- Member of Parliament
- Member of Parliament
- Conservative
- Cumberland—Colchester
- Nova Scotia
- Voting Attendance: 67%
- Expenses Last Quarter: $134,737.37
- Government Page
- Feb/16/23 3:22:46 p.m.
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Madam Speaker, I find it interesting. The government has failed over the last eight years, and certainly we have heard multiple times about provincial jurisdiction.
We also heard the Liberal Prime Minister talk very clearly in the House about the 7,500 doctors, nurses and nurse practitioners he was going to hire for Canada. I heard the member mention again today the federal support for doctors. I was in that sector for a very long time. Where are the 7,500 doctors, nurses and nurse practitioners? How many have the Liberals actually hired and when is this going to happen?
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- Feb/16/23 11:48:11 a.m.
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Madam Speaker, I think it is very clear that in this country we need a few things. We need great leadership and we need great co-operation.
I believe that in this country, we have the ability to solve this problem. If we all work together with the provinces, with great leadership from the federal government, as we will show on the Conservative side of the House when we take over government, we will be able to solve these problems. We are a co-operative group and will move forward on this issue very clearly.
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- Feb/16/23 11:45:24 a.m.
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Madam Speaker, I think it would be inappropriate to give all of our plans away to the government since it clearly has no ideas of its own. I think that would be unfortunate.
What we know very clearly is that there are immigrants who have come to this country, internationally trained medical graduates, who are unable to work in our system. What we need to do is look at the exact skill sets they have. There is a vast need across every health care human resource sector in this country, and we need to understand exactly how to help those folks fit into the system we have.
We know that the training system either does not have the capacity or perhaps, although I am not entirely sure, does not have the desire to train these folks to get to the standard we have, which is very high here in Canada. We also know that Canadians who have trained abroad need to be allowed to come back and show that the skills they have learned in other countries, such as Ireland, are of value to us here in Canada. They would play a fantastic role in our health care system and would be able to provide the care that Canadians so desperately need.
We also need to know very clearly what happens when somebody comes here from another country. We cannot have country X losing a doctor and Canada not gaining a doctor. Not giving a place in this country to somebody the immigration system has brought to Canada as a physician is a travesty and is very hurtful to the immigrants coming here to help us.
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- Feb/16/23 11:43:06 a.m.
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Madam Speaker, when we look at things in the House of Commons, the Liberal government has done absolutely nothing after eight years. We have had eight years of increased wait times, eight years of no access to primary care and eight years of refusing to transfer $4.5 billion through the Canada mental health transfer, which the Liberals created themselves. We have had eight years of inaction. We have had eight years of increasing burnout among the people whom I spoke very passionately about. We do not have slogans over here. I do not think I said one slogan in my entire speech.
I think the other very important thing we need to understand is that we need to do something about this. This is a crisis. We need leadership, and on this side of the House, that is what we have. We have leadership. We have ideas.
We do not need to give the government our ideas. We need to oppose the absolute inanity of the ideas it has when it brings them forth and they are not going to serve Canadians. That is our job. I understand that the parliamentary secretary does not like that or does not understand it, but our job over here is to stand up for Canadians and oppose the crazy ideas members on that side of the House have.
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- Feb/16/23 11:41:19 a.m.
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Madam Speaker, there are two things I need to point out. I have spoken at length about the $4.5-billion Canada mental health transfer, which has not happened. The other thing we need to talk about is the Liberal Prime Minister, who talks about privatizing Canadian health care and claims it is innovation. Everybody has heard that in the media. I think it is a travesty.
There are two points, as I said. We have a Liberal Prime Minister who is talking about private care as innovative, and we have a Liberal Prime Minister who refuses to transfer $4.5 billion to those who need it the most with mental health issues.
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- Feb/16/23 11:39:39 a.m.
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Madam Speaker, I thank my colleague for her question.
We can talk about money in the House all day if we want to, but until we begin to operationalize things, we are not going to see any change.
I think one of the worst things we could possibly do in Canada is start comparing ourselves to an American system. We know that the American system is based on private care. We know that people do not have access. We know it is very costly. The United States spends more money on health care than anybody else in this world. To think we need to allow our system to collapse more than it has and adopt an American-style system would be a disservice to all Canadians.
