Madam Speaker, it is an honour to rise in the House today to address the motion from the hon. member for Burnaby South and provide an update on our government's commitment to support and strengthen Canada's health care system. It is also a great opportunity to re-emphasize our number one priority, which is to ensure that our health care system continues to be publicly funded, universally available and equitably delivered.
Canadians are proud of our universal health care system, a system that is accessible to everyone regardless of their ability to pay.
However, this system is under pressure. The accessibility and universality of the system that we all rely on are under threat. We have all heard the devastating stories about the system failing us. There are for example the long waits at emergency rooms and the difficulty people have finding a family doctor, not to mention the years-long wait lists for consulting a specialist or to plan a surgery.
While many of these issues existed long before COVID-19, the pandemic has both exposed and worsened a number of systemic problems that must be addressed.
Canadians deserve a health care system that delivers results. That is why we are working with provinces and territories to increase funding in our health care system right across the country. Our goal is to ensure that all Canadians get the universal, accessible and high-quality health care they need and deserve when and where they need it.
Last week, the Prime Minister announced the Government of Canada’s proposed investment of $198.6 billion over the next decade, including over $48 billion in new funding for provinces and territories to improve health care services for Canadians.
I will speak more about how this investment is structured in just a few moments. It is about more than just money; it is a true investment in the health system that will yield tangible results for Canadians in the areas they care most about.
Before I go any further, I would like to say a few words about COVID-19 and the enormous pressure the pandemic has placed on the health system, resources and workers. It has been health care workers who have borne the brunt of the pandemic’s impacts, on the job, every day. From high patient workloads, to scarce resources to fear for personal health and safety, the pressure on health workers has been unrelenting for over two and a half years.
Last week, I had a chance to sit down with some representatives from SEIU, a labour union that represents a lot of workers in personal support and long-term care. The meeting quickly turned into one that was very emotional, because personal stories and anecdotes were shared. I do not mind saying for the House, and on the record, that everybody in the meeting was crying by the end of it. These people work so hard. They are so compassionate. They are there for society's most vulnerable, for our parents and our grandparents as they age. They are angels and saints, every single one of them.
They asked me to re-emphasize for the Prime Minister and the Minister of Health the importance of wages for those workers, and they were so grateful for the increases they saw in these agreements.
I take this opportunity to thank health care workers for their perseverance, professionalism and unwavering commitment to their patients, Canadians and people right across our country. Our government owes them a debt of gratitude for their continuing compassion, care and courage in these extremely challenging times.
Given the pressure they are under, it should come as no surprise that health care workers are exhausted and burnt out. Many have left the profession altogether. Those who remain are grappling with very challenging workplace conditions, leading to low retention and a lot of turnover. This is unacceptable.
Health workers are the backbone of our health care system. A crisis for health workers is a crisis for the whole system. They have taken care of us, they have taken care of our loved ones and we need to take care of them too.
Therefore, we, as governments, now find ourselves in the position to try to find ways to rebuild the health system so it can continue to be there for us now and into the future. This is a shared challenge. We have been working closely with the provinces and territories to identify actions that are needed to improve the health system, while adapting to the changing needs of Canadians.
Last week, federal and provincial leaders came together to discuss tangible actions that we could take now, which would help modernize the system and ensure results would be there for Canadians.
After months of discussions, including with patients, health workers and experts, our government has proposed a sound, reasonable and pragmatic approach to obtain concrete results for Canadians as well as our health care workers.
This past Monday, premiers across Canada announced that they had accepted this approach, and we welcome the opportunity to continue working with them to improve the universal, public health system on which we all rely.
Our government will increase health funding by nearly $200 billion over the next 10 years. This funding includes an immediate and unconditional $2 billion Canada health transfer top-up to address immediate pressures on the health care system, especially in pediatric hospitals and emergency rooms for long wait times for surgeries. This builds on previous top-ups that total $6.5 billion provided throughout the pandemic.
It also includes a five per cent Canada health transfer guarantee for the next five years. This is projected to provide an additional $17.3 billion over 10 years in new support. With this guarantee, the Canada health transfer is projected to grow by 33% over the next five years and 61% over the next 10 years.
It will also include $25 billion over 10 years to advance shared health priorities through tailored bilateral agreements that will support the needs of people in each province and territory in four areas of shared priority: family health services, health workers and backlogs, mental health and substance use, and modernization of our health system.
In addition, $1.7 billion will be invested over five years to support wage increases for personal support workers and related professions.
On top of this, we will continue to work with indigenous partners to provide additional support for indigenous health priorities. Notably, the government will provide $2 billion over 10 years for an indigenous health equity fund to be distributed on a distinctions-based manner with first nations, Inuit and Métis to address the unique challenges indigenous peoples face when it comes to fair and equitable access to health care services.
