44th Parl. 1st Sess.
May 6, 2024 11:00AM
- May/6/24 3:39:39 p.m.
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Mr. Speaker, my question is about pharmacare, in particular, the contraceptive angle of this and the supports it is going to provide.
At the heart of this is really a woman's right to choose. I found it very alarming that, on Friday, the member for Leeds—Grenville—Thousand Islands and Rideau Lakes stood up in the House and said, “A common-sense Conservative government would use the notwithstanding clause only on matters of criminal justice.”
It was in the nineties when it was actually made a crime to perform an abortion. What we have seen is that the Supreme Court, using those charters rights, overturned that law. We now have Conservative members saying that, in terms of criminal justice, which that law was, Conservatives would consider using the notwithstanding clause. In theory, Conservatives could bring back a similar law to that which was in the nineties, using the notwithstanding clause to make sure that it stuck, something that the Supreme Court would not be able to overturn.
I find it alarming that, only a year after the United States reintroduced legislation regarding a woman's right to choose and preventing it, Conservatives are now toying with and basically laying out the framework for how they would restrict those rights in the future. I am wondering if the Minister of Health would like to comment on that.
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- May/6/24 3:41:06 p.m.
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Mr. Speaker, I think it really is reprehensible to see the backward movement we are seeing over women's reproductive health and rights, where their autonomy over their own bodies is being called into question.
Let me make it very clear, as Minister of Health, that we will do everything in our power to make sure that women have full power and autonomy over their bodies. That is a fundamental freedom. That includes their reproductive futures.
In many of these instances is an inability to have real conversations about sex and about whether a woman should have the autonomy to make a choice about the way in which she makes decisions with her body. It is absolutely unacceptable in this country. When we take something like contraceptives, such as a condom, that have a failure rate of about 9%, and an IUD, which has a failure rate of 0.2%, how could people, first of all, have the position that they are going to tell a woman what she does with her body and then, secondly, try to block her ability to get reproductive technologies so that she does not wind up with an unwanted pregnancy?
Those things, to me, seem to be diametrically opposed. If one was opposed to abortion, if one was opposed to a woman being able to make that choice over her body, it would seem to me that one would at least stand up and support her ability to get reproductive medicine.
For me, it is extremely disturbing that this is any kind of debate in this country. Everywhere in this country, every woman should be told that she has autonomy over her body and that she has access to the medication she needs. That is fundamentally what this bill is about, in part. I am sure we will get an opportunity to talk about diabetes as well.
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Mr. Speaker, I find it really funny that the Conservatives are talking about health care plans. Clearly, their lives have been marred with privilege, especially because every member in the House has a pharmacare plan that is paid for by taxpayer dollars, including the member for Carleton, who has had this for over 20 years.
In saying that, I have a feeling about why the Conservatives are stalling this, and it is because something is going to freeze over before they support the reproductive rights of women and, certainly, trans folks. The opinion held by the Conservative Party on the bodily autonomy of trans folk and women has been demonstrated through things such as voting for Bill C-311, which was a piece of backdoor anti-abortion legislation. It was called out by anti-violence groups, and it was supported by the Conservatives.
Let us not be too cozy with the Liberals either. Out east in New Brunswick, people cannot access an abortion. I have spoken to the minister about it, and the fact is that access to safe trauma-informed abortion care out east is not a reality. Although the Liberals wipe their hands of it as being provincial jurisdiction, I would like to remind the them that they do provide federal transfer payments, and they are obliged to uphold the Canada Health Act. That is not happening in parts of the country.
I am concerned about the Conservatives here. I know there was a whole revolution around women getting menstrual hygiene products. Now, there is a whole revolution around women or folks who use contraception getting contraception because not everybody has a health care plan and not everybody has access to safe trauma-informed abortion care. I wonder if my hon. colleague would speak to what his government is planning to do to make sure that folks who need a safe trauma-informed abortion can have it and what he is willing to do to make sure that this pharmacare plan gets passed.
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- May/6/24 3:51:25 p.m.
