Bill C-356 (Historical)

National Strategy for Dementia Act

An Act respecting a National Strategy for Dementia

This enactment requires the Minister of Health to initiate discussions with the provincial and territorial ministers responsible for health or health promotion for the purpose of developing a national strategy for the health care of persons afflicted with Alzheimer’s disease or other dementia-related diseases.

National Strategy for Alzheimer's Disease and Other Dementias Act

[Guy Caron, NDP, Rimouski-Neigette—Témiscouata—Les Basques, QC]

Mr. Speaker, I thank the member for the work he has done on this extremely important file, which was also very dear to the heart of one of our former colleagues, Claude Gravelle.

Claude introduced a similar bill in 2012, Bill C-356, which sought to create a national strategy for dementia. Unfortunately, the bill was defeated by a single vote in 2015. Those who opposed it were mainly Conservative and Bloc Québécois members. In the end, because one Liberal member forgot to stand up and vote, the bill that Claude had been working on for a long time was defeated.

I would like the Liberal member to tell me why he wanted to introduce this bill. What is the difference between this bill and the bill that our colleague introduced a few years ago?

[Sheila Malcolmson, NDP, Nanaimo—Ladysmith, BC]

Mr. Speaker, last month, I joined my community in Nanaimo on the walk for Alzheimer's where our community walked in support of Alzheimer's patients and their families.

The honoree this year was the late Dale Horn. She was born in 1933 in Australia and she came to Canada at the age of 24. She was such a strong part of Nanaimo's community boards and the life of its community spirit.

At this Alzheimer's walk a month ago, her son, John Horn, honoured her at the walk for all the hundreds of participants ready to get started, saying: “Dale was a fantastic companion, fully engaged, witty and keenly observant. She drew you in and made you feel lucky to be included in her world.” With “a steely resolve and genuine grit,” Dale was unfazed by her disease, said John. “When affected by Alzheimer's, she insisted on helping others with the disease. She retained a wicked sense of humour and immense grace, right up to the end of her life.”

This year's Nanaimo Alzheimer's walk raised $18,000. This is to promote critical research to reduce the effects of Alzheimer's, but also to provide services for those living with, or assisting with Alzheimer's. This is really to ease the personal circumstances that exist for the people suffering and for their families every day.

It is in that spirit that I am pleased to stand and speak today in favour of the bill at hand and to speak about Canada's responsibility to improve care for the hundreds of thousands of Canadians suffering from dementia, and to give better support to their families and caregivers.

Bill C-233, which calls for the development and implementation of a national and comprehensive strategy to improve health care delivered to persons suffering from Alzheimer's and other forms of dementia is something we can and should all support. Canada has fallen behind other countries such as the United States, the U.K., Norway, France, the Netherlands, and Australia. All of these countries have coordinated national dementia plans in place already.

Past president of the Canadian Medical Association, Dr. Chris Simpson, spoke to this when he said:

We have the dubious distinction of being one of the few G8 countries without a national dementia strategy. Meanwhile, our acute care hospitals are overflowing with patients awaiting long term care placement and our long-term care facilities are understaffed, underspaced and underequipped to care for our most vulnerable seniors. This leaves patients and their families in limbo, struggling to fill these gaps in our system.

He also said:

The reason your father has to wait nine months for a hip replacement is that the beds are being used by dementia patients.... That is the single biggest reason why elective surgery wait times are so long.

Now, it was the NDP that first introduced a proposal to the House to create a national strategy for dementia. In 2012, former NDP MP Claude Gravelle introduced Bill C-356 in Parliament, prescribing a national dementia strategy. Unfortunately, that bill was defeated at second reading a year ago by a single vote. The bill was opposed by a majority of Conservative MPs, Bloc MPs, and, critically as it turned out, a single Liberal MP who failed to stand for the vote. I was watching it on CPAC. It was heartbreaking because it would have made a big difference in our communities.

Inexplicably, the member for Niagara Falls, the sponsor of the bill before the House today, voted against the national dementia strategy just a year ago. If the House had followed New Democrat leadership in the last Parliament, Canadians would have a national dementia strategy in place right now. Canadians would not have lost precious time, and that is something that is so precious to people suffering from a degenerative illness.

