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Decentralized Democracy

House Hansard - 300

44th Parl. 1st Sess.
April 16, 2024 10:00AM
  • Apr/16/24 11:09:21 a.m.
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Madam Speaker, those were interesting comments from the Minister of Health. He talked about the incredible results that he thinks he is getting with these new programs. Oddly enough, the backlogs for care in Canada have never been worse: It is 27 and a half weeks from the time of seeing a primary care provider to getting treatment from a specialist, the worst it has been in 30 years. With regard to the Canada dental care program, he wants to talk about how many people have signed up for it. Although we know he will go on with the fantastical speech he has made here in his incredibly fact-devoid fantasy, the question that would remain for his great dental care program is this: How many dentists have actually signed up for the program? Very specifically, how many dentists in Atlantic Canada and, specifically, how many in each province of Nova Scotia, New Brunswick, Newfoundland and P.E.I. have signed up for the dental care program?
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  • Apr/16/24 11:19:25 a.m.
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Madam Speaker, hopefully today we will move into reality as opposed to the fantasyland that has been painted by the Minister of Health. When we look at it, the pharmacare program that is being introduced is really about the preservation of the costly coalition. We also know that Canadians are not going to be fooled by the foolishness that has been presented in the House this morning. We know that the other plan its members have is to clearly extend the date of an election so they can access their pensions. The worst state of being a politician one could possibly imagine is to be self-serving, when all of us who come to the House know we should be here for the benefit of Canadians. That is clearly not the case with the costly coalition members. Rather, it is about their preservation, which they have made very clear throughout Canada, which is an essential part of their ability to keep this inept government in power for as long as they have. That is the first part that Canadians, of course, are well aware of. The other thing that Canadians are well aware of is the state of coverage with respect to pharmacare. My Bloc Québécois colleagues are well aware that pharmacare falls squarely within provincial jurisdiction. We know that 97.2% of Canadians are already eligible for some form of prescription drug coverage, which is not some funny Conservative talking point. It comes from Stats Canada, CIHI, CLHIA and the Conference Board of Canada. Therefore, when we look at the numbers, it becomes very simple to understand that there is a gap of about 1.1 million Canadians who struggle without coverage for pharmacare. I think it is important to point that out because we are attempting to have an honest conversation here. We also know that the numbers of those who are uninsured have decreased precipitously since, for instance, the Ontario government introduced OHIP+. It is also interesting that the minister talked a bit about his historic meetings with all the provincial ministers of health, which I also chose to undertake myself. When I did, what those provincial ministers of health made clear was not the rubbish the federal minister brought forward, but that they in no way, shape or form want another large federal program dropped on their heads to fund, which, as I said in French, is clearly a provincial area of responsibility, the delivery of health care. Oddly enough, the federal Minister of Health himself pointed out that the delivery of health care is a provincial responsibility and not that of the federal government, despite the fact he continues to intervene in moving the responsibility from the provincial authority to the federal government. I did have an opportunity to mention this bill, and I would like to expand upon that. The bill would create another government agency, which is exactly what Canadians would like to have, more bureaucracy and more gatekeeping. It would create the Canadian drug agency, which would cost about $90 million to create and perhaps another $30 million or $35 million a year to continue to exist as time goes on. However, who worries about monetary policy? It is certainly not the NDP-Liberal coalition. It is also odd that the government posted on its Canada.ca website a list of drugs, diabetic drugs and contraceptives that may or may not represent what would actually be on the formulary in the future because we know it would be the responsibility of the Canadian drug agency, in consultation with provinces and other stakeholders, to create a formulary to be used. I think it is also important to point out that, if we are to have any faith whatsoever, which I personally do not, in the formulary that has been put out thus far, much to the chagrin of Canadians, it is rife with older medications, with no fees for pharmacists or the primary care provided by pharmacists to many Canadians because of the sad reduction in the number of family physicians. It is also worth noting, very specifically, that the blockbuster drug in treatment of diabetes in a generation, namely Ozempic, is not included. There is no surprise there. As I was saying, after the creation of the Canadian drug agency and a formulary, and after holding these consultations, the only consultations that have happened thus far, of course, are with the NDP costly coalition partners, which should not give Canadians any warming in their hearts. When we look at the other issues that are clearly brewing in Canada at the current time, Canadians know that the state of our beloved health care system has been under siege by the inept management of the NDP-Liberal coalition. We know that wait times have surged beyond what they have ever been in history. For instance, the wait time from seeing a