Mr. Speaker, I thank you for allowing me to speak in this House on Bill C-76, an act to implement certain provisions of the budget tabled in Parliament on February 27, 1995.
In its budget, the government announced a series of measures that jeopardize our social programs. Bill C-76 confirms what we feared most and shows the extent of the damage done to Quebec and to the provinces by the federal budget. Cuts in transfers to provinces amount to $7 billion. That is $7 billion of the federal deficit reduction taken off the back of provinces. These new cuts in transfers to provinces come on top of all the unilateral cuts made in the few last years that were so stridently criticized by
the government members who were then sitting in the official opposition.
We must recall that, between 1977 and 1994, the federal government's share of social program financing, that is for health, education and welfare, dropped from 47.6 per cent to 37.8 per cent. Bill C-76 is the confirmation of a sharp drop in federal funds, which is supposed to reach 28.5 per cent within two years, by 1997-98.
After so many years of offloading its responsibilities onto the provinces, the federal government still does not understand that reducing transfers does not solve in any way the fiscal problem that all Canadian governments experience. By imposing dual jurisdictions in fields that are not federal according to the Constitution, the federal government is preventing any real solution to the crisis in Canada's public finances, whether at the federal or the provincial level. In the end, the real losers are the taxpayers we are here to represent.
I said earlier that this budget would be the end of our social programs as we know them. We all know that Quebec and the provinces are facing a breathtaking rise in medicare costs. This raise is mainly due to factors such as an aging population, new and more expensive medical technologies and significant cost increases in pharmaceutical products.
In the last budget, as was the case in previous budgets which froze transfer payments, the government announced substantial cuts in transfers to Quebec and to the other provinces for health care. It does not matter that, under Bill C-76, transfers for this program will be lumped in with other program funding in one transfer, the Canada social transfer. The result will be the same. Less money will be available for health care, and in this way, the government has chipped away at one of the foundations of our health care system.
The Minister of Finance should be honest and open with Quebecers and Canadians. He should admit to them that such cuts in transfer payments will put an end to the health care system as we know it, because that is what is at stake here.
The claim that all of these cuts will have no impact on the health of Quebecers and of Canadians and on the health care system itself is false. I cite as proof the recent statements made by the Prime Minister, when he quietly and furtively introduced the new concept of guaranteed fundamental or basic health care services for Canadians. By even talking about minimum standards, which have not been specified or determined, as being essential, the Prime Minister only draws more attention to a cross-Canada phenomenon: a two-tiered and two-speed health care system.
The two-tiered health care system is gathering steam from the well established tendency in the system which, unless there is a spectacular about-face, will become the norm. On the one hand, a normal or basic service will be covered by health insurance and, on the other, a fully loaded, specialized service will also be available for those who can afford to pay the user fees, to buy private insurance or to finance their health care in another way.
As for the two-speed health care system, it is well entrenched throughout Canada: slow public services for those who cannot afford to pay and fast private services for those who cannot afford to wait but can afford to pay.
No one in this House can deny that our health care system as we knew it has undergone radical changes across Canada. The two-level and two-speed system is no longer a doom-and-gloom scenario but a reality.
In his budget speech, the Minister of Finance solemnly declared, and I quote: "The conditions of the Canada Health Act will be maintained. For this government, those are fundamental".
Bill C-76 reimposes these national standards while, at the same time, cutting the financial resources needed to maintain them. It is pitiful double talk: although we want a Cadillac, we will only make payments for a bicycle.
They are saying that the provinces should find ways to make up the difference and trying to pass this off as an example of flexible federalism. How can the Minister of Finance still think and maintain that Quebec and the provinces will manage to provide the same health services to the population? How can Quebec and the provinces manage to maintain all five conditions of the Canada Health Act imposed by Ottawa, when the Minister of Finance is offloading onto them a deficit in the billions of dollars through cuts in social programs?
The Minister of Finance should have shown some courage and should have been straight with his fellow citizens by telling them: "Unfortunately, because of our past mistakes, in particular at the time of the Chrétien and Lalonde budgets, we can no longer afford to maintain our health care system as we know it today". The Minister of Finance is dodging his responsibilities instead of facing up to them. This government is dodging its responsibilities by transferring its deficit to Quebec and the provinces. This government is misleading the people by hiding the fact that the health care programs are about to sink as a result of the budget.