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Mr. Speaker, I recognize and appreciate the work of the New Democratic Party in this bill. It was a good example of members coming across party lines to find a way to work toward solutions.
In the first order, every member should be very clear about where they stand with respect to reproductive medicine for women. It is a pretty basic question, and I hope every member would answer it in the affirmative. Should women be able to access the reproductive medicine that they need to have control and autonomy over their own bodies? I hope every member would say yes. I am concerned that some might not agree with that statement.
In the second order, in this country, people can have an opinion on whether a woman should have an abortion or not, but they do not have the right to tell a woman what to do with her body. It is that simple. The member is quite right that the ability of every woman everywhere in the country to have clear, definitive and unquestionable choice over who she is as a person and her sexual and reproductive health is essential. Anywhere that a woman is blocked from that, then we have a collective demand for action. Yes, there are provincial and territorial considerations in that, but I absolutely and firmly agree with that, as a matter of principle. I look forward to working with the member to make sure that we live in the type of country that she and I both want to have, where every woman has full control over her body and over her sexual and reproductive choices.
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- May/6/24 6:03:22 p.m.
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Madam Speaker, I find it hilarious that the Conservatives are protecting big insurance companies. I find it particularly entertaining that the member and his party, which would not be affected by this, including with contraception, fight so diligently against the reproductive rights of people. I find it funny.
Does the member support access to trauma-informed abortion care and access to reproductive rights, which would include free contraception care for those who do not have insurance and those who fall outside the programs, or does he think the Conservatives should just keep violating reproductive rights in real time as we are seeing in the House?
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- May/6/24 7:31:21 p.m.
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Mr. Speaker, I know that it was the NDP who pushed for the beginning stages of this pharmacare plan. I am very proud that the NDP government in Manitoba already has free contraception in place. I am glad that the Liberals are finally coming on board, after a lot of coaxing.
However, despite the Liberals saying they support the right to choose, they have not done their due diligence in ensuring access to safe, trauma-informed abortion care, including out east where women cannot even access abortion. Does my hon. colleague agree that the government is responsible to ensure that women can access safe, trauma-informed abortion out east and that the government needs to do more to uphold that right?
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- May/6/24 8:04:58 p.m.
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Mr. Speaker, the Leader of the Opposition has been suggesting recently that he will use the notwithstanding clause where he sees fit.
On Friday, the member for Lanark—Frontenac—Kingston specifically said, “A common-sense Conservative government would use the notwithstanding clause only on matters of criminal justice.” Well, performing an abortion back in the nineties was considered a crime.
The member could very easily put my concern to rest by answering this question. Can the member categorically say that a future Conservative government would absolutely protect a woman's right to choose and not use the notwithstanding clause on a matter such as that, yes or no?
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- May/6/24 8:05:51 p.m.
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Mr. Speaker, what a question coming from a man. I would love him to tell me what to do with my uterus. That is great. That member will never tell me what to do with my body. We know the Liberals are losing really bad when they bring up abortion. We will never bring this up. If the member opposite wants to talk about my reproductive rights, he had better put a woman up and stop mansplaining to me.
Some hon. members: Oh, oh!
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- May/6/24 8:07:44 p.m.
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Uqaqtittiji, this is such an important bill, because it would help individuals who need it most, whether it is women who may need medicines for their reproductive health or people who suffer from diabetes. These are two areas of pharmaceutical care that are desperately needed throughout Canada, in the territories and in all the provinces.
Could the member better explain how this bill is not supporting those people, specifically women who may need access to abortion because of an unplanned pregnancy that they may have experienced?
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Mr. Speaker, reproductive and sexual rights are human rights. Our government recognizes that, and we stand by it as a matter of principle. Members of the Conservative Party caucus can stand in the House and say they are not interested in pursuing anti-abortion legislation that would infringe upon women's reproductive rights; however, sadly, that conviction is far from a universally held one in the caucus. In fact, the entire caucus has been designated as anti-choice by the Abortion Rights Coalition of Canada.
