Mr. Speaker, all members of Parliament here in the House of Commons were elected to represent the constituents in their ridings. Representation can and, I believe, should take two forms.
First, we are elected to be the voice of our constituents and represent their interests here in Ottawa. Our constituents write to us, call us and send us emails. They tell us how they feel about certain issues. They chat with us at the farmers' market or at different community events, and they share their perspectives with us.
We have an obligation to take that feedback. We represent our constituents by bringing those perspectives, thoughts and opinions here. It helps guide us in how we vote, what we say in debates, and how we shape the policies of our parties as well as our government.
However, we are also elected to represent ideas and perspectives of our own, to take leadership on issues, to take positions, and to make decisions about the policies facing our country and our citizens. We are elected to take thoughtful and informed positions and even sometimes unpopular positions.
There is a tension here between what the individual constituents are saying and the mandate upon which an MP was elected to move forward. With respect to this budget and this budget speech, I would like to raise thoughts and ideas that come from individual constituents as well as perspectives of my own and perspectives of the NDP. Interestingly enough, the three are very much aligned.
Like many members of Parliament, I solicit feedback from my constituents with mail-back cards that are attached to my MP mail-outs and newsletters. I have a pretty engaged constituency. I am always thrilled to see a stack of cards in my office with feedback that my constituents want to share with me. I would like to share some of their responses with my colleagues here in the House. It is specifically feedback that I received regarding 2010 budget.
Tim Hosford wrote to me. He said, “Megan, we need a law to protect our pensions. As for the economy, we need to continue to put money into it, allocate monies for education and we need a plan for the next 10 years”. A plan sounds like a good idea.
Halifax has the highest density of students of any city in Canada. It is often reflected in comments that I receive in my office. For example, Dustin Joldersma wrote, “University students!!! Make it easier to get student loans, for example, part-time students should be able to get student loans. Also making cuts to foreign aid is not an answer. Government and universities cannot overlook part-time students”.
Another constituent named Burton Coutts wrote that the Prime Minister is “giving us the worst government in my lifetime and I am 87. Recent priorities are return of money to cancelled and reduced women and children's issues, also CIDA and KAIROS, and it appears his cohorts want to cut funding for birth control and abortions here and in countries where women and children are at risk”.
Alan Matte provided great feedback on pharmacare that was pretty straightforward. J. Scott wrote to me and said, “A priority long overdue is better health care. More doctors available for faster and better service. More help to nurses in hospitals, better emergency service--”
M.T. Lynden from my riding has a really great list. It is a pretty big list, starting with free education. The letter continues, “It's important that everyone can access education, regardless of their income. University students often end up with a large debt. Interest should not be charged on their student loans, neither provincially nor federally...and health: dental and medication coverage...for those who don't have a benefits plan”.
That is a little snapshot of the mood of my riding. I am proud to stand here in this great House and share that feedback with my colleagues.
I would like to pick up on the last issue that came through in a couple of letters from my constituents: the issue of health care. As we heard, it is something that my constituents care quite a bit about. We keep hearing from the government about the need to cut spending, the need to trim the fat, and the need to tighten our belts.
However, the government and this budget fail to realize that while spending on health is growing, we can get a handle on health costs if we just turn the corner and start focusing on what Tommy Douglas referred to as phase two of his health care vision. We could actually control and reduce our costs when it comes to health spending.
Tommy Douglas described his original vision for health care. He described Canada as a country “where all can live free from fear, free from crippling debts when we fall ill”. We have seen a lot of that vision implemented since he established medicare in Saskatchewan half a century or so ago, but that vision is eroding due to a lack of leadership, a lack of vision, and neglect. It is time for us to move ahead with a new vision that is suited to our times and that is phase two.
Phase one was universal public insurance for physician and hospital care.
Phase two has two components. First, to extend medicare to cover services that are increasingly delivered outside of a hospital, services that have become an integral part of our modern health care system, such as home care, long-term care, community care, drug therapy, and initiatives that address the social determinants of health. Again, this is about prevention. This is about reducing our costs.
Dennis Raphael, a professor at York University, put out an excellent report on the social determinants of health. The social determinants of health are a better indication of what one's level of health is going to be and how long one will live as compared to the kind of treatment one will get. We could actually save a lot of money by focusing on social determinants of health and things like home care.
The other component of phase two is managing health care better. Let us make better use of health human resources, wait list management, team practice, integration of services, sharing of best practices, evidence-based practice and other innovations.
I am looking forward to the report coming from the health committee about health human resources. The committee heard some amazing testimony about innovative ways to look at exactly how we can manage health care better, how we can make better use of health human resources and save money, and start controlling our health care costs, but perhaps more important, making sure that Canadians are healthy, happy, and doing well in our communities.
I have spoken before in this House about what I see as the failures of this budget, specifically its failure to seize opportunities in the world of science, technology and innovation. The last time I spoke to this bill that was the focus of my speech, particularly in the world of the green economy of the future. This lack of vision carries through the budget. It is not just the failure to grasp science, technology and innovation. It goes right through the budget on all kinds of issues, including health care.
The only vision that I see here is the sell off of Atomic Energy of Canada Limited, gutting environmental protection, and killing successful projects like eco-energy renewables. That is quite the vision.
The Canadian Centre for Policy Alternatives put together a very well researched alternative federal budget and it has a vision in its alternative budget, a vision for health care, something that is missing from this budget. It says that, “Canada's public health care system is a fundamental pillar of our society, and it must be strengthened, especially in the wake of devastation caused by the economic crisis”. Its alternative budget says, “It's time to launch serious discussions with the provinces and territories to cost share pharmacare between the federal and provincial government and employers--”
The centre proposes a royal commission on the establishment and financing of a public drug plan, and funding the pharmacare of low income Canadians.
It also calls for a restoration of federal cash payments for extended health services, including nursing home intermediate care services, adult residential care services, home care services, and outpatient health care services.
It also talks about working with professional regulatory bodies, health care unions, and immigrant rights organizations to facilitate the recognition of international education.
Its plan calls for funding of post-secondary education in health programs, looking at health human resource strategies, innovative strategies.
This is a real plan. It is an alternative federal budget that actually has a vision for health care. It is a vision that is notably absent from Bill C-9 and it is not a bill that I can support.