Bill C-76 takes out two heavy mortgages on the Canadian health care system. On the sole basis of the obscene interest rates resulting from the federal government's inability to bring under control the public finance crisis it has created, the health of our patient, the taxpayer, is not about to get better.
The Martin budget and Bill C-76 implementing it take out a first mortgage on the general state of health of our fellow citizens. All studies conducted here and elsewhere clearly show the cause-and-effect relationship between poverty and the state of health of the population. By making cuts to social housing and unemployment insurance, attacking the unemployed rather than unemployment itself and reducing transfers to the Canada Assistance Plan, the government is launching a full-scale attack against the most disadvantaged in our society. For the
second year in a row, the unemployed and the working poor will be the budget cuts' main victims, while large corporations and financial institutions will be spared for all practical purposes.
The Minister of Finance announces further cuts to the Unemployment Insurance Program but only a temporary tax on the capital of large banking institutions. The minister will beg for a mere $100 million from banking institutions, when the Royal Bank alone made over $1.2 billion in profits last year.
In addition, this government turned a deaf ear to requests from all sides, from the Bloc and the Conseil du patronat alike, to eliminate all business subsidies. Instead, the Minister of Finance chose to make cuts of more than $300 million in social housing rather than going for the remaining $1.5 billion in business subsidies. That is the federal approach.
Large corporations and banks can sleep in peace. The Minister of Finance clearly indicated in his budget that, once again, the unemployed and the disadvantaged will bear the brunt of the financial problems of this inefficient federal system, while at the same time ensuring that wealthy Canadians may continue, until the end of the century, to benefit from the advantages that flow from the establishment of family trusts.
So, this is one way Bill C-76 attacks the health of Canadians. In time, sparing the rich by squeezing more and more money out of the disadvantaged, the government is, in fact, taxing the health of the latter.
In this land of renewed and flexible federalism, the idea is to be rich and healthy not poor and in ill health. The second attack of Bill C-76 on the health area is a direct attack on the provinces' capacity to meet national standards in health care at a time when the federal government is substantially reducing its transfer payments. There is a certain irony in this way of proceeding. The federal government is cutting its transfer payments to Quebec by 27 per cent while at the same time developing national standards like those arising from the Canada Health Act and imposing them upon Quebec.
Quebec is expected to absorb a large portion of Canada's deficit, while the federal government continues to interfere in Quebec's jurisdiction. Quebecers will continue to pay for the duplication imposed by the federal system. There will still be two health departments, two human resources departments, two environment departments, and so on.
As for the health sector, if the federal government can no longer afford to meddle in this field of provincial jurisdiction, it should get out completely and leave it to the provinces, with the appropriate means of financing. This way, the federal government would at least save all the administrative costs related to its programs, which duplicate those of the provinces. One example is the pre-natal program established last year by the health minister, which is identical to the Quebec OLO program. Both the federal government and the provinces would gain and, in the end, the public would get more for the same money.
In Quebec, as in the rest of the country, people now realize that they can no longer get deeper into debt if they do not have the means to pay. Canadians and Quebecers balance their budget by reducing waste and frivolous spending. In every household, people consult each other to avoid buying the same item twice. By taking on two major financial commitments in the health sector, the federal government clearly shows that it still does not realize the seriousness of its financial situation. The only appropriate remedy would be to stop spending, in fields which do not fall under its jurisdiction, just for the sake of satisfying its compulsive need to centralize.
Canadian finances suffer from an acute case of federalism. In order to centralize everything, federal initiatives duplicate and overlap with provincial ones, regardless of the costs, or net results in terms of services to taxpayers. I draw the attention of this House to the eloquent silence of the health minister regarding the negative but foreseeable effects which this bill will have on health care services in Quebec and in Canada. If the minister is at all receptive to what goes on in her department, she must be aware of the serious impact of this bill on our health system.
She must see the flaws of a system which is obviously and quickly leading us to a two-level program. Since the hon. member assumed her functions as Minister of Health, she keeps on repeating that Canada's system is the best in the world and that she cares so much about Canadians' health that she will never sacrifice the five major principles underlying the Canada Health Act.
