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Decentralized Democracy

House Hansard - 184

44th Parl. 1st Sess.
April 25, 2023 10:00AM
  • Apr/25/23 11:13:25 a.m.
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  • Re: Bill C-47 
Madam Speaker, I would like to thank my colleague, whose riding neighbours my own. We share the services of Anna-Laberge hospital, which is currently under expansion. This hospital is often cited in the news for its occupancy rates that are making life very difficult for both patients and staff. Most of the professionals who work there are really overloaded and need help. The question I have for my colleague is very simple. Does she believe that what the provinces are being given for health and social services will really lighten the workload of professionals at Anna-Laberge hospital and reduce occupancy rates? Does she really think that the amount given by her government will improve the situation at Anna-Laberge hospital?
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  • Apr/25/23 11:34:47 a.m.
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  • Re: Bill C-47 
Madam Speaker, I would like to inform you that I will be sharing my time with my dear colleague, the member for Thérèse-De Blainville. What is a budget implementation act? What are we doing right now? The government tabled a budget. In a budget, a government lays out the measures that it intends to take. To implement the measures set out in the budget, legislation must be tabled to execute what is stated in the budget. I feel I ought to remind all those watching that the budget, which is very lengthy, held many disappointments for the Bloc Québécois. I would like to point them out because I care deeply about seniors, and there is nothing in the budget about them. Every time I organize events in my riding, seniors remind me that they feel like they have been forgotten by this government. As well, there have been symposia, conferences and studies on the housing crisis. It is well documented that we are in the middle of a housing crisis, yet there are no specific measures in the budget to address that crisis. Clearly, we are also a long way from the EI reform that the Liberal government has been promising since 2015. There is nothing in the budget on that. There is also a major disappointment in terms of the environment. This budget still talks about carbon capture and storage, when we have known for many years that this technology is no good, that it is not ready and that it does not get the job done. In a way, the government is using this to ease its conscience with regard to the environment, but in reality, these are just backdoor subsidies for oil companies. Pretty much everyone knows it. By saying that it will fund research into carbon capture and storage, the government is trying to pull the wool over the public's eyes and ease its own conscience. The funny thing is that, in 2008, when I was the Bloc Québécois critic for natural resources, I participated in a study on carbon capture and storage that reached the same conclusions as are being reached today. The same committee is still conducting studies, still documenting the issue of carbon capture and storage, and still reaching the same conclusions, namely that it is not really the best technology for reducing greenhouse gases. However, it allows the government to assuage its conscience, and in particular, it allows oil companies to feel like they are doing something for the environment. However, I would like to talk about certain promises and principles that were in the budget but not in the budget implementation act. I want to talk about the promise that the government made in the budget about anti-scab legislation. I believe that promise to pass anti-scab legislation is even part of the agreement between the Liberal Party and the NDP. I am talking about this because I know that my father René is watching right now. He is sort of the reason I am talking about anti-scab legislation, which is so important but which is absent from the budget implementation act. My father was a tradesman for much of his life. He was a union activist who unionized his workplace and always said that it was important to stand up for labourers' working conditions. Today, there is nothing in the budget implementation act about anti-scab legislation, even though it would have been easy to include it. The budget implementation act is 430 pages long and amends 57 acts, in addition to the Income Tax Act. This lengthy bill also grants royal titles to Charles III. It is a really dense bill, but there is no mention anywhere of the possibility of us passing anti-scab legislation together. It would be very easy to do that, because the Bloc Québécois and the NDP agree. I would imagine the Liberals also agree, since it was mentioned in their budget. I do not understand why the government did not take advantage of its omnibus bill to include a bill that would certainly be supported by three parties in the House. Quebec has had anti-scab legislation since 1977. I think this is long overdue. We are behind the times in not having that legislation, because it is so important for governing the work of our union members. I raised this issue because my father is watching. He must be proud to hear me defending an issue that he himself defended when he was a union member in his company. He was a sheet metal worker, so he was right on the shop floor. He realized that there were problems with working conditions, so he rallied the workers. He created a union and negotiated for all the workers. It is for his sake that I raised this issue today, and it is also for his sake that I am raising the issue of EI. The minister's mandate letter mentions EI reform. For years, and even recently, the minister has been telling us that she was holding consultations. However, the consultations have ended. She said she was consulting, but the consultations are over. She will not stop consulting, but everything is documented. There is a consensus that the Employment Insurance Act must be reformed. This is an old act that is not modern, that is not suited to