SoVote

Decentralized Democracy

Terence Kernaghan

  • MPP
  • Member of Provincial Parliament
  • London North Centre
  • New Democratic Party of Ontario
  • Ontario
  • Unit 105 400 York St. London, ON N6B 3N2 TKernaghan-CO@ndp.on.ca
  • tel: 519-432-7339
  • fax: 519-432-0613
  • TKernaghan-QP@ndp.on.ca

  • Government Page
  • Jun/3/24 1:20:00 p.m.

The petition I have to read today is entitled “Health Care: Not for Sale.” This petition outlines the very dangerous trend that this government is going on, in terms of the privatization of our public health care system in Ontario. It’s very concerning, because it is going to not only bankrupt our system, but it will take nurses, doctors and PSWs out of public hospitals—

It makes recommendations, such as licensing tens of thousands of internationally educated nurses. It talks about respecting doctors, nurses, PSWs with better working conditions, and making sure that there are incentives for nurses and doctors to live and work in northern Ontario, and making sure that there are enough nurses on every shift on every ward.

I fully support this petition. I fully support publicly delivered as well as publicly funded health care. I’ll send it with page Hosanna to the Clerks.

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  • Apr/26/23 10:20:00 a.m.

Sometimes when MPPs talk about health care and long-term care, they miss the great work being done in the community support services sector.

People want to age at home, and community support services help meet that need. Caregivers risk burnout and financial burden without these services. Some may even feel pressure to quit their job to look after a loved one. No one should feel forced to make this choice.

Community support services are cost-effective, personalized and help free up beds in hospitals and long-term care. Recently, I had the opportunity to meet with the Alzheimer Society, Cheshire Independent Living Services, St. Joe’s hospice and many more. Users of these services see a 43% decrease in avoidable ER visits. In addition, when community support services are available, hospital stay lengths are decreased more than 30%. Care at home costs $42 a day while long-term care is $126; in hospitals, at least $842. Saving $800 per day is pretty cost-effective. It’s literally 5% of the cost.

However, like other parts of our health care system, lack of funding means service reductions and staff are continually asked to do more with less. This sector, primarily made up of women, faces a variety of struggles, including the inability to hire and retain staff.

Ontarians want to be supported at home. I call upon this government to make the necessary investments in community support services so that people can stay where their heart is: at home with loved ones.

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  • Apr/20/23 11:10:00 a.m.

My question is to the Premier.

A London-area family recently received the horrifying assessment of sarcoma after an ultrasound showed a mass in their child’s leg. In order to properly diagnose, the oncologists ordered an MRI. But children who need an MRI at London Health Sciences Centre have to wait. Children who should have that service within 28 days are waiting, on average, 299 days—waiting for almost a year. How is this acceptable?

My question is back to the Premier.

I can’t imagine the level of stress and anxiety while patients await this important step in their child’s health care. It’s necessary for diagnosis and potential treatment, and kids can’t wait.

This new Conservative government normal is not okay. While the government ignores its health care responsibilities, the family have even resorted to calling a hospital in Michigan, who got back to them right away with a price tag of $2,200 cash.

Is it acceptable that in a province such as Ontario, cash for health care access is okay?

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  • Feb/28/23 9:10:00 a.m.
  • Re: Bill 60 

I’d like to thank my colleague from Hamilton Mountain for her comments and her concerns about privatization and profitization in our health care system. As well, I would like to thank you for mentioning the importance of publicly funded as well as publicly delivered health care.

Back in March 2022, the Deputy Premier and Health Minister Christine Elliott stated, “We are ... making sure that we can let independent health facilities operate private hospitals.” Then, the minister’s spokespeople jumped in and said, “The use ... of private hospitals and independent health facilities in Ontario is not being expanded or changed.”

My question to the member: Is this an example of the government being accountable or transparent, given that this privatization and profitization is exactly what Bill 60 is doing?

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  • Feb/27/23 4:10:00 p.m.
  • Re: Bill 60 

I’d like to thank my colleague from Oshawa for her wonderful presentation.

I want to take you back to March 2022, when Ontario’s former Patient Ombudsman and, at that time, the Conservative health minister, Christine Elliott, almost issued a warning—or, at the very least, let it slip. She stated: “We are ... making sure that we can let independent health facilities operate private hospitals.” Possibly, when they realized how foolish and wrong this was, the minister’s spokespeople said, of privatization, “The use or function of private hospitals and independent health facilities in Ontario is not being expanded or changed.”

Clearly, funding is being cut for publicly delivered health care, as we’ve seen in the FAO’s report—cutting $5 billion—and it’s being put into for-profit health care profiteers’ pockets.

