Yesterday, we had an opportunity to choose primary care multidisciplinary clinicians and health care professionals. You chose administrative staff. We are going to stand with our clinicians, with our primary care providers, to ensure that across Ontario, we continue to expand primary care in the province of Ontario.

While the NDP cut by 10% the number of physicians who were able to train in the province of Ontario, while the Liberal government of the day cut physician services and seats by 50 per year, we are making the expansions necessary to get it done.

That was the day that I stood with the member from Peterborough and made the announcement of 78 primary care announcements, and since that day, we have had community health care, family health teams and CHCs standing with us and saying, “Thank you for making a commitment to primary care. Thank you on behalf of the patients in Ontario, the clinicians in Ontario and, ultimately, the health care system in Ontario.”

The OMA, the OHA, the family doctors of Ontario understand what significant investment this means to the people of Ontario. It is sorely disappointing that the NDP and the Liberals don’t seem to get it.

We have absolutely made those investments, whether it is in colleges and universities, with the Minister of Colleges and Universities expanding the number of health care physicians available; whether it is for nurse practitioners, for family physicians, for primary care paramedics in northern Ontario. These are significant investments that are going to make an impact in the decades to come—

Ontario is leading Canada in our wait times. Now, can we do better? Absolutely, which is why I am happy to put our record of increasing access to training to internationally educated primary care practitioners and clinicians against any other jurisdiction, because we are leading Canada.

We now have 1,235 more nurses reporting for employment and registered with the CNO than we did previously. Why? Because we are making the changes necessary to make sure that people have access to good employment, good jobs in the province of Ontario, in our health care system, and we’ve made those changes—

The member opposite can throw around all the insults she wants, but the facts actually paint a very different story. Last year, we had a record-breaking 17,000 new nurses registered in Ontario. Nearly half of those are in fact internationally educated. Some 30,000-plus nurses are studying in Ontario colleges and universities, and 24,000 new physicians.

Even the expansions that we’ve made to ensure that we have more physicians training in the province of Ontario—we have set aside 60% of those to be primary care practitioners. Why? Because we see the value in primary care, because we see the value in those multi-disciplinary teams. We will continue to do that work. It sounds like the member opposite and her party will continue to oppose those changes, but we’re getting the job done to make sure that people have access to multidisciplinary teams and primary care physicians in the province of Ontario.

The member opposite raises an important issue. There is no doubt that our temporary locum programs have been a very effective tool that we have been able to use, working with Ontario Health, to make sure that emergency departments in northern Ontario, but frankly across many communities in Ontario, have emergency department coverage physicians. I will say, as a result of that program, we have seen no closures in northern Ontario EDs in the last year. Without a doubt, it has been a program that has had value.

We are in active conversations with the Ontario Hospital Association and the Ontario Medical Association to see how we can come forward with a more permanent solution. But I will keep the member updated because it is an important issue.

When we made additions and expansions in the Northern Ontario School of Medicine, when we ensured that we had 60% of those seats set aside for family medicine, that’s 100 additional seats where people are training in northern Ontario. The statistics show that where you train, where you ultimately practise and where you continue to practise are close to where you learn. We know that making those investments in primary care health care teams in northern Ontario at the Northern Ontario School of Medicine is going to make an impact in your communities in northern Ontario and indeed across Ontario.

In terms of wait times and ensuring that ambulances and paramedics can very quickly and effectively get back out onto the road into our communities, we have a number of programs that the member opposite, I hope, is aware of, which of course is the Dedicated Offload Nurses Program, a program that is funded 100% by our government and that ensures that we have a dedicated staff member, whether it is a nurse, a respiratory technologist or a paramedic, who stays with that patient until they can get service in their ED department. That program alone has made significant increases in decreasing the number of wait times.

At the risk of stating the obvious, expanding primary care multidisciplinary teams by 78 teams in the province of Ontario—three times the amount that we initially committed, because we know that there is need.

We now have, because of investments that our government has made with the Minister of Colleges and Universities, 300 new student paramedics training in the province of Ontario, including in northern Ontario where there is a Learn and Stay program available for them to get their training for free in exchange for staying in communities that are underserved.

We will continue to make these investments while the member opposite, their party, continue to oppose them every time we vote on these investments. But we’re getting the job done, Speaker.

We have had conversations with the federal Minister of Health saying if there is an opportunity, if there is a wedge that is allowing these clinics to happen, then perhaps the member opposite could pick up the phone and call their federal counterparts, because that’s what I’ve been doing. And I’m making the case that if the Canada Health Act allows these for-profits, then we will be shutting them down with the changes to the Canada Health Act and federal government involvement.

When I sent a directive to the College of Physicians and Surgeons of Ontario in August of 2022, less than two months after starting my role as Minister of Health, the CPSO was able to assess, review and ultimately license—when appropriate—the historic highest number of internationally educated primary care physicians in the province of Ontario. So actions do make a difference. We did the same thing with the minister’s directive for the College of Nurses of Ontario. Again, two years running, Speaker, we have had historic high numbers of internationally educated nurses wanting to live, practise in the province of Ontario. Those are concrete changes that we are making to impact people’s lives and increase access to publicly funded health care.

As I’ve said many times, if individuals believe that they have been inappropriately charged for an OHIP-covered service, they should be accessing protectpublichealthcare.ca. We have a process within the ministry to ensure that OHIP-covered services are insured and that patients cannot be charged for that.

Again, I will remind the member opposite that there is a Canada Health Act issue that needs to be resolved with the federal government, and we are in conversations with them to ensure that that practice does not and cannot continue.

But I’m also going to ask the member opposite, as we expand primary care multidisciplinary teams: Is the member opposite going to support those changes? We have a number of Ottawa-specific organizations that have received primary care expansion announcements: in Ottawa, a nurse practitioner-led clinic people can access, and we are going to have further expansion in Cornwall, in Kingston, in Perth. We have a number of these primary care expansion multidisciplinary teams that will allow people to be connected with primary care multidisciplinary teams, which is what patients and clinicians want.

As the member opposite knows, there are a number of programs available for—whether they are refugees or individuals who are waiting for permanent residency. Where we have programs—in fact, our agricultural temporary foreign workers is one such example where we ensured that OHIP coverage is available for those individuals.

Of course, our community health centres are another example of where we provide primary care access through multidisciplinary teams, specifically related for some populations, including, of course, individuals who are awaiting permanent residency or here for other reasons.

This speaks to the expansion of primary care and why it is so critical in our province.