SoVote

Decentralized Democracy

Gord Johns

  • Member of Parliament
  • Member of Parliament
  • NDP
  • Courtenay—Alberni
  • British Columbia
  • Voting Attendance: 66%
  • Expenses Last Quarter: $148,159.67

  • Government Page
  • Nov/2/23 2:51:51 p.m.
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Mr. Speaker, with the cost of living crisis, Canadians cannot afford the therapy they need. If they try for public care, wait-lists are months to years long. There is no postpandemic recovery plan to help people with their mental health. So many people are suffering in silence. This is not acceptable, especially when the Liberals have yet to deliver on the $4.5-billion mental health transfer. For a government that claims to champion mental health, it sure does delay and disappoint. Breaking this promise will cost lives. Will the Liberals change course and deliver the mental health transfer to get people the help they so urgently need?
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  • Mar/8/23 7:12:36 p.m.
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Madam Speaker, across the country, governments are turning to trusted community organizations to cope and to deal with services around connecting and recovery. The demands are complex and they are high. They have been exacerbated by the pandemic. These organizations are struggling with underfunding, rising costs and labour market shortages. The national organizations are looking for a “caring for carers” investment in the mental health and frontline community service workers in this budget. I hope the government would look to that as part of its recovery agenda. In that, they are looking for $100 million for evidence-based mental health supports for frontline community service workers, to expand immediate access to mental health and substance use health supports for staff, to fund research on best practices and to enhance organizational capacity building for psychologically healthy and safe workplaces. I hope the government honours that in this budget. Madam Speaker, we will probably see this when we get back, because the government has been failing on every promise it has made on mental health. Hopefully, it will deliver before then.
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  • Mar/8/23 7:09:02 p.m.
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Madam Speaker, it is kind of like Groundhog Day. I have come in here every week that we have sat this year to drag the government in here to talk about mental health and talk about this epidemic happening in our country. It is not often that members will hear me quote the Bible in the House of Commons, but I want to talk about “The Parable of the Unjust Judge”, also known as “The Parable of the Importunate Widow” or “The Parable of the Persistent Woman”. According to Wikipedia, it is “one of the parables of Jesus, which appears in the Gospel of Luke (18:1-8). In it, a judge who lacks compassion is repeatedly approached by a woman seeking justice. Initially rejecting her demands, he eventually honors her request so he will not be worn out by her persistence.” It is about what it takes to be persistent to get justice. Right now, we know that, in Canada, there is no parity between mental and physical health. In fact, there are a lot of people who are suffering and who are not getting the help they need. I will be back the next week the House sits to drag the government here, and I will continue to be in the House of Commons until we get parity between mental and physical health. This is timely, because I got an email from a constituent of mine. He wrote me that his son is addicted to fentanyl. He cited that he is going to have to make a decision, because it is about $300 a day for his son to be in treatment. His son wants to get help. Obviously, his family wants to support him, but the father has to make a decision on whether to sell his home and give his son a fighting chance to live, or abandon his son. We know he will have to make a difficult decision. I do not even have it in me to call him. I am hoping the minister will actually call him. It is an injustice. If his son fell, broke his back, neck or leg and was hospitalized, he would be taken care of. His father would not have to consider selling his home. He would get looked after. This is an absolute disgrace in a wealthy country like Canada. We know that countries like Britain and France are spending about 12% of their health care budgets on mental health. Canada has still failed to deliver on its mental health transfer. It is $875 million short, to date, of what it promised to spend. We still do not know the details of the bilateral agreements. I am here to talk about a couple of things. I also want to talk about the frontline health workers who are working right now. It is really important that we think about them. It is in the minister's mandate letter to look out for those mental health workers. Right now, we know many of them are underpaid. I could spend all day talking about them. They are critical in delivering mental health services to people. In fact, I was in the pool this morning and I met a woman who said that Ontario is spending about 3% on mental health. That is far shy of what my home province spends, which is about 9%. She said she is getting a 1% raise for the next four years, despite the fact that inflation is way higher. What does she get as a thanks? She gets a video from her executive director saying she has done a great job and she is appreciated. This is absolutely abominable. We need to look out for our frontline service workers. I hope we will hear some answers today about the government and its promises.