This has had real human impact. I have heard countless stories in my riding about the impacts of Alzheimer's disease and dementia on my constituents. Many cannot afford quality home care for their parents and it is especially shameful that the Liberals abandoned their election promise to invest $3 billion in home care.

I have heard stories from personal care workers, nurses, and physicians who report emergency wards overwhelmed with patients, long-term facilities that are understaffed, and long gruelling hours for caregivers. These are very often offering low-pay work in the homes of dementia patients.

These stories underscore the need for real leadership in this chamber. So many are affected. Three-quarters of a million Canadians were living with dementia in 2011. That is 15% of Canadian seniors. That might double by 2031. This costs our country $30 billion a year in medical bills and lost productivity. Left unchecked, that number could skyrocket to $300 billion within 25 years.

As Canada's population ages, we must prepare our health care system and our communities for the inevitable rise in the number of Canadians suffering from dementia.

To paraphrase Tommy Douglas, the father of medicare and a New Democrat, only through the practice of preventative medicine will we keep health care costs from becoming excessive.

The need is pressing. The burden for caring for patients with dementia and Alzheimer's falls primarily on family members. In Canada, family caregivers give millions of unpaid hours each year caring for their parents and family. That is $11 billion in lost income and a quarter million lost full-time equivalent employees from the workforce.

If nothing changes by 2040, it is estimated that family caregivers in Canada will be spending 1.2 billion unpaid hours per year providing care, and a quarter of family caregivers are seniors themselves.

Dementia also has a disproportionate impact on women. Women are two and a half times more likely to be providing care. Women themselves represent 62% of dementia cases and 70% of new Alzheimer's cases. That puts them at the epicentre of a growing health care crisis. Also, women are nearly twice as likely to succumb to dementia.

Another group of vulnerable patients are affected by another bill in the House, and that is the government's physician-assisted dying bill. We keep hearing arguments again and again that people with a dementia diagnosis should have a real choice over how their lives end. The federal government's legislation for assisted dying would not allow Canadians with a dementia diagnosis, while they were still of sound mind, to make an advance request for physician-assisted dying. This puts up an enormous barrier for thousands of Canadians with dementia or other degenerative illness.

Without the right to make advance requests for assisted dying, Canadians with a dementia diagnosis are faced with what the courts call a cruel choice between ending their lives prematurely or, potentially, suffering immeasurably and unbearably. This is completely unacceptable. To us it looks as if those who most need physician-assisted dying may inexplicably be excluded from it. We remain optimistic that amendments will be made to ameliorate that very serious flaw.

Let us go back to the national Alzheimer's strategy.

The New Democrats believe that the bill must be crafted correctly to ensure the best outcome for patients, their families, and their caregivers. While we support Bill C-233, it is less ambitious in its scope and implementation provisions than last year's New Democrat bill.

We will work constructively at committee stage to bring about meaningful and substantive amendments to strengthen the final version of the bill. Canadians deserve no less than the best national Alzheimer's strategy possible. The New Democrats have a long and proud history of advocating for federal leadership on health care issues.

In fact, as my colleague, the member for Vancouver Kingsway likes to remind me, we invented it. The New Democrats stood in the House unanimously for a national dementia strategy in 2015. We stand in the House in 2016 and work so every Canadian, every Canadian family, every caregiver, can have a world-class dementia strategy, as the New Democrats have fought for in the last five years.

[Don Davies, NDP, Vancouver Kingsway, BC]

Madam Speaker, I am pleased to rise today as health critic for the New Democratic Party, to speak to Bill C-233 and the urgent need to address the impact of dementia and Alzheimer's disease on patients, families, communities, and our public health care system.

Dementia disease is a progressive degenerative disorder that attacks nerve cells in the brain, resulting in loss of memory, thinking, language skills, and behavioural changes. The disease forms lesions in the brain cells of patients causing nerve connections to sever and nerve cells to die.

Alzheimer's is the most common form of dementia, which is a general term used to describe a group of systems, such as loss of memory, language, motor skills, and other brain functions. Alzheimer's is not part of the normal process of aging, and currently has no cure.