But the facts do not bear this out. If the minister will not sacrifice, as she claims, these major principles, her colleague, the Minister of Finance, has no scruples about doing it, although not directly, since that would require a good dose of straightforwardness, but indirectly. Principles or not, the Minister of Finance slashes the established programs financing, thus making deep cuts into the health care system.
The minister may claim over and over her attachment to the principles underlying the legislation, but what happens if the necessary financial support is not provided? The principles gradually but surely fall into oblivion. Those are the facts of the matter, and they are becoming more and more obvious to Quebecers. Canadians all over the country would not rush to private clinics the way they are doing if the attachment of the health minister to the principles of the Canada Health Act was
shared by all, and particularly the Minister of Finance, who is showing just the opposite with Bill C-76.
I realize that the Minister of Health cherishes the principles which, at the time, were instrumental in establishing what she invariably refers to as the best health care system in the world. However, I do not think that, cherished though they may be, these principles had any impact on the government's budgetary decisions. It is clear that the minister failed miserably in her attempt to obtain the appropriate financing for our health care system.
Perhaps I may recall for the benefit of hon. members what the Minister of Health had to say about the impact of the cuts and freezes imposed at the time by the Conservative government on transfers to the provinces for health care programs.
The minister said in 1992, and I quote: "Cutting back on the transfers in these areas has not contributed to better management of our health care system". She went on to say: "We have literally forced our deficit on to the provinces and said to the provinces they have a choice: they can either increase their taxes or cut back on their services. What we have seen in many instances is a mix of the two".
Then, still in the same speech, the minister indicated the following: "Cutting back on the transfers in these areas has not contributed to better management of our health care system. They have only contributed to the cutbacks and to the fear that we feel now across the nation as the middle income group, which is the largest group of Canadians, are frightened and afraid of what is going to happen to them in the future. Will there be a health care system for them, will they be able to get the drugs that they need at the prices they can afford to pay when they need them, when they get to be a certain age? There is this feeling that perhaps the federal government is letting go of its responsibilities in this matter".
So what does the Minister of Health have to say now about her government's responsibility for health care, when the bill before the House today offloads $7 billion of the deficit to the provinces by cutting transfer payments? Since she probably knows better than anyone else the serious consequences of these cutbacks, what did she do and what is she doing now to defend her position before the Minister of Finance?
In fact, the Minister of Health has abdicated her responsibilities. When the last budget was brought down, she formally announced there would be a national forum on health, as promised in the red book, to be chaired by none other than the Prime Minister. We were told the health care system would be spared until the conclusions of the vast public forum were known.
While the Minister of Health was unable to hold her forum, which was going to provide all the answers, her colleague, the Minister of Finance, wasted no time and spared no expense on a course of action. The national forum, the discussions and the reforms were all to be scuttled; blind, uniform and unilateral cuts were the answer.
The Minister of Health who must see the same two-tiered two- speed system we see everywhere in Canada, should have the courage to rise in this House and denounce the unilateral decisions of her colleague, the Minister of Finance.
Bill C-76 proves to us that the Minister of Finance is not getting caught up in his colleagues' proposed reforms. In the case of the Axworthy reforms, he did not wait for either the report or the recommendations. The agenda for reform was so vague, there was no time to wait. This was the case also for the national forum on health. At the rate things are going, with the health department dragging its feet and finance charging away at a gallop, there will probably be no more money for transfers by the time the Minister of Finance gets a whiff of a recommendation from the national forum on health.
In the final analysis, this bill is the antithesis of flexible federalism. Nothing in it, in the facts or in the measures announced alters the status quo in the slightest. On the contrary, it confirms the governments imperialist propensity to conduct its business with the provinces by presenting them with a fait accompli. It is true to its vision of ever more centralized federalism.
Mr. Speaker, I conclude on this point. The bill conceals serious consequences for the future. It continues to widen the gap between the rich and the poor in our society and condemns many aspects of our social programs to certain death. The people of Canada have to know these things. More specifically, the people of Quebec have to know them before they make a final decision on the federal system, which is clearly not managing to solve its problems and is even less successful at changing to meet the expectations of Quebecers.