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John Yakabuski

  • MPP
  • Member of Provincial Parliament
  • Renfrew—Nipissing—Pembroke
  • Progressive Conservative Party of Ontario
  • Ontario
  • The Victoria Center Unit 6 84 Isabella St. Pembroke, ON K8A 5S5 John.Yakabuskico@pc.ola.org
  • tel: 613-735-6627
  • fax: 613-735-6692
  • John.Yakabuski@pc.ola.org

  • Government Page
  • Aug/24/22 5:50:00 p.m.
  • Re: Bill 7 

You know, Speaker, I guess the member for Scarborough Southwest—when I listened so attentively when she was speaking—didn’t hear what I had to say. People who are being moved out of a hospital setting will be moved to an appropriate long-term-care facility. And every one of them—nobody will be moved to a long-term-care facility that does not meet the provincial standards.

We have more inspectors, twice the number of inspectors—more than anywhere else and more than ever before. So wherever I end up going, it’s going to be a home that meets the provincial standards. The level of care will be expected to be at the provincial level, or I won’t be going.

Just think about the 5,800 beds across the province of Ontario that now, in our hospitals—once this is fully implemented and we’re able to rationalize our system, the opportunities for those hospitals to provide the kind of care that everyone else in this province needs. That’s why we have our hospital system: so that the care you need is there when you need it. By moving ahead with this legislation, we are going to help Ontario get there.

But I will say this, and the people of Ontario agree with us: We were dealt a terrible hand. But our government, under the leadership of Premier Ford, Minister Elliott at the time, Minister Fullerton at the time, Minister Phillips—we dealt with it in the most proper way, and the people—

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  • Aug/24/22 5:40:00 p.m.
  • Re: Bill 7 

Well, what does he think? Do you agree with him or not?

I appreciate the opportunity to speak to Bill 7. I want to begin by thanking Premier Ford and Minister Calandra for bringing forth this legislation, and so quickly, in this very shortened session of the 43rd Parliament, because they recognize how important it is that we actually move to do something to take the pressure off our hospitals, which are, yes, struggling with a lack of resources in order to deal with the challenges they have on an ongoing basis every single day.

When I came here in 2003, it wasn’t long after that—and I heard the NDP, just as we did, talk about alternate-level-of-care patients in our hospitals, and what a challenge that was, and how it was growing every day. The NDP screamed every day as well about, “You’ve got to do something about that.” They used to be referred to, not very nicely, as “bed blockers,” and then we became a little more cognizant that it just wasn’t appropriate to use that terminology. Instead, they’re alternate-level-of-care patients.

They want us to do something about it, so Minister Calandra, along with the folks in the Ministry of Long-Term Care, are doing exactly that: They’re bringing forth legislation. And I have to say, Speaker, it is so disappointing to hear the fearmongering and the invention of gremlins and monsters. You’d think there was a monster under every one of those beds, according to the NDP, because they’re creating all kinds of unnecessary fear in the minds of families and ALC patients themselves. There is nothing in this bill—in fact, it explicitly makes it clear that no one will be moved to a long-term-care facility without their consent.

They’re going on and on and on about how you can be assessed without your consent. People are being assessed all the time. It’s a necessary part of our health care system. Every time you go into a hospital, the chart is at the foot of the bed. The physicians come in and do assessments on a regular basis. Nurses do assessments on a regular basis. We need to know the condition of our people. That’s absolutely necessary. You need to know the level of care that is necessary. You need to be able to determine whether it’s appropriate or not to actually move that person to a long-term-care home, because in the case of some patients, it will not be appropriate; their health condition will dictate that, no, it’s not appropriate to move them to long-term care. They will have to be either stabilized, their level of health will have to improve or they may not be leaving the hospital at all, but that can’t be done without assessing the patient to determine whether it’s even feasible to move them to a long-term-care home.

But for most of my almost 20 years, we’ve had a situation where we have had beds in our hospitals occupied by people who should not be in the hospital; they should be in a long-term-care home. And what have we done to try to solve that problem? Revolutionary change: 58,000 beds, either new or redeveloped beds, in our long-term-care-home system. That is absolutely paramount. You won’t be able to solve the problem if you don’t have the places to move the patients.

So, revolutionary change: 58,000 beds, either new or redeveloped. Now we are creating the space for those people to go. Next, what do you do? Now you try to find appropriate placements for the people themselves, and try to determine who’s going to be going or who can go, who is healthy enough to leave a hospital. Nobody’s leaving a hospital if they’re not healthy enough to leave that hospital.

And then the process can begin to put people, who we care about so much—because a hospital is no place for an elderly, vulnerable person. That is not the place for them. There’s no activity area. There’s no common cafeteria or eating hall or dining hall. There’s no courtyard where they can be taken out to get some fresh air. That’s not what hospital care provides.

