s hospitals toward for-profit surgical clinics. This move is expected to benefit clinic owners with a windfall of over $500 million.
We know this approach is a false solution that will exacerbate the current crisis. Just last year, in an exhaustive review of the evidence in the Cambie Surgeries case, the B.C. Court of Appeal unanimously ruled that allowing more private care in a parallel system is more expensive, fundamentally unfair and ultimately counterproductive. It found what experts and patients have long known: Privatization means line skipping for the rich, a drain on workers from a public system already short of staff and longer wait times for everyone else.
It is also poor economic policy. For-profit delivery drives up costs in the short term and make us dangerously vulnerable to corporate ransom in the long term. It is a frontal assault on our public health care system, and it must be stopped in its tracks.
Unfortunately, the government has demonstrated a troubling lack of concern in the face of this privatization agenda. The Prime Minister has even called Doug Ford’s for-profit clinics scheme an example of “innovation.” This should come as no surprise. While the Liberals may claim to defend public health care, their record demonstrates otherwise.
After promising to negotiate a new health accord in the 2015 election, the Liberal government instead adopted the very health transfer formula imposed by Stephen Harper. By unilaterally cutting annual federal transfer increases from 6% to 3%, when the need to tread water was 5.2%, Harper had baked in a recipe for systemic decay. The Liberals’ decision to adopt that funding formula has deprived our health care system of over $30 billion to date.
Now, after years of inaction in the face of a growing crisis, the Liberal government has come forward with the bare minimum needed to address this deliberate underfunding.
While initially indicating that it was offering nearly $200 billion for health care over the next decade, a claim repeated by the Prime Minister today in this chamber, it turns out that three-quarters of that money is existing Canada health transfer funding that would have flowed to the provinces and territories without any new agreement. In reality, there is only $4.6 billion per year in new federal spending on the table, and that has to be split among 10 provinces and three territories. To put this in perspective, total health care spending in Canada for 2022 was $331 billion, according to the Canadian Institute for Health Information.
While this additional federal funding is urgently needed to help stabilize our health care system, it is far from sufficient to provide the generational fix that we need to the current crisis. It is a band-aid solution for a gaping wound. As Dr. Kevin Smith, president of Toronto’s University Health Network, just noted, “If we look at the demands—the number of new Canadians we’re expecting a year and the aging of the population—it’ll come close to addressing inflation. It won’t come close to addressing massive transformation.” Canada’s nurses are already expressing discouragement.
Most troubling of all, the federal proposal leaves the door wide open for premiers who are pursuing private, for-profit health care schemes. New Democrats have strongly asserted the condition that additional public dollars must go to public care, and yet the Prime Minister did not raise a single concern with the premiers about their privatization plans at yesterday’s summit, nor did he attach a single condition of his funding proposal to prevent it.
Canadians need their federal government to champion public health care, instead of standing back while Conservative premiers and others seek to systematically dismantle it. Real innovation is better support for health professionals, shorter wait times in hospitals and access to care based on need. It is expanded team-based care, preventative care and supports for aging at home. It is universal access to prescription drugs, dental care and mental health care.
New Democrats will never stop fighting to protect, strengthen and expand public health care across Canada. We know that we can deliver a public health care system that is world-class, timely and accessible for all, but this will not happen without national leadership, a full financial partnership and unwavering commitment to equity. The government’s offer yesterday is but a start to what needs to be done.
New Democrats will continue to do our part to build the high-quality public health care system that Canadians want, need and deserve.
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- Feb/8/23 8:15:51 p.m.
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Mr. Speaker, I thank my hon. colleague from Nunavut for raising this very important issue. I would like to acknowledge, first of all, that I am speaking from the traditional and unceded territory of the Algonquin and Anishinabe people.
We understand that historic wrongs have harmed Inuit elders. We are working extremely hard to build a new type of relationship with all indigenous peoples across this great nation, one that is built on recognition of rights, respect and partnership.
The Government of Nunavut holds jurisdiction over health care and this includes long-term and continuing care. The federal department, Indigenous Services Canada, works very closely with Nunavut officials to ensure that they have the resources to address the health care needs of Nunavut.
The government supported Nunavut in managing health care costs during the COVID-19 pandemic by providing $238 million in funding. This included funding to help the health care system as a whole and funding to directly support Inuit communities. Transitioning into the postpandemic period, this government is committed to continuing to provide health support to the Government of Nunavut and its people. For the year 2022-23, the federal government has allocated $47 million to health care funding for Nunavut.
The federal government also provides funding that directly helps elder Inuit through a program called first nations and Inuit home and community care. Indigenous Services Canada has a 10-year Nunavut wellness agreement in place with the Government of Nunavut that provides over $87 million to support home and community care services. This includes special enhancements funding that supported the response during the COVID-19 pandemic.
The program was co-developed with Inuit and first nations partners. It provides services on reserve and is based in the community. It supports people with complex care requirements, inclusive of palliative and end-of-life care, and their caregivers. This allows them to stay in their homes and their communities for as long as possible. Through the program, first nations and Inuit people of all ages are provided essential health care services. This includes vulnerable seniors and those living with disabilities and acute or chronic illness.
On top of the home and community care program, officials in my department will be working with Nunavut partners to co-develop a distinctions-based indigenous long-term and continuing care framework to ensure that residents can receive services closer to home. This is part of an overall effort to improve health care for indigenous people by providing culturally relevant programs and by working to eliminate racism against indigenous people in the health care system. The goal is to ensure that health care is culturally safe and inclusive across the country.
The federal government also provides support for mental health programming and services in the north. For example, for 2021-22, we allocated $24.6 million toward mental health in Nunavut.
This government is responding to the health care needs of elder Inuit and other indigenous people in the north. We know that there are difficulties, and we want to avoid the need for elders to leave home to receive the care they need. We are working closely with indigenous and territorial partners to improve health care in the communities of Nunavut in order to better meet the needs of each and every community.
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- Feb/8/23 8:19:52 p.m.
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Uqaqtittiji, investing in long-term and continuing care must be a priority. Health care is at a crisis point across the country. What seniors experienced during COVID-19 is what Inuit elders have been experiencing for years. Elders have the right to age in their communities and stay connected with their loved ones without fear of being sent away.
In every community that I have visited since I have been elected, I have been told by elders that their biggest fear is to be sent south, to be exiled from their communities. Forcing and exiling elders to southern communities shows that the government does not take reconciliation seriously. Nunavummiut deserve better.
Will the government commit to investing more in health care in the 2023 budget?
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