family physician to a specialist to obtaining specialist-based treatment has increased 195% to a 27-week wait time. This is the longest it has been in three decades. Is this a system that Canadians should be proud of? The other disturbing statistic is that 6.5 million Canadians are without access to primary care. As time will march forward, as it always does, by 2030, in Ontario alone, the 2.3 million Ontarians currently without access will surge to four million Ontarians without access to primary care. It is very clear, even if this were a good pharmacare plan, which it clearly is not, that without access to primary care, there is really no way to get medications. I would suggest that there is a bit of a misguided nature here. The other difficulty that Canadians are also very aware of is that the newest medications, a class of medications called “biologics”, which account for 2% of claims, are now accounting for 30% of spending. Of course, none of these biologics are included on any of the proposed fantasyland formularies from the NDP-Liberal coalition. The other problem we have in our health care system is wait times from application to approval of medications to be on the formulary to the actual acceptance on 50% of public formularies, and we have the longest wait times in the world at 25 months for new life-saving therapies. A government should be seized with policy changes to improve the lack of bureaucratic control and the ability to change things that would be cost effective for Canadians, and indeed changes like this to make a government work more efficiently, which would actually not cost the government anything, it would cost Canadians nothing. However, what is the government doing? As I said previously, it is interfering with clear provincial jurisdiction and adding federated programs that in no way, shape or form could possibly reduce the cost for medications. The other reason, of course, is that the cost of these medications are already in a forum which allows all of the public plans to come together under a program called the “pCPA”, which already allows all public plans to negotiate for low prices for those medications. For the federal Minister of Health to suggest that this new plan would suddenly allow prices to drop precipitously is absolutely and categorically untrue. The other major issue is related to finances and the cost of living. When Canadians were asked what the major cause of their inability to afford their medications was, and I suspect my colleagues know very well what the answer to that question is, it was inflation. Yes, inflation is cited as the major cause of Canadians' inability to afford their prescription medications. Why do we have 40-year high inflation? Well, of course, it is because of the costly coalition of the NDP and Liberals. We know that the chance of a young Canadian now owning their own home is almost zero. It is a dream that is almost dead because of the NDP-Liberal coalition's incompetence. We also know that, more than ever, Canadians are turning to food banks to enable themselves to feed their families. Two million Canadians a month, very sadly, are having to go to food banks, and what do we see? We are seeing more large federal government spending in what David Dodge called last evening “likely to be the worst budget” announcement in the history of this country. We are waiting for more of these terrible budget announcements today, in which we will see another estimated $40 billion of deficit spending. On top of that, we know that the $1.2-trillion debt that the NDP-Liberal coalition has coffered together, more than all Canadian governments in history combined, is costing more now to service than we are spending on health care. That is an incredibly sad state of affairs. I would suggest that it is one that Canadians are paying very close attention to. We also know that simply saving for a down payment for a house is now taking 25 years, when the Canadian dream would be that those 25 years would allow us to pay a mortgage, not simply to save for the down payment. Canadians are suffering more and more with their mental health. We also know that the Liberal government had committed $4.5 billion to the Canada mental health transfer, and not one penny of that has been transferred. That is a very sad state of affairs, when one-quarter to one-third of all Canadians are currently suffering with mental health issues, and it is believed that 50% of those are suffering with inadequate treatment. The $4.5 billion could go a long way to help treat the mental health of Canadians. This NDP-Liberal coalition has had a multitude of failures, and they are worth pointing out simply because we question why Canadians would believe that another large federal program would ever come to fruition. What we know is that these programs are great announcements. The next prime minister of Canada has spoken about how people cannot eat the papers the announcements are printed on. They are incredible photo ops, when ministers go out to say that they might be capable of doing things, but Canadians know they are absolutely unable to do so. I had asked a question of the Minister of Health, which he, sadly, once again, failed to provide an answer to, but now I am quite happy to provide that answer on the Canadian dental care program. Last week I had the opportunity to speak to every dental association in this country, save the Yukon, simply because of time. That being said, I have a sample of the number of dentists who have signed up for this widely touted program. In my home province of Nova Scotia, four, not 400 or 14, but four dentists out of 400 have signed up for this program. It is shameful. In Prince Edward Island, it is even easier. The number is zero. There is no debating zero, it is none, zilch, nada. In New Brunswick, once again, to be clear, four out of 370 dentists have signed up. The most we were able to find was in speaking with the British Columbia Dental Association, and it had 400 out of 4,000, which is