Bill C-233 calls for the development and implementation of a national and comprehensive strategy to improve health care delivered to persons suffering from Alzheimer's disease and other forms of dementia.

This legislation prescribes a number of elements that must be included in a national strategy, including greater investment in research, the establishment of national objectives for care, coordination with international bodies that fight dementias, assistance to provinces and territories to improve treatment, strengthening of prevention and early intervention, and disseminating best practices. As prescribed in the bill, the details and benchmarks for these elements would be determined at a conference convened by the minister with multi-stakeholder representation.

New Democrats have long believed that Canada needs an ambitious and comprehensive national dementia strategy to improve care for the hundreds of thousands of Canadians suffering from forms of dementia, and to better support their families and caregivers.

As Mimi Lowi-Young, CEO of the Alzheimer Society of Canada, has said:

By implementing a strategy, we will be able to enhance research efforts, raise awareness about the disease, provide support for people with dementia and their care givers, identify best practices for care and improve surveillance of the disease.

Particularly as Canada's population ages, we must prepare our health care systems and our communities for the inevitable rise in the number of Canadians suffering from dementia. To paraphrase Tommy Douglas, the father of medicare and a New Democrat, “Only through the practice of preventative medicine will we keep health care costs from becoming...excessive”, and the need is pressing.

Recently, the former head of the Canadian Medical Association, Dr. Chris Simpson said:

our acute care hospitals are overflowing with patients [often dementia patients] awaiting long term care placement and our long-term care facilities are understaffed, underspaced and underequipped to care for our most vulnerable seniors. This leaves patients and their families in limbo, struggling to fill these gaps in our system....

The need for national leadership is urgent. Few Canadians are untouched by these diseases that often have shattering impacts on families. The struggle to cope with the deterioration of mental faculties and the loss of memory can be overwhelming and heartbreaking.

According to the Alzheimer Society of Canada, that disease and other dementias now directly affect 750,000 Canadian patients. This number is expected to double to 1.4 million by 2031. Current dementia-related costs, both direct medical costs and indirect lost earnings, have reached $33 billion per year in Canada, and they are projected to soar to $293 billion by 2040.

Currently the burden of care for patients with dementia and Alzheimer's disease falls primarily on family members. In Canada, family caregivers spend an estimated 444-million unpaid hours per year caring for dementia patients, representing $11 billion in lost income and 227,000 lost full-time equivalent employees to our workforce. If nothing changes by 2040, it is estimated that family caregivers in Canada will spend over one billion unpaid hours every year providing care. These numbers are staggering. Taken alone, they make the case for our desperate need for national leadership. Canadians overwhelmingly agree. A recent Nanos survey revealed that 83% of Canadians say that they want Canada to develop a national plan to address these diseases.

We must not forget that dementia also has a disproportionate impact on Canadian women. According to the Women's Brain Health Initiative of Canada, women represent 62% of dementia cases and 70% of new Alzheimer's cases, putting them at the epicentre of a growing health issue. In addition to this, women are nearly twice as likely as men to succumb to dementia, and two and a half times more likely to be providing care to someone with the disease.

Unfortunately, Canada is now one of the last developed countries in the world without a national strategy to address dementia. We have fallen behind countries such as the U.S., U.K., Norway, France, Netherlands, and Australia, all of which have coordinated national plans in place.

In Vancouver Kingsway, I have heard countless heartbreaking stories about the impacts of Alzheimer's disease and dementia on my constituents. Many cannot afford quality home care for their parents or face long delays in accessing long-term care facilities. Many do not even have access to the resources or information they need to make important decisions, as they witness the cognitive degeneration of a loved one. I have heard stories from personal care workers, nurses and physicians, who report emergency wards that are overwhelmed with patients, long-term care facilities that are understaffed, and long, gruelling hours for caregivers, often working for low pay in the homes of dementia patients. These stories underscore the need for leadership in this chamber.

