Bill C-233 (Historical)

National Strategy for Alzheimer's Disease and Other Dementias Act

An Act respecting a national strategy for Alzheimer’s disease and other dementias

This enactment provides for the development and implementation of a national strategy for the health care of persons afflicted with Alzheimer’s disease and other forms of dementia.

Opposition Motion—Telecommunications

[Rob Nicholson, Conservative, Niagara Falls, ON]

Madam Speaker, I would like to thank the hon. member for Guelph, who was good enough to share his time with me, as well as all those individuals from different political parties who have been so supportive and helpful over the years.

It is with mixed emotions that I rise today to give what will be my farewell address in this chamber, the people's House.

Thirty-five years ago, the people of Niagara Falls first elected me as their member of Parliament, and I will be forever grateful to them.

I am proud today to be wearing the Nicholson tartan tie for this occasion. I am pleased as well to be wearing a medal that was given to family members of World War I veterans. I received this when I was over at Vimy Ridge a couple of years ago. I was told that the Borden government encouraged people who were related to people who served in World War I to wear the medal. I had two grand-uncles, Gordon Gunn and Stewart Gunn, who fought in World War I. I have been very proud to wear this in public since that time.

As a boy, I took an interest in Prime Minister John Diefenbaker during the Cuban missile crisis. We talked about it all the time and I got quite caught up with this. I wrote to Mr. Diefenbaker and told him of my support for him, and it started a fan club in my class on his behalf.

Among other things, I would like to point out to the chamber that on this day, June 10, 1957, John Diefenbaker won his first election as Prime Minister of Canada. That was a great day for ours country.

At the age of 13, I had the privilege of meeting the Right Hon. John Diefenbaker, who asked me if I wanted to become a Conservative MP some day. I said for sure I would.

What I did not know at the time was that since the creation of the Niagara Falls riding, the Liberals had won five straight elections. It came as no surprise to me that years later my teacher, Mrs. Gordon, told me that when she told other teachers I wanted to be a Conservative MP some day, one of them said she should have encouraged me to become the captain of the Zeppelin instead.

In my 24 years in the House of Commons, I have witnessed much, such as the rise and fall of governments, including my own. Regardless of political stripe, the important thing is that our democracy works. There is not another country in the world that does it better than Canada.

At citizenship courts and others, I always say that to be a Canadian means that one has won the lotto of life. That was consistently true in the roles I have had as defence minister, foreign affairs minister and justice minister.

Wherever I went in the world, representatives of other countries were always and completely consistent. They were appreciative of and grateful to Canada.

I remember being in Afghanistan a few years ago, talking with government officials. They wanted to talk about the difference Canada and our allies had made in that country. They told me that in 2006, 75,000 girls went to school in Afghanistan. They pointed to me and said that two million girls now went to school in Afghanistan, that this was the difference Canada and its allies had made. What we heard was so consistent with what we hear wherever we go.

One of the other things that always struck me was Canada's influence. I remember getting off a plane in Ukraine and being asked if I would wear a poppy on my left lapel. This was in March. I said I would. Everywhere I went I could see posters of people wearing poppies. I checked my briefing notes, but I did not see anything on this in particular. When I asked about it, I was told that up to a couple of years ago Ukraine had commemorated its war dead the way the old Soviet Union did, but had decided to do what Canada did, which was to wear a poppy. It is a perfect example of Canada's influence.

I remember getting off the plane in the United Arab Emirates and meeting Prince Abdullah, who was the foreign minister. We made a bit of chit-chat. He told me his son had just completed the Terry Fox run. I asked if he had visited Canada recently, to which he replied no, that the run was in Abu Dhabi, where 20,000 people participated in the Terry Fox run. He said that they got the idea from Canada, to which I replied “I know”.

This is so consistent with what we have heard about Canada. Canada has always been there for the right reasons.

Over the years, I have always emphasized the great opportunities for our country. Sometimes we do not underscore that enough.

I remember, back in 1988, I had a meeting with an American congressman. We were going to have an election later in 1988, and he said to me, “Do you have your money lined up?” I told him that my party had a few dollars in the bank and that we could spend only $50,000, because that was the limit. He said, “Fifty thousand? I don't think I could open an office for $50,000.” I asked him how much he had, and he said, “I am running for re-election as a congressman, and I have $2 million in the bank right now.” I thought to myself, what a wonderful country this is. One does not have to have a couple of million dollars to become a member of Parliament. We do not need that kind of money, and we are not dependent on people for that.