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- Feb/16/23 11:18:33 a.m.
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Madam Speaker, hopefully members of the House will begin to understand that using meaningless words is not helpful to Canadians. I am not sure how to exactly make that point because it seems to be lost on many people who come here and attempt to do business.
What we do know very clearly is that the health care system we have, as mentioned very passionately by the former president of the Canadian Medical Association, is a system that is on the brink of collapse. Continuing to go on about grand ideas and priorities is in no way, shape or form going to operationalize any ideas in this country, which is really what we need. I guess, in the vernacular, we need people who are actually going to do something.
Many groups have put forward great ideas about pathways, road maps and priorities, etc. There has been talk about a lot of money that is going to be spent, has been spent or should be spent. What do we have? We have a system that is no different.
We know that after eight years of the Liberal government, we have people waiting and waiting. Very sadly, the waiting is now waiting until they are dead. This is the ridiculous and heartbreaking nature of a system that we in the House and the government, as I am putting the blame squarely at the feet of the Liberal government, have allowed to happen. People are literally dying in emergency rooms. That is the point where we need to begin to consider how to operationalize those things and what sort of leadership the federal government needs to bear to change the system.
I was fortunate enough to have worked in the health care system as a family doctor for 26 years. Four of those years was serving our country in the military. Even way back then, we knew very clearly that there was a shortage of physicians. Part of the work that I was required to do as a physician was to go other bases around this country so that other physicians could have a vacation. That is a rotation that we did.
As I transitioned from my miliary life into a practice in Truro, Nova Scotia, it became very clear that changes were happening in our health care system. Of course, as we all know, we have an aging population, which is felt more acutely perhaps in the Atlantic provinces and Quebec than elsewhere in the country, but at that time we also knew there was a dwindling of resources available, both financial and health human resources.
I had the privilege and opportunity to be a part of the health human resource study that was done by the Standing Committee on Health. It was a decent study, but I am still not entirely sure that there is a pathway forward on how to operationalize the ideas. One of the things that makes me the saddest is understanding that the folks I had the opportunity to work with, and who continue to work in the system are, as we might say, burned out, tired, frustrated, angry and hurt. How do we begin to change that? If we do not look at the system as a whole and begin to look at ideas on how to change that and change it quickly, then we are going to continue down the same path. It does not really matter how much money we pour into the system. We must focus on the people who are the greatest asset of the system.
I heard my colleague on the Liberal side talking about how data saves lives. I have to say it cuts right to my own heart to hear him say that data saves lives. People save lives. The doctors and nurses who are working on the front lines in emergency rooms and in small places across this entire country are the people who save lives. Does data help? Sure, it does. We have been talking about data strategies since I cannot even remember when, since the Stone Age, and we still have no real data strategy.
We can talk about it all we want, but until somebody has the courage to begin to operationalize that and work collaboratively with provincial governments, we are never going to get to the point where anything happens. For me, in coming here for the last 18 months, that is the most frustrating. When do things happen in the government? When do things get done? Who does the work?
We can have priorities and ideas and that kind of stuff. I am not saying that the Liberal government does not have priorities and ideas, that it does not put money toward things, but they are things that I do not necessarily agree with.
I think that the other thing is that there is no work being done. When is something actually going to happen? When is Beau Blois, who is an emergency room physician in Truro, Nova Scotia, actually going to feel the difference, in an operational sense, of something that we are actually doing?
We can, again, use all kinds of meaningless words and talk about things over and over again, but for that man, who also has a family, runs a business, and works very hard in our community, when is the operational rubber going to meet the road? When is something actually going to happen that is different? Until that point, we know that we will continue with this system, which lets down Canadians and Canadian health care workers.
For me, having been in that position, that is something that makes me very, very sad. From a very personal perspective, I know that the people who are working in the system care deeply about their patients, and doing a good job, and they care very deeply about the system as well. They are aware of the difficulties in the system. They call every day with ideas and ways in which they believe that the system could actually be changed to make it better. I think that the shame of it all is that after eight years of the Liberal government, all we get is more ideas and planning and priorities and meaningless talk that does not operationalize anything.
