- Member of Parliament
- Member of Parliament
- NDP
- Port Moody—Coquitlam
- British Columbia
- Voting Attendance: 67%
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Mr. Speaker, certainly I agree that there needs to be more investment in palliative care and it is a very important aspect of our society. Today, we are talking about mental health and MAID. We know that one of the pillars of recovery from mental illness is a financial pillar: the ability to have a house, to buy food and to get access to medication and supports. Does the member feel that a guaranteed livable basic income is something that could alleviate suffering in the wake of the mental health crisis in this country?
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- Feb/16/23 10:35:34 a.m.
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Madam Speaker, the pandemic was hard on Canadians. It was particularly difficult for health care workers, including nurses, doctors, personal support workers, long-term care workers, maintenance staff, and so many others.
For three years, they have been on the front lines of this pandemic with no relief in sight. The government called them heroes, but those accolades have not been backed up with tangible investments in pay, working conditions or mental health supports. It is absolutely unacceptable that investments in mental health have not come to frontline workers, including health care workers, when the Liberal government is sitting on $4.5 billion of unspent mental health dollars. I remind the government that this needs to change.
Today, we are talking about the privatization of health care in Canada. The Liberals' recent health care negotiations with the provinces have not produced change or protections. The solutions that Canadians were expecting to hear to improving their access to care in this country did not come to fruition. Canadians did not hear of plans to address the staffing shortages of doctors or nurses.
As Tim Guest, the CEO of the Canadian Nurses Association, said, “While CNA is encouraged by the federal government’s commitment to prioritizing health-care workers, the need for a pan-Canadian health human resource (HHR) strategy and urgent action to address critical nursing shortages were not clearly addressed.”
The current Liberal government must address the human resource crisis in the care system in Canada immediately. The Prime Minister has an opportunity to make things better for Canadians by working with the provinces and territories to hire and rebuild the public health system and its human resource sector. Alternatively, he can continue to make the crisis worse by funding for-profit schemes that will poach staff from hospitals and the public health care system that all Canadians rely on.
I remind the Liberal government that allowing for-profit care to take over Canada's health care system is not only a contravention of the Canada Health Act, but also a costly project for Canadians, both in dollars and in lives, as the hon. member mentioned earlier. We have only to look at the catastrophic outcomes in private long-term care during the pandemic to see that.
The courts are also warning us of the folly of private health care. The Supreme Court of British Columbia looked at the impact of private, paid health care in its 2020 ruling on the Cambie case and found that “...the introduction of duplicative private healthcare would lead to increased costs and diversion of human resources, which would be contrary to the purpose of the provisions to preserve and ensure the sustainability of the universal public healthcare system.”
This decision was upheld by the B.C. Court of Appeal in 2022. In its ruling, the justice found that suppressing all private care is necessary to ensure that access to medically necessary care is based on need and not on ability to pay.
It also stated, “The introduction of even small scale duplicative private healthcare would create a second tier of preferential healthcare for those with the means to either acquire private insurance or pay out-of-pocket once their benchmark was exceeded.”
That is worrisome. No Canadian should have to fight for equal care in this country, but that is exactly what privatization, for-profit care, does.
It is not just me saying this. It is the law of the land saying it. This is why it is imperative that the new bilateral health agreements result in thousands of new publicly funded health care workers to fix and support a growing sector of our economy, the care economy, where one in five Canadians already works. If the federal government cannot facilitate this in the agreements, they will be a failure.
The current nursing shortage has certainly proven that a lack of human resources in care is past critical levels. I will mention again that it is affecting the mental health care of caregivers.
Dr. Katherine Smart, the former president of the Canadian Medical Association, said:
What we're learning is more than alarming. It's potentially catastrophic.
Time is of the essence. More than a quarter of practising physicians claim low rates of overall mental health. Recent figures show that 20% of front-line health care workers have thought about suicide. A crushing 6% have planned an attempt.
A crushing 6% have attempted suicide, and we know that it has happened. The Liberals need to get to work to assist in solving the shortage of doctors and nurses in this country.
As the leader of the NDP pointed out, when the Prime Minister took office, there was a shortage of 5,800 nurses. Things are now five times worse.
Dr. Smart said that over 50% of physicians and medical learners reported high levels of burnout, compared to prepandemic levels of 30%. Moreover, nearly half of physicians reported that they would likely reduce their clinical hours. Canadians cannot afford any more reductions in access to doctors.
With that in mind, I am going to take a moment to highlight, for the Liberal government, news from the labour shortage study out of HUMA this year. The report holds critical testimony outlining solutions that would improve working conditions for health care workers, attract and retain health care workers, and allow for a pan-Canadian human resource plan.