We are truly blessed to live in this country. In the words of Prime Minister Diefenbaker:

I am a Canadian, free to speak without fear, free to worship in my own way, free to stand for what I think right, free to oppose what I believe wrong, or free to choose those who shall govern my country. This heritage of freedom I pledge to uphold for myself and all mankind.

May all of us in this House continue to value those ideas, because that is what makes Canada great.

It was a great opportunity to be elected in 1984, and it was a great day for Canada when Brian Mulroney was elected prime minister. I have had so many amazing experiences that I would need much more time than I have today to recall them all.

I do remember, for instance, that very soon after being elected, Brian Mulroney sent several of us MPs over to Ethiopia and Sudan to observe that aid was getting through to the people of those countries. It was no surprise to me that it was getting through. Canadian aid was being delivered to the people of Sudan and Ethiopia. Again, this is one of the things that are so characteristic of this country.

I was proud to be a member of the government that enacted the acid rain treaty between Canada and the United States and the free trade agreement between Canada, the U.S. and Mexico, and I was proud of the fact that Brian Mulroney took such a determined stance against apartheid and was the first western leader to recognize the freedom of Ukraine.

One of the last pieces of legislation to be passed under that government was legislation that made the possession of child pornography illegal in Canada. I am most proud that as a government we stood to protect children from falling prey to this heinous crime.

I also had the honour of serving under Canada's first female prime minister, the Right Hon. Kim Campbell, first as her parliamentary secretary and then later as minister of science and small business.

Serving in the cabinet under the Right Hon. Stephen Harper was one of the great chapters of my life, first of all as his House leader, minister of justice, minister of national defence, and minister of foreign affairs. I thank him, because on the world stage, he stood up consistently for what is right. He stood up for the integrity of our justice system and the rule of law, and for victims of crime. I believe he will go down in history as one of Canada's greatest prime ministers.

During my time as an opposition member these last few years, I was very pleased to have passed my private member's Bill C-233, on Alzheimer’s disease and other dementias. One of the most poignant memories I have, after the passing of my friend and colleague Gord Brown, was my initiative to distribute aspirin pill holders in his memory.

I also want to thank the hon. Leader of the Opposition for having placed his confidence in me. I am grateful to have served under him as shadow minister for justice and shadow minister for procurement. I thank him for putting my name forward for the national security committee. Canada is fortunate to have the Leader of the Opposition.

There are many I would be remiss if I did not thank. The countless volunteers who gave up their personal time to elect me are all remarkable Canadians, and I owe them a debt of gratitude. I want to thank all those who worked on my federal campaigns, people like the Lyon, Gibson and Stockton families, and members of my own family who have helped me for over 35 years.

This is also for Maureen Murphy and the outstanding staff I have had the privilege of working with in my ministerial portfolios, on the Hill and in the riding. I cannot name all the people who worked in my Hill and constituency offices, but I will name those who are with me today: Stewart Graham, Tracy Alway, Anna Annunziata, Jenn Stockton, Billy Morrison and Cheri Elliott. I want them to know that it has been an honour to work with them, and a great privilege for me.

To my beautiful wife and partner, Arlene, so often she displayed extraordinary graciousness in not having her husband by her side when duty called. There were many special occasions I was not able to be present at. I often tell people, though, that if a spouse does not completely support them in their candidacy, they should not get into this job, because it is a 24-hour-a-day job. One of the blessings I have had is the unequivocal backing of my wife, and I thank her for her love and support. I am looking forward to being there for my wife and my family. I love Arlene dearly.

To my colleagues in the House and those who work with us, I am grateful. It has been a privilege serving with them, and Canada is a better place because of them.

There is a time for everything and a season for every activity under the heavens. Now is my time and season to say farewell to this venerated chamber.

This marks the beginning of a new chapter in my life for Arlene, myself and our three children, Rob, Peter and Christine. I have enjoyed the journey thus far and look forward to what the future holds. I have always been proud to be a loyal subject of Her Majesty the Queen, and I am proud that the people of Niagara Falls have given me the privilege of serving in this place.

I thank everyone for the memories, for they will last long after the goodbyes.

Criminal Code

[Kelly Block, Conservative, Carlton Trail—Eagle Creek, SK]

Madam Speaker, I am pleased to rise today and speak to Bill C-375, an act to amend the Criminal Code, to require that a pre-sentence report contain information on any mental disorder that an offender may have.

I understand and am sympathetic to those who suffer from mental health disorders. I proudly supported the private member's bill of my colleague from Niagara Falls, Bill C-233, which sought to address the challenges of Alzheimer's and other dementias on a national level. However, I am deeply concerned about this bill. This bill, when taken together with other legislation introduced and passed by the current Liberal government, continues a long and disturbing pattern of favouring the protection of criminals over the protection of the victims of crime.

