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Member of the National Security and Intelligence Committee of Parliamentarians

Don Davies

  • Member of Parliament
  • Member of the National Security and Intelligence Committee of Parliamentarians
  • NDP
  • Vancouver Kingsway
  • British Columbia
  • Voting Attendance: 59%
  • Expenses Last Quarter: $153,893.57

  • Government Page
Context: House Hansard - 203 - May/31/23
Mr. Don Davies (Vancouver Kingsway, NDP)
Madam Speaker, it is a great honour to stand in this House today and speak in support of Bill C-284, an act to establish a national strategy for eye care. I am proud to say that New Democrats will be supporting this bill and, in fact, as I will point out in my remarks, this is something we have been championing since the 1960s. This legislation, in general, would provide for “the development of a national strategy to support the prevention and treatment of eye disease to ensure better health outcomes for Canadians.” The bill states:  The national strategy must describe the various forms of eye disease and include measures to (a) identify the training, education and guidance needs of health care practitioners and other professionals related to the prevention and treatment of eye disease, including clinical practice guidelines; (b) promote research and improve data collection on eye disease prevention and treatment; (c) promote information and knowledge sharing between the federal and provincial governments in relation to eye disease prevention and treatment; and (d) ensure that Health Canada is able to rapidly consider new applications for treatments and devices used for macular degeneration, cataracts, glaucoma and diabetic retinopathy. This legislation would also designate the month of February as age-related macular degeneration awareness month. I want to pause and thank my hon. colleague from Humber River—Black Creek, who has been an energetic, spirited and passionate sponsor of this bill. It would not be right to proceed any further without noting her energy and great work in promoting this overdue policy. Eye health has been underfunded and deprioritized in Canada for too long. As a result, millions of Canadians are being put at unnecessary risk of vision loss because they lack access to eye care. A national strategy on eye care would ensure better access, better outcomes and quality of life for Canadians. It would also support Canadian leadership in vision research that can be exportable to the world. Canada's New Democrats believe that our public health care system should cover us from head to toe, and that includes comprehensive eye care. Currently, access to eye care varies widely from province to province, resulting in variable health outcomes and exacerbating inequalities in our health care system. Over eight million Canadians are living with an eye condition that puts them at significant risk of blindness. An estimated 1.2 million Canadians are currently living with vision loss, with many facing a lack of investment in services and supports that impacts their living life to its fullest potential. That number is expected to grow to two million people by 2050. It underscores the need and the appropriateness of acting now so that we can arrest that alarming development. The leading causes of vision loss in Canada are the following: Cataracts affect some 3.5 million people; age-related macular degeneration, 1.5 million people; glaucoma, about 300,000 people; and diabetic retinopathy, almost a million people or some 800,000. Routine eye exams play a crucial role in the prevention of vision loss. If certain eye diseases are diagnosed early enough, they can be effectively managed through different invasive measures and before expensive and more invasive procedures are required. According to a recent report by Deloitte, the cost of vision loss to our economy, both directly and indirectly, was some $33 billion in 2019. That is projected to grow to some $56 billion by 2050. If diagnosed early and if people have access to regular screening and treatment, most vision loss can be prevented: in fact, in about 75% of cases. Seventy per cent of existing vision impairment in Canada is estimated to be correctable with prescription glasses. The sizable proportion of correctable vision impairment is related to the barriers to access to vision care in Canada. Most guidelines recommend having an eye exam once a year for people aged six to 18 or 65 and older, as well as for those with diabetes or with an existing eye disease. For healthy people aged 19 to 64, one visit per two years is considered sufficient. However, this very basic diagnostic health need is not being met. I will give a few examples. Starting September 1, free annual eye exams paid for through the Ontario health insurance plan will no longer be available to seniors. Manitoba and Nova Scotia currently only insure eye exams every 24 months for every senior, which is twice as long as is recommended. Millions of Canadians without extended health benefits do not have their eyes checked or cared for, due to cost. As I said, the NDP has been advocating for universal public optical treatment since its founding convention in 1961. I am going to quote from that convention, which reads, “Believing that a country's most precious possession is the health of its citizens, the New Party will introduce a National Health Plan, providing benefits to those who need them without regard to their ability to pay. The plan will cover a full range of services: medical, surgical, dental and optical treatment, as well as prescribed drugs and appliances.” It is a little over 60 years since that statement was made, and here we are in a G7 country and we are not making sure every citizen can get their eyes checked every year, never mind have the relatively inexpensive correction done that would prevent them, in many cases, from getting vision loss and even blindness. That is a national shame and it is time it was rectified. More recently, the NPD's 2019 election platform committed to achieving head-to-toe public health care for all Canadians, and we specifically included eye care. In the 2021 platform, we committed to a long-term path to providing public coverage for eye care, along with other health services. In May 2021, the New Democrat member of Parliament for Algoma—Manitoulin—Kapuskasing, who I note is in the chair today, introduced Motion No. 86. That motion called on the federal government to work toward the creation of a national strategy for action on eye health and vision care. One can see not only that our support for this bill is there because of the need and the overdue nature of this, but that New Democrats have been playing a key role in placing this issue on the national agenda for decades. I have to point out where the Government of Canada has simply failed to meet its commitments in this regard. In 2003, the Government of Canada made a commitment to the World Health Organization to develop a vision health plan for Canada by 2007 and to implement that plan by 2009. To date, no plan has been developed. As recently as July 2021, the Government of Canada voted in the UN General Assembly for the first agreement to be adopted at the United Nations designed to tackle preventable sight loss and ensure that eye health is part of the United Nations sustainable development goals. In this resolution, the establishment of a national vision health plan was endorsed again by Canada. As much as I credit the hon. member for taking this overdue measure, one has to wonder why this had to take the form a private member's bill, why the government is not meeting its own obligations and why it is not actually introducing government legislation using the full force of its control of the Order Paper to meet its own commitments, which it has made not only to Canadians but on the world stage. It is important to note as well that this legislation has the support of stakeholders across this country. Several organizations, including Fighting Blindness Canada, the Canadian Council of the Blind, the Canadian National Institute for the Blind, Vision Loss Rehabilitation Canada, Diabetes Canada, the Canadian Association of Optometrists, the Canadian Ophthalmological Society and the Canadian Association of Retired Persons, have all advocated for a national eye care strategy for many years. I want to pause for a moment to talk about the particular impacts this has on marginalized groups, including its gender impacts. When gender differences limit access to proper eye care services, women are at greater risk of developing eye diseases that are otherwise treatable and preventable. Recent studies published in The Lancet Global Health in 2020 revealed that women carry the greater burden of visual impairment globally. More women than men have impaired vision due to cataracts, age-related macular degeneration and dry eye disease. One in four women is at risk of vision impairment, compared to just one in eight men. I will conclude by thanking the hon. member again for introducing this bill and let her know that the NDP will enthusiastically support it at all stages.
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