Mr. Speaker, it is a pleasure for me to take part in the debate on the address in response to the Speech from the Throne, in my new position as Minister of State for Public Health.
I would like to thank my constituents in the riding of St. Paul's who over the past six years demonstrated the civic literacy and participated in the two way accountability that are the prerequisites of a robust democracy. From 9/11 to SARS, their understanding of the complexity of the problems and their commitment to finding real solutions have inspired me and informed my work in every way.
I would like to start with a point on which I believe we can all agree: health and health care are our nation's first priority. Both the Speech from the Throne and the Prime Minister's reply have made this clear.
Canadians have made it clear to us that their main priority is health and health care.
Canadians expect us to be serious about ensuring that this most cherished Canadian social program is sustained for our children and our grandchildren. As Roy Romanow said, it is “Building on Values”, most important, the Canadian values of that double solidarity between the rich and the poor and the sick and the well.
Our only real hope of sustaining our publicly funded health care system is to help Canadians stay healthy so they do not have to use it. Protecting and promoting health is the key to achieving that goal.
Last year's public health crisis from SARS to BSE to West Nile taught us that we were all in this together. This means that no one can be forgotten, no community is worth less than another, no threat can be dismissed. The planet has never been smaller and germs do not respect borders. Therefore, as the Prime Minister has said, working in partnership with the provinces and territories, we will design an effective, co-ordinated Canadian public health system that serves our citizens and allows us to play our part in global health.
That partnership is already in place. We want to strengthen the foundation by building on it. The federal government will start by getting its own house in order to re-energize a national partnership that can truly protect Canadians.
The government will therefore be getting its own house in order and re-establishing a national partnership that will truly protect Canadians.
We will begin by naming the first chief public health officer for Canada who can sit at the table with the medical officers of health from every province and territory. This officer will be a woman or man who Canadians will come to see as the country's doctor, a health professional who can be trusted to advise citizens and advise the government.
The chief public health officer for Canada will also speak for Canada to the world and build upon the strong relationships existing in other organizations, such as CDC in Atlanta and the WHO in Geneva.
We will create a Canada public health agency, the federal hub of a network built on partnerships and collaboration that is pan-Canadian and global in scope and that is accountable to Canadians. This agency will operate on three principles.
The first principle is collaboration with the provinces and territories. Public health is a shared responsibility between the federal, provincial and territorial governments. This means that we must work together to ensure that we have a strong, viable Canadian public health system, one that recognizes and respects the differences between jurisdictions.
We will be negotiating agreements with the provinces and territories, which will together form a solid public health system, one capable of managing both health emergencies and long-term strategies in the best interests of Canadians.
Working together will ensure that the various jurisdictions help each other progress. By setting aside old quarrels, we will join forces to create a vast network that is respectful of each jurisdiction.
That collaboration must also extend to aboriginal communities. Too many aboriginals in our country face enormous public health challenges, ranging from suicide to tuberculosis to bad water. We can build effective strategies to address those problems by working together with aboriginal communities, another important function of the federal public health system.
The second principle is value for money, transparency and accountability. Canadians expect us to use their money wisely, and public health experts have told us what they need us to invest in first. They need better surveillance, better information systems, better labs, more people and better co-ordination.
Some look to the U.S. Centers for Disease Control and Prevention in Atlanta and ask where CDC north will be. It will be first and foremost in the systems and procedures that link our best scientists with one another and with the frontline doctors and nurses who care for Canadians.
Let us be very clear. Our public health boast will not be about a single, shiny complex. Our achievement will be an outcome, a network that has shown its ability to protect Canadians and help put us among the world's healthiest people. It will be about Canadians feeling that we are prepared for emergencies, can minimize a threat of infectious disease and turn around the growing epidemics of chronic diseases such as cancer, diabetes and obesity. In addition, we must be accountable for the results.
Canadians have made it clear that they prefer clean air to more puffers and respirators. We know what we have to do. We know where we have to invest. All we have to do is focus on getting the job done right.
The third principle, the one that will drive all others, is this. The interests of Canadians will stand at the very centre of the agency. Citizens, not just governments, will help us guide the mandate of the agency from one year to the next. Citizens will help us set priorities and strategies so they have a meaningful effect on the quality of Canadian life. Citizens will tell us what we get right and what we need to improve. Any effort to protect the health of Canadians must place the confidence of citizens at its centre.
As a physician, I have recognized that often the best solutions can be found in our own communities. They are the public health professionals, patients and ordinary Canadians armed with information and experience and instincts.
I also have to mention the enormous contributions stakeholders will be able to make to this process. It is clear that we will need to engage them, as well as citizens, in guiding the mandate of this agency from one year to the next because they will always let us know what we get right and what we need to improve. Citizens will tell us what they need us to do. Our obligation is to listen and act.
Therefore, Parliament itself, with a revitalized democracy, stands on the frontline of health protection and promotion, for these citizens are our constituents. They are the ones who walk into our offices, who ask for help and whose support we each seek.
Each of us in the chamber is an officer of public health. The democratic reform restores to each of us, regardless of party, the power to protect our own neighbours. That is why I need Liberal, Conservative, New Democratic, Bloc Québecois and independent colleagues to ask the same questions in their ridings over the next few weeks that I will be asking across the country. What do Canadians need from a new public health agency? How do Canadians wish to interact with it?
The House has the power and now has the democratic culture to rebuild a partnership with provinces, territories and communities that is truly capable of protecting Canadians.
Canadians expect us to do better, to collaborate, to communicate and to co-ordinate across government departments and across jurisdictions. We must know what is working and what is not and who does what and when. We need a real public health strategy for Canada. We will build upon the existing excellence across Canada, from the fabulous BCCDC, which I visited on Friday, to the remarkable Winnipeg labs to the Institut national de santé publique in Ste. Foy. We will learn from one another and then keep learning.
A real system is a complex, adaptive model that measures, adapts and measures again. Canadians deserve a real public health system that will be a learning culture. It will be an example for the whole country of a distributive model that can break through the jurisdictional gridlock by articulating the strong common purpose and then respecting local wisdom and local knowledge to get the job done.
The Speech from the Throne focused upon three themes: securing Canada's social foundations; an economy for the 21st century; and Canada's place in the world. I hope that in my role as Minister of State for Public Health that I will be able to make a positive contribution to all of these, particularly as it affects the special foci of our communities and of our aboriginal people.
Our report card will be closing the gap in the health status of our aboriginal people. I am confident that we have the support of all Canadians in our ultimate goal of keeping as many Canadians as possible healthy for as long as possible.
I am confident that we have the support of all Canadians in achieving our ultimate goal of keeping all of them healthy for as long as possible.
Good health. Meegwitch.