SoVote

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Marit Stiles

  • MPP
  • Member of Provincial Parliament
  • Davenport
  • New Democratic Party of Ontario
  • Ontario
  • 1199 Bloor St. W Toronto, ON M6H 1N4 MStiles-CO@ndp.on.ca
  • tel: 416-535-3158
  • fax: 416-535-6587
  • MStiles-QP@ndp.on.ca

  • Government Page
  • May/13/24 11:40:00 a.m.

I just wanted to correct the record: Earlier today, in question period, I used the number 2.2 million Ontarians that don’t have a family physician. The number is actually 2.3 million.

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  • Mar/19/24 10:50:00 a.m.

Speaker, the minister needs to get out of the backrooms and start listening to Ontarians. If she thinks that we’re doing well in the province of Ontario, boy—2.2 million Ontarians without access to primary care; operating rooms collecting dust. We have some of the best health care workers in the world, but we can’t retain them. They’re leaving faster than we can recruit them.

This government has no strategy to recruit and retain and return nurses to our hospitals and our long-term-care homes. Our long-term-care homes, our hospitals are relying increasingly on staffing, on private agency nurses that are bleeding the system dry.

I want to go back to the Premier again. How many more emergency rooms, how many more urgent care centres have to close before this government implements solutions that actually work in the province of Ontario?

Interjections.

Speaker, my question is for the Premier. The Information and Privacy Commissioner’s office has ordered the Ministry of the Solicitor General to turn over records of which OPP officers worked at the Premier’s family stag-and-doe event. We know these are the records that the government has refused to share with journalists through freedom-of-information requests. We know the RCMP is also investigating this matter. The Premier has denied there were extra officers on the site, but he’s going to great lengths to withhold the details.

So to the Premier: Can he confirm how many OPP officers were assigned to work at his family’s stag and doe event?

I want to remind the Premier that he’s not above the law, that the police don’t work for him and that they work for the people of Ontario.

We’ve already seen two explosive reports about this Premier’s family’s stag and doe. The reports revealed a deeply troubling pattern of a government that continues to help a select few of their friends at the expense of everybody else, and now we’re waiting for the results of an RCMP criminal investigation into this government’s conduct.

So my question is to the Premier: Did the RCMP have to step in because of concerns about the Premier’s close relationship with the OPP?

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  • Mar/18/24 3:10:00 p.m.

Thank you so much to my colleagues from the official opposition. Our proposal is the equivalent of introducing 2,000 new doctors in the province of Ontario tomorrow to see two million more patients. What could possibly be wrong with this?

Listening to the government members opposite address this motion, I felt a little bit like Alice down the rabbit hole. But there’s no waking up from this nightmare. We’ve listened to Liberal and Conservative governments over so many years—the last 20, 30 years—with half measures and cuts. Let’s just call the Liberal and Conservative governments Tweedledee and Tweedledum for the purposes of this argument. Nothing has been adequate and the writing has been on the wall all of that time.

Six years into this government’s mandate I would urge them to do something for the people of Ontario, listen to the 2.2 million Ontarians who do not have a family doctor, listen to the voices of Ontarians who are saying, “Please, do something right now.” We are serving you up a solution. You are not approaching this with the urgency that it requires.

If this motion were to pass—and we are forcing a vote on this this afternoon—again, 2,000 more doctors—the equivalent—two million more Ontarians could actually see primary care delivered immediately. It would relieve the administrative burden on family physicians. It will get patients the access they need and then relieve the pressure on our emergency rooms. You have a choice to make. Make the right one today. Vote in favour of this motion.

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  • Mar/18/24 1:20:00 p.m.

There’s no denying, I think, that Ontario’s health care system is deeply frayed. More than—we often say 2.2 million, but the numbers are actually increasing daily; we’re now up to more than 2.3 million, in fact, since I introduced this motion, who are currently without a family doctor.

Primary care providers and community health centres across the province are overwhelmingly understaffed, and all of us here in this room know exactly what that has led to: crowded emergency rooms; excruciatingly long wait times; overworked, underpaid health care workers who are exiting the community health sector, exiting health care faster than we can ever recruit and retain them; seniors, kids, vulnerable Ontarians being left to wonder if they’re going to get the care they need when they need it.

