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Decentralized Democracy

Adil Shamji

  • MPP
  • Member of Provincial Parliament
  • Don Valley East
  • Ontario Liberal Party
  • Ontario
  • Suite L02 1200 Lawrence Ave. E Toronto, ON M3A 1C1 ashamji.mpp.co@liberal.ola.org
  • tel: 416-494-6856
  • fax: 416-494-9937
  • ashamji.mpp.co@liberal.ola.org

  • Government Page
  • Apr/15/24 11:10:00 a.m.

For the Premier: I never thought I’d see the day when having a family doctor in Ontario made you lucky; when people paid hundreds, if not thousands, of dollars just to access primary care; when riding the subway meant being bombarded with advertisements for health care services that should be insured but aren’t.

Looking back at the last six years, a lot has changed. Now we have nurse practitioner-led clinics charging subscription fees to desperate patients while executive health clinics make a fortune in a primary care marketplace of this government’s making.

By 2026, 4.4 million people won’t have access to a family doctor, and we can’t even say that our emergency departments are always open anymore.

Mr. Speaker, with so little to show under his watch, why is it that the Premier only increased health care sector funding by 0.59%, but has more than doubled the amount that he pays the staff in his own office?

But perhaps “forgetting” is too generous because every time this government’s neglect brings another feature of public health care to its knees, there is always a private, for-profit model there to save the day. Whether it is exorbitant subscription fees to nurse practitioners or executive health clinics, whether it’s pricey Pap smears or costly cataract lenses, whether it’s staffing agencies gouging our hospitals and long-term-care homes, this government rolls out the red carpet for anyone praying to the almighty dollar.

Mr. Speaker, what should patients who can’t afford this Premier’s private health care agenda do once his gravy train has left our public health care system behind in the dust?

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  • Mar/19/24 11:10:00 a.m.

For the Minister of Health, Mr. Speaker: I’m tired of the people of Ontario getting ripped off by this government’s health care privatization agenda. When the Minister of Health welcomes private for-profit clinics with open arms, that’s not actually a surprise anymore. But when the Minister chooses to ignore blatant violations of the Canada Health Act, that is another thing entirely.

In October of 2023, it came to light that a nurse practitioner walk-in clinic in Ottawa was charging a $400 annual subscription fee to access fee-for-service care. And at the time, the minister told us that she would investigate. That was almost half a year ago, and in that time, many more clinics have popped up across Ontario, like the one in Ancaster that was announced just last month.

Mr. Speaker, her inaction is literally creating a market for health care profiteering in Canada and in Ontario. We must make good on the promise of primary care. How can anyone trust this government to manage our health care system, if it cannot even enforce the basic tenets of the Canada Health Act?

Even if we overlook the fact that it took six months for her to come up with that response, the fact of the matter is that closing the loophole, either through provincial or federal legislation, should be easy. Instead of taking the many measures at her disposal to make family medicine more attractive and accessible, to credential more foreign doctors, all the minister can do is brag about the conversations that she is supposedly having with the OMA and CPSO, with literally nothing to show for it. This government is more than happy to make patients pay while they appease private interest.

Mr. Speaker, will the minister stop placing the financial burden of primary care on patients and commit to funding it for everyone so that no one ever faces a fee, regardless of whether they’re seen by a family doctor or a nurse practitioner?

Interjections.

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  • Feb/21/24 11:10:00 a.m.

Mr. Speaker, for the Premier: 60 seconds isn’t enough time to list this government’s failures in health care, but let’s give it a try. What if I told you emergency room wait times are the worst they’ve ever been, and ER closures have become the norm? That’s because we’re losing family doctors faster than we’re gaining them, and thousands of patients are losing primary care overnight.

On top of that, Bill 124 has shattered our workforce for nothing—you sure got that done—and there’s still no health care worker retention plan, so now temporary staffing agencies have stepped in and are burning a hole in our hospitals and long-term-care homes. But the Premier says, “Just let it burn.” As a result, hospital debts are ballooning, and they’re being forced to rely on high-interest loans because this government does not have their back. And now, desperate patients are being forced to turn to private for-profit clinics that are overcharging elderly patients while this government turns a blind eye.

Mr. Speaker, why should this government trust any of the Premier’s promises when all he has to show for his efforts is this long list of health care woes?