I am proud to say that, on this side, we are walking the walk. We are leading by example and putting forward Bill C-64, an act representing pharmacare, which would provide universal access to prescribed contraceptives to Canadians. In collaboration with provinces and territories, we will support universal coverage of contraceptive medications and devices so that nine million Canadians of reproductive age will have access to the contraception that they need and deserve. This will ensure that Canadian women can choose whether they are going to have children. It will give them greater control over their bodies and their futures.
Currently, Canada is one of the only countries in the world where access to health care is universal but access to contraceptives is not. Women therefore have a more limited range of options, and are more likely to experience unwanted pregnancies, which can impact their lives.
Access to safe, reliable birth control is essential. It gives women the freedom to plan their families and pursue their long-term goals and dreams. Unintended pregnancies, on the other hand, can cause a great number of negative health and economic impacts on families. At present, coverage for contraceptives varies across the country. Most Canadians rely on private drug insurance through their employer for their medication needs, and some populations are disproportionately affected by the lack of coverage.
Women, people with low incomes and young people, all of whom are more likely to work in part-time or contract positions, often lack access to private coverage, and only a fraction of Canadians are eligible for prescription birth control at low or no cost through a public drug plan. When a person pays out-of-pocket for their contraceptive needs, regardless of whether they have coverage, cost has been identified as the single most important barrier to accessing contraceptive medications or devices that they require.
One study showed that women from low-income households are more likely to use less effective contraceptives, or no contraceptives at all. Cost is a significant obstacle to gaining access to more effective forms of contraception.
For example, oral contraceptives cost approximately $25 per unit, or $300 per year. In comparison, intrauterine devices, or IUDs, are often more effective and last up to five years, but they have an upfront cost of approximately $500 per unit. IUDs are a much more effective method of contraception, since they have a low failure rate of 0.2%, compared with that of oral contraceptive pills, which is 9%. Furthermore, they do not require daily doses to remain effective, which is a long-standing challenge with the pill.
At this time, I would also point out that women can have the choice, but sometimes, it is not so much a matter of choice; it is a matter of how a woman's body reacts to these various interventions. It really should be a matter of choosing not based on cost, but based on what works best for them. If someone is a young woman in their twenties, working at a part-time job that does not offer private coverage, accessing an IUD or other contraceptive method can be a big cost when trying to manage other basic life expenses, such as rent or grocery bills.
As colleagues can see, this is the reality that many Canadians are currently facing and trying to manage. We have decided to intervene and help. Bill C-64 would address the lack of access by working with provinces and territories to provide universal coverage of contraceptive medications and devices, so Canadians can access the contraceptives they need. Furthermore, some provinces are already paving the way; this is similar to how Saskatchewan led the way by implementing universal health care in the 1960s. Last year, British Columbia became the first province to provide universal access to contraceptives to their residents. Recently, Manitoba also announced a commitment to implementing universal contraceptive coverage in their province. I would join my colleague in clapping.
There is a certain trend I see, with certain provinces offering these services to Canadians. What is that common trend? I think we can leave it to our imagination, but it tends to be parties that are left of centre, that are more progressive and that are willing to step in and help where people need it most. Studies from the United Kingdom show that universal access to contraceptives provided a return on investment in health and social services of nine to one for every investment in universal contraceptive access.
In the Canadian context, evidence from the University of British Columbia estimated that no-cost contraception has the potential to save the B.C. health care system approximately $27 million per year.
We commit to working with those provinces and the others in Canada to ensure that everyone in Canada has universal access to contraceptives.
This new coverage, to be delivered by provinces and territories that enter into a bilateral agreement with the Government of Canada, means that Canadians would be able to receive the contraceptives they choose, no matter where they live or how much they earn. In turn, Canadians will be healthier; they will be empowered to make important life decisions, and they will not have to opt for less-effective or less-desirable methods of contraception because of the cost of this essential medicine.