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  • Feb/16/23 1:20:55 p.m.
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Madam Speaker, it is a huge honour and privilege to rise today on the NDP motion that was brought forward by my good colleague, the member for Vancouver Kingsway, our NDP health critic. This is a critical debate because we are facing a pivotal moment in Canadian history. We have a universal health care system, but provinces are trying to circumnavigate the rules of the Canada Health Act by using loopholes to grow a two-tiered health care system in Canada. Today, we are asking every MP in the House to decide whether health care funding should be used to rebuild the understaffed public health care system or to set up for-profit corporations that will poach nurses and doctors from the universal health care system. I think Canadians know which side New Democrats stand on. We know that everybody in this country, despite what income bracket they fall into and what circumstances they have, deserves a health care system that is ready when they need it, no matter the size of their wallet. No one should have to wait in pain or suffer because there are not enough health care workers and not enough access. No one should have to wait longer because one's family doctor or surgeon is busy treating patients who can afford to pay cash. Under the Liberals, people are waiting for hours right now, in pain, in the ERs. Folks are losing their quality of life while they wait for surgery. The same health care workers that we lauded through COVID-19 and who had our backs are run off their feet, burnt out and exhausted. A surgical company owned by an investment firm is charging $30,000 for a surgery. Galen Weston and Loblaws, which own Maple, are charging $70 for a doctor's appointment and making a profit. These cash-for-care corporations are already draining doctors and nurses from our hospitals and family practices. The Prime Minister can make things better for patients by hiring for and rebuilding the public health care system. Otherwise, he can make the crisis even worse by allowing this circumnavigation of the Canada Health Act. He is allowing funding of for-profit schemes that are poaching staff. We are not surprised to hear that the leader of the official opposition, the Conservative leader, loves for-profit care. It is pretty clear: It will make billions for corporations and enrich CEOs, his friends. It is right out of the Conservatives' playbook to starve a public service; we saw that when they cut a third of Veterans Affairs and then used outsourcing companies, such as the big six that we are going to go after at the OGGO committee because of the NDP motion to do that. We also saw what they did with the Phoenix pay system. They got rid of the payroll staff, and then it turned into a boondoggle. Therefore, Canadians should know what is coming if the Conservatives come into power. They will use this as an excuse to hand it off to the private sector. The Conservative leader says that everything is broken because he wants to tear it down. That is exactly what he wants to do. The Prime Minister campaigned on stopping for-profit care, but then he did the opposite. He flip-flopped. He calls Conservative premiers out, but he actually refers to their for-profit corporate care as innovation. He does not actually call them out, and neither does the leader of the official opposition. We know that medical officials have been raising the alarm for months about our health care system, saying that it is on the brink of collapse. One in five Canadians cannot access a family doctor. We rank near the very bottom of the OECD in wait times for essential care and the number of physicians per 1,000 people. This has declined drastically over the last 25 years, as members know. A prepandemic analysis predicted a shortage of over 117,000 nurses in Canada by 2030. People are waiting for hours, in pain, in the ER; folks are losing their quality of life. Health care workers are run off their feet, burnt out and exhausted. We need to ensure that the recently announced health care transfer to the provinces is not used to expand for-profit health care. We have to have that assurance. Right now, Canadians do not have that. That funding has to be used within the public system to hire more staff and reduce wait times. Private, for-profit health care further increases wait times and reduces the quality of care as private corporations seek to cut corners. It is a fact. We can look to Australia, and I will get to that if I have time. However, we already have a two-tiered system in one area of the health care system, which is in mental health. Members know that I have spoken about that many times. I have kept members here very late at night every week for months on late shows to talk about that. We can see what the outcomes are for Canadians who need health care treatment and supports. Every member in this House knows a story about a constituent, family member or friend who is struggling, who has not gotten help or who did not get help, and the fatal outcomes that come with that in the worst circumstances. Right now, most mental health and substance use services are only covered by our universal health care system, if people can get access through that. Otherwise, they have to go to community-based mental health services, which are often chronically underfunded, and substance use organizations, which do not have the resources to deliver just-in-time treatment. Counselling, peer support, substance use prevention and treatment services are provided by these non-profits or by charitable donations and grants, and they just do not have the resources to keep up with the demand for services. The Mental Health Commission of Canada and the Canadian Centre on Substance Use