Madam Speaker, I am pleased to take part in the debate on Bill C-13, an act to establish the Canadian Institutes of Health Research, to repeal the Medical Research Council Act and to make consequential amendments to other acts.
Until this summer I was industry critic for my party. For two years, I had an opportunity to see the representatives of universities, numerous research centres and of course funding councils that came before us. They came to tell us how underfunded research and development was in Canada, and how much the funding had dropped in real terms.
It would be important to look at the major trends in the way support to health research has been distributed. I have here a chart, which I cannot show to the House, but which was provided by the Medical Research Council of Canada. It shows that in Canada, while funding had been increasing by about 10% since 1991, in 1994, shortly after the Liberal Party came to office, this funding started to diminish to the point where it dropped below zero.
Meanwhile, the increase was 30% in France and in excess of 40% in the United States and in the United Kingdom. Other figures show increases of up to 80% in the United States.
The council also told us “public investments in health research have diminished by 10% since 1985, while they went up by 80% in the United States. This gap is increasing every year and is leading us straight to conditions that will prevent us from attracting the best researchers”.
The situation lasted until just about now. Under these conditions, we can only be pleased to finally see money being invested in health research and development. Canada is seriously lagging behind and cannot make up for lost time.
I want to point out that, under these difficult circumstances, Quebec maintained the same level of funding, while Canada's was diminishing.
I do not have the figures for the health sector alone, only for the whole research component, for the research areas funded by the Quebec and federal governments. From 1984-85 to 1996-97, federal funding for these sectors dropped from 55% to 37%, while funding provided by Quebec remained at 23%.
The federal government cut. We can look at various figures, but it cut funding to health research. The Government of Quebec maintained its funding, despite the radical cuts by the federal government of up to 40% in education.
Under these conditions, obviously, and I could not not say this, the fact that money has finally been announced for health, is good news, excellent news. It is late arriving, though, but better late than continuing on this slippery and dangerous slope, which caused research teams to fall apart, with some attracted by the United States, not by salaries or lower taxes, as has been claimed, but primarily because they could have research teams and equipment. So, well done.
However, what is the government that has now decided to invest in health doing? It is not doing as it did before, that is, funding specific projects through the funding councils. Since 1993, there has been a new approach, which has now culminated in the health research institutes, the corporation created by this bill, which will create divisions. This is not my word, it is in clause 20. So the CIHR will, in turn, create divisions.
I have a number of concerns, the first being the very real potential for centralization as the bill now stands. Of course, the government can tell us that that is not the bill's intent. It is not what the officials or those who worked on the bill intended. Our responsibility as parliamentarians is to read bills, because we are learning that they can always be useful at some time or another, and even though the government or the minister claims to be acting in good faith, there is always the bill.
So, this institute gives sweeping powers to its governing council, which will establish divisions. The bill says that its responsibility is to maintain and terminate them, so the power is total and absolute, and determine the mandate of each. The council shall create an advisory board for each health research institute and appoint the members of the advisory boards, and it shall appoint a scientific director for each health research institute. Obviously, the governing council will itself be appointed by the federal government.
Compared to the earlier operating structure, I think it fair to say that the bill is trying to improve things. Nonetheless, the autonomy research groups used to have with respect to projects is not at all guaranteed in this bill, as I read it. That is my first concern.
My second is that the government is proposing—and this too is very clear—that an integrated health research agenda be forged. This appears in the objective of the CIHR: “forging an integrated health research agenda across disciplines, sectors and regions that reflects the emerging health needs of Canadians and the evolution of the health system and supports health policy decision-making”.
The result of this objective might even be that the influence of this council on the organization could ultimately have an impact on health in Quebec.
Students will be trained there. Scientists will have their own teams, and we will build a body of knowledge.
There is another thing that is very worrisome, namely that the provinces are considered just like any other scientist or volunteer agency. The government says it will consult them.
One thing is certain, Quebec is not investing enough as it is, because of its dire financial situation, but it still invests in research and universities. A link must be established between the existing teams and the institutes to be created.
Which criteria will be used to choose the people who will create the institutes? Which ones will be established in Quebec, and what will happen to ongoing projects?
This bill raises all kinds of questions, and I know that our distinguished colleague, our health critic, will introduce the amendments we will insist on. After the drastic cuts the government has made in health research, we are not going to sit back; we will ensure that the money goes where it should and as it should.