Mr. Speaker, as always, you seem jubilant and you are in shape, so I will be pleased to talk to you about health.
As my colleague pointed out with respect to implementing the economic statement, we do not find the required measures in this bill to counter the reality that affects us today, that being inflation. Members can rest assured; I will not take the same direction as my Conservative colleagues. I do not think that the best way to fight inflation is to feed the gluttons in the oil and gas industry.
As my colleague demonstrated earlier, there are no measures to support seniors, either. This is very disappointing. We have been asking for that for many years now, almost three years.
I would say that the most glaring omission in the economic statement is the increase in health transfers. Whoever watched question period yesterday could see the Minister of Health's usual attitude when we spoke of health transfers, one that I might describe as “stubborn and arrogant”. This makes me want to dedicate all of my speaking time to these health transfers we keep hearing about.
I do not want to impugn the government's motives, but I know very well that, through their action, what the Liberals want in the coming weeks is to break the common front that has formed between the provinces in order to reach a cut-rate agreement. My colleague pointed that out earlier. However, the situation will not disappear that easily. The current situation is putting enormous pressure on our health systems. Mandatory overtime for nurses and population aging are but two of the factors that are putting pressure on the system.
I would first like to go back to why we have been making this request for health transfers for such a long time. Let us remember that this involves $28 billion, which would increase the government's share from 22% to 35%. If we put that into perspective, we know that when the health care system was first created in the early 1960s, for every dollar invested in health, 50¢ came from the federal government and 50¢ from the provincial government. What an interesting system. Health costs were divided fifty-fifty. That is no longer the case today. In Quebec, the government's share is barely 22%.
The pandemic has also played a major role in the drastic rise of health care costs, so much so that everyone now agrees that major federal reinvestments are needed. The Quebec National Assembly passed a unanimous motion in this regard. The circumstances are clear: there are needs. Everyone, except perhaps the Liberal Party, agrees that the federal government is not doing its part.
Now let me try to explain those economic circumstances. I have no choice but to revisit something that is quite annoying to the government and federalists in general, namely the fiscal imbalance. I am not sure if members recall the Séguin report. I am not talking about the guy who has a goat or about Richard Séguin, the singer; I am talking about Yves Séguin, who was a Liberal finance minister. He was not a sovereignist, nor was he trying to embarrass Canada. He simply gave a presentation on Quebec’s fiscal situation in relation to the federal government.
As the Séguin report so well said, the definition of fiscal imbalance, according to Yves Séguin, is as follows: the provinces’ spending structure is such that expenditures grow faster than the economy, while those of the federal government grow at roughly the same pace. Furthermore, when it wants to revise its spending, the federal government can simply act unilaterally by cutting transfers to the provinces with no other political consequences for itself.
I will come back to this often. We should keep in mind what he said: with no other political consequences for itself.
The federation’s major problem is that the federal government can strangle the provinces by cutting its transfer payments, and it never pays the price for that. Allow me to demonstrate this. We have seen the same thing consistently for 20 years, according to reports from the Conference Board of Canada and the Parliamentary Budget Officer, not just the Séguin report: The federal government rakes in surpluses, and it can balance its finances on the backs of the provinces without paying a price for it.
A 2013-14 Conference Board of Canada report stated that if nothing were to be done in subsequent years, which is what happened, the combined deficit of the provinces could reach $171 billion in 2034, while the federal government could amass surpluses.
This analysis predates the pandemic, of course, but it does demonstrate that even a neutral organization like the Conference Board of Canada realizes that the fiscal imbalance does exist. The Parliamentary Budget Officer also reported that over the next 25 years, Quebec's revenues will probably be 0.6% less than its spending, while the federal government's revenues will increase rather than decrease.
This does not come from a member trying to provoke the government, but from neutral entities. Canada has a fiscal imbalance problem, and it is usually addressed by cutting transfer payments.
That brings me to our friend, the Minister of Health. He has come out in the last two weeks saying that he is acting in good faith. I would like to see if my colleagues think the Minister of Health is acting in good faith in making these statements. When talking about unconditional transfers, he said, and I am paraphrasing, that all they want is a cheque made out to their finance minister with no strings attached. That is not a plan.
As for sending a cheque to the provinces without a plan, with no strings attached, is it the role of the federal government to establish a health plan? I would simply like to point out that the provinces have exclusive jurisdiction over health, with the exception of military hospitals, quarantines, indigenous health and drug approvals. The provinces have exclusive jurisdiction over everything else. Why would the federal government want to come up with a plan of its own?
In my view, the plan should come from the people who have expertise in this field. Who has expertise in health care? It is the people who work in the system, people from within the sector. The Minister of Health has said we need to let health professionals do their jobs. I find that interesting. Perhaps we also need to listen to what they are saying. I do not know if my colleagues recall, but with my colleague's help, we got all the stakeholders in the health sector together: physicians' associations, medical specialists, people who work in public health and the major unions. We brought together all kinds of health care personnel. They came here to Ottawa and told the government that it needs to increase transfers. Why will the Minister of Health not listen to those individuals?
The Minister of Health said we must work together to ensure that patients get the care they need, where and when they need it. I will take the minister at his word. If he wants us to work together, why does he refuse to do what we have been asking of him all along, which is to hold a health summit?
The minister also talks about old ways of doing things. However, the current health care crisis shows that the old ways of doing things do not work. When he talks about old ways of doing things, do members know what it makes me think of? It makes me think of the Liberal government's ongoing cuts. In 1997 and 1998, the government cut $2.5 billion a year in provincial health transfers. Who paid the price at the time? It was Lucien Bouchard. The same thing was done when a Liberal government was in office. Who paid the price? The Couillard government had to bring in austerity measures.
What is worse, the Minister of Health is talking about effectiveness and results. He basically said that before we can talk about money, we need to agree on the objectives. I can give him objectives for immigration, passports, insurance and old age security. There are 70,000 new retirees who are waiting for their cheques. Worse still, the Liberals implemented a dental cheque scheme that is going to be twice as hard for Quebeckers to access.
The culmination of this bad faith is the futile debate. The Minister of Health told us that this debate is futile. The day that the federal government has to invest 42% of its budget in a single budget item, then it can tell me that this debate is futile.
This means that the remaining 58% of Quebec's budget must cover everything else: education, the fight against poverty, child care, infrastructure, municipalities and support for Quebec businesses. Quebec only has 58% of its budget to cover all that. It feels that it is still not enough.
In closing, I would like to say that I had a lofty goal in life, that of making my son and my wife happy. Now, I have another goal, which is to hold the Liberal government to account for all the terrible things it is doing in the area of health care.