and Addiction recently found that a third of respondents reported moderate to severe mental health concerns. However, fewer than a third of the people experiencing them accessed treatment. Among Canadians with problematic substance use concerns, under one in four access services. The report identified that the key barrier to accessing services was financial constraints. We know this is happening in mental health. The barrier is there. It is financial. We need to ensure that the people who are struggling can access mental health care regardless of their ability to pay. Canadians simply cannot be forced to rely on non-profits and private insurance, especially the many people who do not have private insurance. It is just not working. The average wait time for adult residential treatment for people who have substance use concerns is 100 days. That is far too long. In Ontario, 28,000 children alone are on wait-lists for community-based mental health services that range from 67 days to more than two and a half years. That is what a private-public model looks like: Children who are waiting up to two and a half years for help. A friend of mine just had a family member in treatment. He talked about how he could afford it, but he knows so many who cannot. Right now we also need a system that has built-in relapse, just-in-time relapse, so that the system is there to respond so someone can get into treatment should they need extra help. In this way, they can come back into the health care system if they are relapsing, which is part of recovery. We know that for people who are waiting too long for treatment, again because they cannot afford it, the privatization and lack of mental health and substance use supports are resulting in more overburdening of the health care system. I was at my own doctor, and I asked him if it was at adding pressure at his office. He said that 50% of the people coming through his office are needing either mental health supports or supports regarding substance use, and it is actually impacting his ability to help those with physical ailments. The government has not delivered its $5.3-billion promise on mental health. I was just talking to Judith Sayers of the Nuu-Chah-Nulth Tribal Council about the crisis that is happening in indigenous communities in my riding and about the need for rapid access, addiction resources and detox. It is not there. The cost to the system of not having these services in play is enormous. Members have heard me talk about the toxic drug crisis, the need for treatment on demand or just-in-time treatment, and the need for prevention, education, recovery and a safer supply of substances. These points are all critical. However, they need to be delivered through a universal system. Again, Australia introduced a parallel private system. One alarming statistic is that those in the lowest socio-economic group were 37% more likely to die of cancer than those in the highest socio-economic group. We have seen Ontario and Saskatchewan circumnavigating the system to bring in services. We have seen Veterans Affairs using a company owned by Loblaws to deliver services to veterans, and veterans are waiting while this is being outsourced. We are seeing the privatization. Right now, this is a critical vote. We are calling on each member of Parliament to decide: staff up to rebuild the public system and cut wait times or use public health care funding to set up for-profit corporations that would poach nurses and doctors. We know which side we stand on. It is the side of patients, Canadians and health care workers. We will continue to stand up and defend them against the threats that are coming right now because we see that the Liberals and Conservatives are not willing to defend public health.
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  • Feb/13/23 8:50:29 p.m.
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  • Re: Bill C-39 
Mr. Speaker, we know that the government has not delivered a single dollar after its promise of mental health transfers. The member talked about the importance of support. We agree with her given what I heard in her speech. The government still has not tabled legislation to create parity between mental and physical health, which is absolutely critical. We have heard from the disability community, especially people who are suffering with mental health issues as their underlying illness, and they are all saying they need better supports, such as access to treatment. They are also saying that it is tough to pay their bills, buy groceries and pay for rent. We put forward a proposal for a guaranteed livable income for those living with disabilities and for seniors. We know tax breaks are not going to help people in that category because they do not have the income. I am hoping my colleague can talk about some of the solutions to help support those who are struggling so they are not considering medically assisted dying for an underlying mental illness. We can talk about solutions. I know the Liberals want to deflect because they do not want to talk about their track record. That is what they just did in the question to my colleague. I am hoping we can hear more proposals to help support people.
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  • Nov/28/22 2:49:02 p.m.
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Mr. Speaker, with the long wait-lists for treatment and the high cost of therapy, Canadians have been left with nowhere to turn. The cost of essentials like food is putting even more stress on Canadians struggling with their mental health. When will the Liberals finally deliver a mental health transfer so that people can access the health services they need when they need them the most?
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  • Nov/28/22 2:47:51 p.m.
