The experts at Colorectal Cancer Canada, Canadian Cancer Society and Sunnybrook Health Science Centre’s Young Adult Colorectal Clinic have noted the rise in people under 50 with colorectal cancer.

Colorectal Cancer Canada says that diagnoses “rapidly climbed in recent years,” and referred to it in a recent news story as an “alarming reality.” And many would add that this rise is especially acute for racialized, Indigenous, Black, people of colour, but this government does not collect race-based data. We’ve asked for this for many, many, many years.

My question is back to the Premier: Can this government share with all Ontarians, including BIPOC Ontarians in their twenties, thirties and forties fighting colorectal cancer, if they are prepared to lower the age criteria for a colonoscopy, and if not, what is their provincial plan for early detection to help save lives like Bishop and countless others?

Interjections.

Bishop Brigante, a local hip-hop artist and actor, is fighting stage 4 colorectal cancer. He’s 45 years old and was diagnosed last fall. Bishop had symptoms earlier, yet they were dismissed. He has started a petition with 30,000 signatures from people who, like him, are demanding this government lower the current colonoscopy colorectal screening age criteria of 50.

The Minister of Health has indicated that their ColonCancerCheck program is “actively monitoring” colorectal cancer and will evaluate program recommendations—such as screening age criteria—based on new and emerging data.

My question is to the Premier. Can the government explain to Bishop and other late-stage metastasized colon cancer patients in their twenties, thirties and forties what new and emerging data this government is waiting for?

This petition is in support of a Toronto local hip-hop artist and battle rap pioneer, Bishop Brigante, who at 45 was diagnosed with colorectal cancer. He wants to lower the minimum age for colonoscopies from 50 to 30 years of age, so we can have quicker detection. He’s trying to raise public awareness around colorectal cancer. The current age, for anyone who doesn’t know, for an asymptomatic cancer screening is 50, and we want to see that age lowered so we can help save lives.

There are many people in the arts community, in the film and TV community and, of course, in the health community who are speaking out about this. Bishop, Jully Black and many other artists are coming out in large numbers. I just want to tell them thank you and also say that I agree and support this petition and I’ll be affixing my signature to it.

Just before I started, I want to express to anyone watching or to those who aren’t familiar with the government’s Bill 60, the profitization and privatization of health care, which the member from Eglinton–Lawrence spoke so proudly of: Make no mistake, the excess service that this bill claims to provide Ontarians is only provided to those who have the pockets, the money, the finances to purchase. It’s very, very problematic when procedures that should be covered and are covered by your OHIP are all of a sudden being covered by credit cards, courtesy of Bill 60. I just wanted to clear that up so that folks got the reality check of what Bill 60 is.

Anyone with a prostate can get prostate cancer, and this includes cisgender men, trans women and nonbinary people. I wholeheartedly support this motion, and I’m calling on the Ford government to follow the lead of eight other provinces and fully cover the prostate-specific antigen PSA test under OHIP when prescribed by a doctor.

I must also note that this motion, put forth by our outstanding member from Niagara Falls, is a fiscally responsible piece of legislation that calls for investing now to help save lives, as opposed to not covering the PSA test, which has been known to act as a deterrent for those who may have limited financial means. A cost for diagnostic tests will deter people from seeking answers early, and with prostate cancer, early detection is key. If prostate cancer is left undiagnosed and unchecked, the cost to our health care system would be tenfold. As the saying goes, prevention is better—or, I might add, cheaper—than the cure.

The cost of a test should never be a prohibitive factor, especially for groups in society who have felt the disproportionate impact of health inequities. This is especially true for many Black men, who are disproportionately impacted by prostate cancer. Black men, as we have heard, have almost double the risk of developing prostate cancer compared to non-Black men. They’re also more likely to have prostate tumours that grow and spread quickly. Black men are also more likely to die from prostate cancer compared to other men.

I want to read into the Hansard a quote from Mr. Ken Noel, the president of the Walnut Foundation: “Prostate cancer disproportionately impacts Black men in this province, according to a recent study co-authored by the Walnut Foundation and published in the Canadian Medical Association open journal. The Walnut Foundation, a prostate cancer awareness and support non-profit organization targeting the Black community, encourages Black men to be more involved in their personal health, get the facts, ‘know your numbers’ and that ‘early detection saves lives.’ However, men are thwarted by having to pay for a simple blood test in Ontario. We need to minimize barriers to early diagnosis and getting the PSA test funded by OHIP will improve outcomes for those most impacted by this disease. Remember Black men are 76% more likely to be diagnosed and 2.2 times more likely to die from prostate cancer.”

The name of that study, and I would encourage everyone to read it—it is a study that was led by Dr. Aisha Lofters. It is titled Prostate Cancer Incidence among Immigrant Men in Ontario, Canada: A Population-Based Retrospective Cohort Study.

I of course also want to give a shout-out to Mr. Henry as well. Thank you for your leadership and your advocacy—and your research, at that.

The Walnut Foundation’s annual Walk the Path Walkathon to help raise awareness about prostate cancer is taking place on June 3 this year. I also want to give a shout-out to Ivan Dawns, who has been named the honorary campaign chairperson of this year’s walk. Ivan Dawns is the first Black union representative with the International Union of Painters and Allied Trades, and recently received the Ontario Black History Society Dr. Anderson Abbott Award for his leadership and advocacy. Dr. Abbott, born in 1837 in Toronto, Upper Canada, was Canada’s first Canadian-born Black person to be licensed as a doctor.

The Ontario NDP has long called for the collection of race-based socio-demographic data in health to prevent worse health outcomes for racialized Ontarians. If we see where the disparities are, we can address health inequities through a full systems approach. According to the Black Health Alliance, “Although there are some conditions that are inherited at greater rates in some ethnic groups, such as sickle cell disease”—which we’ve also raised legislation for in this House—“the majority of chronic illnesses have many different contributing factors including—social determinants of health such as access to health care, support networks, education and stress.”

Lastly, “One ongoing stressor is anti-Black racism, which we believe is a major contributing factor to many of the disparities in health that Black people experience.” Experiencing everyday systemic and even internalized racism intersecting with class or socio-economic barriers and disparities, according to evidence-based research, has been shown to worsen illness and health outcomes for many within Black, Indigenous and racialized communities.

I couldn’t support the member for Niagara Falls’ legislation more, and I hope that this government passes it and saves lives.