We will work with provinces and territories to provide Canadians with universal coverage for contraception. This is just the first phase of a national pharmacare plan, which can show how much of an impact universal coverage for contraception and, indeed, more than just contraception, will have on the lives of Canadians and further enshrine reproductive choice in Canada.
In closing, we look forward to working with all parliamentarians to pass the pharmacare act so that all Canadians can have reproductive choice and rights and get the contraception they need and deserve.
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- May/6/24 8:33:07 p.m.
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Mr. Speaker, the Conservatives can find all the excuses that they want to deny women access to free contraceptives, whether it has—
An hon. member: Oh, oh!
Mr. Adam van Koeverden: Mr. Speaker, I continue to be heckled by a caucus that has a perfect score with the Abortion Rights Coalition of Canada as being completely anti-choice. They can deal with that on their own time. We will stand with Canadians. We will stand with women, and we will stand for women's rights and reproductive rights.
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- May/6/24 8:35:17 p.m.
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Mr. Speaker, as I have heard in the House tonight, I know the Conservatives think providing free contraception is communist, but I would like to say this to the hon. member across the way: They talk about reproductive rights, but in New Brunswick, one cannot even access a trauma-informed abortion at care. We have a Canada Health Act that they have to uphold, and I am glad that the member supports that, but his government actually does not support action. It is one thing to say that we support the right to a safe, trauma-informed abortion, but it is another thing to provide access to that right.
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Mr. Speaker, I am proud to rise today to support what the NDP has fought for. It is the beginning of a pharmacare plan that will start with one of the things the NDP has championed for years: the reproductive rights of women and people who menstruate. It is a significant step forward to promote reproductive rights for women and gender-diverse people in Canada; we know, for far too long, leaders have neglected calls to improve reproductive health services. In this room today, I have heard Conservatives saying such things as that we already pay for abortion; they know very well that even the Liberal government still does not provide access to safe, trauma-informed abortion care. We are talking about the gamut of reproductive rights; that includes the ability, if one so chooses, to access contraception.
I used to be a high school sex ed teacher. One thing we would talk to the kids about was choice and how to protect themselves and their reproductive rights should they want to avoid pregnancy. I know there are Conservatives smiling because the discussion around sex, abortion and contraception is a difficult one, but these are important open discussions that we have to have, especially as we change into a society that is becoming much more inclusive in our gender diversity. I support that. The bill would allow nine million people of reproductive age in Canada to access contraception, providing them with reproductive autonomy and reducing the risk of unintended pregnancies.
However, we know that bodily autonomy is currently under attack. We have heard in the House, in fact, petitions that have been put on the floor by the Conservative Party that attack the trans community. The March for Life is happening on Thursday, and I wonder which Conservative faces we will see again this year at the campaign. Just as the colleague across the way said, the Campaign Life Coalition has labelled the Conservatives anti-choice. This is not surprising, because in this very session of Parliament, Bill C-311 was named a backdoor anti-abortion legislation in the name of so-called violence, even though it was not supported by any women's groups working with women and gender-diverse people who are experiencing violence.
The bill is also a major win for promoting the rights of economic empowerment for women and gender-diverse people in Canada. We have a right to choose what we want to do with our own bodies. I find it disturbing that, in 2024, most of the people opposing the bill in the House on the Conservative side are not even impacted by it. I do not know many men in the House who have to run to the drugstore to get birth control pills or have to use diaphragms or IUDs. This is a gender-specific issue for women and gender-diverse people. It is really appalling, because the very Conservative opposition that is talking about freedom, with a leader who talks about freedom, does not believe in freedom when it comes to bodily autonomy. The member for Carleton does not believe in freedom of religion, with the kind of Islamophobic, visceral garbage I have to hear on that side. Now they are directly attacking women's right to choose.
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- May/6/24 8:43:32 p.m.
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Mr. Speaker, I will give some examples. We are talking about facts, so I am going to give some examples.
This is from rabble.ca. It is entitled, “The inconvenient anti-choice record of 'pro-choice' Pierre Poilievre”. The Abortion Rights Coalition—
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- May/6/24 8:44:25 p.m.