As New Democrats, we are proud of our long history of leadership on health care, and specifically dementia care. In fact, it was the NDP that first introduced a proposal to this House to create a national strategy for dementia. In 2012, former NDP MP Claude Gravelle introduced Bill C-356 in Parliament, prescribing a national dementia strategy. That bill provided a comprehensive and cutting edge plan for a national strategy to deal with Alzheimer's and dementia. Unfortunately, that bill was defeated at second reading in May 2015 by a single vote. It was 140 to 139. The bill was opposed by a majority of Conservative MPs, Bloc MPs, and, critically as it turned out, a single Liberal MP who failed to stand for the vote. Conversely, our New Democrat caucus voted unanimously in favour of Mr. Gravelle's bill.

I must again mention that the member for Niagara Falls, the sponsor of the bill before this House today, inexplicably voted against that national dementia strategy just one short year ago. Most charitably, I might say that wisdom comes so seldom that it ought not to be rejected because it comes late. Less diplomatically, I might say that the hon. member owes Canadians an explanation and an apology for defeating the very concept that he proposes be adopted here today. What is indisputable is that if the House had followed New Democrat official opposition leadership in the last Parliament, Canadians would have a national dementia strategy in place right now. Canadians would not have lost precious time, something that is especially important to those suffering from a progressive illness.

New Democrats do not take lightly the opportunity to move forward with a national strategy for dementia. We believe this bill must be crafted correctly to ensure the best possible outcome for patients, their families, and caregivers. While we support Bill C-233, it is less ambitious in its scope and implementation provisions than the former bill, Bill C-356, the New Democrat bill. Important differences between those bills include the following: an absence of any provision to augment volunteerism for dementia and Alzheimer's-related causes, no remuneration of advisory board members, and only one public report required from the minister versus the yearly progress reports prescribed in the former NDP bill.

New Democrats will work at committee stage to bring about meaningful and substantive amendments to this bill to strengthen the final product. Canadians deserve no less than the best national Alzheimer's and dementia strategy possible. New Democrats have a long and proud history of advocating for federal leadership on health care issues. In fact, we invented it. It is critical that in a country like ours, the federal government works to ensure that all Canadians have access to the health care they need, no matter where they live, no matter what their income, and no matter their background.

New Democrats stood alone in this House unanimously for a national dementia strategy in 2015. We will stand unanimously in this House in 2016 and work so that every Canadian, every Canadian family, and every caregiver can have a world-class dementia strategy, as the NDP has fought for in the last five years.

[Don Davies, NDP, Vancouver Kingsway, BC]

Madam Speaker, as my hon. colleague points out in his speech, it was the NDP that first introduced in the House a proposal to create a national strategy for dementia.

In 2012, former NDP MP Claude Gravelle, the great member for Nickel Belt at that time, introduced Bill C-356, prescribing a national dementia strategy in Parliament. That bill provided a comprehensive and cutting-edge plan for a national strategy to deal with Alzheimer's and other dementia.

Unfortunately, that bill was defeated at second reading in May 2015 by a single vote; 140 to 139. The bill was opposed by a majority of Conservative MPs, Bloc MPs, and critically, as it turned out, a single Liberal MP who failed to stand for the vote.

I must mention that, inexplicably, the member for Niagara Falls, the sponsor of the bill before the House today, voted against the NDP bill to establish a national plan for dementia. I wonder if the member could stand in the House and explain to Canadians why he opposed a bill that would have brought such a great plan to Canadians a year earlier than his bill.

Alzheimer's Disease and Other Forms of Dementia

[Don Davies, NDP, Vancouver Kingsway, BC]

Mr. Speaker, it is an honour to rise in the House today and speak on Motion No. 575, which I think is one of the most important motions that has come before the House in some time. This motion would create a pan-Canadian strategy for dementia.

Alzheimer's and other dementia diseases are a major health care, social and economic issue with enormous negative consequences for seniors, the baby boom generation and younger Canadians who are either living with the disease or living with family members and perhaps working as their caregiver. Some 15% of those affected by this suite of diseases are younger people. The number of Canadians with dementia is expected to double by 2031.

To date, the government has only supported a national research strategy. As important as research is, we on this side of the House believe that there is not the same comprehensive approach in this motion that the bill introduced in the House by my hon. colleague from Nickel Belt would have obligated the government to pursue. That would have been a national strategy to broadly help patients, support caregivers, help the dementia workforce, provide a strategy for early diagnosis and prevention, and provide a continuum of care for people in their homes, the community and formal care.

