Mr. Speaker, I am pleased to speak on this official opposition day.
First, I want to pay tribute to volunteers in communities throughout Quebec and English Canada who help those afflicted by cancer, mental illness or cardiovascular disease. Often, caregivers are the ones making such commitments, and this demonstrates tremendous solidarity within our communities.
I will try to make my remarks as detailed as possible. I would not want to give the impression that mental health, cancer and cardiovascular disease are unimportant to the Bloc Québécois.
In the near future, one in five Canadians will likely develop a mental health problem. Obviously, the seriousness of these problems can vary; nonetheless, one in five individuals is at risk.
Currently, every eight minutes, a Canadian is diagnosed with cancer—be it breast cancer, colon cancer or another cancer. It is quite scary and a cause for concern, but that is the reality.
Cardiovascular disease is, clearly, also a problem. If every MP who has lost a loved one to cardiovascular disease raised their hand, there would be a big show of hands. I am certain that most of us know someone who has died from this disease.
However, I believe that our Conservative friends used faulty logic to identify this problem. I respectfully submit that what the Conservatives are proposing will not allow us to truly resolve the real problems.
First, I want to re-read the motion for those just tuning in. Then, I will explain why the Bloc Québécois will not be able to support this motion. This motion has been moved by the member for Charleswood—St. James—Assiniboia, my colleague, the Conservative health critic, an MP from Manitoba, a monarchist and a fascinating fellow. That is how I tend to describe him.
It reads:
That, given a national strategy is needed now to reduce the growing human and economic costs of cancer, heart disease and mental illness; the House call on the government to fully fund and implement the Canadian Strategy for Cancer Control in collaboration with the provinces and all stakeholders, and given that Canada is one of the few developed countries without a national action plan for effectively addressing mental illness and heart disease, the government should immediately develop and initiate a comprehensive national strategy on mental illness, mental health and heart disease.
I must begin by saying that the motion is certainly well-meant. We do, of course, live in a time when chronic diseases are wreaking havoc in terms of productivity and morbidity. I cannot, however, resist pointing out that the word “national” appears four times in the 10-line motion. When the member for Charleswood—St. James—Assiniboia uses that term, he is, of course, referring to Canada. One might therefore legitimately ask the following question. Does the type of strategy the member is calling for have to be driven from Ottawa?
I think there is no doubt in the minds of the Bloc Québécois that this strategy cannot be federally driven.
If our colleague had proposed increasing transfer payments and encouraging the provinces to set aside funds for cancer, mental illness and, of course, the whole area of cardiovascular disease, the Bloc Québécois would obviously have been a staunch supporter of this motion. I believe, however, that it must be acknowledged that such is not the case.
I had the pleasure earlier of an impromptu conversation with spokespersons for the Canadian Strategy for Cancer Control and the Canadian Mental Health Association. What they had to say was a bit different.
If the intended objective had been to create a co-ordinating point where representatives of all provinces and territories could sit around the same table and exchange information on diagnostic tools, preventive approaches and available therapies, then the Bloc Québécois could not be opposed, out of good common sense and a degree of generosity. That is, however, not what we are dealing with here; this is about implementation of a national strategy.
It is really about giving the federal government a bigger role in health. In any case, the motion before us cannot be isolated from the national issue. This is really the main point the Bloc Québécois is making. One cannot claim, on the one hand, to respect the prerogatives of the provinces, and on the other, ask the federal government to have a national strategy. They are irreconcilable. There is a kind of paradox or contradiction.
I know that the Conservatives like to say that they support provincial rights in the 19th century tradition and want to respect the jurisdictions of the provinces. I only wish I could believe them. But reading the motion before us, I can hardly believe that this is a sign or demonstration of a desire to respect the provinces and their jurisdictions.
That is the general background that leads us to vote against this motion. I would like to tell you about a little experience I had a few years ago. I am obviously not 20 years old any more. I have been in this House since 1993 and have been health critic since 1999. In fact I think that I am the dean of the health critics. I do not think that anyone in the other parties has been on the Standing Committee on Health longer than I have.
I do not claim to be the incarnation of stability within the Bloc Québécois during what are shaping up to be some interesting times. But that is another debate, and we do not want to get off track.
This being said, a few years ago the Health Minister at the time, Allan Rock—the member for Etobicoke Centre, which whom you yourself sat, Mr. Speaker—was appointed, in a non-partisan gesture by the Government of Canada, to be the Canadian representative to the UN. You will remember him. Allan Rock was a lawyer, not a bad person, and he appeared before the Standing Committee on Health. At that time, Mr. Charbonneau, the member for Anjou—Rivière-des-Prairies—a riding that has now been renamed Honoré-Mercier — was appointed to UNESCO by the government in another non-partisan gesture. Mr. Charbonneau was the parliamentary secretary to the Health Minister—Mr. Rock at the time — and he had asked the Standing Committee on Health to study the whole issue of mental illness.