My question to the member is, why did they flip-flop?

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  • Feb/27/23 2:30:00 p.m.

Speaker, I rise today to support this motion. My colleagues have explained some of the many reasons why this is necessary.

We have operating rooms that are sitting empty because we don’t have the workers needed to staff them. At best, this is incredibly problematic, fiscal mismanagement on the part of this government.

In Ontario, when you look at our operating rooms—it’s like a person who has a beautiful, high-end car and decides to go and park it out in a field so they can get into somebody else’s tired old limousine that won’t take them where they want to go and will charge them extra once they get there.

Bernie Robinson, ONA’s interim president, said it best: “There is no health care without the dedicated care from nurses and health care professionals. A bed is just a bed without the staffing and support to ensure the patient is receiving quality care.”

It’s clear that this government has no plan to actually address the health care crisis. Look at what happened in Walkerton. Look at what happened in Chesley. Look at what happened in Listowel. They are shortchanging rural and small hospitals, and they’re shortchanging health care. Look at the 80 ER closures over the summer.

Across the province, we heard during the pre-budget consultation that Ontarians want this government to invest in a health care human resources strategy. We have the lowest nurse-to-patient ratio per capita in the entire country.

Shortly after I was elected, I was approached by seniors who had been waiting years—years—in pain for joint replacement surgeries. They were left languishing on that wait-list as a result of the Liberal government, who put those arbitrary caps on the amount of time that they could spend in those ORs. And this government is going down the same path. It’s not the answer.

This government could say yes today—they could say yes to a plan that can be implemented immediately—but they keep saying no. They want people to settle for a system that’s less effective and that will cost them more. They want to waste money. It’s wasteful to underuse our public health care infrastructure. We on the official opposition side want people to expect more. Let’s not go backwards.

I urge my friends across the aisle to protect our values, protect Ontario’s integrity, protect our health. Let’s build a province where companies want to invest. What is required is a publicly funded, publicly delivered health care system so companies know they have a healthy workforce, so they don’t have to pay for that extra—an educated workforce, so they don’t have to always retrain.

Support this motion today. Say yes.

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  • Feb/27/23 11:10:00 a.m.

In a few weeks, one of Canada’s first fertility clinics is closing its doors after 50 years of helping families grow. The fertility clinic at London Health Sciences Centre has helped bring more than 4,500 babies into the world since opening in 1972. These services are shifting to a private clinic, Omega, due to a lack of funding.

Speaker, what does this government have to say to the thousands of families who depended on this vital public service?

What we need right now is action to address the hospital crisis and a plan to recruit, retain and return health care workers in our public hospitals, not further privatization. Why does this government want Ontarians to settle for less when it comes to creating their families?

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  • Feb/22/23 5:10:00 p.m.
  • Re: Bill 60 

They’re just leaving it up to chance.

It has been very clearly stated that there is a limited pool of talented, trained health care workers, that there’s a limited pool of nurses. Many have left the profession, and this opening up of these private, for-profit—predatory, quite frankly—clinics will drain yet more resources from the public system. That also should be a tremendous concern, but yet it seems to be this crisis by design. It seems to be as though that is exactly what the government wants. They want the public system to fail, because they want their insiders, the people who are talking to them in the backrooms, the people who want to skim off the system and want to make money—apparently, this government wants them to have their pockets filled. That’s not fair. Our public health care system is the definition of democracy, it’s the definition of fairness, because it ensures that people are going to get the care they need regardless of their ability to pay. Just like education, it’s a democratizing force, and this is completely undermining it.

I wonder as well, is this an attempt to change the channel from recent news? I can’t be sure.

As I begin to close my remarks, I think it’s important that we recognize that we cannot go backwards in terms of public health care. We can’t sit and watch government after government undermining and strangling—it’s like this government is strangling the health care system and then asking it why it’s not able to breathe. It needs to be funded properly.

Let’s look for solutions. Let’s repeal Bill 124. Let’s have a health care human resources strategy, like has been recommended across the province, to recruit, to retain and to return nurses. Treat them with respect, treat them with fairness, and hopefully they will come back. But that’s on you. You need to listen to Ontarians.

I want to conclude my final remarks by again quoting Tommy Douglas. He stated: “Health services ought not to have a price tag on them, and ... people should be able to get whatever health services they require irrespective of their individual capacity to pay.” I could not agree more, Speaker.

I hope that this government will change course. I hope it will listen to Ontarians, who want to see nurses treated well, and embark upon a comprehensive plan to have a health care human resources strategy to recruit, retain and return nurses and fund the system properly.