We in the New Democratic Party believe that respecting provincial and territorial jurisdiction is important in health care delivery and any other matter of provincial jurisdiction. We believe that the federal government needs to lead a pan-Canadian dementia strategy than can immediately help the millions of Canadians who are affected by Alzheimer's and related dementias, including the patients, families, caregivers, the dementia workforce and so on. We believe that this will have the additional benefit of freeing up scarce acute care beds in hospitals and helping caregivers who often must give up work to care for loved ones, as well. There is a very important economic and health care resource aspect to this motion.

I will not belabour this point, but it is important for Canadians to know that the Conservatives voted down a bill that would have required the Canadian government by law to implement a national dementia strategy just weeks ago. Instead, we are tabling a private member's bill by the Conservative member that would not obligate the government, because a motion is not obligatory on the government at all. We have replaced a New Democrat proposal that would have provided a mandatory legislative framework for a national dementia strategy, which was voted down by the Conservatives, with a discretionary motion that obligates the government to do nothing, only weeks ahead.

The member for Nickel Belt's bill, Bill C-356, would have gone much further than the present motion to guarantee Canadians that the federal government would finally take action to help their loved ones who are suffering from dementia. Despite being disappointed that the Conservatives rejected that opportunity to take decisive action, as the New Democrats' bill would have done, we will support this motion because we support all efforts to move on this important issue, even if they are not all that is needed.

The statistics and the real face of dementia are sobering. According to the benchmark Rising Tide study by the Alzheimer Society of Canada, the number of Canadians living with Alzheimer's disease and other dementias now stands at 750,000 people and will double to 1.4 million by 2031. Canada's health care system is presently under-equipped to deal with that staggering number and the costs associated with it. The combined direct medical and indirect costs, including lost earnings, of dementia total some $33 billion per year. By 2040, this figure is expected to skyrocket to an almost unbelievable $293 billion per year.

Pressures on family caregivers, however, are mounting today. In 2011, family caregivers spent 444 million unpaid hours per year looking after someone with dementia, representing some $11 billion in lost income and 227,000 lost full-time equivalent employees in the workforce. By 2040, they will be devoting a staggering 1.2 billion unpaid hours per year.

Lost in these numbers, perhaps, is the human face of this disease, the moms, the dads, the brothers, the sisters, the friends, the neighbours, the work colleagues, the grandfathers and the grandmothers who are involved in this disease.

While an elderly face typifies most people dealing with dementia, as I said, 15% of those people living with Alzheimer's or related dementia diseases are under 60, so it is important to note that dementia is not an issue that only affects people in their aging years.

The Canadian Medical Association estimates that patients who should be elsewhere occupy about 15% of the acute care hospital beds across Canada, one-third of them suffering from dementia, so we can see that not dealing with this disease in an appropriate national strategic sense is extremely expensive because it is causing us to spend unnecessary health dollars when we could be dealing with it in a better way.

The NDP history on this issue is well documented. At the 2012 NDP convention, delegates from across this country passed a resolution calling for a national dementia strategy. I want to pause and say that this shows the health of our Canadian political party structure. I can speak particularly of the New Democratic Party, whose delegates come to a convention every two years and put forward ideas from their communities that then make their way into the New Democratic caucus and into this House. I want to congratulate the New Democratic delegates from across the country who played such an important and visionary role in this issue here today.

We have also found strong support, however, among labour members, among seniors, and in all aspects of civil society. Inevitably, the interest is personal. It comes from the direct knowledge or experience of someone living with the disease or burdened and often economically suffering from caring for a loved one with the disease. It comes from personal experience. I think that informs this issue in a very real and direct way.

Internationally, many countries are moving forward with their own national strategies. The Paris declaration in 2006 lists among the political priorities of the European Alzheimer movement the call for national governments to recognize Alzheimer's disease as a major public health challenge and develop national action programs.

It is interesting that this was in 2006. Here we are, nine years later. The current government was first elected in 2006, and nine years after international calls for a national dementia strategy, the government has yet to act.

We are here in the dying days of the 41st Parliament with a backbench motion coming forward that does not obligate the government to do anything. To me, that does not speak of a responsible governmental response on an extremely important medical issue facing our population at this time.

