Mr. Speaker, budget implementation is of great interest to me because the budget was characterized as a “health budget”. We have heard a lot about the health budget. The previous speaker being a physician and rather glowing about the budget obviously believes it was a health budget.
One issue has been fascinating to me. I have had an opportunity to go about the country and express this sentiment. The Liberal government has promised to put $11.5 billion back into health care over the next five years. There was a significant amount of advertising to that effect. One would not think that it would have to advertise such good news. One would not think it would have to spend $2.5 million to tell everyone. That message should go across the country, it is so exciting.
Why did the government have to advertise it? In truth it had to advertise it because in the previous five years it took out $21.4 billion cumulatively since the day the finance minister took over.
I asked kids in grade eight what they thought of that as a balance and they said “Doc, we don't think that is a very good balance. Doc, we think that is a crazy balance”. I have a little graphic that I used. I cannot use props in the House but I can describe a prop in the House. Here is the prop I used to show what the Liberal government did with medical funding for the provinces.
I held up an intravenous bag with 1,000 cc's of IV fluid in it. I coloured the fluid red so it would like blood. Some of my colleagues have seen this. The 1,000 cc's represents the $1,453 per taxpayer that was being transferred from the federal government to the provinces for health care when it took over.
Then I held up another bag with 596 cc's of IV fluid in it. There is a significant difference. Anyone looking at it would say that it just about half, which is true. That is what the federal government was transferring per taxpayer for medicare just before the budget.
Then I took a big syringe and put about 100 cc's into the IV bag, which pumped it all the way up to 692 cc's. I showed the two bags, the full one and the one with 692 cc's in it. We must remember that it was at 1,000 cc's when I started and now it is down to 692 cc's. The response to that is dramatic. People just say it is not keeping up.
What has been the result, the practical down to earth result? The public does not really give a hoot about jurisdiction. If there were no effect on health it would say that was not a big deal, but the evidence of problems in our health care system are legion.
I have chosen to look at the newspaper reports over the last little while. There are too many for me to go through. It would take my whole speaking time. However I will touch on just a few of the recent news reporting relating to health.
In Newfoundland 600 people need heart surgery every year. The province can only afford 400 so 200 have a choice. They can get in a waiting line or they can go across the border to the States.
On January 19 this year every surgery was cancelled at the Kelowna General Hospital in B.C. Why? Because there were not enough beds and personnel to look after them. That comes from the CANOE news of January 19. On and on they go. There are dozens of examples.
Women in Summerside, P.E.I., have to wait one year for a mammogram because one machine broke down and the government there cannot afford the $75,000 to fix it. How will it get fixed? The foundation will go out and raise private funds to look after that.
In Montreal the waiting list for a hip operation can be as long as 15 months. For gallstone surgery, which is a painful condition, it takes 2.5 months. That information comes from the Gazette .
Here is another very interesting one. Patients in Manitoba waiting for an MRI are being offered from a private U.S. medical clinic in Fargo, North Dakota, a charter air service and free night in a hotel so that they can get a timely MRI. How many Manitobans have taken advantage of that? There have been 120 Manitobans who have said they will not wait. That was in the Winnipeg Free Press on January 27.
At the Grace Hospital in Winnipeg there were corridors jammed with patients. There was no room for them in the wards. In one case there was no room to put a baby that had sadly passed on so nurses hid the little baby behind a curtain while doctors worked on other patients beside it.
An elderly man was incontinent after days of near neglect in a hospital. His friend asked a nurse to put diapers on him. The response was “We don't have diapers. You must go and buy those yourself”. On it goes.
It is interesting. We have a nursing strike right now in Saskatchewan demonstrating stress. We have an exodus of trained health care workers. In the last two years 1,400 of our best trained specialists have left and will never return.
The federal government can say all those things are provincial and we do not have anything to do with that. There is, however, a hospital at Sioux Lookout. It is interesting that the health minister mentioned it in question period today. I will go through the story of the Sioux Lookout Hospital which is a federal responsibility. This is a hospital for natives alone. The federal government has complete responsibility for that hospital.
This is a story of incompetent bungling. In the spring of 1997 Health Canada was first warned that a crisis at the Sioux Lookout Hospital was coming. I have three letters directed to the Minister of Health and his officials which said there would be a shortage of physicians at the hospital.
The story is quite interesting. The University of Toronto had been looking after physician recruitment for that area for 30 years and a deficit had occurred. They said they could not continue to look after the deficit. They warned that by June 1998 they would be pulling out unless that deficit could be taken care of. It was simple.
Mae Katt, Ontario regional director for Health Canada, said there was no problem, that they would have 15 physicians from McMaster on that date.
The conditions deteriorated. The warnings were raised. Health Canada refused to respond to the University of Toronto. McMaster, negotiating with the Sioux Lookout individuals and this Mae Katt, just simply said it could not do it in time.
What happened on June 30? This could not happen in a third world country. With five hours notice the Sioux Lookout emergency was closed. A closed sign was put up in an emergency department for natives and 16,000 natives were without emergency care.
A contract finally appeared. It was a like a contract for an F-18. It had nothing to do with medical issues. Things were crossed out and whited out. The physicians who were there just simply said they could not sign it. They were threatened with losing their seniority if they did not sign it. They lost their seniority. They left the north. Instead of 15 physicians looking after Sioux Lookout, today there are 4.
I have been privileged to look over this story and finally, in the last month, advertising has gone out for recruiting. Anyone who knows anything about recruiting physicians for the north will know how long that will take. We will not have physicians in the north until this summer at the very earliest.
