Mr. Speaker, it is a pleasure to talk today about health care but I am saddened that yet again we seem to be talking about turf.
The motion is filled with words about turf and not about the welfare of Canadians. Words like jurisdiction, unconditionally, encroach and health care field actually mean that we refuse to discuss what is most important to Canadians individually but also to Canadians' role in the international field.
I would like to talk to this motion from two perspectives.
Canada on the international stage when sitting at a meeting with other countries with the Canadian flag in front, needs the ability to be responsible for the kind of health care delivered across the country.
Mr. Speaker, I forgot to mention that I will be sharing my time.
Canadians across the land need to know that when they are represented internationally they will not be embarrassed. Canadians hold their health care system with huge pride. They have expressed that medicare is their badge of honour.
Canadians feel that fairness in the delivery of health care across the country is the most important thing to them. They do not think the size of somebody's wallet should determine where one stands in line for a required procedure. It is extremely important to remember that the provincial responsibility has been for the management and the delivery of health care, but the federal government has always had a role in health care promotion and prevention.
Prevention is the most important thing we can do for our health care system. It must not and can never be separated from actually what is the vision and values of health care for the country. It is integral to doing a good job in health care.
The federal government has always had an important fiscal component in health care. The central vehicle of this has been the CHST. The CHST has been an important lever in terms of a cash transfer. Up until now it has been our only way of insisting on the provisions of the Canada Health Act which are actually essential to the security and confidence that Canadians have in the system.
Public administration, comprehensiveness, universality, portability and accessibility are important aspects to Canadians but as I have said before, unfortunately the Canada Health Act says nothing about quality.
Canadians risk losing confidence in their health care system. It is imperative that the federal government has a way of ensuring high quality care. That begins with an understanding and co-operation in terms of measurement.
It is thrilling that today with the social union talks we have begun discussing things like accountability. I remember last summer when the Minister for Intergovernmental Affairs first mentioned in terms of the social union talks the word accountability. A lot of us were thrilled that there was the beginning of a discussion on how we ensure to Canadians that it is not the federal government checking up on the provinces but it is a matter of both levels of government being able to report to Canadians on how these outcomes are being done.
Today we see in the document things like achieving and measuring results, monitoring and measuring outcomes of social programs, sharing information and best practices, something we know we need to do in order to find the savings. Just giving money is never going to be enough, unless we can ensure that health care is delivered in a collaborative way where all the provinces get to share their good ideas with one another and professionals get to determine what are best practices and a cost effective way of spending the money.
Today we have publicly recognized the respective roles and contributions of all levels of government. But we also know that when funds are transferred from one government to another for the purposes agreed upon it is extraordinarily important that this not be passed on to the residents in some other way. We need to make sure that the dollars for health care are spent on health care and that they are spent wisely on health care.
Involving Canadians in some sort of vision exercise is going to be the most important thing we do. We have to ensure that there are effective measures for Canadians to participate in what it is they want and the ability of the federal government to make sure that it happens.
There are certain places within the provinces that do extraordinarily good things. The kind of standard that is now in Quebec in terms of home care is a model for the country. We should share that information across the country and talk about how we get that for all Canadians. Recently when we saw the B.C. outcomes in cancer, we were all a bit jealous and wanted to know what was being done. It is up to the federal government to be the clearing house to make sure those good ideas happen.
Whether it is waiting lists or outcomes or how people are doing in early discharge, we have to measure the readmission rates, if we are going to boast about early discharge in terms of maternity for example. We need to know about hysterectomy rates and Caesarean section rates and birth weight. We are judged internationally as to how we are doing on things such as birth weight. It is not good enough that we leave the accountability for the provision of health care without holding our own valued responsibility to Canadians in terms of how the dollars are spent.
Traditionally the federal government has had some small direct spending ability. Today in the talks it was again articulated. Federal spending power should be used in making transfers to individuals and organizations in order to promote equality of opportunity, mobility and other Canada-wide objectives. When the federal government introduces new Canada-wide initiatives funded through direct transfers to individuals and organizations, it is going to give notice and co-operate with the provinces.
Look at our CAPC program. There are a lot of areas in Quebec where that is hugely welcomed and gratefully received. It is that kind of initiative Canadians have benefited from again irrespective of turf.
I implore my colleagues across the way to help us decide. There were social union discussions today. The next step must be to move to a proper vision exercise to decide together what kind of country this is and what are the values and the vision for this country. Then we must continue to co-operate in a way that is good for Canadians and accountable to Canadians.