There was also a G8 summit on dementia in the United Kingdom in December of 2013. The call for a national dementia strategy was made there as well. It is clear that Canada today has no national plan and has been lagging behind our closest economic partners—the United States, the U.K., France, and Australia—all of whom have national dementia plans.

Here is what the New Democrats propose. We want Canada to develop a national dementia strategy with leadership from Ottawa. We want a national plan that can and must respect provincial and territorial health care jurisdictions. We want one plan to be developed, a plan that coordinates all of the provincial priorities and is tailored to meet the needs of each province or territory. We think that would be far better than 13 separate plans carried out in isolation from one another. We want a national dementia strategy that includes but goes beyond research to help those now living with the disease, their caregivers, and the dementia workforce.

Quoting some of the many people who work with this issue every day is the best way to close my remarks today.

The Canadian Association of Retired Persons said this about the NDP's Bill C-356:

[The NDP plan] calls for a national strategy that includes increasing funding for research into all aspects of dementia, promoting earlier diagnosis and intervention, strengthening the integration of primary, home, and community care, followed by enhancing skills and training of the dementia workforce and recognizing the needs and improving supports for caregivers, all of which CARP advocates for and supports.

The Alzheimer Society of Canada has said that “83% of Canadians reported they believe Canada needs a national dementia plan.”

The society stated:

As our population ages, Canadians will be at an increased risk of developing dementia or caring for someone with it.

“Everyone owns this disease.”

It says:

The approach we're proposing has worked for the Canadian Partnership Against Cancer and the Mental Health Commission of Canada. It can work for dementia and ensure that we get the best return on investment and available resources.

The Canadian Medical Association, every single major group across the country that works with seniors, and the medical profession support the cause of a national dementia strategy. The New Democrats support that, and when we are the government in 2015, after October, that is exactly what our government will deliver for Canadians.

[Claude Gravelle, NDP, Nickel Belt, ON]

Mr. Speaker, I am always humbled by the privilege of standing in the House to represent the people of Nickel Belt. On this motion, on this issue of a national dementia strategy, I realize I stand to represent not only the people of Nickel Belt but also the millions of Canadians who are demanding a credible, real, national dementia strategy.

What is at play here is self-evident to many Canadians. This motion perfectly captures the Conservatives' politics, which have been on display here in Parliament time and again on issues vital to Canadians. This motion is more a child of spin and politics than a commitment to the leadership we are looking for. It gives the appearance of doing something to really help Canadians while staying the course on their own priorities.

Members will know that this motion appeared out of the blue a week before debate on my bill, which proposed a real, credible, national dementia strategy. It was a plan that would be anchored in a law, with leadership mandated from Ottawa. Canadians clearly wanted that.

The minister indicated that while initially opposed to the legislation, she had a change of mind. I believe the change of mind had something to do with the dozens of petitions being tabled in the House in support of a national dementia plan, the hundreds of municipal resolutions backing Bill C-356, and the growing number of provincial governments seeing the value of leadership from Ottawa that still respected provincial jurisdiction.

Canadians changed the government's mind. During many discussions with the minister and her representatives, we on this side of the House accepted all the amendments proposed to address their reservations. However, in the end, the government showed its true colours and abandoned its leadership and any legislative measure that it would be required to implement. This government's ideology and practice is to disregard authentic national strategies containing real measures that make things easier for Canadians.

This brings me to the vote held on May 6. Despite the fact that the government is now opposed to the bill and even though it has a majority in the House, the bill was defeated by one vote, 139 to 140. The media first talked about the confusion at the time of the vote. One Conservative member voted twice before withdrawing his support for the bill. Let me quickly say that the vote of 140 to 139 is a sharp reminder of the importance of every member's vote. Yes, bills can be passed or defeated by a single vote. The Conservatives have also heard about what their vote means since that night.

However, the vote was also a clear reminder of how we need to listen to the will of Canadians. Nine members of the Conservative caucus did so, voting for the legislation. I have recognized their votes in public comments. There were nine government MPs who joined our party and other parties to support real help for the 747,000 people now dealing with Alzheimer's or related dementia disease, plus the millions of people caught up in providing care and health services.

