Madam Speaker, I am pleased to rise on behalf of the constituents of Surrey Central to participate in the debate on Bill C-202, an act to amend the Canada Health Act. The bill would add a sixth principle to the Canada Health Act, ensuring that Canada's linguistic duality would be respected in the health care system everywhere in Canada.
I will begin by saying that opening up the Canada Health Act is certainly a bold move by the hon. member for Ottawa—Vanier. My initial reaction is to wholeheartedly support his private member's bill. However, upon further reflection, I must voice reservations.
Clearly, an individual's ability to communicate with his or her health care provider in a language in which the individual is comfortable is extremely important. For doctors to offer appropriate treatment, they must fully understand their patients. Unfortunately, language may sometimes act as a barrier to understanding and this may be detrimental to health.
I remember a patient was to be operated on in California. His left leg was to be amputated but because of a lack of communication somehow the doctors wrongly amputated his right leg. Ultimately both legs were amputated and the person had to suffer throughout his life. We understand that language and communication is important.
Bill C-202 seeks to ensure that Canadians have access to health care in both official languages. However the problem is that this proposal really ignores Canadian reality. In Canada today, especially in areas popular with immigrants, it would be nearly impossible to ensure that all Canadians have access to health care in their language of choice. It is not simply a case of bilingual service, service in English and in French. That is a dated view of our country.
Let us consider the riding of Surrey Central for a minute. There are 68,810 residents whose mother tongue is neither English nor French. According to the 2001 census, only 1,590 people in Surrey Central have French as their mother tongue and only 200 use French around the home. There are 11 other languages that more commonly are used in Surrey Central homes. Punjabi for instance is the mother tongue of 35,140 people in Surrey Central and 18,705 people use Punjabi as their home language in Surrey Central.
In this case, if we are truly interested in language rights and serving people in a language they can understand better and clearer, we should not be asking medical personnel to speak French. We should be asking them to speak Punjabi or another language. Even if we do so, it might do nothing to help the many thousands of residents who speak Cantonese, Filipino and Korean, just to name a few languages which are prevalent in Surrey Central.
Also, the proposed amendment to the Canada Health Act will do nothing for the 9,285 residents of Surrey Central who speak neither English nor French.
Requiring the provinces to provide bilingual services would make no sense in Surrey Central. French is simply not that prevalent in that region. It is far less popular than a whole slew of Asian languages.
Surrey Central is by no means unique. Throughout the B.C. lower mainland, in Toronto and in other areas with a heavy concentration of immigrants, we will find many Canadians who interact most comfortably in neither of our official languages.
Already multilingualism is a reality in Canada's largest urban centres. In Vancouver, one in six people have Chinese as their mother tongue. In the metropolitan area of Toronto nearly two million people have neither French nor English as their mother tongue. Many of these people are more comfortable speaking in Chinese, Punjabi, Urdu or Tamil than they are in English or French.
The Canadian reality is that 59.1% of Canadians are anglophone, English is their mother tongue; 42.9% francophone, French is their mother tongue; 18% allophone or non-official language as their mother tongue.
Only in Quebec and New Brunswick do francophones make up more than 4.4% of the population. Outside Quebec there are 980,270 francophones and 4.6 million allophones. If we exclude Quebec for the sake of this debate, there are nearly as many Chinese or East Indians as francophones in Canada. Therefore why stop only with linguistic duality in the health care system?
Regrettably economics must be a consideration when deciding upon adding a sixth principle to the Canada Health Act. There are now one million Canadians on wait lists for medical services. According to the Fraser Institute, total wait times from referral by a general practitioner to treatment averaged 16.5 weeks in 2001-02. That should not be acceptable.
There are 4.5 million Canadians who are unable to get a family physician. The provinces are already stretched in their efforts to deliver health care. They already have enough to deal with in addressing long wait lists, shortages of medical personnel and increasing public expectations. The federal government should not burden the provinces with new responsibilities, especially if there is no additional cash commitment to do so.
Bill C-202 states that the provision of health services for the linguistic minority shall take account of the human, material and financial resources for each facility and the social, cultural and linguistic characteristics of the members of the public served by the facility. This vague language leaves the bill open to wide interpretation. The Canada Health Act is already vague in a number of respects without need for further vagueness.
The Canada Health Act came into force in 1984. It sets out five criteria and certain other conditions that a province's health care insurance plan must meet in order for the government of that province to receive the full federal cash contribution under the Canada health and social transfer.
For the information of those who are watching this debate, the five criteria in the act include: universality, accessibility, comprehensiveness, portability and public administration. The act also contains specific provisions with respect to extra billing by physicians and user charges by hospitals.
Full compliance by some provinces has been from the beginning a problem. Part of the problem has been definitions or more specifically, the lack there of. What is mean by “medically necessary”? That is up to each individual province to decide for itself. The result is uneven public coverage across the country.
Likewise, what does the act mean by “reasonable access” to insured health services? With the growing prevalence of long waiting lines for medical services, it is little wonder people are asking whether they have reasonable access to health care services.
In 1984 many services, such as drugs, rehabilitation, recuperation and palliative care, were provided in hospitals and therefore covered by the act. Increasingly these services are provided in the home or community and as a result fall outside the scope of the Canada Health Act.
Health care gobbles up $10 billion annually in B.C. It accounts for 41¢ of every provincial tax dollar. The government has increased funding by some $1.1 billion but it still is not enough and further cost savings are being explored.
People in my community have been faced with the closure of Saint Mary's Hospital in nearby New Westminster. This means seven fewer operating rooms. Last year almost 1,800 Surrey residents had surgery in this hospital. Where do they go now?
Therefore I appreciate the efforts of the hon. member for Ottawa--Vanier. It is a noble idea but it will not pass a cost benefit analysis. It will not pass geographic and demographic criteria. Our health care priorities require tough and difficult decisions. We must consider those priorities, which are emergencies in many of our hospitals and communities.
We all watch the health care services that are required in our northern territories and so on. Each and every community suffers from the lack of health care services provided because of the lack of facilities. The government is the root cause for the deterioration of our health care services in our communities because it cut $25 million from our health care transfers since taking power in 1993.
Now the government wants to be perceived as the saviour of our health care. It is like an arsonist who sets a house on fire, then he is the first one seen with a bucket of water to put out the fire, and wants to be called a hero. That is what the government is trying to do.
The government created this mess in our health care services. It is time that we look into this issue seriously, carefully, and make prudent and diligent decisions to restore the health care services to seniors, children, the sick, and the destitute who are suffering because of the lack of those services.
Health care priorities are unique because they require tough and difficult decisions. Sometimes we must make choices and we have to live with them. This is an excellent effort by the member. However, it will not pass the test of a cost benefit analysis as well as the demographic realities.