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Mr. Speaker, our emergency rooms are overwhelmed, and Canadians with no mental supports are having to turn to these overcrowded ERs for help. The Liberals promised that mental health care would be treated as part of Canada's universal health care system. With long wait-lists for treatment and the high cost of therapy, Canadians have been left with nowhere to turn, and the cost of essentials like food— Some hon. members: Oh, oh! Mr. Gord Johns: Mr. Speaker, I cannot even get my question out.
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Madam Speaker, I want to thank my colleague who tabled this bill for bringing it forward and for recognizing that we must do more to support people dealing with substance use disorders. As we know, Canada is experiencing multiple crises: a mental health crisis, a toxic drug crisis, a housing crisis and a worsening affordability crisis. There are links between these crises, and they are impacting the quality of life for Canadians in communities across the country. It is incumbent upon us, as parliamentarians, to present and debate solutions so we can move forward in the best interests of Canadians. In developing possible solutions, I believe it is critical to listen to both experts and those with lived or living experience. Last year, I was honoured to be named the NDP critic for mental health and harm reduction. I promptly tabled Bill C-216, the health-based approach to substance use act. This bill was aligned with the recommendations of the expert task force on substance use that was commissioned by Health Canada to make recommendations on federal drug policy. Earlier this year, as I travelled across the country to speak to Canadians about Bill C-216, I had the opportunity to meet with many individuals directly affected by the toxic drug crisis, either personally, through someone they love, or because they were working on the front lines. I consistently heard that we need more supports for people struggling with mental illness, trauma, problematic substance use and housing precarity. I also heard that there is no silver bullet. We know these are complex issues that require multi-faceted solutions, such as investing in the social determinants of health like housing and income security, increasing the focus on prevention and early prevention, and making a full range of mental health and substance use supports available on demand. While Canada is facing an intersecting crisis, we are not making adequate investments into urgently needed solutions. Relative to the disease burden caused by mental illness, and compared to some of our G7 peers, Canada is underspending on mental health. France spends 15% of its health care budget on mental health, whereas the U.K. spends 13%. By comparison, mental health spending makes up between 5% to 7% of health care budgets in Canada, depending on the province or territory, so underinvestment in prevention and evidence-based care has come at a tragic cost to our communities. Canada has now lost more 30,000 lives since 2016 because of drug poisonings, in addition to more than 44,000 hospitalizations. This public health emergency has been escalating for seven years, yet the government has only committed $800 million to date for its substance use and addictions program. Meanwhile, the expert task force on substance use found that current ineffective policies are costing us billions every year in health care, policing and criminal justice expenses. I appreciate the bill's intent. It seems to provide a route of access to treatment for those with substance use disorders and reduces the impacts of problematic substance use on individuals and their communities. However, I have some concerns about some of the assumptions that may have been made in formulating the bill, and I cited some of them earlier, as well as how it may play out in practice if passed. In doing research and consultation on this bill, a theme that has come up consistently is that prisons are currently places of punishment and not care. The United Nations Nelson Mandela rules provide that the quality of health care provided to incarcerated persons must be equivalent to that available to the general population. However, concerns have long been raised about the quality of care in Canadian prisons and inherent conflicts that arise when correctional authorities are responsible for delivering health care. Catherine Latimer, the executive director of the John Howard Society of Canada, has explained this conflict as follows, “Whenever you have correctional authorities delivering health care, there’s going to be irreconcilable conflict between the institution and the health-care needs of the individual”. She continues, “Security issues will always trump the health needs of the individuals.” Emilie Coyle, the executive director of the Canadian Association of the Elizabeth Fry Societies, echoed that perspective in conversation in my office and commented that, if we try to insert care into prisons, people will continue to be harmed by our overly punitive prison systems. Today, my office spoke with an individual with lived experience of opioid use disorder and criminal justice involvement. This individual is now doing advocacy work in recovery and shared the perspective, “Prisons do not breed success.” Indeed, the shortcomings of mental health care in federal penitentiaries has been well documented, such as reports by the correctional investigator and the final report of the National Inquiry into Missing and Murdered Indigenous Women and Girls. Before establishing a regime of designated addictions treatment facilities in penitentiaries that will necessarily require significant investments, it is important to pause and ask: Where can someone get the best care? Where will they receive care that is evidence-based, trauma informed and culturally appropriate? Where are they most likely to achieve their