This motion cleverly includes so many elements from my bill and what is needed for a genuine national strategy, but this motion will not here and now help any of the people who are so in need of help.

This motion recognizes the important research initiatives that we on this side of the House enthusiastically applaud. It recognizes the federal-provincial discussions under way, while deploring the fact that they are painfully slow. The motion includes many of the basic elements of a strategy, but it makes no commitment to accomplish what that it sets out.

The real problem of the motion before us not being as binding as legislation is that, in the words of my colleague the member for Victoria, it risks being a “feel-good, do-nothing motion”. I will say more about motions versus legislation later, but in terms of recognizing what Canadians really need from the current government, we need to hear what they said in the wake of the defeat of Bill C-356 by one vote. Some of what they said, I cannot repeat. “Shame” and “disgrace” were some of the more polite words.

The Canadian Medical Association lamented the lost opportunity. Dr. Chris Simpson, president of the CMA, said:

The defeat of Private Member's Bill C-356 Wednesday night represents a lost opportunity to make lasting progress in the serious and growing problem of dementia in Canada. We remain one of the few industrialized countries to be without a national dementia strategy.

... Bill C-356 would have called on the government to set up a national dementia strategy. Canada would have been able to get to work making sure the health care system has the right resources to deal with this problem before it becomes overwhelming.

However, a national strategy would involve all levels of government and introduce benchmarks, standards of care as well as timeframes. It would also give other levels of government and stakeholders a forum to point out the need for resources. Instead of a series of ad hoc initiatives, a national strategy is a long-term solution for a problem that will be with us for a long time.

Canadians want a real national strategy enshrined in law. That is what we have heard from municipalities, doctors, people with dementia, their caregivers, the Canadian Conference of Catholic Bishops, other religious leaders, CARP and other seniors' organizations, unions and many others.

The motion moved in the House reproduces, almost word for word, many of the provisions in Bill C-356. There is heavy emphasis on research, something we have always considered essential to any strategy. That is something that will only contribute to other aspects of a well thought-out strategy.

However, when we unpack this motion, and all its phrases, again we see that it will stay the course on what Ottawa has been doing, slowly and with so few results. There will be research. There will be discussions with the provinces. There is a nod to sharing of best practices and reports to the public, but with no real accountability or timelines.

There is little evidence of a comprehensive plan that also provides for early diagnosis and treatment. I do not see the continuum of care for people to remain at home and in the community, which is critical as our scarce acute care beds have many people who do not need to be in hospitals.

A real credible national dementia strategy would also now help those overwhelmed in the dementia workforce. For example, the motion mentions support for caregivers, but nothing about how and when. What resources will be given to these people now?

We on this side know the difference of a motion versus legislation. In another Parliament, we saw the passing of Mr. Broadbent's motion to end child poverty by the year 2000. It was unanimous. There was good will on all sides, but we know what happened with that motion. What will happen to this motion when there is no will of governments to follow up with real action and leadership.

We are reaching the end of this Parliament next month. We or others representing our parties will all have to face the voters in our ridings. Organizations like the Canadian Medical Association, CARP and others are advising voters to remember their MP or party votes on dementia. We are pleased on this side for having done our part in education, advocacy and building the momentum for a genuine national dementia strategy. There is no turning back.

Through Bill C-356 and our debate on this motion, Canadians will not be fooled by words any longer. They want a national dementia strategy to actually show up in their community to help their loved ones, their neighbours, their work colleagues, now. Canadians will not stomach more press releases, motions, promises or explaining of votes.

I will support this motion because I like mom, apple pie and everything that is said in Motion No. 575. Speaking of mom, the story of my mom and my family connected me to the millions of Canadians struggling with this health care crisis that dementia represents. She was a straight shooter. She would figure out fact from fiction about what the government says it does or will do.

We on this side are committed to continue the real work required to make this happen. I look forward to the new government in Alberta being part of that work. I look forward to a new government in Ottawa, a government led by my leader, that will lead on this file. Canadians deserve better than what we have.