These solutions come from health care professionals who know the problems in the system. I would note that not one of the solutions presented in the study was to jeopardize the public health care system by introducing private, for-profit care. Here are eight of the recommendations.
First, “work with the provinces, territories and other stakeholders to promote the alignment of educational and training opportunities in health care and other care economy sectors...”.
Second, “in collaboration with the provinces and territories, expand training and upskilling capacity for high demand industries, skilled workers, the care economy [and] health care workers...”.
Third, “work with the provinces and territories to remove barriers to labour mobility in the health care sector, including through the interprovincial/territorial coordination of regulation and licensing requirements.”
Fourth, “support access to care in rural and remote communities by providing further incentives for in-demand health care professionals to work in these communities, including through tuition assistance, loan forgiveness, or tax benefits...”.
Fifth, “consider offering additional permanent residency pathways to temporary foreign workers with in-demand skills or experience, including in the care economy...”.
Sixth, “review the Foreign Credential Recognition Program with a view to determining how it can better support efficient foreign credential recognition for internationally trained health care professionals.”
Seventh, “review compensation and benefits for care economy workers under its jurisdiction with a view to ensuring decent work and a regionally competitive wage; and further, that it work with the provinces and territories to improve working conditions for other workers in the care economy (including but not limited to migrant workers, and those in non-standard employment) and provide adequate compensation, basic health benefits, paid sick days, and workload management.”
Eighth, “consider establishing a national Care Economy Commission to develop, implement and monitor any workforce planning strategies for the care economy, including a centralized health care human resources strategy...”.
These are the real solutions to the health care crisis. These are the real solutions that would benefit people over corporate profits, and these are the real avenues to solving the human resource challenges in health care.
I am going to quote Michael Villeneuve, the former chief executive officer of the Canadian Nurses Association, who said:
Canada needs targeted federal funding to help health care systems train, retain, recruit and improve education and working conditions...The federal government has an important convenor and coordinator role to play. It needs to work together with provinces and territories on both short- and long-term strategies. Maintaining the status quo cannot be an option.
In closing, at the same time that the Canada health system is on the verge of collapse, workers are burning out, fatigued and taking early retirement. More federal investments are needed.
As economist Armine Yalnizyan has been saying loudly, labour needs are set to rise due to an aging population. She says, “...there is no more pressing labour market issue than how we prepare the Care Economy for the decades of population aging ahead...”
The federal government needs to take on this challenge and stop wasting time on for-profit corporations and privatization-hungry premiers trying to breach the Canada Health Act that belongs to all Canadians.
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Madam Speaker, I have heard a lot of talk tonight about the need for support, so I will ask the member about that. In the year, potentially, during which there is time for additional consultations, and I hope the government will listen to the outcomes of those consultations, what kind of financial supports would the member suggest?
On the NDP side, we would like to see pharmacare. We think that people being healthy and able to afford their medication is important. Affordable housing is another opportunity to increase supports for folks. I wonder if the member could expand on some of the opportunities in the next year.
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Madam Speaker, the pandemic has been difficult for Canadians, and it has been especially difficult for frontline workers: nurses, physicians, long-term care workers, cleaners, retail staff, transit workers and others. They have been there for us throughout this pandemic, but the government has not been there for them. For three years, they have been on the front lines with no relief in sight.
The government called them heroes, but this accolade has not been backed up with tangible investments in their pay, working conditions or mental health supports. It is absolutely unacceptable that investments in mental health have not come to frontline workers while the Liberal government sits on $4.5 billion of unspent mental health funding. That needs to change.
As the premiers arrive this week for health care negotiations, I think about the workers who are part of the growing care economy. This includes nurses, who are disproportionately women, especially immigrant women. They have been underpaid and undervalued for decades because of gender discrimination.
Now is the time for the federal government to step up and end that discrimination and to do the work required to improve the working conditions of nurses across this country. As Linda Silas of the Canadian Federation of Nurses Unions has long said, it is past time to address, with actions, the dire shortage of nurses in this country.
With that in mind, I highlight for the Liberal government a study that has been going on in the HUMA committee for nearly a year on labour shortages. Its imminent report will hold critical testimony that outlines solutions to improve working conditions for health care workers and to attract and retain more nurses. It was informed by unions across the country that understand first-hand this critical problem. The government must listen to them and act with urgency.
Action is not something we see much of from the Liberal government, and it is one of the shortcomings of Bill C-293. Bill C-293 represents an unacceptable attempt to provide the illusion of action, accountability and oversight with respect to Canada's response to the COVID-19 pandemic. It will not actually achieve it. What is really needed is what the NDP and the member for Vancouver Kingsway have called for throughout this pandemic: “a root-to-branch, independent, penetrating and comprehensive review of Canada's COVID-19 preparedness and response.”
