- Member of Parliament
- Whip of the Bloc Québécois
Member of the Board of Internal Economy
- Bloc Québécois
- Salaberry—Suroît
- Quebec
- Voting Attendance: 67%
- Expenses Last Quarter: $109,425.78
- Government Page
Madam Speaker, I thank my colleague for that interesting question. It gives me a chance to explain to him that health and education are also priorities of the Quebec government.
As far as health is concerned, the Government of Quebec is very clear about being able to identify its own problems and priorities. Quebec and British Columbia have more seniors that the other provinces; it is only natural that we are under more pressure when it comes to services for seniors. We know how to manage our services, but we would like the federal government to understand that the money that taxpayers pay should go back to the provinces that are experiencing the pressure that comes with service delivery.
What Quebec and the provinces are asking for is clear. They are asking the federal government to participate to the tune of 35%. That is a reasonable request because the needs are in the provinces and it is the provinces and Quebec that need to have the means to meet the needs of their citizens.
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Madam Speaker, I am pleased to rise to speak at report stage of Bill C-32.
After reading Bill C-32 and the proposed amendment, all I can say is that this bill just dusts off some old legislative measures. There is nothing to excite us or to show us what direction the government wants to take. This bill is actually rather disappointing.
As a former health care network manager in Quebec, I want to talk the fact that there is absolutely no mention of health transfers in this bill. That is a problem.
Coincidentally, I read a wonderful article in La Presse this morning by the former mayor of Gatineau, Maxime Pedneaud-Jobin. I am actually somewhat envious of him. I wish I could have written that article myself, because what he said is exactly what I think about the whole debate on health transfers, namely, that needs are being expressed in the provinces and Quebec, but the money is in Ottawa.
I urge my Liberal and NDP colleagues to read the article. It is in French, but that would be a good way for them to practice their French. It is so interesting that it might even be worth getting it translated. Essentially, Maxime Pedneaud-Jobin says that the needs vary so widely from one province to another that Canada-wide standards would not really help patients. The purpose of the health transfers is to allow as many residents as possible to obtain high-quality public services, regardless where they live.
It is worth reading a excerpt:
I will give you one last sampling of our differences to demonstrate how useless, if not extremely complex, it would be to set Canada-wide standards.
Quebec is the only province that has a drug plan. Quebeckers consume the least amount of cannabis. The morning-after pill is used less in Quebec than anywhere else in the country, and 8% of [elective abortions] were performed using that method here, while the rate is 31% in Ontario and 50% in British Columbia. Quebec is the place with the most psychologists per capita in North America. There are as many here as in the rest of Canada combined. Quebec has the lowest perinatal and neonatal mortality rate in Canada. In Quebec, only a pharmacist can own a pharmacy, which is a unique situation. And so on and so forth.
We have a different lifestyle, we have a different health status, and, since Marguerite Bourgeoys, we have our own health management model.
This quote demonstrates that it is unrealistic for the federal government to think it can create equity with Canada-wide standards. It is trying to make itself look good by saying it will impose a standard to ensure health equity, but it is just deluding itself. The needs are not the same everywhere. It is not that Quebec is better or worse; it is simply different. Each province has its own public health needs based on the residents it most urgently needs to care for.
Quebec also has different tools. There are local community service centres, known as CLSCs, and family medicine groups, known as GMFs. Quebec is also recognized for its expertise in setting up vaccination clinics. We are true leaders. We have developed tools that are different from other provinces', and we are proud of that. We know very well what we need to do and, more importantly, where we need to improve.
Having worked as a manager at the Montérégie-Ouest integrated health and social services centre, or CISSS, I can say that each manager is responsible for achieving certain indicators that are both well known and documented. From one region to another, these indicators are directly linked to the public health system's departmental guidelines.
The CISSS de la Montérégie-Ouest's catchment area includes parts of four members' ridings, specifically the member for Vaudreuil—Soulanges, the member for Salaberry—Suroît, the member for Châteauguay—Lacolle and the member for La Prairie. It is a large CISSS, and with that comes various challenges. I would like to talk about a few of the indicators that the department is asking us to observe and improve on.
The members on the government side make it sound like there are no standards at all, like it is complete chaos in the provinces. I would like my colleagues to know that the opposite is true. We have indicators, very specific standards and percentage targets. I will name a few, of which I am particularly proud.