Just last week, I stood in this place and compared the record of the last Conservative government on crime with the record of the current Liberal government. They stand in stark contrast. From day one of their mandate, the Liberals have demonstrated both an appalling indifference to victims and a disquieting compassion for criminals. We have seen this time and again. This is the government that willingly gave a $10.5 million payout to unrepentant convicted terrorist Omar Khadr, who killed American medic Sergeant Christopher Speer in a firefight in Afghanistan in 2002. Further, Tabitha Speer, Sergeant Speer's widow, was awarded a judgment of $134 million by a court in Utah against Omar Khadr. The Liberals could have, and I would suggest should have, waited to allow the courts to rule on an injunction for Mrs. Speer. Instead, they rushed payment to Khadr, making enforcement of the judgment unlikely.

What of our Canadian veterans who need help? To them, the Prime Minister had one thing to say, that they were asking for more than he was willing to give. However, for ISIS fighters, it seems the cash never stops flowing. The Prime Minister pledged to use taxpayers' hard-earned money to de-radicalize terrorists through such tried and tested means as reading Canadian poetry.

The Minister of Foreign Affairs, for her part, refuses to use the term “ISIS terrorists”, instead choosing to use the vapid term “foreign fighters”. When pressed on her plan for these so-called foreign fighters, she offered this gem of an insight:

With respect to the foreign fighters, I think we need to remember why they are where they are right now.

We all remember why they are where they are. We remember that they left Canada to engage in horrific war crimes against innocent men, women, and children halfway around the world, crimes like beheading innocents, throwing gay people off buildings, and stoning women to death for the crime of being raped. According to the Prime Minister, these hardened terrorists can be “an extraordinarily powerful voice” in Canada. One wonders what those voices are saying.

The Conservatives have fought this disturbing hippyesque Kumbaya session with criminals and terrorists every step of the way. When Bill C-75 was introduced, it weakened the penalties for many crimes, including terrorism-related charges, to possibly as little as a fine. The Liberals spent months defending this decision before finally backing down and supporting Conservative amendments that ensured that terrorists would face the consequences of their actions. It took months of pressure and hard work to make this one obvious change. However, even now the bill remains deeply flawed.

Health

[Ginette Petitpas Taylor, Liberal, Minister of Health]

Mr. Speaker, I thank the member for Don Valley West for his question and his work, along with the member for Niagara Falls, on Bill C-233.

This is a priority for our government and a priority of mine personally, as my mother lives with Lewy body dementia. This is why we are continuing to contribute $42 million to Baycrest Health Sciences to support new research and development, testing, and scale-up of products and services for brain health and aging. Last year we launched the largest-ever study in dementia in Canada.

We will continue to work to improve the lives of those with Alzheimer's and their families.

National Strategy for Alzheimer's Disease and Other Dementias Act

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

Mr. Speaker, the Nanaimo Alzheimer's walk raised $18,000 last year to promote critical research to reduce the effects of Alzheimer's, to provide services for those living with or assisting those with Alzheimer's, and to ease the personal consequences that exist for people and their families every day. I hope people in my region will come to the fundraising walk in Nanaimo on May 7.

It is in that spirit that I speak today on Canada's responsibility to improve care for the hundreds and thousands of Canadians suffering from dementia and to better support their families and caregivers. I support 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 disease and other forms of dementia.

Here is a call from Susan Barr, who wrote to me from the riding of Nanaimo—Ladysmith. She wrote, “I am a senior with Alzheimer's on my father's and mother's line, and am now starting down that dark path of dementia myself.... Unless a dementia patient has sufficient means they have to share rooms with others who often are difficult to live with and/or are violent. I urge you to go and spend two or three hours in a government funded senior's care home with a closed dementia ward and ask yourself — do you want to be treated like this?”

She also describes her brother-in-law, who used to be the gentlest, kindest soul. He has been held in hospital with Alzheimer's for long periods of time because there is no space for him in a care unit elsewhere on Vancouver Island. He has been tied on stretchers and denied showers because of fears about his aggressive behaviour. This is bad for caregivers, for families, and, of course, for the patients.

The need is great. Three-quarters of a million Canadians lived with dementia in 2011, which is 15% of seniors, and this costs our economy $30 billion each year in medical bills and lost productivity. Left unchecked, that number could skyrocket to $300 billion within 25 years.