Along with those critically low staffing levels, Ontario’s health care system is also seeing a wave of physicians retire. Currently, 1.7 million people in the province of Ontario are looked after by a doctor who is 65 or older. Let that sink in. How did the members across the aisle not see that one coming? Doctors are human too. New Democrats have been sounding the alarm on this for decades now—in the previous Liberal government, as well. But members across the aisle can’t see a storm coming for them until it’s knocking on their door.

Just on Thursday, I was in Kingston, where the shortage of doctors has left 30,000 people without access to primary care. The shortage is so dire that when four physicians at CDK Family Medicine and Walk-In Clinic announced that they would take on 4,000 new patients, hundreds of people lined up through the night, in the rain, to claim a spot. That’s desperation. If this doesn’t cry urgency to the Premier of this province, I don’t know what will.

Only two weeks ago, we had a few retired United Steelworkers workers here with us from Sault Ste. Marie. The members opposite will remember that they joined us here at Queen’s Park because they were asking this government to step up and do something about the almost 10,000 people, mostly seniors and retirees, who were de-rostered from the Group Health Centre in the Soo. It’s the only clinic in the area. They’ve lost physicians to retirements, to resignations, and there are no replacements available—and that is going to go up to another 6,000, to 16,000, in just a matter of months. By the end of the year, nearly 30% of the population in Sault Ste. Marie and Algoma could be left without a family doctor. That is going to be a sad day.

We are losing doctors. We are losing nurses. We are losing health care staff. People are stressed, and they are worried about whether they’re going to get the care they need. And where is Premier Ford? Where is this Conservative government? They’re too busy patting themselves on the back with these vanity ads instead of actually improving access to care for the people of Ontario.

The doctors and nurse practitioners who are still on the front lines are having to spend hours filling out insurance forms and coordinating referrals, and it’s cutting into quality time with patients. The Canadian Medical Association studied how many more hours doctors could be spending with their patients if they weren’t buried in paperwork, and that number is 19 hours a week. That’s 40% of their time. That’s up to five hours on administrative work per day. Any of us who have spoken to family physicians out there in our communities know this; they’ve been saying it for years. They’ve been saying, “Do something about this. That’s five hours that we could be spending seeing patients.” That’s 19 hours a week filling out forms when we have people sitting between 12 and 15 hours in waiting rooms just to see a doctor. If doctors are freed up from this administrative work, they could serve—get this—two million more patients. Do the math. That’s like adding 2,000 doctors to the system—so, 2,000 doctors to the system, or relieve the administrative work and see two million more patients.

Training and hiring new doctors—we know it’s going to take years. But funding and properly staffing primary care right now? That can happen right now. We could be doing this today. It’s a question of priorities.

The Ontario College of Family Physicians—by their research, 94% of family doctors say they are currently overwhelmed with administrative and clerical tasks. They are telling us what they need.

I want to share the words of one such expert—an actual, front-line health care provider, Dr. David Barber. He’s the OMA chair of general and family practice. Here is what he has to say about this issue: “Paperwork takes an average of 20 hours per week and includes burgeoning insurance forms, sick notes and requests for drugs.” Family doctors who didn’t go into medicine to do paperwork are doing that paperwork. “We want to see patients; this takes away from it.”

I want to just stop here for one moment and say that last week, when I was in Kingston, I had the great pleasure of meeting Dr. Dick Zoutman, who made the point, when we were talking about this issue, of saying, “Let’s be clear: These are not optional forms. This isn’t an option. This is what we have to do.”

Going back to the comments of Dr. Barber: “The government hasn’t sent any signals to family doctors on the ground that they know what is happening. When doctors aren’t hearing from the government that it has their backs, family doctors are just giving up. That is why we are seeing so many leaving.”

Those are the words of Dr. David Barber, the OMA chair of general and family practice.

This is time that doctors could be spending with patients, with people who are aging—our population is aging—with those new babies we see out there, with new moms and new families, with teenagers who are struggling. These are hours that could be devoted to them right now.

It’s not like we don’t know what works. That’s what I find so frustrating after 20-odd years of looking at this issue in health care policy. We’ve seen how effective our solution is through the community health centre model, where primary care providers like doctors and nurse practitioners have a fully staffed and resourced team so they can focus on providing care, not filling out paperwork. But rather than support those centres, what does this government do? Cut funding, so they’re forced to reduce services, see less patients.

And let me say, on behalf of all of those community health centres that I have visited over the last few weeks alone, my goodness, don’t those workers deserve to be paid the same as those folks in our hospitals? They’re paid 20% less.

