Evidence of meeting #81 for Health in the 41st Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was funding.

A video is available from Parliament.

MPs speaking

Also speaking

Glenda Yeates  Deputy Minister, Department of Health
Krista Outhwaite  Associate Deputy Minister, Public Health Agency of Canada
James Roberge  Chief Financial Officer and Executive Vice-President, Resource Planning and Management Portfolio, Canadian Institutes of Health Research

3:30 p.m.

Conservative

The Chair Conservative Joy Smith

I'll call the meeting to order.

I want to welcome everyone. We have a very special day today, with the Honourable Leona Aglukkaq, Minister of Health, joining us.

Welcome, Minister. You're at the best committee on the Hill, but of course you know that. We certainly welcome you here today.

Today, pursuant to Standing Order 81(4), we're doing main estimates for 2013-14, and of course, we do the votes. These were all referred to the health committee on February 25.

We will begin with the minister, and I'm sure you want to introduce your assistants with you, Minister.

3:30 p.m.

Nunavut Nunavut

Conservative

Leona Aglukkaq ConservativeMinister of Health

Thank you.

Good afternoon, everyone.

Madam Chair and members of the committee, it's a pleasure to be back here to discuss the main estimates for the health portfolio. With me today are Glenda, Krista, Dr. Greg, and James. I believe this is the last appearance for James before this committee. He will be retiring on Friday.

3:30 p.m.

Some hon. members

Hear, hear!

3:30 p.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

I'm sure he's quite happy about that, so give him a good time today and don't be too hard on him.

Over the past year, the committee has discussed and considered many of this country's most important health issues. During my last appearance before the committee, in November, I highlighted our government's efforts to reduce the deficit, and our emphasis on protecting the front-line health care services within the health portfolio. I am pleased to report that we have honoured and continue to follow through on these commitments.

Madam Chair, we remain committed to sound financial management. Building on budget 2012 commitments, we are increasing effectiveness and efficiencies across the portfolio. We're reducing redundancies and aligning efforts, where possible. As well, we are focusing on core mandates to help us meet emerging demands and adapt to new realities.

The main estimates for the health portfolio represent a net decrease of $104.9 million over last year. This decrease is mainly due to the savings identified as part of our economic action plan 2012, and sunsetting programs. However, for a more complete picture of the future direction of the health portfolio, we also need to consider the government's investments in health, as outlined within the economic action plan 2013.

As highlighted in economic action plan 2013, our government invests over $2.4 billion annually for first nations and Inuit health, including primary health care for on-reserve communities, as well as non-insured health benefits. On top of this investment, economic action plan 2013 provides $52 million over the next two years to improve access to quality health services for first nations and Inuit. This funding will help expand electronic health services, including telehealth within the remote and isolated first nation communities, and it will expand the number of accredited health care facilities on reserves, as well as mental wellness teams.

The funding is on top of the $90 million in main estimates that will also be dedicated to the continued implementation of both the residential school settlement agreement and the first nations water and wastewater action plan. Once these funds are added in the future supplementary estimates, the health portfolio planned spending for 2013-14 will increase over the 2013 main estimates level.

Our government has once again confirmed that health remains a key federal priority. As confirmed in economic action plan 2013, this government will not balance the books on the backs of the provinces and the territories. We are on a sustainable, long-term track for health transfers to the provinces and the territories that will see funding reach a record high of $30.3 billion this year, and it will continue to grow. This will help ensure health care services are there for Canadian families, when needed.

Federal action on health doesn't stop at annual transfers. The federal government remains the largest single investor in Canadian health innovation, primarily through the grants made by the Canadian Institutes of Health Research. We are supporting ongoing health innovation with advanced research through an additional ongoing investment of $15 million per year for Canada's strategy for patient-oriented research. Again, this will help ensure patients are placed at the centre of care.

The federal role in health extends far beyond health care services. This week I delivered a keynote address about how our government is supporting Canadian families. I announced several important new initiatives that demonstrate how we are strengthening the safety of consumer products, food, and drugs.