Canada has fallen behind countries such as the U.S., the U.K., Norway, France, the Netherlands, and Australia, all of which have coordinated national dementia plans in place. Canada is one of the few G8 countries without one. As our population ages, we must prepare our health care system and communities for the increasing number of Canadians suffering from dementia. It is expected to double by 2031. To paraphrase Tommy Douglas, the father of medicare and a New Democrat, “Only through the practice of preventive medicine will we keep the [health care] costs from becoming...excessive...”

In talking last night with the Canadian Association for Long Term Care, I was reminded that Canada has had 40 years to get ready for this wave of aging baby boomers and yet our country had no strategy and failed to plan. The Canadian Association for Long Term Care notes that the proportion of long-term care residents with Alzheimer's disease or other forms of dementia has grown steadily, with 87% of residents affected by the disease since 2010. It also notes that modern home designs and increased privacy are increasingly important for residents with dementia, who could become upset and aggressive when they are unable to get the personal space they need.

Canadians have lost precious time on this, something that is especially important to those suffering from a degenerative and progressive illness. This has had real human impact. I have heard countless heartbreaking stories about the impacts of Alzheimer's disease and dementia on my constituents.

Lynn Myette gave me permission to read this note. She said:

Our Grandfather suffered from Alzheimer' an now our Mom is in a secure unit with Alzheimer's, too. We know what it is like to watch a loved one decline and loose all of their dignity to the point that they are no longer their former being. To be tied into a wheelchair and left to fall asleep sitting there, to loose all their appetite and not eat, to wear diapers and lose control of bodily functions, to no longer recognize close family members, to develop anger, these things along with drugs to numb their being to the point of comatose, happen.

Many cannot afford quality home care for their parents. I talk to so many people in my riding who are trying their very best to look after their aging parents at home. They are not getting the support they need. The smallest amount of support would make a big difference to them. They know they are saving the health care system money, and yet it is shameful that the Liberal government abandoned its election promise to invest $3 billion in home care.

The Liberals promised $3 billion over the next four years during the 2015 campaign. They separated this from the health accord. That means the money should have flowed in 2016, but it has not been delivered almost two years into their mandate. Instead, the Liberals are using home care dollars to try to lever agreement around the health accord. Provinces representing 90% of Canadians still have not received a nickel of this promised home care support. The need is pressing. The burden of caring for patients with dementia and Alzheimer's falls heavily on family members.

In Canada, family caregivers give millions of unpaid hours each year, caring for dementia patients. That represents $11 billion in lost income, and one-quarter of a million lost full-time equivalent employees in the workplace. If nothing changes by 2040, it is estimated that family caregivers in Canada will spend 1.2 billion unpaid hours per year caring for their loved ones. A quarter of family caregivers are seniors themselves.

Long-standing under-investment in care homes means that the alternatives can be dire. Lori Amdam from my riding writes the following:

Why does Canada need a national dementia strategy? We need one because the baby boomers I know are scared to death of developing dementia—they believe that life in a Canadian nursing home would be a fate far worth than death.

When I teach dementia care to students, I often ask them to bring to mind the worst care facility they have seen. They describe an old, hospital-like unit with narrow corridors, paint chipping off the walls and no access to the outside. Then I ask “What if we exchanged the twenty people with dementia who live on this unit with twenty children dying of cancer? Would this place be an acceptable environment for them to live out their last months?” Of course the answer is a resounding no. Why, then, is it an acceptable place for persons with dementia, who have no voice and no power, to live their last years?

...I see more and more incidences of unsafe and unethical practices in acute care. Recently, I had to intervene on behalf of a 90 year old woman with dementia when the hospital tried to admit a young man into the other bed in her double room. She was terrified, yelling “Get that man out of my house! Get him out!”

Creating the framework which would mandate provision of dignified and respectful care for this population of vulnerable people is simply the right thing to do. It is no less than they deserve—they deserve to live in comfort and safety—they built this country.

I can think of no better testimonial for the need for Canada to have a national strategy on Alzheimer's care. Canadians deserve no less. The New Democrats have a long and proud history of advocating for federal leadership on health care issues. We stood unanimously in the House supporting an NDP bill on a national dementia strategy in 2015.

We stood in the House in 2016 and will stand in 2017, despite the fact it was voted down by the previous Conservative government. We are very much encouraged that the member is bringing this bill forward today, even though he voted against our version of it.

We will stand in the House this year and we will vote in favour, and we will work so that every Canadian, every Canadian family, and every caregiver can have a world-class dementia strategy. All parliamentarians should continue to fight for this good cause.

[Alaina Lockhart, Liberal, Fundy Royal, NB]

Mr. Speaker, it is an honour to rise today to speak to Bill C-233 and to have the opportunity to speak about dementia.