It is obvious that these illnesses are a major problem and will even be one of our most important concerns over the next few years. If it is true that one in five of our fellow citizens will have mental health problems over the next few years, ranging from slight depression to more serious illnesses, this is obviously something that we need to be concerned about.
So I was opposed to the motion.
The Standing Committee on Health began its work and heard witnesses from Health Canada. Are members aware how many Health Canada officials could talk to us about the department's mental health initiatives? In all, in a full committee, there were three officials who had the expertise and who had done full-time research into mental health.
Why am I saying this? It is not because the officials were not competent or not doing their job to the best of their ability. However, do they seriously think that the federal government, which does not have responsibility in this, can be a motive force in connection with problems as serious as mental illness, heart disease or cancer?
Those who provide care, make the diagnoses, are familiar with drug therapies and are working on detection technologies in hospitals are all part of a strategy.
It is fine with me to talk about strategy, but what is this strategy about? A strategy has to include prevention first off. Prevention has to do with the factors affecting health, including the environment, food, physical activity, recreation and stress management. The responses to all these variables are to be found in provincial jurisdictions.
A national strategy, if there has to be one, begins with prevention. None of the major factors in prevention is connected with an area of federal jurisdiction.
Diagnosis follows prevention. From a sampling of the population, those in whom the three diseases I referred to are either active or dormant have to be identified. But who is responsible for prevention? First, a CLSC, then a long term care centre, an emergency room or a hospital. How can the federal government be useful in prevention or detection?
Further along in the strategy, after prevention and detection, comes cure. If care is required, where can it be obtained? In a hospital, of course. How is this care provided? It is provided by health care professionals. Who accredits the health professionals through the professional bodies? The provinces. Who makes the medication available? I will come back later on to the federal government's strategy to create a national drug formulary. Formularies exist already for available therapies.
The Quebec government and the official opposition are considering this issue. I want to take a few moments to wish best of luck to Louise Harel, the MNA for Hochelaga-Maisonneuve, now leader of the opposition in the National Assembly. She is the first woman occupy this position. I do not want to get off topic, but I mention Ms. Harel because she is the PQ's health critic. The National Assembly's social affairs commission is currently considering a drug policy. However, who decides what medications to include on the formulary? Certainly not the federal government.
So we see the subtle inconsistency from which the Conservatives are unfortunately—and temporarily, I hope—suffering. They are intimating that the House could implement a national strategy. However, none of the major components of such a strategy, from prevention to detection, from therapies to hospitalization, gives us reason to believe that the federal government could make a difference here.
The best thing the federal government could do would be to increase the transfer payments.
Earlier, the Minister of Health—I was going to record him, but I understand this could bring him bad luck—said that, over the next 10 years, federal funding will increase to $42 billion. Bravo! We are not afraid of saluting this initiative. The more money there is for health care, the better for everyone. However, even with this investment, the federal contribution to the health care system is less than 25%.
I want to remind everyone that, no matter what their political stripe—and there have been Conservatives, New Democrats, sovereignists and Liberals— whenever all the premiers have met, since 2001, they have called for the federal contribution to health care to reach 25%.
Such is the insidious nature of Canadian federalism. Every government uses themes to promote nation building. Health is a top priority for our constituents. Naturally, it is on everyone's mind. These days, we cannot simply talk about old age, we have to talk about very old age. It is no longer unusual in our communities to meet people who are 80 or 85 or 90 years old who are seem younger. They are in great shape and active in their community.
We have examples in our own caucus, such as the member for Champlain. He is a senior, but an extremely dynamic man, who is energetic and in good health. Why? Because he watches what he eats, he avoids excesses and he manages his stress level. That is the secret of getting to old age, Mr. Speaker.
In short, we cannot support the Conservative motion, even if it is well intentioned. We are of course concerned about the whole issue of chronic disease. And, yes, cancer, mental illness and cardiovascular disease are prevention, research and treatment priorities. These areas were identified in the 2004 agreement. However, we do not think the federal government should be the motive force.
I remind you that, in recent years, the federal government has been using health for nation building. What is the federal government's inspiration? Not just that. I have to say, with regret, in this regard that my NDP colleagues, so progressive in other areas, have latched on to the federal government and the Romanow report. What is the federal government's bible? It is the Romanow report. What does the report recommend? It is as plain as day. The report advocates putting an end to ten health care systems and having only one.
It is even true that the report has pushed audacity to the new height of calling for a single drug recognition system with one formulary for all of Canada. Is that not insidious?
In closing, because I see my time is running out, I say that we cannot support the Conservative motion. We ask them to take the logic of respect for the provinces to its conclusion and not ask the federal government to take the lead with a national strategy, when it is not the competent player to do so.