I know what is going is happen today. Somebody on that side of the House will chirp at me to say, well, it is the provincial government and I am talking about jurisdictional issues, and guess what happens? Absolutely nothing happens.
That is the sickest part of it all. We can talk about this until we are blue in the face, but until somebody actually does something that creates an opportunity for change and operationalizes something, nothing happens. That leaves the emergency room doctor, Dr. Beau Blois, still doing what he is trying to do, even though he works very hard and many hours in a multitude of different health care settings in my area.
Another guy that I have worked with for many years, Dr. Wayne Pickett, works in four or five different emergency rooms around rural Nova Scotia. Why does he do it? He does it because there is a need. He has tremendous skills. He is a compassionate doctor, and I would be happy to have him, if I needed the work, work on me any day.
That being said, how do we change the life of the Dr. Wayne Picketts of the world? How do we change things so that, in an operational sense, we can see change on the ground, so that the Mary Smiths and whoever we want to talk about, the Ednas of the world, get care?
How do they realize that they not have a family doctor any more and they are having a difficult time getting their prescriptions refilled? How do we also then take virtual care and make it a reality?
We have had conversations about virtual care, but if we go to the doctor and all we do is see them on a screen and nobody is there to examine us, how do we know that what we have told the doctor is right, that it is actually the case? How do we rectify the fact that using virtual care is significantly increasing the amount of diagnostic imaging that needs to be done?
Why is that? It is because the doctor, instead of actually seeing us and examining us when we have a sore arm, says, “Well, I guess your arm is sore, and that is unfortunate, so let's get an x-ray done.” Whereas, if we had an experienced practitioner, someone could actually see us to examine us and then realize that maybe we do not need an x-ray done, that we have another problem.
These are things that we are facing. When we think about it, we have an electronic medical record in Nova Scotia. I think that is worthwhile explaining, because I am not entirely sure that everybody understands how this might work.
If I have an electronic medical record in my office, and I am working in the emergency room and one is my patient, then I can look at their records. If I have an electronic medical record, and somebody else comes whose family physician has the same electronic medical record, in the emergency room, I cannot look at their electronic medical record. It does not make any sense.
Until we take these very practical problems and decide to make a difference, all we are going to do in the House of Commons is speak meaningless words that fill up Hansard. Those are some examples of very practical things we could do.
I am not being particularly critical, but I think we have a decent system in Nova Scotia. I know it is similar across the country. There are people struggling to get blood work done. It takes a long time to book an appointment. We now have a combination of systems that is difficult for seniors to access because it is computer-based. How do we rectify those things? How do we help seniors in our communities who are struggling with that?
When we look at those things, we know there are significant issues that need to be operationalized. I realize that the default in this grand institution we are in is to say something is a provincial issue. We do not have leadership here. We need to begin by looking at innovative ideas and how we can tie them together from province to province, and if we have a crisis in this country, we know that it is possible to show significant federal leadership, which sadly does not happen now.
I am going to shift gears a bit and talk about mental health. There has been a lot of talk about mental health and not much done about it. We know that since the pandemic, one in three Canadians has suffered significantly with their mental health. We also know that the Liberal government has put together studies which would suggest that 25% of Canadians not being able to access mental health care is a reasonable number. I think it should be zero. There should not be anybody out there who struggles to access mental health care. In this country, the greatest country in the world, we allow that to happen, and that is a travesty. That is absolutely unacceptable.
What is at the heart of that? I think there are a few things at the heart of it. It is a reflection of the state of this country. The sad state is that everything is broken. People feel defeated. They do not feel like they have hope. They do not feel like they have a future. They do not feel like they have a voice. When people feel like that, we have to reflect on how that makes us feel inside as people. How does that make us value ourselves and our contributions, not just to our families but to our country and communities? How do we invigorate people so they can actually feel like they are contributing to this country and get that wonderful feedback so they know they did that?
What are the other things in mental health that are important? There are a few things. Certainly, we have heard from counsellors and psychotherapists to know that the Liberal government is still charging GST on their services, which is a burden. We know that it would be a very easy fix to allow counsellors and psychotherapists to not charge GST on their services, which would then allow a greater number of Canadians access to the services they deserve.