Don’t maintain your status quo of cuts. Don’t maintain your status quo of not keeping up with inflation. Take that $20 billion you’re hiding and spend it where people need it the most.

What we have here is a question of oversight. There is no reason to think that these different surgical suites could not be within the hospital’s purview. In London, there are operating rooms which are able to operate at this capacity—but the key difference here, and one that I wish you could understand, is that it’s publicly funded and publicly delivered. Nobody is skimming money off the top and putting it in their pocket. I know that’s what you love, but that’s something that is wrong. It’s care or profit—you stand for profit, we stand for care.

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  • Feb/22/23 5:00:00 p.m.
  • Re: Bill 60 

And perhaps they’ll stay.

As a result of Bill 124, we heard from multiple delegations and we’ve heard from many different organizations that nurses have left in droves because they feel insulted. For many years, as I’ve said, as the past Liberal government strangled and underfunded the health care system, they have been holding up that system by the virtue of their good nature, by the virtue of their hard work. That’s absolutely wrong. Ten years to go without a raise? It’s unconscionable. It’s an honourable profession. It’s a caring profession. It takes a strong and a capable person—but I don’t think that anyone deserves to be treated the way that this government has. Bill 60 could have taken the opportunity to rectify that, to admit that mistake—it’s not.

We also heard from multiple delegations about the wage disparity between home care, long-term care and acute care within hospital settings. This does nothing to do that—in fact, as I’ll get to in my comments if I have time, it actually makes it yet worse.

In terms of profit-making, no one should look forward to or hope for somebody else to become ill because that will line their pockets. That’s disgraceful. I think we should all be able to agree with that. But this bill opens the door for these profiteers, people who will be doing just that. It’s almost worse than ambulance-chasing. When someone is sick, our health care system pays for that care. These are people who want to skim off the top. When they skim these public dollars off the top to put in their own pockets, that means yet less care. They latch on to the public system, and they’re going to slowly bleed it of resources.

We saw this with home care and long-term care. When privatization was suggested as a model for that, it was touted as the greatest thing since sliced bread. They said, “There’s going to be choice. There is going to be competition, and prices will stay down.” Well, we know that the exact opposite is true. The COVID-19 pandemic exposed what has been going on for many years. The Wettlaufer crisis exposed what has been going on for many years. And yet, this government refuses to treat seniors with respect.

Conservatives and Liberals have always been very comfortable bedfellows. There has long been a Liberal-Conservative consortium when it comes to this for-profit care model.

In 2017, Liberals tried to pass legislation to allow for community health facilities, and guess who supported them? The Conservatives. Of course they did, because they have always been in it together when it comes to wresting public dollars from our health care system into private pockets. Fortunately, this bill died at committee. That was 2017. Here we are, in 2023. Oh, they’re not called “community health facilities”; they’re now called “independent health facilities.” It’s old wine in new bottles, but it’s the same program, isn’t it?

There has been an ideological blind adherence to this for-profit model, and I want to point out in my remaining time some of the myths about private health care that have been put forward, because this government has been relying on some very deep misunderstandings.

Our Premier said, “We just can’t as a province keep doing the same thing and expecting a different result.” Well, “doing the same thing” was underfunding health care and strangling it of resources. Of course, it’s not going to have a different result from the Liberals, but this is the result that he wanted.

Funding health care properly and ensuring health care would be different, ensuring that money was spent on front-line care, ensuring it was spent on those nurses would be different from the status quo. But you’ve maintained the Liberal status quo, so congratulations on that.

Myth number two: Private clinics are needed to clear the backlog. This implies by its very nature that publicly funded surgeries are at full capacity, but we know that hospital hallways are not full of people waiting for a knee replacement or a hip replacement. In fact, there is a complexity of care, but this government won’t fund that care properly.

I also want to point out some concerns that I have with this legislation.

Schedule 2 attempts to deregulate health care settings. It expands the definition of “regulated health professionals” to include those who are not part of a regulatory college. Just when you thought that this government could not attack, insult, degrade, demean and humiliate health care workers more, they’re trying to take away their titles. They’re actually making it so that, according to schedule 2, this definition of “physician” becomes nebulous; this definition of “registered nurse” becomes something different. Does that mean, by this, that anyone can be deemed to be this role within these settings? It will be interesting, because, quite frankly, the oversight isn’t going to be here, because that is something that is also not included properly within Bill 60.

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  • Oct/26/22 11:20:00 a.m.

My question is to the Premier.

