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Marilène Gill

  • Member of Parliament
  • Member of the Subcommittee on Review of Parliament’s involvement with associations and recognized Interparliamentary groups Deputy whip of the Bloc Québécois Member of the Joint Interparliamentary Council
  • Bloc Québécois
  • Manicouagan
  • Quebec
  • Voting Attendance: 65%
  • Expenses Last Quarter: $175,049.14

  • Government Page
Madam Speaker, my mother was a nurse, my father was a volunteer firefighter, and I have a son who wants to be a police officer. I have been personally aware of the violence that we are talking about my entire life, so the bill introduced by my colleague from Cariboo—Prince George is very important to me. Bill C‑321 seeks to amend the Criminal Code to consider the fact that the victim of an assault or an act of violence is a health care worker or a first responder to be an aggravating circumstance. The Bloc Québécois has amply demonstrated its support for such a measure. It is clear to us that health care workers and all those who work to keep us safe every day must be protected in the line of duty. If their job can be considered an aggravating circumstance during a crime, if it can help to prevent offenders from attacking them, if it can serve as a basis for harsher sentences for offenders or if it can serve to dissuade offenders from committing such acts of violence, then we are in favour of this solution. Although Bill C‑321 is a partial solution, it is solution nonetheless. I would like to talk about the principle of prevention, which I believe should also be looked at as a primary measure, an essential measure for protecting health care providers and first responders before even considering the rise in assaults that we have seen against them—in the hope that the this rise is only incidental and will not continue any further—or before even talking about aggravating circumstances, as we are currently doing with the study on Bill C‑321. Prevention also has its place. Like all my other colleagues who have spoken in the House, I think that all workers have the right to work safely. I am talking about the security that protects their physical integrity, but also their mental integrity because violence takes many forms and is not just physical. It might be wishful thinking on my part and on that of my colleagues, but I think that we need to reach for this goal and strive for workplaces that are free from any form of violence. In my opinion and that of the Bloc Québécois, that is the heart of the problem: We need to focus on eliminating all forms of violence instead of just punishing those who commit or perpetuate it. It is true that eliminating violence is a massive undertaking if we consider, as I just mentioned, that it has been on the rise over the years. Studies show that since the pandemic, it has just kept increasing. The problem has been exacerbated. I want to share a few figures from the field of health care. I will stick to health. For example, data from the Commission des normes, de l'équité, de la santé et de la sécurité du travail, or CNESST, and the Institut national de santé publique du Québec, are unequivocal. They show that 933 assaults or violent acts were committed against health care personnel in 2012 and that 1,994 were reported in 2021 in health care workplaces across Quebec. I would like to add, as many have, including my colleague from Cariboo—Prince George, that this is just the tip of the iceberg. These are the cases that have been reported. As in many situations of violence, including partner violence, we have the numbers that correspond to what people have been willing to share, but we do not have them all. We talked about prevention. My colleague also talked about the idea of opening up the discussion, making this subject public. Perhaps putting it in the public arena would make people aware that they have experienced forms of violence. It might also help them report violent incidents. In short, we are seeing a steady increase. In the figures I just mentioned, the numbers have more than doubled in 10 years. That is a massive increase. I would also like to mention the House of Commons Standing Committee on Human Resources, Skills and Social Development and the Status of Persons with Disabilities, which studied the subject and published a report in 2019, if I am not mistaken, on the issue of violence in health care. During that study, the Canadian Federation of Nurses Unions mentioned that 61% of its members who participated in the survey said they had experienced violence. That is just among those who took part in the survey. The percentage may be higher. Still, that is 61% of members who have experienced harassment, assault or violence. In 2014, 1,676 paramedics responded to a similar survey, and 75% of them reported being victims of violence. In 2010, according to the College of Family Physicians of Canada, one-third of survey participants said they had experienced this kind of violence. Whether it is one-third, three-quarters or two-thirds, it is too much. My colleague also talked about a case of violence. I would like to share a story that happened when I was younger and has always stayed with me. As I said, my mother was a nurse. Even little kids realize when something is not right. It makes us reflect on this violence in the workplace and on the fact that some jobs may be higher-risk. A nurse was dealing with a patient who was agitated and aggressive and became violent. He decided to kick her. He kicked her in the stomach. This violence was entirely unjustified. The nurse in question was pregnant. She did not lose her baby, but she had to be hospitalized. Guess what? She decided to stop working as a nurse after that incident. I wanted to put that on the record. All incidents we could describe here are shocking. They amount to gratuitous violence. They may all seem similar in many ways. This story illustrates the impact they can have on people's lives, on their integrity, physical health and mental health. We talked about this earlier. They also have an impact on the profession overall and on society at large. It really is a domino effect. No one is spared the consequences of such violence. As a child aware that her parent was exposed to risks at work, I experienced those consequences myself to some degree. Although this should not be the only argument, the shortage of health care workers in the sector is a factor worth considering. Health care professionals and first responders have better things to do than worry about their safety on the job. They should not feel that they have to protect themselves, or worry that they might encounter this type of situation. It is hard to promote a profession when we allow violent situations like this to continue. How can we say that we value a profession if we stand idly by while the people who practise it are at risk? The statistics I quoted are very real. These are the folks who work in our hospitals and suffer the consequences of this violence. Of course, the quality of the environment has an impact on the quality of care. I was talking about prevention earlier. The government has a duty to transfer money to Quebec. That is not the only solution, but when it comes to prevention, we need a properly funded and subsidized environment to be able to give all health care workers a break. Here, again, I am focusing on health care. This is not a justification, but we need to reduce the level of frustration that patients in the health care system are feeling. I see my time is running out. I think I could talk about this for another 10 minutes. I must have prepared for a 20-minute speech. I am really interested in this issue. All this to say that we support Bill C-321. I would like to use the last few seconds of my speech to express my deepest gratitude to all health care workers, to those working behind the scenes, and to firefighters and paramedics. I want to thank those who are known as first responders, who do just about everything. I also want to thank our correctional officers, many of whom live on the north shore. I would like to thank them for the work they do. They deserve more than just recognition. They need to be valued, protected and supported, and I will see to that.