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Mr. Speaker, my apologies, but I am actually reading, and my understanding in the House is that we are allowed to read from notes.
The article states, “The Abortion Rights Coalition of Canada (ARCC) keeps a list of anti-choice members of Parliament and has always rated Pierre Poilievre as anti-choice and continues to do—
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Mr. Speaker, the member for Carleton. I am so sorry. That is totally my fault, and I take responsibility. My apologies, but I am reading verbatim.
The article reads that the coalition has always rated the member as “anti-choice and continues to do so.” It continues to say, “he has consistently voted in favour of anti-choice private member bills and motions, with just one exception”.
Here are some examples: “There's just too many other reasons to doubt [the member for Carleton's] pro-choice claims”. “Like Erin O’Toole, [the member for Carleton] would allow private member bills against abortion to be introduced and would allow a free vote.”
On Bill C-311, which is likened to an anti-abortion bill, the entire Conservative Party, including the member for Carleton, voted in favour.
That is in this Parliament, so it is not surprising to me, when we are talking about an opportunity to lift up the rights of women and gender diverse people, to lift up equality, to support a person's right to choose and to have access to safe, trauma-informed abortion care, that the Conservatives are violently opposing this legislation. Why? It is because they do not care about reproductive rights. In fact, they have actively voted against reproductive rights.
The fact is that Conservatives are going against the pharmacare bill and are talking about insurance plans. There are a lot of people in this country who do not have insurance plans, which tells me how out of touch the Conservatives are with people who are struggling. These are the people who are struggling and who they talk about all the time. They are working, not for a living wage, and have no benefits and no pension plans. They not only have fought against this benefit, should they have diabetes or should they choose to not want to get pregnant, but also have actively fought against a living wage, often in marginalized jobs, often taken up by women in marginalized communities.
Do members want to talk about freedom? It is freedom only if it suits the Conservatives' narrow, and what has been likened by some, certainly in the media, extremist rhetoric. These are things like the member for Carleton endorsing Jordan Peterson, who is anti-trans, anti-choice and anti-women.
Therefore, it is not surprising that in a bill that focuses on specifically lifting up equality in Canada, the Conservatives are conveniently fighting against it in the name of so-called “choice”. By them denying individuals' access to contraception or to the morning after pill, they are denying freedom to make a choice over one's body. This includes banning medications from young people who are transitioning, young trans kids. We need to protect trans kids. We need to protect women's rights, and we need to protect the right to choose.
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- May/6/24 8:51:07 p.m.
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Mr. Speaker, the federal government is responsible and obliged to uphold national standards. We know that Quebec is ahead of the game on a number of issues. I will give the hon. member a couple of examples. On child care, Quebec is decades ahead, as well as on social programs, certainly.
Absolutely, when we are talking about provinces, the federal government is obliged to provide provinces with what they need to be able to offer these services.
I would, however, give a caveat to New Brunswick. In New Brunswick, currently, women cannot access an abortion. There need to be guidelines, in terms of public health transfers, if provinces are not upholding what the Liberal government has called the human right to access safe, trauma-informed abortion care.
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- May/6/24 8:52:58 p.m.
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Mr. Speaker, that is exactly it. If one looks at access to reproductive rights, they vary throughout the country. We need to change that to ensure that if this country is actually doing what it says, which is protecting the reproductive rights of those people who can get pregnant, then they need to start doing that. That means access to safe, trauma-informed abortion care or access to contraception.
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- May/6/24 9:37:37 p.m.
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Madam Speaker, I appreciate my NDP colleague's work on the status of women committee. She is a true champion for women.
I have appreciated in the debate this evening how she keeps bringing up the word “abortion”, because in this country, we have to worry about the rights of women in terms of their bodies, their right to choose, being taken away. We constantly see legislation proposed by the Conservatives that would restrict a woman's right to choose.
I stand with the member for Winnipeg Centre across the aisle on the right of women to choose for their own bodies.
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