treatment or recovery goals? The answer we have heard consistently from those working with incarcerated individuals or with lived experience is that people are better served by accessing mental health and substance use care in their communities. Unfortunately, across Canada, there are barriers to accessing community-based mental health and substance use services, such as stigma, out-of-pocket costs, lengthy wait-lists, admission criteria and lack of detox facilities. Last year, the Expert Task Force on Substance Use recommended that the government make significant new investments to provide supports to people who use drugs, but that call has not been heeded, and the level of funding committed to date remains inadequate to meet the needs in communities across the country. I welcome the opportunity to work with the member on initiatives that will remove barriers to substance use treatment and recovery services so that all Canadians can get the support they need in their communities. No one should have to go to jail to get help. That is just a fact. I am also concerned that the bill may prevent people who want help from accessing it. In its current form, the bill proposes to exclude individuals convicted of certain offences, including drug trafficking offences, from its scope. This seems to ignore the fact that some individuals with substance use disorders become involved in subsistence trafficking. Exclusions in the bill could create barriers to accessing treatment in federal prisons. Indeed, the individual with lived experience I spoke of earlier would not have benefited from the bill, having been convicted of trafficking. He was, fortunately, able to access treatment prior to sentencing and while in recovery, he has remained gainfully employed and involved in community service. After reviewing the bill, he asked how many people serving federal sentences might benefit from the bill, given the excluded offences. It is a good question, and a question that needs to be answered. While I appreciate the bill's intent to create pathways to treatment, I think we must be careful to avoid introducing new barriers. We must also think about where we can make criminal justice reforms and investments in substance use services that will increase the likelihood of successful outcomes. I really want to thank the member for prompting this debate. I look forward to further dialogue with my colleague and other colleagues in the House. We have to work together. This is a parallel crisis right now, which we have been dealing with throughout COVID, and the government has not paid enough attention to it. It has not acted with a sense of urgency. People's lives are at stake. This is impacting our communities, our health care system, penitentiaries, policing and the judicial system. Most of all, it is impacting people's lives and those of their families. Again, I look forward to working with all members in the House to try to provide solutions so that we can tackle this crisis. It does require a sense of urgency and immediacy.
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  • Oct/20/22 7:21:12 p.m.
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Madam Chair, we know the mental health crisis has been referred to as the parallel pandemic. This House has not had a debate on how to respond to this. Earlier this month, I rose and sought an emergency debate on Canada’s mental health crisis, but unfortunately it was denied. I want to thank the minister, as she acknowledged tonight we have never had this conversation about mental health until tonight and we have never had a proper debate. I want to thank the Conservatives and the Bloc and their House leaders for agreeing to have this important conversation, because it took all parties to agree to do this take-note debate. Over the last two and a half years, the mental health of Canadians has been negatively impacted by the loss, social isolation and financial strain the pandemic has brought. We all have constituents struggling with their mental health, and many of us have loved ones who are as well. My good friend from Vancouver Kingsway always says that there is not a family not touched by the mental health or substance use crisis in this country. I really want to thank my colleague from Cariboo—Prince George for sharing his personal story about his brother Kevin and his brother-in-law. We hear those personal stories from our constituents every day as parliamentarians, and it is painful to hear. We know we are going into a period where we are seeing a lot of impacts right now on people's health. The cost of living is rapidly rising and likely we are going to see a recession. The stress Canadians are facing has not abated. Just yesterday, the Minister of Finance warned Canadians of difficult days ahead and suggested the federal government might not be there to help. Now more than ever we must recognize that mental health is health, and we need to take steps to ensure Canadians have equitable access to the services they need. This month, the Mental Health Commission of Canada and the Canadian Centre on Substance Use and Addiction released a joint report on the continuing impacts of the COVID-19 pandemic on the mental health of Canadians, which detailed some alarming findings. According to polling conducted for the report, 35% of respondents reported moderate to severe mental health concerns. We see that as parliamentarians. It also found that fewer than one in three people with current mental health concerns accessed services. That is alarming. The report identified key barriers to accessing services as “financial constraints, not having readily available help, not knowing how and where to get help, and long wait-lists.” The report identified financial concerns as a top stressor during the pandemic and discussed the links between income and unemployment with mental health concerns. Given the current economic forecast, there is a real