I want to praise the hon. member for Niagara Falls and heartily agree with his sentiment that this issue does transcend partisanship.

Dementia is a syndrome caused by a variety of brain diseases, the most common of which is Alzheimer's, which is characterized by slow and progressive deterioration of cognitive function. It affects memory, thinking, language, and judgment, along with mood and personality. This is a most curious and mysterious disease.

As our population ages, dementia is of growing concern in Canada and internationally. From 2011 to 2030, the number of Canadians with dementia will double. Right now, more than 7% of Canadians over the age of 65 are affected by dementia. Over 35% to 40% will be affected by the time they reach 85.

My home province of New Brunswick is particularly sensitive to this issue. As it stands, New Brunswick has the highest proportion of population over the age of 65 compared with other provinces. Dementia is on the rise in New Brunswick with over 16,000 people diagnosed and another 3,000 diagnoses expected this year. The impact is compounded by the fact that many seniors are also dealing with additional chronic diseases.

Keeping seniors in their homes helps them to thrive. Knowing this, I am reassured that the provincial and federal governments have made home care a priority when addressing health care in New Brunswick. The Government of Canada has committed over $125.1 million over the next 10 years for home care in New Brunswick.

The fact that there is no current treatment to cure dementia can be devastating to people with dementia and their loved ones. However, we know that research can help find a cure or a way of altering the course of dementia.

I cannot emphasize enough that our government believes in the power of research evidence, which is what we have signalled strongly in the last months. The Government of Canada will undertake and use research evidence to make informed decisions concerning health care. Investing in health research is an investment in a healthier Canada and healthier Canadians.

Research drives the way we diagnose, treat, and care for those with dementia and their caregivers. It has not only helped improve our understanding of dementia and the neurodegenerative diseases causing it, but it created new possibilities for better diagnosis, treatment, and quality of life for patients and their families.

The Alzheimer's Society continues to promote the benefits of early diagnosis. As a 2011 study revealed, 50% of Canadians live for more than a year with their symptoms before seeking diagnosis. We need to do better.

Canadian research has highlighted a link between dementia and stroke. Dr. Sandra Black of the University of Toronto has been collecting brain scans of patients with dementia since 1995. These scans uncovered the prevalence of silent strokes, or strokes that leave small holes in the brain without any obvious symptoms. This research has opened the door to the possibility for earlier diagnosis for Canadians using brain scans. It suggests that reducing the risk of stroke may help prevent dementia. Continued research like this is vital. Our investments in this area are essential to changing the course of dementia and unlocking a cure.

The Canadian Institutes of Health Research, or CIHR, is the Government of Canada's primary vehicle through which we support research and move results into practice. In the last five years, CIHR has invested more than $193 million in dementia-related research. This funding supports the best, most intriguing research questions that Canada's brightest and most promising scientists have to offer. This is research that has the potential for big impacts for Canadians and the Canadian health care system.

For example, Halifax researcher Dr. Janice Keefe has spent 20 years focusing on at-home, family caregivers who she calls "the backbone of our current health system". As Canada's aging baby boomers increasingly care for a spouse or parent with dementia, these family caregivers need support to avoid becoming patients, and not necessarily for dementia. Dr. Keefe co-developed a ground-breaking, evidence-based questionnaire that captures the diverse and complex needs of family caregivers.

The C.A.R.E. tool is influencing policy development and support programs for this often overlooked but vital population. First piloted in Quebec and Nova Scotia, practitioners are now using C.A.R.E. in Ontario and Alberta and it has been culturally adapted for use in France and New Jersey. As the prevalence of dementia increases in Canada, so will the number of caregivers. A tool like this, which helps identify needs and therefore support programs for those who are dedicating themselves to others, is invaluable.

I am pleased to say that by leading its dementia research strategy, CIHR is acting strategically to focus research efforts not only in Canada but internationally. This approach brings together partners from different sectors to support the latest dementia research related to three specific themes: prevention, treatment, and quality of life for those affected by the disease and their caregivers.

The domestic component of the strategy, the Canadian Consortium on Neurodegeneration in Aging, is known as Canada's premier research hub on neurodegenerative diseases affecting cognition, including dementia. The number of funding partners CCNA has brought together is now up to 15.

With these funding partners from across Canada, CCNA helps accelerate the development of dementia treatments and care for Canadians. To do this, it involves over 350 researchers, who are examining issues important to all Canadians, including specific vulnerable groups, such as indigenous people and those living in rural communities. In this regard, dementia rates in Canada's indigenous communities have been steadily increasing for the last seven to 10 years. Alarmingly, the onset of dementia is now occurring an average of 10 years earlier than in non-indigenous communities.