What about mental health funding? To the people who are listening to what we are doing today, they know that in the 2021 platform of the Liberal government, it said it was going to fund a Canada mental health transfer up to the tune of $4.5 billion. Here we are, and year after year goes by. We had the fall economic statement. There is another budget coming up to talk about more money.
I have to mention something. I was on the MAID committee, and its members wanted to talk about funding. I said, “Great, let us talk about funding. Where is the $4.5-billion Canada mental health transfer?” The member opposite had the audacity to say it has been transferred. Everybody in the House knows that not one penny has been transferred under the Canada mental health transfer.
If it were not so incredibly gut-wrenching, nauseating and inappropriate, it would actually be funny because the member said that maybe we transferred it under another name. Why would it be under another name? The government announced a $4.5-billion project, and it wants me to believe that it transferred that money under another name. That is baloney. That is shameful.
Now, here we are, and Canadians are suffering. I heard my colleague across the way say he realized that Canadians were suffering with their mental health. If the Liberals have committed the money, why do they not just send it to the provinces and allow them to do things?
What we will hear from the government is a strange thing, and I want to be clear on it. The Liberal government is going to tell Canadians that it does not want to transfer the money because it wants the provinces to be accountable for it. The wasteful Liberal government is holding back money that could help the mental health of Canadians because it wants accountability. It wastes money on everything every day and it does not want to help people with mental health. I find it absolutely and shockingly ridiculous that we are even hearing this type of retort from my colleagues across the way.
We have had eight years of the current Liberal government and what do we have to show for it? Perhaps some statistics might be helpful.
When someone goes to see their family doctor, and the doctor realizes it is something they cannot take care of themselves, they send the patient to a specialist. The specialist may recommend some treatment. I do not know if members know the number, but the wait time is six months. That is the longest it has been in 30 years.
What is perhaps an even sadder statistic is that five million Canadians do not have access to primary care, with perhaps 130,000 in my own province of Nova Scotia. We know there are 1.228 million people waiting for procedures in Canada.
We could also look at diagnostic imaging. For folks out there who may not know what that means, it is CAT scans, MRIs and regular X-rays. We know those wait times are the longest they have been in forever.
What else do we know? We know we have drug shortages in this country. We brought Health Canada and the minister to the health committee to talk about the shortages of pediatric ibuprofen and acetaminophen, and what answers did we get? We got absolutely none. They said they were going to work on it and maybe get some in, but we know that when people go to their pharmacies, the cupboards are still bare.
What else do we know? We know there are critical drug shortages of every pediatric oral antibiotic that, if I was working as a family doctor, I would prescribe for children with bacterial infections. We know that every one of them is short. As I said previously, we also know, from the words of Dr. Katharine Smart, former Canadian Medical Association president, that we are in a system on the brink of collapse.
What else do we know? After eight years of the Liberal government, we know, as I mentioned right off the top, that people are dying in emergency rooms around this country. Somebody died in my own riding in Amherst in the emergency room, a lady named Holthoff. It is a sad state of affairs. There are no words to describe that. Those are things that should not be happening in Canada.
We know, after eight years of the Liberal government, that the Prime Minister refused to meet with premiers. When he eventually met with them and gave them a package, he said, “Here is your money. Hit the road. I don't want to hear any of your talk about this anymore.”
We know there is a significant crisis in the health care system, and we know that right now it is borne on the backs of the folks who continue to work on it, folks whom I have had the privilege and opportunity to work with. We know that if we do not operationalize our ideas in this great House, nothing is going to change. That is the sad concern I have: that nothing is going to change and we are going to continue down the same path we are on. We need to have great leadership in this country, and right now we do not have it.
I will end with an interesting take on this. If someone wants a solution to health care, they should elect a Conservative government.
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- Feb/16/23 11:10:07 a.m.
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Madam Speaker, I note that in my colleague's words there is a lot of talk, but where is the action?
My colleague mentioned that mental health is health. We have heard that a lot from the Liberal government in the House of Commons. We also know there is $4.5 billion of commitment in the Canada mental health transfer, which has not been sent, and we know there is a mental health crisis.
When is the government going to get down to business and do something about the mental health crisis that exists in this country?
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