Mr. Speaker, I will be sharing my time with the hon. member for Saanich—Gulf Islands.
It is a pleasure to participate in the debate on this motion on health care. At the outset, let me say that the motion is characteristic of NDP policy on many things. Regrettably for them, times are changing and we must move with the times. This is no more so than in health care. The situation is code blue. It is critical.
In reality, the NDP is no closer to supporting provincial innovations in health care than are the Liberals. They do not like what Mr. Klein is doing, but they will not comment on what they are doing in British Columbia, which is very similar to what they are doing in Ontario. They are not willing to demonstrate flexibility in reforming the health care system. Until someone is, the situation will continue to deteriorate and the lives of Canadians will remain pawns in this game of lethargy by both the Liberals and the NDP.
For the NDP it is easier to point fingers and lay blame. They, like the Liberals, are applying the Canada Health Act as a hammer to penalize the provinces, which are in dire straits because of lack of funds and increasing pressures on the system.
I listened to the hon. member for Malpeque say that we just cannot throw money at a system. Why does he not stop to think? This money belongs to Canadians. This is not the Liberal government's money. The provinces deserve that money. Medicare is supposed to be a 50:50 proposition. It is not any more. It is funded 11% to 14% by the federal government. Money would make a difference.
Why do we not let the provinces do what our constitution says they should be doing, which is running the health care system? The Liberals use this big “We are going to do this for the health care system”. Stay out of the health care system and let the provinces run it.
When I was in the provincial government in British Columbia we had an emergency room system which operated very well. We had a $10 user fee. It was not mandatory. At the bottom of the form which people signed it stated that if they did not have the money or if they did not want to pay, they did not have to. It was a voluntary $10 fee. We were forced by the Liberal government to stop taking that $10. The costs in the emergency rooms went up by 145% the next year. There was no need for it. That was big brother managing a province that was doing quite fine operating its own system with a user fee that did not bother anybody in the emergency rooms, but the government said it would take away our highway grant of $90 million for that year if we did not stop collecting that $45 million worth of user fees in the emergency rooms. That was big brother operating. It has not improved the health care system in British Columbia. Perhaps it makes some people feel better.
The interesting part is that in all the years I was in the B.C. government we collected 98.5% of those $10 fees. Nobody refused to pay. Nobody minded paying. The usage rate in the emergency rooms went up the next year by a tremendous amount. Now people use it as a drop-in centre when they cannot get in to see their doctor.
The system was operating fine in the province until the interference of this government.
Let us be realistic and look at the government's track record on health care spending. The government has cut $25 billion out of the Canada health and social transfer over the past seven years. It will be cutting another $10 billion over the next four years. What does the government expect the provinces to do? They cannot provide the required services now and the government wants them to cut more. How can we expect that services are going to get better? They are going to get worse.
Let us take a look at the impact of the decrease in federal health care spending. Can hon. members imagine being told they have a cancerous tumour and have to wait three months for treatment? That is happening in this country. People are being told that it takes three months. Is it not bad enough that the doctor says that word, which shakes everyone from head to toe, without having to wait for x-rays?
As Canadians we can brag about our health care system, and so we should, but why are we spending $5 billion to cross the border into the U.S. to have MRIs and hip replacements? Because we cannot get it done here.
We have to solve this problem. The Liberal government is doing nothing to help solve that problem. The costs of people going across the border for treatment are increasing every year because of the lack of facilities in Canada. We have forgotten about technology in Canada. We have developed some of the best technology for medicine in the world, which the Americans are using, and we are paying to use it in the U.S. because the Liberal government has cut funding from the provinces.
There is one major failing in our health care system, and it is catching up on us. Canada has not kept up with technological innovations. Among the OECD countries, Canada is rated 23 out of 29 with respect to health care. In other words we are in the bottom one-third of the industrialized countries. We can sit here and brag all we want about our system but we are in the bottom third of the OECD.