[Murray Rankin, NDP, Victoria, BC]

Mr. Speaker, the member for Nickel Belt brought forward a private member's bill, Bill C-356, not long ago. It contained much of the same material that this expression of opinion, which is what a motion is, contains. Why did the member vote against that initiative. Why did the government defeat the private member's bill that would have created a national dementia strategy in Canada rather than simply, as in the motion before us tonight, an expression of the opinion of the House?

Dementia

[Claude Gravelle, NDP, Nickel Belt, ON]

Mr. Speaker, it is a pleasure for me to rise again in the House to present more petitions on my private member's bill, Bill C-356. I have 32 pages, some of them double-sided, of signatures from hundreds of people from my riding of Nickel Belt, Verner, Field, St. Charles, Cache Bay, North Bay, Sudbury, Guelph and other parts of Ontario.

The petitioners ask the government to support Bill C-356, which calls on the Minister of Health to help implement the national strategy on dementia.

[Peter Julian, NDP, Burnaby—New Westminster, BC]

Mr. Speaker, I am pleased to present a petition today from several dozen residents of Burnaby and Richmond, British Columbia. They call upon the Minister of Health and the House of Commons to pass Bill C-356, An Act respecting a National Strategy for Dementia, which was introduced by the member of Parliament for Nickel Belt.

While I am on my feet, I move, seconded by the member for Compton—Stanstead:

That the House do now adjourn.

[Peter Julian, NDP, Burnaby—New Westminster, BC]

Mr. Speaker, I am pleased to present a petition today from dozens of residents of the Lower Mainland of British Columbia from Delta, Richmond, Surrey, and Burnaby.

These petitioners call on the Minister of Health and the House of Commons to pass Bill C-356, sponsored by the member of Parliament for Nickel Belt, to put in place a national dementia strategy, including a comprehensive national plan to address all aspects of Alzheimer's disease and to ensure that we have national objectives to fight what for many people is one of the profound health issues in our country.

[Claude Gravelle, NDP, Nickel Belt, ON]

Mr. Speaker, I would like to present several copies of one petition to support my bill on dementia, Bill C-356. I have petitions from Brant, British Columbia, Ottawa, Ottawa—Orléans, Kitchener—Waterloo, Port Moody, South Surrey—White Rock, and Rosemont—La Petite-Patrie.

Yesterday I held a press conference on my private member's bill that we are going to hear later today. One of the comments from the journalists was—

[Peter Julian, NDP, Burnaby—New Westminster, BC]

Mr. Speaker, it is an honour to present in the House a petition signed by nearly 100 residents from the constituency I represent, Burnaby—New Westminster, as well as residents from Delta and Surrey, British Columbia.

The petitioners call upon the government to address the deplorable fact that we do not have a national strategy for dementia. They call upon the House of Commons to pass Bill C-356, which was introduced by the NDP MP for Nickel Belt.

The strategy would require the Minister of Health to initiate discussions within 30 days of the bill coming into effect, develop national objectives, provide an annual report, and also ensure that there is greater investment in research, discovery and development of treatments for dementia and dementia-related diseases that would prevent, help or reverse all of those dementia-related diseases.

[Claude Gravelle, NDP, Nickel Belt, ON]

Mr. Speaker, I have two petitions that I would like to present today.

The first petition has signatories from Kitchener, Ontario, and Yorkton, Saskatchewan. They call on the Minister of Health and the House of Commons to pass my bill, Bill C-356, an act respecting a national dementia strategy.

[Murray Rankin, NDP, Victoria, BC]

Mr. Speaker, I rise today to table a petition calling for a national dementia strategy. The petitioners are asking the government to call on the Minister of Health and the House of Commons to pass Bill C-356, an act respecting a national strategy for dementia, which was introduced by the member of Parliament for Nickel Belt.

The bill calls on the minister to initiate discussions with provincial and territorial ministers to develop a comprehensive national plan to address all aspects of Alzheimer's disease and related dementia, and to provide an annual report based on an annual assessment of Canada's progress to meeting the various objectives that this calls for.

[Claude Gravelle, NDP, Nickel Belt, ON]

Mr. Speaker, the second petition has been signed by petitioners from right across Ontario. It is from area codes 902, 613, 506, 516, 905, and 705. It calls on the government to adopt my private member's bill, Bill C-356, calling for a national strategy on dementia.