still a mere 10% of dentists. This is a program that has been created without any consultation with respect to dentists. It has been creating an incredible administrative burden on dentists. It has also created a conflict where dentists have to sign a contract with a provider, namely the federal government, as opposed to having a relationship with the patient, which is how health care has historically been delivered in this country. Dentists will continue to ask questions about this program. Why would they sign up for a program when they have distrust in this NDP-Liberal coalition? Let us talk a bit about affordable housing, which was another failure. It was promised by the government in 2015. It would have to build 9.6 million homes over the next 10 years. We also know they are now building less than this country was building 50, and not 15, but 50 years ago. Fewer houses are being built now because of the terrible policies of the NDP-Liberal coalition. We also know that the Prime Minister sat here in the House of Commons and promised 7,500 new doctors, nurses and nurse practitioners, and as I mentioned previously, 6.5 million Canadians now do not have access to primary care. We also know that the government continues to spend money, which could be easily used to generate these spots for Canadians, on its consultants. The government is quite happy to line the pockets of its friends. The Liberals also said they would reduce Canada's federal debt-to-GDP ratio every year, which sadly has not happened. We know that they can barely even deliver passports, which is actually one thing that is in the purview of the federal government. It is now announcing things that certainly delve into provincial jurisdiction, yet it cannot do things it should be able to do that are the purview of the federal government. As we begin to look at these things, we know that the NDP-Liberal coalition is an abject failure. People will often say that I have a lot of negative things to say. Why do I not give Canadians hope? Let us focus on that for a few minutes. The blue seal program we have announced, as Canada's Conservatives, would allow those who have trained internationally to quickly and safely have their credentials recognized here in Canada. That is a program that we would create because, as we go around this country, what we hear from new Canadians who have trained in other countries is that now they are driving taxicabs. I heard a story from one trained physician who is not allowed to work in this country. He was very sad because his young child asked him why, if he was a physician, he went to work dressed as a security guard every day. It does not get any worse for new Canadians than that. As we look at that, we know that Canada's Conservatives have been working hard to create policies that, when we form the next government, would easily allow new Canadians to have their credentials recognized here in Canada, so they can support Canada's health care system and work in a manner that is attuned to the training they have undertaken in their home countries. We have, again, a photo op. We have papers. We have announcements. We do not have a plan that has been put forward by the NDP-Liberal coalition, in any way, shape or form. We have more announcements. We have no actions, and we have continued interference in provincial jurisdictional matters. As I said, I have gone around the country speaking to provincial ministers of health. The last thing they want is another federal program dropped in the laps of the provinces, which they have to pay for because of the ineptitude of the NDP-Liberal coalition. We await the time when the Conservatives will form the next government of this country. We would have a new prime minister and new hope for Canadians, as they would be able to afford their lives, and the inflationary pressures and inflationary spending that continues to be put forth by the NDP-Liberal coalition would end. Canadians could then not be priced out of their lives. We would axe the tax, build the houses, fix the budget and stop the crime. I would like to put forward an amendment. I move: That the motion be amended by deleting all the words after the word “That” and substituting the following: “The House decline to give second reading to Bill C-64, An Act respecting pharmacare, since the Bill does nothing to address the health care crisis and will instead offer Canadians an inferior pharmacare plan that covers less, costs more and builds up a massive new bureaucracy that Canadians can't afford.”
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  • Apr/16/24 11:42:00 a.m.
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Madam Speaker, what this member says is categorically untrue. What we have pointed out with the eloquent speech that I just gave is that 6.5 million Canadians do not have access to health care. We know that the wait times are the longest that they have ever been in the history of this country. With the booing and guffawing behind me, they know it is all true that the difficulty that exists inside the current health care program is the inability of Canadians to access the program. Why would we continue to put lipstick on a pig when the Liberals' inaction has allowed the system to deteriorate to the point where many Canadians say that the system is failing them, as indeed it is? When 17,000 to 30,000 men and women a year in this country are dying on a waiting list, that is a failing system.
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  • Apr/16/24 11:44:13 a.m.
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Madam Speaker, I believe it is always important to work with all the provinces and encourage necessary changes within the system, but also to respect provincial jurisdiction, which is a fundamental issue. I am sure provincial jurisdiction is important to my colleague as well. That will be the Conservatives' goal when we form government.
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  • Apr/16/24 11:46:23 a.m.