Today, I would like to echo those remarks in the context of the estimates and our priorities moving forward.

Health Canada is always on the lookout for emerging threats to health. For example, it's clear that some products containing small powerful magnets pose a danger to children. These magnets are found in some novelty sets and some children's toys. If more than one magnet is swallowed in a short period of time, the results can be very serious or even fatal. Under the Canada Consumer Product Safety Act, Health Canada is taking actions to identify these dangerous products and contacting companies to have the products removed from the marketplace.

Our government wants to make sure that playpens remain safe, which is why Health Canada is proposing to strengthen regulations for playpens, including adding new requirements for playpen accessories, which will result in the application of even higher standards for their construction and safety features.

I also noted this week that the safety of our medication is also of vital importance to Canadians and their families, which is why we're improving safety standards. We're ensuring that hospitals have strong systems in place for reporting adverse drug reactions. We're working with industry to improve drug-naming practices to reduce the number of products that are confused because their names look or sound alike. This will help Canadians to better understand what they're taking and prevent dangerous mix-ups of drugs, particularly among our seniors.

With regard to natural health products, we have listened to the industry and consumers, and we have streamlined our approaches while maintaining safety as our top priority. This means that Canadians will benefit from access to over 60,000 authorized products.

Canadians need to know that the products they buy, use, and eat are subject to strict safety standards. They need to know that their government can detect and correct problems quickly, and they need to know that the information and labelling that they see are helpful and accurate. This is particularly true with food safety. For people with food allergies, for example, proper labelling is essential. Now when people shop for groceries, they will find more straightforward ingredient labels. These labels declare allergens and gluten sources that may not have been disclosed in the past. It's about helping Canadian families to get the information they need to make healthy, safe choices.

In terms of emergency preparedness, we continue to be prepared to respond to a range of public health issues. More recently we have been monitoring events in China related to the H7N9 virus. While the risk to Canadians remains low at this time, we continue to share information with the public, communicate with our public health experts in China, and work in close collaboration with our many partners.

l'm also proud to report that we're expanding our food-borne illness surveillance program, known as C-EnterNet, with a third surveillance site. This is one way we're able to track food-borne illnesses and their sources, and to help prevent diseases from occurring. Through close collaboration between the Public Health Agency, Health Canada, and all our food safety and surveillance partners, we are committed to providing Canadians with the best possible food safety protection.

We've also demonstrated our commitment to protecting families when and where they need it. In partnership with the Heart and Stroke Foundation, we're going where Canadians are, to help ensure safe environments that are both active and healthy. For example, earlier this year Prime Minister Harper announced a four-year initiative to support the installation of automated external defibrillators in hockey arenas across Canada. It's one way we're reaching Canadians in their communities. This is technology that we know works, is easy to use, and can help save lives.

We need to be there for Canadians when they want advice or guidance, and that's why our government is also tapping into the power and reach of social media. HealthyCanadians.gc.ca allows even the busiest parent to stay informed. The latest alert on unsafe products, information on food, and tips on nutrition or quitting smoking are all on the HealthyCanadians site, as a one-stop shop.

Madam Chair, families, and all Canadians, want their government to be that kind of a partner in their health—not to lecture them, not to interfere in their daily lives, but to be there when they need it, to make sound policy decisions based on solid research, and to provide practical and clear advice as the world around them changes.

Today l've outlined some of the ways we're partnering with families across the country. As we look to the year ahead, l'd like to thank all members for their hard work and their shared commitment to Canadians.

I would be happy to take your questions this afternoon.

Thank you, Madam Chair.

3:40 p.m.

Conservative

The Chair Conservative Joy Smith

Thank you very much, Minister, for those insightful comments. We're very pleased to have you here today.

We'll begin with our first round of seven minutes, beginning with Dr. Sellah.

3:40 p.m.

NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

Thank you, Madam Chair.

I would like to begin by thanking the minister and her colleagues for appearing before us today.

