Evidence of meeting #12 for Health in the 45th Parliament, 1st session. (The original version is on Parliament’s site, as are the minutes.) The winning word was immigration.

A video is available from Parliament.

On the agenda

Members speaking

Before the committee

Marjorie Michel  Minister of Health
Lena Metlege Diab  Minister of Immigration, Refugees and Citizenship
Baird  Senior Assistant Deputy Minister, Strategic Policy, Department of Citizenship and Immigration
Orencsak  Deputy Minister, Department of Health
Park  Assistant Deputy Minister, Economic Programs, Department of Citizenship and Immigration

12:20 p.m.

Conservative

Dan Mazier Conservative Riding Mountain, MB

Just immigrant doctors.... Are they tracked—

Maggie Chi Liberal Don Valley North, ON

I have a point of order.

The Chair Liberal Hedy Fry

Excuse me. Order, please.

12:20 p.m.

Conservative

Dan Mazier Conservative Riding Mountain, MB

She wasn't answering the question. It was about immigrant doctors.

The Chair Liberal Hedy Fry

Mr. Mazier, if you ask a question, the witness is free to answer the question in whatever manner they deem appropriate.

I'm sorry, Ms. Park; go ahead.

12:20 p.m.

Assistant Deputy Minister, Economic Programs, Department of Citizenship and Immigration

Soyoung Park

They are not provided permanent residence as immigrant doctors. Because they're immigrant doctors and they have the experience as such, they have been given permanent residence.

12:20 p.m.

Conservative

Dan Mazier Conservative Riding Mountain, MB

Thank you.

Minister Diab, your department issues work permits, correct?

Lena Metlege Diab Liberal Halifax West, NS

Yes, we do.

12:20 p.m.

Conservative

Dan Mazier Conservative Riding Mountain, MB

Last year, your department approved work permits for over 1,000 foreign doctors who were funded by the Government of Saudi Arabia to train in Canadian hospitals. These visa trainees will never work a day in Canada after their training.

Why is your department approving Saudi-funded doctors for training in Canada when our own citizens can't find training spots?

Lena Metlege Diab Liberal Halifax West, NS

That's excellent. Actually, the Liberal member just asked me that question before you in the previous round, and as I explained, they are paid by the foreign country. Number one, not one penny is paid by Canada; number two, they do not take any spots away from any Canadians or permanent residents in medical school in terms of residency; and number three, they are there to actually doctor our own people. They are there to treat Canadians in hospitals and other settings.

12:20 p.m.

Conservative

Dan Mazier Conservative Riding Mountain, MB

I'll repeat the question. You were answering a totally different question in your assumption.

Last year, your department approved work permits for over 1,000 foreign-trained doctors who were funded by the Government of Saudi Arabia to train in Canadian hospitals. These visa trainees will never work a day in Canada. They will return to Saudi Arabia, so we're training doctors for dictators and sending them back so they can serve the dictators, not serve Canadian patients.

Why are you doing that?

Lena Metlege Diab Liberal Halifax West, NS

They are working in the hospitals and taking care of our sick people in the hospitals while they are here. They're not costing taxpayers a dime.

12:25 p.m.

Conservative

Dan Mazier Conservative Riding Mountain, MB

But Canadians can't get spots. There are Canadians who are trying to get back into the system to get training spots so they can become doctors and become productive citizens to serve Canadians.

Lena Metlege Diab Liberal Halifax West, NS

These are outside the matching system. They are not taking spots away from anyone.

12:25 p.m.

Conservative

Dan Mazier Conservative Riding Mountain, MB

Minister Diab, your department posted advertisements—

The Chair Liberal Hedy Fry

Thank you, Mr. Mazier. Your time is up.

I will now go to Mr. Eyolfson for five minutes, please.

Doug Eyolfson Liberal Winnipeg West, MB

Thank you, Chair.

Minister Michel, we talked about the number of Canadians without a family doctor. I started training in the late 1980s, when medical schools had already been cutting the number of medical school residency spots for several years. Was this due to decisions of the federal government, or were the decisions to cut the number of trainees admitted to medical schools back in the 1980s and early 1990s provincial decisions?

Marjorie Michel Liberal Papineau, QC

To go back to the 1980s and 1990s, in 2025, they're the same. It's the PTs' responsibility. It's not our responsibility. We are not cutting anything. We are not providing anything.

As you know, we, as the federal government, are transferring money to provinces and territories for the health sector, and they are choosing their own priorities. What I can see right now is that as the whole system across the country is under pressure, all provinces and territories are putting a lot of effort into filling the holes, but it's their jurisdiction. It's their choice.

Doug Eyolfson Liberal Winnipeg West, MB

Although the government has been giving tremendous amounts of money in the new budget for health infrastructure, there has been criticism that it doesn't go far enough and that you still need more health care transfers. Is this money not helping the provinces with their health care? If the province doesn't have to spend their own money to build a hospital, does this not make more money available for the provinces to spend on the much-needed health care professionals they need to staff those beds?

Marjorie Michel Liberal Papineau, QC

What I would tell you is that, as everybody knows, we are in a very difficult period. If this new federal government is putting $5 billion into health infrastructure in year one of its mandate, it's to answer an ask coming from provinces and territories.

That said, we need to help to build more health infrastructure. You will see it very rapidly, because, as I said, we have a number of projects already in the pipeline and people are ready to get more funding to make things happen in their region—so yes, it will help.

Doug Eyolfson Liberal Winnipeg West, MB

Okay, thank you. That's exactly the answer I was looking for.

Minister Diab, you were asked if the federal immigration department is tracking these foreign-trained doctors who came to go into training programs. Does the federal government generally track employment and employment status, or is employment and certification of physicians under provincial jurisdiction?

Lena Metlege Diab Liberal Halifax West, NS

I think that's exactly it. We're not in the business of tracking unless people are here on a closed work permit, and that's where ESDC comes in; it's not an IRCC function.

Lena Metlege Diab Liberal Halifax West, NS

Otherwise, if people are coming who are highly skilled, like doctors or physicians, they are coming as permanent residents. They're coming to work if they have a job and if they're licensed, and if they have to do a little bit of training before they get that, they work in other kinds of fields as well. They have the requisites and they've obtained what they needed to obtain to get permanent residency to come through a specific pathway, so they come as permanent residents.

Doug Eyolfson Liberal Winnipeg West, MB

What you're saying is it's not generally the federal government that tracks the employment status of any new immigrants. Is that correct?

Lena Metlege Diab Liberal Halifax West, NS

Again, if somebody is here on a closed work permit, then ESDC has a role to play as well.