The transfer payments for health care have been going on and have been the source of tension between the provinces and territories and the federal government for quite some time.
The reality here, I think, is that the provinces also have some responsibility. A lot of the underfunding has come from the provinces and territories choosing to shortchange long-term care and to not adequately fund it to the degree that could have prevented some of the deaths and more importantly, of course, the shortages in the wages the workers are paid in this sector.
I think it's critical to recognize that provinces have chosen—and I'm not here to simply excuse them—to cut taxes and reduce the amount of money they have to fund these services. At the end of the day, what we are seeing here is stuff we have been saying in the labour movement for decades. The reality is that you have staff who are inadequately paid, who have to work at three or four jobs to make ends meet, and they're working in long-term care. Many of them make just about minimum wage.
Had it not been for the federal government commitment to give a special boost to pay for these workers.... Most provinces are saying that once that funding is gone, they are not going to continue to maintain that special payment they are making to workers, even though we know these workers are highly under-represented. There is no question the federal government can increase the health transfers to the provinces, but what guarantee do we have that the provinces are going to spend it on long-term care? What commitment do we have from the provinces that they will enforce the rules to make sure the services these seniors receive are adequate?
More important, we have advocated and said that if we take the profit out of it, that means every penny you give to a long-term care facility would be invested in the long-term care facility and would not simply be siphoned off to pay shareholders. I think this is the fundamental issue if you know that most of the businesses that are operating long-term care are not doing so out of the kindness of their hearts but are doing so because they want to make money out of the service.
We think if you took the profit motivation out of our health care system, you could invest all that money to ensure the system was better off for the people who were receiving the care and make sure the workers could be paid and the staffing would be adequate to ensure this did not happen again.