An advisory committee approach, as proposed in Bill C-293, has not shown great results. The proof is in the fact that even after the SARS advisory committee recommendations, Canada was ill-prepared for COVID-19.
Some good things did come out of the National Advisory Committee on SARS, like the initial emergency stockpile of PPE. However, as mentioned today, it was proven to be not properly maintained, given the millions of N95 masks that had expired and needed to be destroyed when the pandemic began. As COVID-19 hit, workers did not have the PPE supplies they needed in order to stay safe.
A May 2021 report from the AG confirmed that negligent management of Canada's emergency stockpile resulted in shortages of PPE for essential workers. Serious issues with the stockpile had been raised for more than a decade, and the Public Health Agency of Canada, with its specific mandate to plan and coordinate a national response to infectious diseases, was reported to have limited public health and emergency response management expertise in its own agency. How is it that PHAC did not have the required expertise to manage PPE stocks?
This lack of internal expertise played out in other ways too. When the pandemic hit in early 2020, the supply of essential medicines became a critical need, but Canada had walked away from investing in biomanufacturing capacity in this country decades earlier.
Fast-forward to March 2021, when the lack of domestic production capacity of vaccines was a problem for the Canadian government. In response to the insecurity of adequate supply for Canadians, a federal COVID-19 vaccine task force was formed to seek out high-potential Canadian candidates for the manufacturing of vaccines.
Of course, the first thing the Liberals did was outsource because the knowledge of Canadian companies with capabilities did not already exist within Health Canada. Deloitte was contracted, and at least one potential candidate was identified, Biolyse Pharma, which, as per John Fulton's testimony at INDU committee, was “several years into the construction of a biologics manufacturing centre”.
Biolyse could repurpose its facility for vaccine production with an investment from the federal government for as little as $4 million, yet the lack of government expertise, response and political will did not make this happen. I will mention at this point that this is the same for the TRIPS waiver.
I want to take a moment to recognize the hon. member for Oakville, the Minister of National Defence. Her skill and determination in securing life-saving vaccines for Canadians after initial government missteps should never be forgotten.
Going back to PPE, at the beginning of the pandemic, Canadian manufacturers stepped up with production. Companies like Novo Textiles in my riding of Port Moody—Coquitlam invested quickly to retool their facilities and take up the government's request for critical PPE. However, even though Novo Textiles and other members of CAPPEM made investments to ramp up production, the government did not come through with timely certifications or purchase orders to support these heroic initiatives.
To add insult to injury, it took a motion from an opposition party in this House two years into the pandemic to get the federal government to even purchase Canadian PPE for the Hill and federal staff. In this very place, there were no Canadian-made masks until 2022.
It seems that it is not a lack of government-created and government-chosen advisory board members, consultants and plans that is missing. It is the ramping up of internal expertise and the political will to act that is needed. That is why the New Democrats call on the federal government and cabinet to launch an independent public inquiry into Canada's COVID–19 response under the Inquiries Act without delay. As I mentioned earlier, my colleague from Vancouver—Kingsway has been calling for a comprehensive review of Canada's COVID–19 preparedness and response throughout this pandemic. It is the only way to have accountability and adequate preparedness and prevention management going forward.
Canadians want and deserve that too. According to an April 2022 poll from Research Co., 66% of Canadians support holding a public inquiry into the way the COVID–19 pandemic was managed by the federal government.
Last week, the director general of the World Health Organization noted the third anniversary of the declaration of the COVID pandemic and said that it continues to constitute a public health emergency of international concern. This pandemic is not over, and the Liberals can no longer hold off on an independent inquiry into their handling of it. They must act now.
Although we are in a better position now than we were during the peak of the omicron transmission one year ago, this pandemic is not over. We cannot get complacent. Surveillance and genetic sequencing have declined globally, making it more difficult to track known variants and detect new ones.
At the same time, Canadian health systems are on the verge of collapse. Frontline workers have been heroic, yet it has resulted in burnout, fatigue and early retirements. As we work through this reality, more federal investments are needed in health care and nurses. There needs to be respect for women in the care economy, because they have always been the true backbone of the economy.
The current nursing shortage has certainly proved that the Liberals need to take the work of solving the nursing shortage seriously and take action. The Prime Minister must not let down nurses as the premiers arrive this week. The Liberal government has a responsibility to be part of the solution and to act on the health care crisis, which has been exasperated by COVID–19.
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