Drs. Kristen Jacklin and Carrie Bourassa are leading research into how indigenous culture and community affect how people experience dementia. Their team is working with indigenous communities to develop culturally grounded approaches to dementia diagnosis, care, and health education. This research will produce a range of results to help clinicians. It will help them adapt their approach to ensure that indigenous people feel more comfortable and safe when meeting with health professionals. It will also help build appropriate community and cultural strengths into existing programming for people with dementia and their partners.

The dementia research strategy developed by CIHR also has an international component, which has enabled Canadian researchers to participate in key international partnerships across its three themes. Through this component, Canadian researchers have been able to collaborate with colleagues from across the globe.

Canada is recognized as a leader in this domain. For example, Canada was the first country outside of Europe to join the joint program on neurodegenerative disease, the largest global research initiative tackling the challenge of neurodegenerative diseases. Let me give members concrete examples of the research funded through the international collaboration.

This program funds the work of Drs. Jörg Gsponer and Paul Pavlidis from the University of British Columbia. They are working on an international team with researchers from Germany, Norway, and the Netherlands to shed light on the genetic risk factors of neurodegenerative diseases like Alzheimer's. This fundamental research will help us find new biomarkers as ways to measure deviations from healthy aging, along with novel treatments and diagnostic tools.

Together the scientific efforts through the strategy's domestic and international components have defined Canada as a leader in dementia research. We are proud to support world-class researchers as they participate in the global pursuit of finding a disease-modifying treatment for dementia by 2025.

Dr. Alex Mihailidis, from the University of Toronto, has developed a mobile robot to help people living with dementia. Sometimes people with Alzheimer's disease have a hard time remembering the sequence of steps required for everyday tasks. Dr. Mihailidis has created an automated prompting system, called the COACH, which helps them remember the steps required in basic tasks like handwashing. Already working well in long-term care facilities, his team is now adapting the COACH to help those living at home.

As members can see, the results of research provide hope that new tools, services, and treatments will soon be available to better prevent dementia and improve the outcomes for Canadians living with this terrible disease.

I am pleased to say that through CIHR, the Government of Canada has established a clear research strategy on dementia. This government will continue to invest in dementia research. We know that our investments in research will go a long way to improving the lives of Canadians living with dementia, their families, and caregivers.

It was an honour to participate in today's debate, which highlights the challenges and growing concerns surrounding dementia. My father, and by extension, my mother and my entire family, is currently struggling with the impact of this terrible disease. Knowing that such amazing research is happening right here in Canada is not only comforting but provides hope for all of us that we may someday find a cure that will allow more Canadians to live a longer, healthier, and happier life.

[Rob Nicholson, Conservative, Niagara Falls, ON]

moved that the bill be read a third time and passed.

It is a great honour to rise in this chamber to address my bill, Bill C-233, an act respecting a national strategy for Alzheimer’s disease and other dementias, on the occasion of its third and final reading. I am most gratified that, to date, this proposed legislation has had the support of the majority of the members of the House.

Alzheimer's disease currently affects three-quarters of a million Canadians and their families, and that figure is expected to double within a generation. In addition, three out of four Canadians know someone who is affected by Alzheimer's or dementia. That is 75% of all Canadians.

It is imperative as we prepare to cross the finish line with this legislation that we complete this task together. Canadians are counting on it. It is most heartening to know that in matters of great concern to the citizens of our country and their families that we, as members of Parliament, can work together across party lines to unite and advocate for research, collaboration, and partnerships to find cures, provide timely diagnosis, and offer support for treatment. This co-operation will lead to positive health outcomes for Canadians who suffer from Alzheimer's and dementia, and will reassure their loved ones who provide care. Canadians expect that parliamentarians will work on their behalf to resolve these critical issues.

Members from across the aisle have demonstrated their willingness to work together to ensure that a national coordinated strategy is put in place to alleviate the suffering of Alzheimer's victims and their families. They have brought the very best of Canadian principles to the floor of the House of Commons to ensure that Bill C-233 will be passed for the greater good of Canadians.

I reiterate that no one should have to witness the slow and painful deterioration of a loved one or a family member suffering from this cruel illness. Far too many Canadians endure the long goodbye.

I know that I do not stand alone, as I am joined by many of my colleagues in this House who have dealt with, or are dealing with, a family member, a friend, or a loved one who is suffering from various forms of dementia.

Alzheimer's is no respecter of persons. From former President Ronald Regan to our next-door neighbour, this terrible disease knows no bounds. It takes a terrible toll among its victims and their families.