You know, the member for Scarborough Southwest said, “Nobody wants to be in a hospital. It’s just not a very nice place, and nobody wants to be there.” But do you know what, Speaker? We have some very nice long-term-care homes, and we’re building even more. So there will be places that have compassion, that have the facilities for those elderly people that have given so much to us, the younger generation, the younger part of society. They have given so much. Now we’ll be in a position to care for them in the appropriate housing, accommodations, buildings and institutions, or whatever we want to call them. We’re going to call them “their new home.”

So what do you want to have for your new home? Would you like to be in a hospital for your new home where—do you know what your life is? In the bed, walk the hall, in the bed, walk the hall, in the bed, walk the hall—if you’re able to. But in that long-term-care home that we are building—as I said, 58,000 new or redeveloped homes—you will have a home where you will be comfortable. You will be comfortable. And you will be, if it’s appropriate, placed in a home that matches your needs and your desire to be there, because if the home that is your choice does not have vacancy at that time, you’re still going to be on the top of the list. And when there is vacancy in that home, that’s the home you will get. It is all predicated on where you live, proximity to your family—those are the considerations that will be taken.

So I would ask the opposition—and I realize that there’s two elements here. On the one side, it says, “Hear the other side.” I know that’s supposed to be the job of the government: “Hear the other side.” And you know what? It would be really good if the opposition would practise that, as well—to actually read the bill and not try to extrapolate out of it something that you want to be able to say because that will generate the news story and that will generate the fear that you people are living on over there. That’s what’s going on. The alternative—I’ll use that word again, the alternative—what I hear from the other side is, “Scrap this bill. We don’t need this bill. This is a bad piece of legislation.”

Do you know what the alternative is, Speaker? The alternative is the status quo. The alternative is the status quo, where 5,800 people across this province are in an inappropriate setting for their care. They’re in a hospital when they shouldn’t be there. Now, anyone among those 5,800 whose health has deteriorated while they’ve been there because they’re aging out will not be moved. If it’s not appropriate that they can be moved to a long-term-care home, they will not be moved to a long-term-care home. But for those who have seen their lives limited, and, in fact, negatively affected because they’re in a setting that was never designed to support them in the condition they’re in, they will be moved, when it’s appropriate and where it’s appropriate, to a facility that will enhance their last years, their last time, so that they will be in a comfortable setting for whatever remainder of time they have on this earth. They will be in a comfortable setting, not one that was never designed to help them.

The long-term-care system, in its very infancy, was built to give care for people in those declining years. I know it’s evolved a lot over the years and it has changed, and the ages of people who are in them and the acuity levels of people who are in them has changed, as well. We understand that. I’m old enough to remember when the long-term-care system was in its infancy. It’s a different level of care. It’s a different client and different residents that’s in those homes today. But we have a responsibility as government. We have a responsibility as every citizen. And it includes the responsibility of the opposition. When they see something that will actually lead to the improvement of the lives of those people, they should not be out fearmongering. They should get behind it and support it because this is actually very good for the seniors in our province.

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  • Aug/24/22 5:20:00 p.m.
  • Re: Bill 7 

Oh, we’re into 10-minute rotations. So it’s 10 and 10?

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  • Aug/24/22 4:20:00 p.m.
  • Re: Bill 7 

Speaker, on a point of order: I believe there was an error in rotation there. That question should have gone to the government side, and it unfortunately went to the opposition side.

Interjections.

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  • Aug/24/22 4:10:00 p.m.
  • Re: Bill 7 

Renfrew–Nipissing–Pembroke.

I do want to ask my friend from Glengarry–Prescott–Russell—and congratulations; a great victory for Stéphane. I also welcome the new member for Thunder Bay–Superior North. I listened to her earlier, and I was concerned with one of her answers to the questions. When asked by my colleague from Kitchener–Conestoga, was there anything in this bill that was redeeming, to that extent, she said—essentially; I’m paraphrasing—“Absolutely nothing.” So I have to conclude that she wants the status quo of 5,800 people being left in ALC beds in hospitals, where it’s inappropriate. Some will stay, but most will be able to find a place that is—

Interjections.

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  • Aug/24/22 9:30:00 a.m.
  • Re: Bill 7 

I want to thank the member for her address this morning.

I’ve been here for nearly 19 years, and this is probably the most egregious example of NDP fearmongering since I’ve been here.

Since I’ve been here, ALC patients have been a huge problem in this province. We’ve got our vulnerable seniors in a place where they shouldn’t be, but no capacity was built in long-term-care homes to accommodate those seniors who would be best cared for in a long-term-care home.

This government has acted expeditiously and quickly, since the election, to bring in the proper legislation so we can actually move those patients to a home—

Interjections.

And now we have the NDP inventing all kinds of voodoo scenarios that do not exist.

So I do ask the member, could you please stick to what the bill actually says? No one will be going to a home that they’re not consenting to. Stop with the fearmongering—

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