the labour market for either employers or employees. It is hard to understand why the minister does not see it as a priority. In a way, I both understand and do not understand why. I think she may have good intentions, but it is cabinet, the executive, that does not want to move ahead for the simple reason that the government is using the surplus in the EI fund to pay for the surplus EI claims that it received during the pandemic. Basically, the fund is spending $24 billion to pay for what happened during the pandemic. I will note that people had to leave their jobs not because they wanted to, but because their workplace shut down. They were forced to apply for EI. It is only natural that claims would go up. The EI fund took out $24 billion to cover all those costs. Now things are a bit better, and it has seven years to balance out. That is the minister's magic excuse, namely that until the account is balanced again, sometime in the next seven years, she cannot move ahead on reform or propose anything else that would improve the Employment Insurance Act. That is bad. All the spending incurred during the pandemic was covered by the government, but now employer and employee contributions are being used to pay for all the jobs lost during the pandemic. It was not by choice. I think the government could have covered part of the cost and left the money for workers and employers alone, so that everything that is needed to reform the Employment Insurance Act could be done. It is frankly laughable how every new minister's mandate letter or list of priorities states that this is a priority. It is not really a genuine priority. Every excuse or event gives the minister a reason to put off the reform. I am very serious about this. The government must stop beating around the bush and reform EI once and for all so that Quebec and Canada can have modern legislation to govern the new reality of the labour market. The Bloc Québécois will always be there to defend unemployed workers, employers and businesses that are struggling with replacement workers as we speak, such as the Port of Quebec and Océan remorquage in Sorel-Tracy. It is very clear which side the Bloc Québécois is on. It is on the right side, the side of the people.
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  • Apr/25/23 11:45:26 a.m.
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  • Re: Bill C-47 
Madam Speaker, I thank my colleague for her question. However, I really wish she had asked me the same question that she asked the member for Châteauguay—Lacolle about the $200 million for mental health care. She can come back to that later. I would have liked to answer her that I really wonder what that $200 million will do for people who are suicidal or in distress. The fact is that all of the mental health resources in Quebec are funded by Quebec, and direct assistance is administered by professionals in Quebec. Since she did not ask me that question, I will not get into detail about it. With regard to official languages, I would say that we are very pleased that the francophone communities outside Quebec will now have more means of defending their language, because they really are in the minority. As for Quebec, my answer would be so long that the Speaker would have to cut me off. I will just say that the bill is clearly a compromise and that the Bloc Québécois finds it to be unsatisfactory.
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  • Apr/25/23 11:46:45 a.m.
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  • Re: Bill C-47 
Madam Speaker, I thank my colleague very much. As everyone knows, I am a social worker, a member of my professional association and a manager of a Quebec CISSS. I use the term “CISSS” because I know Quebeckers will understand what I mean. One thing I can say for certain about mental health is that no professional who delivers mental health services directly to residents in my riding, or in the riding of the member for Sherbrooke, receives any federal funds. Federal funds pay for help lines and websites. I am not saying that this is wrong. However, when someone is in distress or experiencing a crisis and thinking of committing suicide, they call their local community service centre's crisis line. I am looking forward to seeing what percentage of this $200 million will find its way to the Suroît area's local community service centre.
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  • Apr/25/23 11:48:26 a.m.
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  • Re: Bill C-47 
Madam Speaker, first, I want to remind my colleague that her party supported the budget. It needs to be said. Second, I fully agree that, when it comes to intimate partner violence or gender-based violence, more money is essential. In Quebec, we have a comprehensive network of shelters for abused women or men facing challenging circumstances. There are even support groups for abusive men. In Quebec, there is a network of community organizations throughout Quebec that provide assistance in that area. Yes, it is true that more funding is needed. However, it is not really the federal government's job to fund the resources dedicated to this problem, since it falls squarely under provincial jurisdiction. Now, I think that the secret here is that, if Ottawa and the NDP had listened to what the provinces were asking for, which was a greater increase in health transfers, the provinces would have had the option to invest more or less money in certain social or health issues as needed. The dental care program is being imposed on the provinces through a centralizing objective. I am not saying that teeth are not important, but I think that we are facing other problems that are just as important and they were equally deserving of more funding.
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  • Apr/25/23 5:47:03 p.m.
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Mr. Speaker, can my colleague tell us whether each province has its own criteria for officially recognizing the profession of psychotherapy? Are the criteria consistent? I would like him to tell me more about this subject.
