Evidence of meeting #24 for Health in the 39th Parliament, 2nd Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was accord.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Karen Dodds  Assistant Deputy Minister, Health Policy Branch, Department of Health
Ian Potter  Assistant Deputy Minister, First Nations and Inuit Health Branch, Department of Health
Jane Billings  Senior Assistant Deputy Minister, Planning and Public Health Integration Branch, Public Health Agency of Canada
Yves Giroux  Director, Social Policy, Federal-Provincial Relations and Social Policy Branch, Department of Finance
Krista Campbell  Senior Chief, Federal-Provincial Relations Division, Federal-Provincial Relations and Social Policy Branch, Director's Office, Department of Finance
Arlene King  Director General, Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada

12:35 p.m.

Assistant Deputy Minister, Health Policy Branch, Department of Health

Dr. Karen Dodds

I think the attention given to health human resources, the fact that the federal government provides $38 million ongoing to the provinces for health human resources, indicates that, yes, we understand there are pressures, and the provinces do what they feel is best in terms of health human resources.

12:35 p.m.

Liberal

Sukh Dhaliwal Liberal Newton—North Delta, BC

That's good.

I'm going to go back to this. This government tried to create an agency. It made a promise in the last election campaign, but it has broken that promise. Instead it created—

12:35 p.m.

An hon. member

I thought you didn't want to get into politics.

12:35 p.m.

Liberal

Sukh Dhaliwal Liberal Newton—North Delta, BC

It's not politics. I'm coming back to my question.

Instead it created an agency. I've travelled to many countries—Europe, Eastern Europe, South Asia—and I see the medical professionals there are qualified either equally to the Canadian standards or better. I see a lot of people from Canada going to those countries to get that medical—

12:35 p.m.

Conservative

The Chair Conservative Joy Smith

Mr. Dhaliwal, three minutes is up. You're going to share your time with Dr. Bennett.

12:35 p.m.

Liberal

Sukh Dhaliwal Liberal Newton—North Delta, BC

I said four and a half.

Over 6,000 Canadian-born students are studying medicine, and instead of coming back to this country they go to the U.S., because the United States has its act together. Here the federal government is not getting its act together to create residency spots for those Canadian-born students who have a medical education across this globe. What is this government doing to solve that problem?

12:35 p.m.

Assistant Deputy Minister, Health Policy Branch, Department of Health

Dr. Karen Dodds

I would like to raise two points.

The first is there is an initiative and funds for bringing back to Canada and recognizing the internationally educated health care professionals. The latest statistics I'm aware of are that recently more Canadian-born physicians have returned to Canada than have left Canada for the United States.

12:35 p.m.

Liberal

Sukh Dhaliwal Liberal Newton—North Delta, BC

That's not true.

12:35 p.m.

Director, Social Policy, Federal-Provincial Relations and Social Policy Branch, Department of Finance

Yves Giroux

If I may add to that, the recognition of foreign credentials is the jurisdiction of provinces and territories. What the federal government can do in that respect is somewhat limited. However, we have set up an office for the recognition of foreign credentials to help people be referred to the appropriate authorities in the provinces and territories.

12:35 p.m.

Liberal

Carolyn Bennett Liberal St. Paul's, ON

I have found this pretty disappointing in terms of what the department has presented. Because all the funding arrangements, as it says in the accord, require that jurisdictions comply with the reporting provisions, I would like to move that the officials prepare a formal report addressing the progress on each of the ten aspects of the 2004 health accord and provide it to the clerk by May 1, 2008, so we would be able to read it before we deal with this on May 6. That would include a breakdown of the wait times funding, the $5.5 billion, breakdowns on the progress on wait times in each province and territories in all five priority areas in the 2004 --

12:35 p.m.

Conservative

The Chair Conservative Joy Smith

Dr. Bennett, if you would bear with me, Mr. Fletcher has a point of order.

Go ahead, Mr. Fletcher.

12:35 p.m.

Conservative

Steven Fletcher Conservative Charleswood—St. James—Assiniboia, MB

Thank you, Madam Chair.

I think we need to focus on the witnesses. I don't believe a motion is appropriate at this time. We have just begun our hearings. If we can continue with the questioning, I have some questions. I think we should just move forward in the format we've agreed to.

12:40 p.m.

Conservative

The Chair Conservative Joy Smith

Thank you, Mr. Fletcher.

One moment, Dr. Bennett.

That motion is in order. It is something you can do at this point. However, we do have witnesses today. The fact of the matter is we are here to listen to those witnesses. This is not an appropriate time for debate, but perhaps we could have that debate at another meeting.

Dr. Bennett.

12:40 p.m.

Liberal

Carolyn Bennett Liberal St. Paul's, ON

No, let's just vote on it right now and then we will know that the officials will prepare....

12:40 p.m.

An hon. member

Question.

12:40 p.m.

Some hon. members

[Inaudible--Editor]

12:40 p.m.

Conservative

The Chair Conservative Joy Smith

Order, please.

We can vote on it right now. It is within the parameters of the committee.

Mr. Fletcher.

12:40 p.m.

Conservative

Steven Fletcher Conservative Charleswood—St. James—Assiniboia, MB

Madam Chair, this is very unusual. I have been on this committee now for almost four years. I don't recall any occasion where a motion was brought forward in the middle of a presentation of witnesses. Moreover, I think the motion is premature in that we haven't even finished hearing from the witnesses.

12:40 p.m.

Conservative

The Chair Conservative Joy Smith

One moment, please.

We will hear from Dr. Dodds, first of all, but the fact of the matter is the question can be put. It is something that can happen.

Dr. Dodds, did you have a question?

12:40 p.m.

Assistant Deputy Minister, Health Policy Branch, Department of Health

Dr. Karen Dodds

The Health Council of Canada is to report on progress on matters under the accord. Their last report was November 2007. Their next report is expected in three weeks. We would be very happy to provide the committee with the past report and the new one when it's published.

12:40 p.m.

Conservative

The Chair Conservative Joy Smith

Thank you.

Will this resolve the matter? You have the answer.

12:40 p.m.

Liberal

Carolyn Bennett Liberal St. Paul's, ON

No.

12:40 p.m.

Conservative

The Chair Conservative Joy Smith

The report will be out in three weeks.

12:40 p.m.

Liberal

Carolyn Bennett Liberal St. Paul's, ON

That would not be acceptable. The Health Council of Canada is allowed to report only on the jurisdictions participating in the council. I think those binders the department has there show that they have done an analysis of progress on the accord. I would like them to table their analysis of progress on the accord, with both finance and health considerations.

12:40 p.m.

Conservative

The Chair Conservative Joy Smith

Mr. Khan.