moved that Bill C-202, an act to amend the Canada Health Act (linguistic duality), be read the second time and referred to a committee.
Madam Speaker, I am pleased to rise, and I am doing so eagerly, to speak to Bill C-202, which will be debated in the House today for the first hour at second reading stage. Before going any further, I want to thank my colleague, the member for Beauséjour—Petitcodiac, for supporting this bill at first reading, and the member for Leeds—Grenville for supporting it at second reading.
I said eagerly because I have been waiting for this moment for five years, since this initiative started its journey in the House in 1997.
This bill would add a sixth principle to the Canada Health Act. This basic principle would ensure that Canada's linguistic duality is respected in the health care system everywhere in Canada.
When we put it like that, it sounds cold, legal and perhaps even incomprehensible to people who have better things to do than to read the Canada Health Act, things like earning a living for instance. However, for those who, like us, look into issues that are of concern to Canadians and are responsible for deciding on the best course of action for the future of one and all, this is downright scary.
This is when people start looking for—and they always find some unfortunately—the kind of arguments that hold us back. The most common one is that it is too expensive. Believe me, there will always be complaints about anything having to do with the rights of minorities being too expensive.
That it is not true, however. Quite the contrary. Bill C-202 asks that we take account, and I quote, “of the human, material and financial resources” of the facilities involved in developing health care access plans or delivering these services. No action shall be taken without looking at the capacity of each facility.
Also, with new technologies like telemedicine and diagnostic software, health care professionals will be able to provide services to several facilities.
Granted, hiring personnel capable of providing health care services in both official languages will entail additional costs. However, given that health care reform is unavoidable and actually well underway, we need to train more physicians and nurses anyway. So, why not train enough health professionals capable of working in both official languages of the country?
The current political climate suggests that the Government of Canada will have to reinvest in health care. So, with a sixth principle, a portion of the additional contributions would be dedicated to steps taken to respect the principle of linguistic duality.
The other reaction we get to the addition of a sixth principle is to say that this is an area that does not fall under the jurisdiction of the federal government. I say that it is not so. Yes, and everyone agrees on this, health programs and their management are the responsibility of the provinces. But the Canada Health Act and the Canada Health and Social Transfer are within the federal jurisdiction. In fact, the highest court in this land has recognized the constitutionality of the Canada Health Act. It is wrong, therefore, to say that the Parliament of Canada cannot set the conditions for the transfer of credits to the provinces.
You do not have to be a rocket scientist to realize that Canada and each of its provinces and territories are having serious problems in the area of health, especially in terms of ensuring that everyone has equal access to top quality health care and services.
The whole country is facing significant shortages in terms of doctors and health professionals. There are also too few nurses. We see a shortage of family physicians in big cities, something that, not so long ago, used to occur only in remote areas. Even at that time, it was unacceptable.
I am not blaming anyone, but we have to realize that governments were unable to find a solution and to stop that shortage from affecting the big cities and now almost everyone.
And as if that were not enough, our governments now have to pay more just to maintain the current level of health care. A huge portion of every government's budget goes to health care. We restructure. We merge. We innovate. We introduce new methods. We close beds. We perform more day surgeries. We keep looking frantically for a solution to this problem, which has reached epidemic proportions.
In its substantial report, the committee chaired by Senator Michael Kirby raises these concerns and proposes solutions. In Canada, the people wants this to be the number one issue.
The commission chaired by the hon. Roy Romanow will be releasing its final report next week.
I draw hope from the words of Commissioner Romanow in a speech he delivered for the John Kenneth Galbraith lecture on public policy at Memorial University in Newfoundland last October 23:
The principles of the Canada Health Act were built on basic values like equity and solidarity. To Canadians, these values mean everyone should have access to our health care system on the same terms and conditions, and that this access is ultimately a right of citizenship.
They mean that access to the health care system should be based on need, not a person's wealth, province of residence, gender or age. Canadians still feel strongly that these basic values must set the direction upon which the system is governed in the future. They have served us well and they show us the way.
In fact, as long as change is built from these values, I believe change will be acceptable to Canadians. In other words, I think Canadians are prepared to rethink some of their ideas about medicare, provided we do not retreat from our ideals.
Following those words from Mr. Romanow, I remind members that all minority language communities in Canada support the bill.
Umbrella organizations, which represent those communities, namely the Fédération des communautés francophones et acadiennes du Canada, or FCFA, and the Quebec Community Groups Network, or QCGN, asked that a sixth principle be added to the Canada Health Act. Those groups made that request to Mr. Romanow during his Canada-wide hearings and they made the same request to the Senate committee chaired by Senator Kirby. Our communities want it.
This debate and the subsequent vote will not be an easy task, but hon. members will agree that we are not here to make easy decisions. If everything always went well, we would not even need to be here. We are here because the task is difficult and because people, in each of our ridings, regardless of the political party or the region, expect us to deal with issues that are difficult but important for their future.
I dare say that issues dealing with linguistic minority rights are central to our idea of this part of America, where we chose tolerance and diversity rather than the absolute quest for uniformity. We have chosen difficult tasks because they allow us, collectively and individually, to reach a higher level.
All parties in the House acknowledge the relevancy of Official Languages Act, the rights of Canadians enshrined in the Constitution and the preponderance of the Canadian Charter of Rights and Freedoms. We all have undeniable rights.
Even the Canadian Alliance which, as the former Reform Party, did not consider linguistic duality as important, in its policies, now acknowledges the importance of our two official languages, and I quote:
We support the need for key federal institutions, such as Parliament and the Supreme Court, to serve Canadians in both English and French.