The government loves to brag about all the money it spent on health care, but what does it have to show for it? You wouldn’t see me bragging about spending millions of dollars on a car that doesn’t start. This government has created a problem that it cannot fix.

Through you, Mr. Speaker, to all Ontarians: They’re not thinking about your future; they’re thinking about their future. They don’t care about bringing your emergency room wait times down, and they don’t care about emergency room closures. They don’t care about keeping your family doctor or your nurse practitioner. They don’t care about anything unless someone is making a profit, whether it’s temporary nursing agencies, private for-profit clinics, developers drooling over the greenbelt, private companies like Staples, Shoppers Drug Mart and Loblaws. This government will always lead with greed.

Mr. Speaker, when will this government realize they could give the people of Ontario so much more if they would only focus on people, not profits?

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  • Nov/23/23 10:10:00 a.m.
  • Re: Bill 135 

Very clearly, Ontario Health atHome fails to assume the same responsibilities that the local health integration networks previously assumed. The minister implied during public hearings that she expects the hospitals to take on all the responsibilities, even through they’re not capable of doing that. What will she do to ensure that hospitals get the support that they need?

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  • Oct/18/23 10:30:00 a.m.

I would like to extend a very warm welcome to the members of SEIU Healthcare who are here today, in particular E.S. Pohler, Teresa Wheeler, who I met with this morning, and Michael Spitale. Thank you for looking after us and the people that we love and care for.

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  • Mar/2/23 11:30:00 a.m.

The bill proclaims the third week of June in each year as Health Professionals’ Week. It honours the service and sacrifice of all health care workers, including the contributions of over 200 health professionals who work in direct patient contact and also behind the scenes to ensure patients in Ontario get the exceptional care they need.

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  • Dec/6/22 4:10:00 p.m.

“To the Legislative Assembly of Ontario:

“Whereas a basic principle of health care is that it must be patient-centred instead of profit-centred; and

“Whereas the introduction of profit in health care has consistently led to poorer health outcomes in Canada and around the world; and

“Whereas the introduction of profits and privatized health care creates a division between those who can afford it and those who cannot;

“We, the undersigned, call upon the Legislative Assembly of Ontario to enact the following measures:

“(1) Recommit to honouring and defending the Canada Health Act;

“(2) Guarantee that health care in Ontario will not be privatized;

“(3) Ensure that in every case, health care system decisions are patient-centred and not profit-centred;

“(4) Commit to solve the challenges in our health care system through public and not-for-profit initiatives.”

I support this petition. I am signing it and am pleased to hand it to page Yusuf.

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  • Oct/26/22 11:10:00 a.m.

This summer, Ontarians told us that the health care system was in crisis, but the Premier and Minister of Health were nowhere to be found for six weeks.

Then, in August, the CEO of Ontario Health went on record admitting that the health care system was under tremendous strain.

Despite this, we kept hearing from the government that patients were getting care in the time that they needed even though they weren’t. This month, I discovered leaked Ontario Health data revealing that for the month of August, ER wait times, lengths of stay, ambulance off-load times, and time to in-patient bed were the worst that they have ever been, going all the way back to 2008. The health care system took a nosedive in the last 12 months alone.

Yesterday, the member for Eglinton–Lawrence quoted Dr. Ronald Cohn to justify her position that our health care system has adequate capacity, yet Dr. Cohn’s quote was incomplete. In the same article she referenced, he conceded that, faced with mounting patient volumes, “I am worried about how much more we can do.”

Will the Minister of Health explain why, in each of these examples, the government’s position has disagreed with the positions of their own sources?

The plan that she references, a Plan to Stay Open, is the most unambitiously titled plan, I think, in history. It’s a plan to stay open; it’s not a plan to deliver great patient care. It’s a plan to merely stay open, and it’s already failing on that mandate.

Anyway, I would like to expand on the Ontario Health data I revealed on October 12, which for the first time revealed the incredibly bleak and deteriorating state of our health care system. The people of Ontario used to get weekly updates from the Chief Medical Officer of Health. They used to have transparent access to Ontario’s science table.

Now the only way to get real data portraying our health care system is to get leaked information from the courage of people who are willing to share documents. I’m hearing now from health care workers that there is deafening silence from the Ministry of Health, and also that this weekend there were multiple GTA emergency departments on redirect because they were full.

Will the Minister of Health or her designate explain why this government refuses to be accountable to the people of Ontario about the state of our health care system?

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