It is important for me to once again acknowledge and express my gratitude to the member for Don Valley West for seconding this legislation when it was introduced in Parliament. The member has shared heart-wrenching stories of parishioners he dealt with in his work as a United Church minister, and I know he shares my desire to see this bill become a reality. I thank him for his support. I want to acknowledge as well the work of former member Claude Gravelle on this important issue. It once again demonstrates that we can work together in a non-partisan manner. When we do that, we can accomplish much for Canadians.

It is in this vein that I once again ask my colleagues in the House to walk shoulder to shoulder with us to ensure that Bill C-233 is passed into law for the millions of Canadians who will depend on it. We have come too far to let them down now. By acting now, we are remembering those who cannot.

The House proceeded to the consideration of Bill C-233, an act respecting a national strategy for Alzheimer’s disease and other dementias, as reported (without amendment) from the committee.

Alzheimer's Disease

[Rob Nicholson, Conservative, Niagara Falls, ON]

Mr. Speaker, I am pleased to rise in this chamber today prior to the third and final reading of my private member's bill, Bill C-233, an act respecting a national strategy for Alzheimer’s disease and other dementias.

I wish to sincerely thank my colleagues on this side of the House and members across the aisle for their support of this important legislation on behalf of the 747,000 Canadians living with this terrible disease.

Many of us have had to endure the very painful long goodbye to a loved one without the benefit a having a coordinated strategy.

I want to especially thank my colleague, the member for Don Valley West for his backing in seeing that Bill C-233 becomes a reality.

The non-partisan collaboration from all parties is a shining example of what we can accomplish in this House when we work together for the greater good of all Canadians.

Health

[Bill Casey, Liberal, Cumberland—Colchester, NS]

Mr. Speaker, I have the honour to present, in both official languages, the fifth report of the Standing Committee on Health in relation to Bill C-233, an act respecting a national strategy for Alzheimer’s disease and other dementias.

The committee has studied the bill and has decided to report the bill back to the House with amendments. I want to say that amendments were proposed by members of all parties on the committee, and we really feel that we have strengthened the bill as we present it.

[The Chair, Liberal, Bill Casey]

Okay, time is up.

We're going to five-minute rounds now, but the chair has to leave. I'm going to table our fifth report on Bill C-233, and I think that's quite an accomplishment for us. I'm tabling that this morning. When I table it, I'm going to say that every party had amendments that we think strengthened Bill C-233.

I'm going to turn the chair over to Mr. Webber, and I'll go to table Bill C-233.

I want to thank our guests. I'm sorry I'm going to miss the rest of this. It's very interesting, and you're bringing new perspectives that we hadn't heard. Anyway, I have to go.

[Darshan Singh Kang, Liberal, Calgary Skyview, AB]

Thank you, Mr. Chair.

I'll start again. At the first meeting on Bill C-233 on November 17, Mimi Lowi-Young, former CEO of the Alzheimer Society of Canada, told the committee that women are most affected by the disease, that 65% have the disease and 72% are primary caregivers. Do you anticipate that a gender-based analysis plus assessment will form part of the discussion leading to establishing a national strategy on Alzheimer's disease and other forms of dementia?

[Darshan Singh Kang, Liberal, Calgary Skyview, AB]

Thank you, gentlemen, for bringing this bill forward.

As we discussed before, almost everybody is affected by some kind of mental disease in their family or friends. This is a good bill, and of course you're going to have my support.

At the first meeting on Bill C-233, on November 17, Mimi Lowi-Young—

[Rachel Blaney, NDP, North Island—Powell River, BC]

Then I think it should be removed from the legislation.

I want to get on to another issue. Unlike Bill C-356, the national strategy for dementia act, this legislation doesn't contain any provisions to augment the capabilities of the voluntary sector. Can you explain why you chose to exclude any mention of the voluntary sector from Bill C-233?

[Rob Nicholson, Conservative, Niagara Falls, ON]

Mr. Chair, vice-chairs, and members of the committee, it's an honour to be here today to present my private member's bill, along with my fellow colleague, the member for Don Valley West, Mr. Rob Oliphant.

Bill C-233, is an act respecting a national strategy for Alzheimer’s disease and other dementias. This bill calls upon parliamentarians to enact legislation for a national coordinated strategy for what has been termed Canada's invisible killer. Alzheimer's and dementia are major health problems that transcend partisanship and are affecting a staggering number of Canadians currently. I believe you have heard that 740,000 Canadians currently suffer from Alzheimer's, and ever more concerning is the fact that this number is expected to double in the next 20 years.