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Madam Speaker, I am not sure in what fantasyland the member was listening to the fantastic speech I gave. There was no mention of anything that he said in his question, so I am not sure where that came from. That being said, what we do know is that a new day, a new dawn and a new sense of hope is out there with Canadians because of the hope that we, as the next Conservative government, are able to give Canadians. We know of the damage the policies of the NDP-Liberal coalition have caused for Canadians. As I said, the numbers speak for themselves. There are 6.5 million Canadians who do not have access to primary care. As far as the great people of Cumberland—Colchester go, Nova Scotia, much like my colleague's riding in the great province of Quebec, has a program for pharmacare that already enables all Nova Scotians to access a pharmacare program, which, indeed, covers even more medications than the one put forward by the inept NDP-Liberal coalition government with the anemic formularies that it has so far put forward. The great people of Cumberland—Colchester have access to wonderful programs and those are the things that a Conservative government should be supporting in the future.
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  • Apr/16/24 11:49:00 a.m.
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Madam Speaker, we know that the NDP-Liberal coalition wants to create federated programs that are going to reduce choices for Canadians and push those who do have access to the beloved care they now have into programs that will cover much fewer medications. For instance, we know at the current time that public programs cover about half of the medications that privately funded plans do. That will reduce choice for Canadians. What incentive will there be for employers to continue to provide plans for their hard-working employees in the future if a federated plan with a few old medications on it is what is being offered “for free” on the backs of all Canadians? Of course, we know that does not account for the bloated bureaucracy that it will take. As I mentioned, just to create a new Canada drug agency, in and of itself, will cost at least $90 million. Even though my great colleague suggested that perhaps 70% of dentists may support it, we know from the figures now that only less than 10% of the 26,500 dentists in Canada have signed up for this program, which is severely limiting access for Canadians. Indeed, last week, in one day, four great supporters in Cumberland—Colchester showed up at my office and said they have a shiny card for the dental care program, but they cannot find a dentist to provide the care because of the terrible nature of this program, which was created without consultation with the great dentists who provide care to millions of Canadians across this country. It is a shame. Liberals should be ashamed of their program and should be ashamed of the fact that they want to introduce another bloated federated program on the backs of hard-working Canadians.
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  • Apr/16/24 12:13:47 p.m.
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Madam Speaker, I would like to thank my colleague for his passionate and factual remarks opposing the costly Liberal-NDP coalition and all its ridiculous programs. My question is this: When the Bloc Québécois has the opportunity, will it vote against the budget, the government and the costly coalition?
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  • Apr/16/24 1:48:40 p.m.
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Madam Speaker, my colleague, the member for Durham, has had the opportunity to knock on doors very recently. I wonder if you can enlighten the House on the issues that you—
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  • Apr/16/24 1:48:54 p.m.
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I apologize, Madam Speaker. I was caught up in the moment. Could the member elaborate on the issues he heard, when he was knocking on doors in his most recent election, so all Canadians can understand what the issues are out there?
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  • Apr/16/24 3:07:28 p.m.
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Mr. Speaker, the costly NDP-Liberal coalition has announced another poorly conceived federal idea. Its dental care debacle is failing Canadians. I have one simple question. How many dentists in Nova Scotia, New Brunswick and P.E.I. have signed up for the dental care debacle?
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  • Apr/16/24 3:08:34 p.m.
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Mr. Speaker, interestingly enough, the Minister of Health of the NDP-Liberal government has been singing the praises, in photo ops, of this program for months now. Their plan is lacking and it is failing Canadians. I have one simple question, once again, for the minister. How many dentists in Nova Scotia, New Brunswick and P.E.I. have signed up for the botched dental care announcement? I will actually give him the answer. It is eight out of 1,107.
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  • Apr/16/24 3:46:30 p.m.
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Mr. Speaker, it was an interesting speech. Once again, it would appear that the Liberals are suffering from counting problems today. That being said, we have often heard today about the number of insulins covered on this fantasy pharmacare program proposed by the NDP-Liberal costly coalition. We know, clearly, that in British Columbia, on their formulary, there are 17 insulins covered, and on this program there are only nine. Again, we come back to the magical number of eight, which is how many insulins are not covered by this program. I thought I would give the answer to the member before there is difficulty answering the question, as there has been all day. I would also like to ask a question. For a cash-paying customer paying for birth control pills, how much would that be a month? Certainly the numbers are not adding up once again.
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