What did the hon. member for Kenora—Rainy River have to say about this? These are his words relating specifically to Sioux Lookout:
The medical services branch has totally bungled everything here. This issue has been totally mismanaged.
The Liberal member for Kenora—Rainy River did everything he could do to get our Minister of Health to listen. He begged him.
Do we know what his response was? The minister sent up one of his underlings who said there was a nursing crisis that was just as big. That was the response of Joanne Meyer, an executive assistant. They went over the nursing crisis. We would think that there would be an immediate response.
There was an immediate response. Here is the letter sent by the native communities to the World Health Organization in Geneva, Switzerland, begging for some help. We go to Switzerland to look after our native brothers in the north. They went to Doctors Without Borders.
They were cared for by Doctors Without Borders. It is absolutely abominable.
Sioux Lookout is an example of how the federal government looks after its specific responsibility. The diary of this story is not through. The natives today in Sioux Lookout are on a hunger strike. They are sitting there with their arms folded, saying this should not happen in a country like Canada, but it did.
Now the Minister of Health, belatedly, will trot up north, sit down with them and say “Come and get involved in my task force”. I would like him to say why he did not respond to these problems when he got the initial warnings two years ago. I am willing to provide the letters specifically directed toward the Minister of Health to anyone who wants to see them. Sioux Lookout is an example of a tragic situation in Canada.
Time is so short. After talking about the bungling at Sioux Lookout, let me talk about the bungling on the hepatitis C issue in Canada. As a physician I gave my patients blood. As a surgeon I gave them blood. I trusted that our blood system was as good as it could be. I found out through Judge Krever that was not true, that we gave patients in Canada dirty blood, blood infected with hepatitis C.
Judge Krever, who became our expert in tainted blood, said we should look after everyone who is sick from receiving tainted blood; not just give them money because they are positive with hepatitis C but give them something if they are in trouble.
I understood what he said. I understood why he said that the federal regulators had made a mess. He said the provincial regulators had made mistakes and he said that the Red Cross had been involved as well. I have watched with wonder how the government could try to weasel out of that responsibility.
I have also watched with wonder a compassionate Ontario premier say that he will not just give narrow compensation to the group from 1986 to 1990 but will give compensation to everyone, and he did that. I have watched Quebec now change its proposals. It is looking at compensating everyone. I have watched as lawyers argue, fight and bicker over the funds that should be going to the individuals who are ill. I had occasion to sit down with a few of them here in Ottawa just the other night. I listened to them talk about their needs and their worries. The local regional government is taking better care of these individuals than the ones who are really responsible.
I have also watched Swiss authorities being charged and huge sanctions put upon them for exactly the same actions in Switzerland. I have watched the French authorities bring to trial the prime minister, the health minister, the social affairs minister of the day for the same actions. I wonder where are we in Canada for these poor people with hepatitis C. I think this will go down as one of the blackest chapters as it relates to health. Of course, I point across the way for that responsibility.
Let me talk briefly about the future of medicare as I see it. I really and truly believe that this social program is so valuable even though the Liberal motto seems to be “we will just hide our heads in the sand and have the status quo”. I say that two tier medicine is alive and well in Canada thanks to the Liberal policies. There is one tier for the dead and there is another tier for the waiting. That is said with tongue in cheek, but it is truly sad.
What do we need to do to improve and protect this health care system of ours? The first step needs to be funding that is not hidden under the Canada health and social transfer. That was the way the Liberals got away with this tremendous reduction in funding. Health care funding from the federal government should be so specific, so clear, so straight, so plain that no one could ever get away with reducing it as they did. It should also be indexed to inflation.
I would cast this Canada health and social transfer into the dustbin of history and have health care funding so plain and clear, as I said. We could have the other funding just the same. That is something the Canadian Medical Association has called for and it is certainly something I personally agree with.
We also need to stop thinking of this as a system, but think of it as care. The patient must come first again. We have had a health care system that has been driven by politicians, by bureaucrats and frankly by the medical profession. I do not think that is the way to drive this system. The solutions will come from the individuals who are most affected. I would put the patient first. We need specific mechanisms to reduce the waiting lists in Canada.
Where will we go with our medicare system? It is fascinating. Last Friday was the 15 year anniversary of the Canada Health Act. Monique Bégin, a Liberal, a good Liberal, was responsible for the Canada Health Act. I listened to comments made by her. She said very plainly that the Canada Health Act needs to be revisited. She said that there are breakdowns in the Canada Health Act. What a brave woman. She is talking about looking after health rather than the politicization of our health care system. That is really, truly where I believe we should go.
I am quite optimistic about the future of our health care system. If we can get away from the name calling, if we can get away from speaking about basic changes to our health care system as being an Americanization or two tier, if we can get down to the level of actually looking at and trying to fix this system, I think we have a real good chance.
I am optimistic because of New Zealand's experience. It came so close to losing its health care system when it hit the debt wall, and it did. New Zealanders lost virtually all their social programs. Their senior citizens programs were battered. They lost transportation subsidies. They lost all the subsidies for their agricultural projects.
They did not lose their medicare. They did everything they had to do to save their medicare system. They went so far as to put advertising on their ambulances to pay for the fuel so they would not lose their medicare system. They chose a route I do not agree with. They chose the route of user fees to improve and increase the cash flow for their medicare. But losing virtually every other social program, New Zealanders clung to their medicare system.
As I consult with Canadians across the land, I hear them say “Don't let go of this medicare system”. In my view, medicare will survive not because of the actions of this Liberal administration, but in spite them.