This is why I believe Canada needs to have a plan. I'm certain Mr. Oliphant will touch upon his experiences with Alzheimer's and dementia when he speaks, so I would like to take a moment to note the work on this topic by a former member of Parliament, Claude Gravelle. It's most heartening to know that in matters of concern to Canadians and their families, MPs can work together across party lines to unite and advocate for research, collaboration, and partnership, to find cures, timely diagnoses, and other support for treatment. This co-operation will lead to positive outcomes for Canadians who suffer from Alzheimer's and dementia, and will reassure their loved ones that people who are suffering from this will have the proper care. Canadians expect that their parliamentarians will work on their behalf to resolve these critical issues.

The impact on families whose loved ones are suffering from Alzheimer's or dementia is extensive. Three out of four Canadians know someone living with dementia. I can't tell you how many people have approached me over the last couple of months to tell me the stories they have experienced within their families. This not only takes an emotional, psychological, and physical toll on those who are providing support for loved ones, but it also has a severe financial effect.

In 2011, caregivers provided 444 million hours of care, representing $11 billion in lost income, and about 230,000 full-time jobs. By 2040, caregivers will be providing 1.2 billion hours of care, over two and a half times the number of hours they provide today.

Alzheimer's and dementia are no respecters of people as they rob them of their dignity, independence, memory, and time. They know no bounds and are not restricted to social or economic factors. No one is immune to these terrible diseases and the suffering that follows.

It brings to mind the late United States President Ronald Reagan. The former leader of one of the most powerful and wealthy nations on earth could not be safeguarded from the ravages of Alzheimer's. On November 5, 1994, I remember him as the 40th president of the United States, addressing the American people by writing, in part, “I now begin the journey that will lead me into the sunset of my life.” That journey took 10 slow and painful years. His loving wife Nancy referred to it as the long goodbye.

Far too many Canadians endure the long goodbye. My own father, who I cherished, passed away from complications due to Alzheimer's, and I am joined by many who have dealt with or are dealing with a loved one suffering from one of the various forms of Alzheimer's and dementia. Again, we know that this is going to increase.

The bill I have put before you, first of all, proposes to establish a round table to receive input from all Canadians. It would develop a national strategy, while ensuring the autonomy of the provinces remains intact. Second, it would encourage greater investment in all areas related to Alzheimer's and dementia, in addition to coordinating with international bodies to fight against the disease. Third, it would seek the assistance of the provinces in developing and disseminating diagnostic and treatment guidelines based on new research. All of these measures have been thoroughly considered to ensure the successful passage of this legislation.

Importantly, please note that this bill does not restrict timelines or financial criteria. This is a deliberate intention to remove potential barriers, such as the need for a royal recommendation. Simply put, this bill is crafted for implementation, achievement of deliverables and, ultimately, resilience at third reading. The objective is to enact legislation that would provide solutions to assist those who suffer from Alzheimer's and dementia, and to aid family members and caregivers.

The World Dementia Council was created by the G8 in 2013 as a global coordinating movement against Alzheimer's and other dementias. It's trying to harmonize those efforts and bring together global know-how.

Canada, along with its G8 partners, had convened a meeting in London, England, in December 2013. The sole purpose of that meeting was to provide a structure for a worldwide response to this crisis. It was the first time that the G8 countries had gathered together to address a health care issue. It's clear that Canada has already agreed to work with our partners to address Alzheimer's.

In order to fulfill this mandate, we have to develop similar programs here at home. Bill C-233 would help achieve this outcome through the national strategy. I would reiterate that Bill C-233 would respect the health care accountability of each province. I was very careful in the drafting of this bill to ensure that it does not require a royal recommendation.

I would be remiss if I didn't acknowledge and thank the Alzheimer Society of Canada for their unwavering support of this bill. Their mandate and the objective of this bill closely align and support one another. The Alzheimer Society stated that it was pleased to see political parties working together to address dementia. It urged all members of Parliament to get behind this bill, suggesting that a national strategy focusing on research, prevention, and improved care is the only solution to tackling the impact of this disease.

I believe that support for this bill is the right thing. Alzheimer's and other dementias are major health issues that impact hundreds of thousands of Canadians, and it is a problem that is growing every day. Canada needs a strategy now, so Canadians can be prepared to take on this health crisis in the future.

Thank you for your support.

I'd like to now turn it over to my colleague, Robert Oliphant.

Dementia

[Rob Nicholson, Conservative, Niagara Falls, ON]

Mr. Speaker, today I am pleased to present to the House of Commons a petition with respect to my private member's bill, Bill C-233. The bill supports developing strategies for patients and families of Alzheimer's and dementia victims. It has been certified by the clerk of petitions. I am proud to present this petition.