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Mr. Speaker, I am very pleased to rise in the House this evening to speak to Bill C-323, which was introduced by the member for Cumberland—Colchester. I know that my Conservative colleague is a physician and, quite honestly, he is to be commended for introducing this bill. Sometimes we wonder whether we can really make a difference in people's lives as members of Parliament. This evening, I get the feeling that, yes, by supporting this bill, the Bloc Québécois will be helping improve the lives of people who need it. First of all, it is important to point out that, right now, only physicians and psychologists have the right to GST exemptions. That does not make any sense, because we know that psychotherapy is now carefully regulated in Quebec and that there are professional bodies that have the right to regulate the professional service of psychotherapy using very strict criteria. When a person in Quebec has a problem, their first instinct is not necessarily to call the federal mental health help line. If a person needs help in Quebec, they will first turn to their local community service centre, or CLSC, which helps people with anxiety, or they will turn to a support group. I am lucky because there are three great mental health support groups in my riding, namely Psycohésion, Ancres et Ailes and Le Dahlia. These groups help people every day and welcome them into their organizations to give them support and foster a feeling of solidarity with others in the group. These services are provided by community groups specializing in mental health, which, by the way, are not funded by Ottawa. They are entirely funded by Quebec. As far as psychotherapy services are concerned, it may be worth repeating that Quebec passed legislation in 2009 that very clearly regulates psychotherapy. First, psychotherapists are required to be members of a professional association. Having spoken to osteopaths in Quebec, I can say that obtaining a professional designation is an exceedingly long and demanding process. Osteopaths are required to charge GST because their services are not considered psychotherapy. What is more, since they are not yet members of a professional body, they cannot make representations or participate in negotiations. It is very hard to become a member of a professional body. Professional designations are very strictly regulated. Furthermore, to practise psychotherapy, a person needs to have a master's degree. That means doing an undergraduate degree first and then a master's in a very specific field related to psychotherapy. The person also needs to have 765 hours of training in psychotherapy at the university level. That is a lot, because added to that is 600 hours of a work placement, where the student provides psychotherapy consultation services under the supervision of a psychologist or a member of another professional body that is eligible to provide psychotherapy. In Quebec, it is very strictly regulated. The member introducing this bill is right to introduce it, because the current situation is unfair. It is not right. As I often mention, I am a social worker and a member of my professional association. If I were to take all the required courses and complete a work placement, I could become a psychotherapist, but my clients would pay the GST. However, if they go see the psychologist in the office next door, they would not pay the GST. That is completely unfair and unjust. I have a great deal of respect for my colleague, because, as a physician, he has the humility to say that other professionals besides doctors and psychologists have the ability, the intelligence, the competence and the knowledge required to support people through psychotherapy, and he agrees that these people should have the same privilege as he does of not having to charge the GST. It is very difficult to access mental health services. If these services were provided only by psychologists and doctors, many people in Quebec would not get help. That is why it is a shared responsibility. Social workers and psychologists may take different therapeutic approaches, but both are equally effective for supporting someone who has a problem or who wants to be supported in a certain decision in his or her life plan, someone who is experiencing upheaval, shock or trauma and who wants to be supported and treated by professionals. The bill recognizes that this professional association has the right to provide psychotherapy based on the criteria I mentioned earlier. We hear a lot about mental health. I heard the member for Sherbrooke praising her government, but one thing is certain. Our support for this bill is meant as a concrete gesture to make a difference for people who seek help from various professionals who are able to support them in their psychotherapy. It is also our way of telling people that if they need help, there are many professions that can help them and that are all equally professional. Mental health is a professional field, an action, that belongs to the provinces. Local community service centres and community groups are in the best position to lend support to people in distress. Having a federal crisis line that competes with the Quebec crisis line will not provide better support. It is just confusing. Go to our ridings and ask anyone who is depressed and thinking about ending their life who they will call first. If they need help, their thoughts will turn to crisis lines like Tel-Aide, Kids Help Phone, or other community agencies in their riding. They will think about the social worker they visited at the local community service centre or the psychoeducator at their community support group who talked to them and treated them like someone who is different, but who has problems. If a person is really in a bind and really in distress, they would never think to call a federal help line. I have looked at the federal portal that my colleague from Sherbrooke was talking about. It is true that there is a lot of information available there, but Quebec already has a help line. I do not know whether the other provinces do or not, but we have many different help lines for all sorts of people. I am sure members will understand that I am not thrilled to see the federal government infringing on Quebec's jurisdiction when it comes to mental health, because all that is going to do is cause confusion in Quebec. When someone is not doing well, they do not need a whole bunch of telephone numbers and a big directory to know who to call. They really need to be connected to their community. The best place to be and the best support a person can get in their community is from their family, friends, local community service centre and community groups. Those are the people who will help the individual move forward and get through difficult times. The Bloc Québécois is really pleased to support Bill C‑323 to make a real difference in the lives of those who need help and to offer them a GST exemption.
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