One indicator that the CISSS de la Montérégie-Ouest has as an objective is to improve access to addiction services. There is a broad departmental guideline regarding addiction, and my CISSS—I say “my” because it is still my CISSS—wants to improve access to addiction services. If we compare some data, we see that 10,717 people received addiction services in 2020. That number went down in 2021, when 9,743 people received those services. What happened? Some of the CISSS staff are studied the situation to find out why fewer people accessed addiction services than the year before. They looked into it, did some research and consulted with professionals. They realized that they need to serve people who may not be accustomed to bureaucracy, people who may not want to go to a hospital or a CLSC, but who want to be in contact with professionals who understand their lives and do not judge them.
That is why my CISSS got in touch with Pacte de rue, a community organization in my riding with outreach workers across the CISSS's territory. These workers connect with people where they are at, in their everyday lives and on the street. They work on the ground, not in offices. They realized that, if the organization had a street medicine service, they could increase the number of individuals accessing addiction services by going to people rather than waiting until people came to them.
I think that is a powerful example of a public network, our CISSS, working with a community organization in my riding. Through their co-operation and unique model, they are reaching people who might not otherwise receive public health care services. Now people who are homeless or have addictions may encounter an outreach worker who will take them to see a street medicine nurse. This is such a great model that it proves that these claims I am hearing, that there are no standards or indicators, are not true. Quebec's Department of Health requires my CISSS to adhere to broad guidelines for health, social services and public health and very specific indicators with measurable objectives. Every CISSS in Quebec has to do everything in its power to meet the goal.
The same thing happened with the new service that just opened, called Aire ouverte. Quebec wanted to improve access to services for children, youth and their families. We noticed that our statistics and indicators showed that there were clients who were not being reached as much, clients whose needs may not be as great, but who need help and services and do not seek them out. That is why Quebec created Aire ouverte, a program where health care workers meet with young people and no appointment is needed. These are clinics where no appointment is needed to easily access health care workers who will welcome young people and speak openly with them, without judgment, and refer to them to right services.
In closing, funding for the health care system is a critical issue. Unfortunately, we are dealing with a government that is playing games with this critical issue at patients' expense.
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- Apr/25/22 4:55:47 p.m.
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Madam Speaker, I thank my colleague from Winnipeg North for his question. My speech seems to have angered him, and I am not really sure why.
I can say one thing. I have been a manager before. If I am asked to organize long-term services and ensure that seniors are well taken care of in long-term care facilities, I know that there needs to be predictability.
Planning, organizing and providing services requires predictability, and that means that funding needs to be recurring, not a one-shot deal. It takes planning and forecasting. I am not denying that the federal government gave money to the provinces to help them deal with challenges during the worst of the pandemic, but now the pandemic is winding down, and the provinces are calling for the funding they need to reorganize their top-notch services for the patients who need it.
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- Apr/25/22 4:44:32 p.m.
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Madam Speaker, I would like to inform you that I will be sharing my time with my colleague, the member for Terrebonne.
I would like to extend my warmest thanks to all the volunteers in the riding of Salaberry—Suroît, because in Quebec we celebrate volunteerism and volunteers from April 24 to April 30. This year’s theme is “volunteering changes lives”.
It is true that volunteering changes lives. It changes the lives of those who receive from volunteers, as well as the lives of those who give of their time. I would like to say a big thank you to all volunteers in the riding of Salaberry—Suroît, whatever sector they work in. There are so many sectors in which people can feel fulfilled and thrive while giving time to others in need, to young people, to all those who benefit from the generosity of others. I would like to wish all of them a happy National Volunteer Week.
Of course, the budget contains things I am particularly interested in, specifically anything to do with seniors. I devoted my professional career to caring for seniors, whether in the community sector, where I managed a volunteer action centre, as a social worker in the home care support department, where I helped seniors and their families live at home longer, or as a manager in a long-term care facility.
Most recently, prior to my re-election in 2019, I was in charge of housing. I managed spaces in private, non-unionized, long-term care facilities, in intermediate and family-type resources. I have dedicated my career to seniors and when I find myself in my riding, I am drawn to help them. My phone is definitely ringing these days. It has been ringing off the hook for almost a year now because seniors are angry; they are angry that they can no longer make ends meet. Facing the higher inflation rates since the pandemic, seniors have been calling and writing. They find it unreasonable that they have to go back to work in order to be able to afford rent or medication. I find this completely revolting, and we had expectations this budget would address that.