I know the minister tries to minimize how important that administrative work is that health care providers are doing. She belittled this, this morning, in her responses to our questions.

Our solution can be life-saving. That’s why we’re putting this forward.

How short are we of family doctors? This is based on current numbers: Windsor, short 36; London, 68; Hamilton, 114; Barrie and Muskoka region, 118. Toronto—can you imagine? Nobody can imagine that there’s a family physician shortage in Toronto, but boy, 305—let alone trying to get a physician who actually speaks your language. Peterborough, 40; Kingston, 23; Ottawa, 171; Sudbury, 33; Thunder Bay, 50; St. Catharines, 51.

As I travel across this province and I listen to people, I hear this every day.

In Alvinston, I was at the Maple Syrup Festival the other day. I was standing in line with a bunch of folks waiting for the school bus to take us to the Maple Syrup Festival. That was fun. Those seniors were talking with me about how none of them have a family physician. These are folks with walkers, with chronic health conditions. Where do they go?

Nursing home residents I met with last week in Nepean and Orléans are stuck in a situation with a bad-actor nursing home company, and they can’t afford to leave it because they can’t afford to lose their nurse practitioner. They’re putting themselves and their families at risk.

Here in Toronto, I met a young man just the other day in my riding, in downtown west end Toronto, who moved there from Brampton and has never in his life had a family physician—can’t get on a list.

This government could start clearing that patient backlog by putting out job postings today for health care team members to support doctors and get people of this province the health care they need right now.

I’m going to end by just referring to one other thing: When I came to the province of Ontario, what, 30 years ago from Newfoundland, one of the reasons that I stayed here was because you could imagine raising your family here on a working-class salary. You could imagine having a good public school for your kids. Do you know what else? You could get a family doctor—not something we had a lot of in Newfoundland, even back then. But you could imagine getting—

Interjection.

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  • Feb/21/24 10:40:00 a.m.

Speaker, I know they spent millions of taxpayer dollars on those ads, so they want to get their money’s worth, but what if I told you there is a province where two million Ontarians cannot find a family doctor and we have a Premier who is not doing his job?

We are very proud to be joined in the House today by steelworkers from the great city of Sault Ste. Marie. They’re here to ask for help after 10,000 patients were notified that they’re going to lose primary medical care at the Group Health Centre. The centre was founded by steelworkers. They agreed to payroll deductions to build it and to support workers and their families, and it came with an agreement that they would receive health care for the rest of their lives. Now, with those physicians retiring or resigning, there is no one to replace them. That’s the reality in the province of Ontario: There is no plan for the founding members or the historical commitment made to them.

So I want to ask the Premier, what is this government doing right now to address the urgent crisis in primary care in Sault Ste. Marie?

In total, more than a quarter of the population of Sault Ste. Marie is slated to lose access to primary care. That’s unacceptable to me, and it should be unacceptable to this Premier. Speaker, the official opposition NDP is joining steelworkers and retirees in the call for an immediate strategy to recruit and deploy primary care doctors and health care professionals to Sault Ste. Marie and to other communities in northern Ontario deeply impacted.

To the Premier: When will this government commit to the recruitment and retention strategy for health care workers in northern Ontario?

Interjections.

Speaker, the steelworkers of the Soo understand the need to protect health care today and into the future. That’s why they have suggested immediate solutions that will continue to pay off for years and years to come and include a plan to support internationally trained doctors to practise in this province. They’ve called for an expert panel as well that’s going to help expedite the training and mentoring that’s needed to bring doctors to communities like Sault Ste. Marie.

Speaker, these solutions could be implemented immediately. They could have been implemented yesterday if this government had the political will to do so.

To the Premier: Will he stop making excuses and act now to urgently bring doctors to Sault Ste. Marie?

Interjections.

If these patients in Sault Ste. Marie lose access to their primary care doctors, they’re going to be forced to rely on those increasingly crowded emergency rooms for their basic needs. The closest emergency room outside of Sault Ste. Marie is four hours away. We heard today of somebody who waited 15 hours recently who also has lost their doctor.

Access to primary care should not depend on where we live. Across the province, I am hearing from countless, countless Ontarians who are worried about losing access to health care as well. For doctors, it’s not just about staff or office spaces, it’s also about housing and transportation and access to other services. It’s impossible for hospitals and clinics to recruit health care workers when there’s no accessible housing or transportation—

Interjection.

Interjections.

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