risk the mental health and substance use crisis will worsen in the months ahead. That is scary. As my colleagues have identified, 10 Canadians die a day from suicide and 21 from a toxic overdose. We also know health care workers and first responders have been raising the alarm that our health care system is under tremendous pressure. Unfortunately, too many people struggling with mental health issues are left with nowhere to turn but crowded emergency rooms. A worsening mental health and substance use crisis will only push our health care system closer to collapse. It is clear we need to make sure people can get help in their communities before they are in crisis. While there are many great organizations working hard to support Canadians struggling with mental health issues, we know they are running on fumes. The demand for mental health services has increased since the onset of the pandemic, but that demand cannot be met under the current system when frontline organizations are having to worry about keeping the lights on. They need help and they need help now. We need system change that will finally bring mental health care fully into our universal public health care system once and for all. We need sustainable funding to ensure all Canadians have access to services when they need them. In the last election, the Liberals made a promise to Canadians that they would take steps to improve access to mental health care in Canada. A cornerstone of the Liberals’ promises on mental health was to establish a new permanent transfer to the provinces and territories to expand publicly funded mental health care and address backlogs. Canadians were told an initial investment of $4.5 billion over five years would be made in the Canada mental health transfer. Now, $250 million of that funding was supposed to be delivered in 2021-22, with an additional $625 million in 2022-23. To date, of that money, no funding has been delivered. There has been no transparency from the government on when the money would get out the door. Last week the Canadian Alliance on Mental Illness and Mental Health, with the support of 65 organizations from health and allied sectors, wrote an open letter to the minister expressing concern about the delay in establishing the mental health transfer and calling on the government to take immediate steps to fulfill this important and critical campaign commitment. The minister has taken the position that national performance standards must be developed prior to the creation of the Canada mental health transfer. However, the open letter I referred to demonstrated there is a clear consensus from the mental health community that the development of these standards should not delay the Canada mental health transfer. There is an urgent need for increased mental health services in communities right across the country. Wait times for publicly funded mental health services are unacceptably long. In Ontario, where we are right now, there are more than 28,000 children on wait-lists for community-based mental health services. The wait could range from 67 days to more than 2.5 years, depending on the service, exceeding clinically appropriate wait times. For children and youth, delays in accessing care could have lifelong impacts for them, their family and society. Tragically, it could also be a matter of life and death. According to Stats Canada, suicide is the leading cause of death among youth and young adults aged 15 to 34. This has touched my life and those of many people here in this chamber, as we have discussed tonight. UNICEF has reported that Canada has one of the highest rates of youth suicide in the world. We heard my colleague from Nunavut just two days ago share that tragic story of someone who could not find housing. This is unacceptable in a wealthy country like Canada. It is preventable. For those struggling with substance use disorders, waiting could also be a matter of life and death. Across Canada the average wait time for adult residential treatment for substance use is 100 days. Every day that someone must wait for access to treatment or harm reduction services, they are put at risk because of the toxic drug supply. The Canada mental health transfer would provide an infusion of money for services that could save lives now. It is urgently needed, but there is other critical work that must be done to transform mental health here in Canada. Beyond the mental health transfer, mental health advocates have been long calling for legislation to enshrine law parity between mental and physical health. Last month I tabled private member's Motion No. 67, and I hope my colleagues will second it, calling on the government to finally develop that legislation and urgently fulfill its promise to establish the Canada mental health transfer. I hope all members of the House will recognize the crisis we are in and support these urgently needed calls to action. Untreated or inadequately treated mental health carries significant social and economic costs. The Mental Health Commission of Canada estimates that mental health issues and illnesses cost Canada at least $50 billion a year, not including the more than $6 billion in lost productivity. Relative to the disease burden caused by mental health and compared to our G7 and OECD peers, Canada is underspending on mental health. France spends 15% of its health care budget on mental health, whereas the U.K. spends 13%. Canada, depending on the province or territory, spends between 5% and 7%. We are falling way short. For the well-being of Canadians, for our economy and our communities, mental health cannot wait. It is time to invest in the care Canadians deserve, and to truly treat mental health like health. We need to listen to the experts. We need to listen to the expert task force on substance use. We need to listen to the 67 organizations. I hope that together we can do that.
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