In its policy statement of May 2002, the party also acknowledged, and I quote:
--the federal government's responsibility to uphold minority rights.
No one will be surprised to hear that the million francophones making up minority communities in Canada have an urgent need for services and health care in their language. A study published by the Fédération des communautés francophones et acadiennes, the FCFA, indicates that at least half of that community has no access to health care in French.
The Minister of Intergovernmental Affairs, the member of Parliament for Saint-Laurent—Cartierville, has recognized the difficulty minority communities experience in accessing proper health care services in their official language.
In addressing the Quebec Community Groups Network on October 20, he said:
You have identified access to quality health care in one's mother tongue as a very high priority. A Missiquoi Institute-CROP survey in 2000 indicated that 84% of anglophones [in Quebec] rate that type of access as “very” or “extremely important”. This is particularly relevant because a greater proportion of the anglophone community is 65 years of age or older...and more likely to use the health care system.... This older population also tends to be far more unilingual: 56% of them do not speak French.
The minister also said that access is particularly difficult outside the greater Montreal region.
As far as I am concerned, we have first and foremost a moral obligation to these communities.
Furthermore, I would like to underscore to the government and the cabinet that there is a constitutional obligation to add this sixth principle. I realize that, when the Canada Health Act was enacted, it was left out. Our history is full of such omissions, but also corrections that we have made when our mistakes became apparent.
The Canadian Charter of Rights and Freedoms and the Official Languages Act of Canada require that the federal government take into consideration linguistic minorities.
While this may not have been clear in the past, it is quite clear now. All of the successive judgments from the courts have confirmed this constitutional obligation, particularly judgments handed down by the Supreme Court of Canada on Quebec's secession and in the Beaulac decision, not to mention the unprecedented decision of the Ontario Court of Appeal in the Montfort Hospital case.
And I would go so far as to say that if the Government of Canada ignores its responsibilities, how can we expect provincial governments to shoulder theirs?
The Official Languages Act, backed by the Charter of Rights and Freedoms, particularly at section 16, requires that all Government of Canada programs take into consideration our linguistic duality. Without a doubt, this includes the cash transfers to the provinces for health care services.
In fact, one only has to read the Canada Health Act to realize that failing to specify the vital nature of services to minorities was an oversight. Take only a few of these principles that are considered sacred by Canadians.
Take universality. If service delivery is to be universal in a country where there are two official languages, then it goes without saying that we must serve linguistic minorities the same way we serve the majority.
When it comes to accessibility, having equal access to health care services no doubt means access to services in one's own official language.
As for portability, let us reflect for a moment on what is included in this principle. It says that we will be treated as we would be treated in our home province, should we need to call upon health care services in a province other than our home province.
In some Canadian provinces, residents enjoy linguistic rights when it comes to health care services. This is the case in New Brunswick, which is the only officially bilingual province.
Let us ask ourselves this question: can Canadians who have certain language rights with regard to health care in their province of residence transfer those rights to the other provinces, particularly the ones that do not offer these language rights to their own residents? We have to wonder about that.
If the principle of transferability, or portability, in the health care system implies language rights for some Canadians, should we not ensure that these rights are extended to all Canadians, regardless of their province of residence?
Despite these arguments that I believe to be sound, some will ask whether the existing principles imply respect for linguistic duality. If the act, the charter and the unwritten principles in the Canadian Constitution already require that minorities be protected, why add a principle that may be redundant after all and therefore useless?
We all know the answer to that question. We have learned, after nearly a century and a half of history that, unfortunately, keeps repeating itself, that we cannot rely solely on the goodwill, the understanding and the vigilance of our governments with regard to linguistic duality.
This is why we legislate. This is why we have a Constitution. This is why we have a Charter of Rights and Freedoms. It must be written in black and white in our statutes. And even then, we know that we have to be vigilant.
I will ask those who argue that it is not necessary to add a principle to protect our country's linguistic duality with regard to health care a question that is just as valid. If the existing principles imply respect for linguistic duality, why then would anyone be afraid of adding such a principle?
Here again, we know the answer, and it is not pretty. The truth is that, politically, it is not worth it. It creates problems for nothing. In Canada, as we know, linguistic issues have always been explosive.
So we are back to square one, caught in a vicious circle of our own creation, immobilized by fear, unable to act, while the rights of the linguistic minorities keep on being ignored.
How many more court decisions will it take before we take action?
If I may, I will appeal to your sense of history, our history. We are all victims of misinformation when it comes to our history, which includes having us believe that the founders of our country were not preoccupied by linguistic duality. It is absolutely not the case.
When the Fathers of Confederation took the bold step of creating a new country, 135 years ago, they would not have conceived of Canada not respecting the rights of its linguistic minorities. The protection of these minorities was the underlying principle in all their efforts and actions.
If ever there were any doubts regarding their intentions, the decision of the Appeal Court of Ontario in the Montfort case erases them all. The judges of this highly respected court wrote, and I quote:
Protections granted to linguistic and religious minorities are an essential characteristic of the 1867 Constitution, without which Confederation would not have come into being.
The court also quotes a reference to the Supreme Court dated 1932, in which Lord Sankey wrote, and I quote:
It is important to keep in mind that the preservation of the rights of minorities was a condition on which such minorities entered into the federation, and the foundation upon which the whole structure was subsequently erected.
It is high time we lived up to the promises made by the Fathers of Confederation. It is time to set aside our traditional arguments. It is time to make hard decisions.
Under the law, under our Constitution, in keeping with our history, and in the name of the legacy we will leave to humanity, in the name of everything good this country represents, in the name of past, present and future generations, I urge this House to demonstrate a spirit of generosity, the Canadian spirit, when it comes to this bill.