The FADOQ, with 500,000 members, is the largest seniors' group in Quebec, and it has called on the government to increase old age security starting at age 65. The government, however, has not indicated that it plans to do this nor did it put it in the budget, even though the House expressed a clear desire to do so. On March 8, 2021, the House voted on a motion to increase old age security by $110 a month for those aged 65 and up, with 183 parliamentarians voting for and 147 voting against. It was government members across the way who voted against the motion, telling seniors that they still have some energy left to work and then they will get their increase at age 75. They created two classes of seniors.
We are talking about three million 65-year-old seniors in Canada, seniors who worked their whole lives, who contributed to society, and who unfortunately need an increase but are not entitled to one.
I hear my colleagues say that they increased the New Horizons program and that they have done this and that. That is not what seniors need. They need to receive enough money every month to cover all the expenses they have to pay to live in dignity.
In Salaberry—Suroît, one in five people, or 20% of the population, is 65 or older. One of our seniors works bagging groceries. He is 68 years old and he works at my IGA in Ormstown. He made me promise to share his message with the government: “Ms. DeBellefeuille, this is crazy. I have no choice but to come bag groceries at the Ormstown IGA because I can no longer cover the cost of living, even though I worked hard my whole life”. I am here for him today because I speak on behalf of my constituents. I am their voice and I am here to make this message loud and clear: We are furious about how this government is treating seniors who worked hard their whole lives.
The other issue in this budget that really speaks to me as a former public health care worker is health transfers.
People often think that the Bloc Québécois's demands need not be taken seriously, but our demands are based on unanimous demands of the Quebec National Assembly, all the premiers of every Canadian province, the population as a whole and important groups.
I will list some of them because a number of unions came to Parliament Hill on April 4, which is something that has not happened in quite a while. They talked and they asked for what the provincial premiers are asking for, what the Bloc is asking for and what the Quebec National Assembly is asking for. The FTQ, a major union, was there along with the CSQ, the FIQ, the CSD, the Fédération des médecins omnipraticiens du Québec, the APTS, the Fédération des médecins spécialistes du Québec, the hematologists, the oncologists and the CSN.
That means a lot of people think like we do. We are seeing that the House, civil society, physicians, Quebec's health care workers, Quebec politicians and community groups feel the same way, even if the government does not. There is only one party that believes it is unreasonable to transfer the money that is in Ottawa to the National Assembly and the Quebec government so Quebec can manage it according to its priorities and expertise.
I have to say that it is the managers, the professionals and those involved in the day-to-day work on the ground who have the expertise and experience in health and social services. They are the ones in touch with the needs of our constituents in every riding.
I am expressing our disappointment not just with the fact that there is no money for health transfers, but also that if there ever is money one day, it will have strings attached, which is completely unacceptable. Quebec and the other provinces are capable of analyzing their own needs and putting everything required in place, including planning, organizing and providing services according to the needs of their communities.
However, Quebec and the provinces do not have the means. Considering our aging population, I would say that in the next 15 years, there will not be enough money to properly plan, organize and deliver services to everyone who needs them in our public health care system. We value our public health care system, and it needs to be funded properly. This means transferring the money that is sitting in Ottawa, the money that Ottawa would like to have a say in. Ottawa wants to tell us what to do and how to do it because it lacks confidence in the provinces when it comes to properly managing the transferred funds, even in an area that falls under provincial jurisdiction.
I have only two minutes left to once again explain how sad it makes me that the budget talks about increasing the maximum length of EI sickness benefits from 15 weeks to 26 weeks in the summer of 2022, allowing sick workers to fight illness. Members will recall that I introduced a bill in the previous Parliament to increase those benefits to 52 weeks, and the member for Lévis—Lotbinière has brought it back again in this Parliament.
For two years, the government has insisted that it will change the number of weeks, but only to 26 weeks and only effective July 2022. That is not enough. Someone who has colon cancer will need 36 weeks to recover. That is a documented fact. I do not understand what is stopping the government from giving 52 weeks to sick workers who need it.
In closing, I can say that I would have liked the budget to include confirmation of a coming into force date for Bill C‑208, on the next generation of farmers. I say that because people in my riding are asking me about it. Farmers are being reminded once again that not only has the Liberal government abandoned them, but it also does not respect the democratic will expressed in the House of Commons. It is frustrating to vote on a bill and pass it, only to see the government refuse to implement it. The House can count on me to take every opportunity to point out that this is unacceptable.
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