Mr. Speaker, I am very pleased to speak today to the Bloc motion asking the government to respect provincial jurisdiction over health care management, to increase transfers to the provinces for health care unconditionally, and to avoid using budget surpluses to encroach upon the health care field.
As we speak, the premiers and the prime minister are gathered—they may be having lunch right now—to discuss the federal presence in the health care field. This meeting was called due to Ottawa's centralizing drive; it would never have had to happen if only the federal government knew how to respect the sharing of responsibilities as outlined in the Constitution.
Indeed, I will state again for the benefit of our fellow citizens that under subsections 7 and 16 of section 92 of the 1867 Constitutional Act, and their interpretation by the courts, it is clearly established and recognized that the management of health care and social services is a provincial responsibility.
The federal government for its part often uses its spending power to skirt the spirit of the Constitution and spend money in areas under provincial jurisdiction. Whether we approve or not of this spending power, we cannot but acknowledge the fact that the federal government has not made a wise use of it since, more often that not, the money thus spent is borrowed.
Successive governments have made such a use of this spending power to guarantee their visibility, their re-election or their supremacy or simply to flatter their own vanity, that Canada's credit card balance reached more than $600 billion, putting future generations of Canada into debt for many years to come.
The very same government who imposed drastic cuts in social programs, mainly in the health programs, wants to do the same thing again by imposing new standards, a new bureaucracy and new duplications. We have to put an end to this at all costs, non only in the interest of the people of Quebec, but of all Canadians.
The federal government would like to be recognised as the great saviour of health care when in fact it is the cause of all the problems experienced in the provinces. We must be very careful. I would like people to hear clearly what I am saying. At the present time, the federal government is playing with words. When the Prime Minister comes out and says he will generously put $2 billion back into health care, we are led to believe that he will take $2 billion out of the surpluses and put it back into health care. How generous!
But what the government really wants to do—we have forgotten a bit that there are still $40 billion to be cut before 2003—the government very generously says that because of our sound economic situation, it will only cut $38 billion between now and 2003.
So let us not be deceived. Some will say that $2 billion is still a significant amount. It is obviously very important that the $38 billion in cuts be reduced. We do not need any more cuts, but we should not cling to the hope that the government will be overly generous with the money it is digging out of our pockets.
We should also be mindful that under the transfer payment legislation, transfers are set by the government unilaterally, without consultation. Since 1977, those payments have been reduced, frozen or cut, and their adjustment has no relation whatsoever with the real cost of implementing provincial programs. It can be said that the federal commitment to health care has been broken.
By a strange coincidence, the debates that took place under Prime Minister Pearson on a Canadian health care system were made public yesterday. Surprisingly enough, there is another meeting today on the same issue. I hope the Liberal Party will return to its roots and seek inspiration from that great Canadian, Lester B. Pearson, and advocate policies that are more liberal, and less conservative and right wing.
Since 1994, the present Liberal government has cut $6.3 billion dollars in transfer payments to the provinces for health care, education and social assistance. Therefore, it is hardly in a position to lecture the provinces.
As for the federal government's wanting to impose a whole series of new conditions for maintaining and increasing its financial contribution to health care, let met remind the House that the National Council of Welfare, an organization whose role is to advise the health minister, warned against such action and said:
It would be extremely hypocritical to reduce contributions to the provinces... while raising the standards required of them.
However, the federal government chose to take the very position the National Council of Welfare called hypocritical.
The only thing the federal government has to do in the next budget is to listen to the wishes of the people and the unanimous requests of the provinces, take billions of dollars from its surplus and massively reinvest in health care. The provinces will know how to use this money most effectively.
We should entertain absolutely no doubt about the capacity of the provincial governments to spend carefully, in the best interests of the population, the billions of dollars the federal government is transferring to them for health care. All the federal government has to do is trust the elected representatives. The public is the best watchdog there is to prevent any abuses the governments could be tempted to make.
If the government members across the way do not start to take into account the real interests of the people, if they remain insensitive to what is going on in this country for too long, they will soon find out how bitter the pill is, since they will end up in opposition. That is what I wish for with all my heart.