I want to let the minister know that my questions will be short and to the point, and I would appreciate it if her answers were the same.

Minister, do you believe in the principles of the Canada Health Act?

3:40 p.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

The Health Council of Canada was established under the accord. The 10 years will expire this coming year, and that will be the end of that council.

3:40 p.m.

NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

Do you believe in those principles? Yes or no?

3:40 p.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

Oh, the interpreter made a....

The Canada Health Act? Absolutely.

3:40 p.m.

NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

Okay.

Do you think that the federal, provincial and territorial governments should be accountable to their citizens regarding their health care spending?

3:40 p.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

The provinces and the territories deliver health care. Under the Canada Health Act, the federal government provides health transfers to the provinces and the territories. Each of these governments makes the determination in terms of its own priorities on where it wants to spend health care funding, based on its own needs.

3:40 p.m.

NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

But you do believe that they should be accountable to their citizens?

3:40 p.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

Madam Chair, that is a question for the provincial and territorial health ministers, in terms of how they deliver their health care.

In terms of our obligations under the Canada Health Act, we provide transfers to the jurisdictions. There are different provincial and territorial governments in place. They are elected, and they make their own determinations in terms of how and where they will spend their health care dollars, based on their own provincial or territorial needs.

3:40 p.m.

NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

Why then, minister, are you abolishing the Health Council of Canada, an organization that allows Canadians to monitor your government's results—or rather the lack thereof—in the area of health accords?

3:40 p.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

The Health Council's mandate is to monitor and to report health care renewal commitment under the health accord. The 2004 accord is ending in 2014. It was a 10-year accord.

It makes sense for the government to wind down its funding to the council over the next two years. The government will provide the council with sufficient funding for the completion of the council's mandate, including its final report on progress under the accord.

Thank you, Madam Chair.

3:45 p.m.

Conservative

The Chair Conservative Joy Smith

Dr. Sellah.

3:45 p.m.

NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

How much time do I have left, Madam Chair?

3:45 p.m.

Conservative

The Chair Conservative Joy Smith

You have about three minutes.

3:45 p.m.

NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

Okay.

Minister, can you explain to us how you plan to carry out your mandate if, between 2011 and 2016, your department is going to lose 20% of its funding and 10% of its staff? Sectors as important as food safety and nutrition will undergo a 20% cut. In the area of substance abuse, the reduction will be 35%. Meanwhile, you just launched a Canada-wide strategy on drug abuse. How will you manage to meet your mandate?

Could you also tell the committee whether or not you will continue to fund Health Infoway?

3:45 p.m.

Conservative

The Chair Conservative Joy Smith

Ms. Yeates, would you like to...?

3:45 p.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

I'll start with Health Infoway, Madam Chair. Yes, we'll continue to fund Health Infoway.

I'll ask the deputy to respond to the internal funding allocations.

3:45 p.m.

Glenda Yeates Deputy Minister, Department of Health

The estimates this year are displayed somewhat differently, so they show actual expenditures and then main estimates to main estimates. In some cases, it does appear there are significant decreases, as was noted by the honourable member. In fact, what we see is that the 2011-12 expenditures include supplementary expenditures, so supplementary estimates (A), (B), and (C), which often come before this committee, are included in those figures.

Some of the reductions that appear between last year and the coming year are, in a sense, because there's a different basis of calculation. I would like to reassure members, though, that in terms of food safety, there is no diminution in our focus on this core mandate. There are some small changes as time goes on, but in the areas that are mentioned, some of the figures, I think, reflect the differences between the way the different figures are based.

3:45 p.m.

Conservative

The Chair Conservative Joy Smith

You have 45 seconds.

3:45 p.m.

NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

Your department really mismanaged the Alysena 28 recall. You issued a voluntary recall before issuing a mandatory one, in response to pressure from health professionals.

Could you explain to us what happened and what you will do to ensure that it doesn't happen again? We know that women could have become pregnant without really wanting to.

3:45 p.m.

Conservative

The Chair Conservative Joy Smith

Minister?