MPPs across the province have been hearing from constituents about the unmitigated crisis in our hospitals. But are Conservative MPPs truly listening?

My constituent Colleen told me about her mother’s ER experience: “My brilliant, independent, selfless, always-helping-others mom had to hope and pray for someone to walk down that hall to attempt to get help.” Her oxygen machine was empty. When Colleen brought this to the hospital’s attention, the nurses’ overwhelmed exhaustion was clear. It wasn’t their fault.

Will this government keep blaming others and keep neglecting public health care or fund it properly and pay nurses what they’re worth?

Just last week, LHSC in London posted a 20-hour delay for their ER and asked patients to bring a snack and activities. My constituent Tina told me about searching in vain for a nurse or doctor after her partner Rod’s major surgery. No doctors were available and nurses were run off their feet. Tina waited for days until she finally got a phone call.

The RNAO surveyed nurses and found that 69% are planning on leaving the profession in the next five years. When will this government admit they’ve created a crisis and spend money on front-line health care heroes?

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  • Aug/31/22 11:30:00 a.m.

My question is to the Premier.

Speaker, many of my constituents have reached out, horrified about creeping privatization and the overt destruction of our treasured public health care system under the Ford government.

Ryan wrote to me about how the care he received for his aortic stenosis would have cost at least $250,000. Without it, he would not be alive. He remains deeply thankful, but he worries about the deteriorating quality of health care and this government’s obvious movement towards profit-making in health care.

Will this government continue to destroy health care with their privatization agenda or finally fund health care and health care workers properly?

Underfunding health care by $1.8 billion last year was a destructive act, and so is Bill 124, and now the government claims the system they’ve been strangling is barely breathing. This government manufactured this crisis in order to promote privatization.

Heather wrote to me about her stepfather being pushed out of hospital into a for-profit long-term-care home, where they would then squeeze an additional $4,000 per month for his care.

Is this government morally and ethically comfortable padding the pockets of the private long-term-care industry and private, for-profit hospitals rather than fixing our public system and paying health care heroes what they deserve?

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  • Aug/29/22 1:40:00 p.m.

Thank you to the member for Barrie–Innisfil for the question. It’s almost like she borrowed words from my speech and was trying to use them against me. It’s rather interesting.

On the official opposition side, we have always advocated to listen to the front lines in health care.

Throughout this throne speech, we don’t see any listening to the front lines of health care—we hear “working with system partners,” and we saw a government that worked with long-term-care owner-operators throughout the pandemic. They created legislation to protect them from legal liability for all the deaths that happened on their watch. That’s frightening.

Instead, we need to listen to the workers. We need to listen to the nurses. We need to listen to the PSWs. We need to listen to the patients who are actually being impacted. That would include having a committee so that we could actually discuss Bill 7 and hear from the people who are going to be impacted, the people who are going to be coerced and forced out of the hospital into a place where they don’t want to go, hundreds of kilometres away, away from their family. That would be listening. That would be your actions matching your words.

Instead, we have all sorts of talk in this throne speech—but it’s coded language; it’s hiding what is actually going on, and that’s increasing privatization. Quite frankly, that is something I believe Ontarians are frightened of.

Why don’t you just be forthright and tell Ontarians what you’re hoping to do—and that is to make health care for-profit in Ontario?

By listening to people, by actually engaging with Ontarians, the official opposition has been able to advocate on some very important pieces of legislation. Those include the member for Windsor West’s More Than a Visitor Act, something that would give essential caregivers more of a role within health care decisions that are being made for folks in long-term care. That was incredibly important, because, throughout the pandemic, we saw that many of these essential caregivers, these loved ones, these people who provided care, who helped buttress a system that has been woefully undercut and underfunded for many, many years—they were the ones who were actually providing that care, and they were shut out from these homes. They were not allowed to see their loved ones, and that’s so difficult on a senior, on someone with disabilities—the only thing that they look forward to every day is seeing that loved one.

Also, we had other legislation—like Till Death Do Us Part Act, to make sure that loved ones are kept in the same home, from the member for Waterloo, and so many other things.

We see a government that doesn’t want to work across party lines and that doesn’t want to work with each other.

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  • Aug/24/22 10:40:00 a.m.

Back to the Premier: This issue is not unique to Guelph. In London, OPSEU 147 reports that 30% of paramedics are looking to leave the field as soon as possible. They face dangerous understaffing and ever-increasing hospital off-load delays, and they run out of ambulances every day.

Communities across Ontario are worried, terrified, about not having access to emergency medical services. ERs are flooded with patients. So why is this government taking resources away from our public hospitals?

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