Technology is the key to propelling our health care system and we have it in the country. I had a call the other day from one of my constituents. His grandmother has a hip which is not working. She can no longer walk and get to her car. She has been told there is an 18 month wait. She has to suffer for 18 months. What is the family doing? They are all chipping in a few dollars so she can go across the border to the Mayo Clinic and get her hip replaced. Are they not lucky that they all have a bit of money to help get their grandmother across the border?
Why should she have to wait? She spent 84 years paying her taxes, being a great Canadian, and now we have to ship her off to an American hospital for a hip replacement. How many people in the House have mothers and grandmothers with failing eyes who are waiting months and months and months to get into a hospital? It is awfully nice of my friends from Malpeque and elsewhere on the other side to say that money is not the problem, that it is the way the provinces are managing the system. That is not the problem. The provinces do not have the money to manage the system properly.
Why do we not sit down and negotiate that? Instead of giving great speeches about how we are here to protect the five principles of the health care act, why does the Minister of Health not talk in realistic terms? It should be a public hearing. We should let the public come to listen to the provincial health ministers and the federal minister debate the issue. Then they could get it out in front instead of the nonsense that is taking place.
The country is being divided over the health care issue. Provinces are trying to do their best, whether it is British Columbia, Alberta, Ontario, or any other one, but they are getting very little co-operation from the federal minister.
We have an aging population. There will be greater demands, not less, on our system of health care delivery. That will happen year after year after year. Currently one in ten Canadians is over 65. By the year 2025 it will be one in five, in just another quarter of a century. Mr. Speaker, you and I will be in that age bracket 25 years from now. We will be one in five instead of one in ten. It will be tougher and harder to get our hips replaced and to get our eyes fixed if the program does not improve.
Another very scary statistic is that the average age of a specialist in Canada right now is 59. With program and training cutbacks and so forth, foreign countries are seducing students with lower tuitions, better tax environments and better training tools. We will be losing more doctors and thus more specialists. While this is happening the Prime Minister is saying that there is no brain drain.
The average age of specialists is 59. They are not staying here. I know in my riding, which includes Whistler, the number one ski resort in the world, the odd person falls down. In fact the minister of fisheries is still using a cane these days because of a little accident on a ski hill. We used to have four of the best bone doctors at the Lions Gate Hospital. There are two left and one is leaving. In Vancouver right now it takes months and months to see one of those specialists after that kind of an accident. It is a serious problem and the government is not looking at it.
In 1974, with a population of 22 million, some 2,640 new doctors entered the system. In 1997, with a population of 30 million, only 1,882 new doctors entered the system. We cannot afford to lose any of these doctors to other countries, let alone the specialists.
In some cases Canadians are currently waiting for up to nine months to see a specialist. We are in a critical situation and the government says that it cannot throw money at it, that it has to look at the system, that we have a better system than the Americans and that we cannot have two tiers.
As I mentioned earlier, we have a three tier system right now. Every member of the House knows that. We have a system where we have to make an appointment to visit a doctor. If we need to see a specialist we have to wait one, three, six or nine months.
Also every province has increased the number of services not covered under medicare. Every time I have been to my doctor's office there is a new list on the wall of items no longer covered under medicare. Who pays for those procedures? We pay for them out of our pockets. They are not being covered by medicare. That is a two tier system.
What about the constituent who is going down to the states for a hip replacement? That is the third tier: $5 billion going out of the country every year. It should be staying here. That is what Ralph Klein is trying to do and it is going to work very well. These people will rue the day they tried to call this a two tier system. They already have a three tier system because they have let the medicare system go to pot. They try to defend it by saying it is anti-American, which is typical Liberal-NDP action. Anytime there is a problem they say it is anti-American. That covers it up for all Canadians who think they are doing a good job.
Millions of Canadians of all political persuasion know that the system is broken. It is not Ralph Klein's fault. It is not the fault of the premier of British Columbia or of the premier of Ontario. It is the fault of the federal government which has knocked $25 billion out of medicare.