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  • Jun/16/23 1:47:48 p.m.
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Madam Speaker, I was saying that I wanted to take a moment, before I began my speech, to thank all the health care workers and first responders who supported the people in my riding and, of course, across Quebec and Canada during COVID-19. They certainly experienced this crisis more intensely than many of us. In a crisis, people are justifiably afraid. Unfortunately, fear can make people behave differently than usual, no matter how stressed they are. Some went through very difficult times and were victims of aggression, or even violence. The same is true of the wildfires that swept through my riding not too long ago. They are still going on, in fact. We always think the situation is under control, but no. However, the staff at the Côte-Nord integrated health and social services centre managed to maintain health and social services. For instance, they had to get people out of their homes very quickly and evacuate them. In short, these people are there every day, even if we do not see them. These people working behind the scenes deserve our utmost respect and obviously deserve to be able to work without endangering their physical and mental integrity. Having said that, it will come as no surprise that the Bloc Québécois supports this bill, which responds to a recommendation in a 2019 committee report that called on the government to amend the Criminal Code to require a court “to consider the fact that the victim of an assault is a health care sector worker to be an aggravating circumstance for the purposes of sentencing”. This measure had been called for by a number of groups representing health care workers. Whether it was the Canadian Medical Association, the Ontario Medical Association or the Canadian Nurses Association, they all supported such a measure. However, nothing was done to implement that recommendation because of the 2019 election. Bill C‑321, introduced by my colleague from Cariboo—Prince George, does just that. The Bloc Québécois is in favour of this bill even though, in a way, it is already covered to some extent by section 718.2 of the Criminal Code, which states that committing a serious crime against a health worker constitutes an aggravating factor. That is already understood. I hope that the intent is to reinforce this principle. However, this has already been taken into consideration. Despite this point that I wanted to emphasize, the Bloc Québécois is in favour of Bill C‑321. We want to point out that, although we agree, the fact that the Criminal Code makes it an aggravating factor for the purposes of sentencing is not a magic bullet. In fact, we must look after our health care workers on a day-to-day basis and we must also take preventive measures. That is also important. It is not one or the other, but both at the same time. Of course, we believe that funding the health care system properly can help lower the risk of the kinds of aggressive or violent behaviour that we are discussing here. We saw this during the COVID-19 pandemic and in every circumstance. People need services, yet services are dwindling year by year. When I say “services”, I am including the work of nurses and all health care personnel. These people have their own concerns. They may have physical difficulties, plus mental or psychological health issues as well. It is important to look at the whole picture. The issue of the drastically shrinking health transfers cannot be ignored. We need a health care system that can meet the needs of the people. There is nothing magical about that, either. I am not saying that no one is being aggressive or violent towards health care workers and first responders. I think this is everybody's responsibility, in all cases. The bill introduced by my colleague from Cariboo—Prince George seeks precisely to protect health care workers so that they can do their work, what they were hired to do, what they want to do and what they are called to do. My mom was a nurse for 40 years, and I can say that it is definitely a calling. That is the basis of the measure. They need free rein. Health transfers are one measure. The Bloc Québécois says it often here in the House, and I am going to remind the House again. It is not just because we believe it. It is not a belief. It is really an established fact. It is an option available to the federal government in light of the fiscal imbalance. We are dealing with an area of Quebec jurisdiction. The federal government's coffers are overflowing, but year after year, the money given back to Quebec and the provinces for health care has diminished. It is a feasible option. When I talk about responsibility, from where I stand, the federal government also has a responsibility to contribute to health transfers. I thank my colleague. This has been a recommendation for the government since 2019. The member seized the opportunity and decided to lead the charge for health care workers. I thank him for taking the initiative. I also encourage everyone in the House and the government to reflect yet again on the issue of health transfers. It is not just through sentencing people who break the law that our health care workers will be protected. It is by giving our health care systems the means that we will be able to protect workers and the public who deserve to have good health care. To be able to live a healthy life, both physically and mentally, we need to have good health care. I really want to expand on that. I will close by reiterating our responsibility. We need to go further than individual measures. We need to take a holistic approach to protect our health care workers and our first responders.
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