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Decentralized Democracy

Stephen Ellis

  • Member of Parliament
  • Member of Parliament
  • Conservative
  • Cumberland—Colchester
  • Nova Scotia
  • Voting Attendance: 67%
  • Expenses Last Quarter: $134,737.37

  • Government Page
  • May/30/24 6:29:57 p.m.
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  • Re: Bill C-64 
Madam Speaker, it is interesting here in the House, the whole idea, whether the NDP-Liberal costly coalition likes it or not, of actually having a robust debate, especially when there are significant differences of opinion. Of course, that is why we are here tonight. We on this side of the House believe that legislation should be debated, and debated robustly, in spite of the fact of the trickery and antics used by the costly coalition to move closure on the bill. On behalf of Canadians, I say that it has become fascinating to me that the notion that the House is spending other people's money has been lost, and this is a $2-billion bill where we would spend the money of taxpayers. I think we should do it with great caution. We should be prudent when we are doing it, and we should be doing things that we hear from taxpayers are important to them. When we look across the country and hear about the things that are mentioned in the bill, we know that that is not happening. Therefore, when the hon. NDP member who is standing behind me says that what we are talking about is this or that, or some other foolish intervention, then what we end up with is just wasting more time. He has been here long enough to know the rules, or he should know the rules. We know that when the bill was introduced there were only 10 hours of witness testimony and five hours of debate on clause-by-clause on it. Why is this important? When we begin to look at the pharmacare bill, we see that some of the amendments that were introduced originally were related to having Canadians understand that the bill really relates to only two classes of medications: contraception and medications and products for diabetes. That does not mean that those two classes are not important; they are. They involve important health states that often need the intervention of a prescription, but it means that the bill is no more than that at the current time. It is interesting that the government, on canada.ca, puts out a list of medications that may or may not be covered by the bill, which creates hope for Canadians. Canadians will say, “Well, these are the medications that are going to be covered.” Many different groups come forward and ask, “Well, why not this and why not that?” Probably one of the most influential medications in the history of diabetes treatment besides insulin is Ozempic, but it is not on the list. People will say, “Well, why is it not on the list?” Then, of course, the government talks about the bill and says, “Well, that is not really the list; that is just a list. It is any old list.” Why did it publish it on its website, on canada.ca? Are those things important? Absolutely, they are. When we talk about definitions, folks listening in at home will say that some of them are self-evident. They are not self-evident when we are dealing with $2 billion. For example, what is the definition of “universal”, “single-payer” and “first dollar”? Those definitions are incredibly important, so that the 70% to 80% or so of Canadians who have private insurance can be at least somewhat reassured that they would not lose private coverage. That is the largest, most expansive and most distressing concern that we on this side of the House have. I would suggest that reassurances from the Minister of Health are just not enough for Canadians. To say, “Oh, trust me” is kind of akin to that old saying, “I'm from the government and I'm here to help”, which we all know is a difficult pill to swallow. There was another interesting thing that, in our limited time, we did learn in committee. There were two experts. One was actually there in person and one was on Zoom, and they were both touted as Canada's experts on pharmacare. I was glad they were not in the same room, as we never know what might have happened, but that being said, the most fascinating thing was that, even though both of them are experts on pharmacare, neither one of them was actually consulted on the bill. They did not give any input whatsoever on how the bill should come to be, what should be in it or what should not be in it, and for me that is somewhat distressing. Another somewhat distressing thing that is referenced in the bill is the committee of experts, the group that would be put forward to decide exactly which medications and which devices would be covered. Again, there are several amendments related to that. Things such as regional representation and professional representation were once again simply dismissed by the NDP-Liberal costly coalition. That creates significant problems for us on this side of the House, and it is exactly why we believe we need to be here this evening. When we know it is not a plan, not a blueprint, but is a plan perhaps to create a plan, that again creates distress on behalf of Canadians. We know that people value the private coverage they are fortunate enough to have at this time, and we know that employers are happy to offer those benefits to their employees as a condition of their employment. Sadly, about a million people do not have coverage for medications. We on this side of the House believe there could be better ways to give them that than offering the pharmacare idea. When we begin to look at the state of health care in this country at the current time, we know there are problems with the system we have. When one cannot access primary care, it is incredibly difficult to have a lab test done, to see a specialist or to have a diagnostic imaging test done. I say it is difficult because what happens is that people end up going to emergency rooms and urgent care centres to have some routine things done or even to have their prescriptions refilled. When we begin to look at that, in the words of former Canadian Medical Association president Dr. Katharine Smart a couple of years ago, the system is actually on the brink of collapse. If anything, in the last couple of years we know that things have become even worse. There are now approximately seven million Canadians who do not have access to primary care, which means, as I mentioned, that they have to go to urgent care centres or emergency rooms, or go without care, which is the worst state of affairs. Some of the other estimates would say we are 30,000 physicians short in this country. When we graduate about 3,200 every year, it seems almost an impossibility to make up the shortage. I always to try to help Canadians understand it. It is kind of like having a car that does not have any wheels on it, but wanting a new stereo in it, which is not terribly helpful. It is perhaps not a great analogy but it is something to try to help Canadians understand what is going on. The other part is that we know that wait times in the system, if one is so fortunate enough to be able to access it, are the longest they have been in 30 years, three decades. If one is fortunate enough to have a family physician, the wait time for having specialist care is over 27 weeks, six months. We know that people on waiting lists are dying. Somewhere between 17,000 and 30,000 people are dying every year waiting for treatment in this country. The system itself is in absolutely poor shape and falling apart. The difficulty we also see, again, is government members' being champions of photo ops. They talk about their dental program, which has significantly disappointed many Canadians. We now know that provincial dental associations are taking out ads warning people about the extra costs and the lack of ability to find a dentist. Liberals promised a $4.5-billion Canada mental health transfer, which has never come to fruition at all. They promised affordable housing, and we know they are building less housing than before. They promised $10-a-day day care, and of course one cannot access it. What we have is a government that is great at announcements and very bad at actually making anything happen. We know, on this side of the House, that Bill C-64 needs significant amendments and significant debate. On behalf of Canadians, we need to be incredibly cautious with how we are spending other people's money.
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  • Dec/11/23 4:00:56 p.m.
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I find it fascinating, Madam Speaker. The member on this side of the House clearly outlined the government business that is allowed, the rules in this chamber and how he can present a concurrence motion, but the member continues to say that something else should be debated at this time. That is exactly—
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