We will also provide an additional $505 million over five years to the Canadian Institute for Health Information and Canada Health Infoway. These federal data partners will work with provinces and territories on developing new health data indicators, among other efforts to use data to improve safety and quality of care right across Canada.
We have been very clear about the obligations under the Canada Health Act. We will work with provinces and territories to ensure our investments are used in the best interest of patients and health care workers in a way that respects the principles of the Canada Health Act to ensure access to insured services is based on health needs, and not the ability or willingness to pay.
Our investment supports work in shared priority areas that matter to Canadians, such as family health services, the health workforce, mental health and substance use services, and building a modern health care system. Helping Canadians age with dignity, closer to home, with access to home care or care in a safe long-term care facility is also an area of shared priority.
I would also like to speak for few minutes about each of our shared priorities and why they are important to Canadians.
The first priority is to improve access to family health services, especially in rural and remote areas and in underserved communities. Whether provided by a doctor, a nurse practitioner, a pediatrician or a multidisciplinary team, family health services are essential for effective, resilient, sustainable and equitable health care delivery, and yet more than 14% of Canadians over the age of 12 do not have a regular family health provider.
This gap affects us all. When people do not have access to a a regular family health service provider, they rely heavily on walk-in clinics and emergency rooms that are already overburdened. This needs to change. With this new investment, we will work with the provinces and territories to ensure timely access to comprehensive, integrated and person-centred family health services, including in rural and remote areas.
Our second shared priority is to support our health workers and reduce surgical backlogs. As I mentioned at the outset, health care workers made enormous sacrifices during the pandemic, and they continue to suffer the consequences of working in a system that is under strain. We need to invest in supporting and retaining health care workers. This includes training for recruitment as well as recognizing the skills of health care workers trained both in Canada and abroad.
We also need to look to the future with better workforce planning. We can do this with improved health care service data with respect to our workforce and by seizing opportunities to scale new models of care to directly address these key barriers. This includes streamlining foreign credential qualifications and recognition for internationally educated health professionals and advancing labour mobility, starting with a multi-jurisdictional recognition of health professional licenses.
As the member of Parliament for a diverse community of people who come from all over the world to make Canada their home, this is a personal priority for me as well.
Third, we want to improve access to mental health services and substance use services for Canadians. Right now, one in three Canadians say that they are struggling with their mental health. It is clear that there is no health without mental health. It is as integral and important to our needs as physical health.
That is why we are working to provide Canadians with a multidisciplinary system of care, one that integrates mental health services and substance use services right across all of those shared priorities with provinces and territories. This means better access to mental health and substance use services in the community as part of publicly funded care.
For example, by better integrating mental health services within family health teams, we can strengthen access to needed mental health supports for all. We will ensure that every Canadian and those who need referrals can get them in a timely manner.
Next, we need to work together to modernize the health system, which means improving the way we collect and manage health information. This will be foundational to achieving progress, because data saves lives.
Let me explain what I mean. Better access to health information is essential for health workers to provide safe and high-quality health care, regardless of where in Canada patients might live or happen to be when they need care. Think of a nurse or a doctor who cannot see a patient's medical history, including any medications he or she is on, allergies the patient might have or tests that have taken. In an emergency situation, this can be very dangerous.
Many of us have had the frustrating experience of being referred from one health provider to another only to be asked to repeat our medical history over and over again or take same tests multiple times, all because medical records were not shared in a modern manner. This is inefficient and results in duplication and increased costs.
That explains why we need to modernize the health system with standardized health data and digital tools. Canadians should be able to access their own health information and benefit from it being shared between health workers across health settings and across jurisdictions, providing a seamless experience for the patient while respecting their privacy.
To access the federal funding announced last week, we are asking provinces and territories to adopt common standards on how health information is collected and shared. This commitment will include an agreement to develop and use comparable indicators through the Canadian Institute for Health Information.
These commitments will improve the efficiency, the quality and the safety of patient care, provide decision-makers with more complete pictures of the health care system and help manage public health emergencies.
Finally, we are committed to helping Canadians age with dignity, closer to home and with access to home care or safe long-term care. Many seniors want to remain in their homes as long as possible, but they lack the support they need to do so safely.
Collaborative work is under way with provinces and territories to help them support access to home care and long-term care. This includes existing investments of $6 billion for home and community care. The investment we announced last week will also include an additional $1.7 billion over five years to support wage increases for personal support workers and related professions. That was so important, and it was highlighted to me by the workers from SEIU just last week.
Investing in these five areas of shared priorities will help repair the damage caused by COVID-19 and ready the health system for future challenges.
We recognize each province and territory faces unique challenges. That leads me to the next point on the bilateral agreements.
Provinces and territories will have the flexibility to tailor their bilateral agreements to meet the unique needs of their populations and geography. The health needs of Canadians are diverse across our country. Yukoners, New Brunswickers and Islanders all need something perhaps a little different. These agreements will also include action plans to ensure real progress is made and measured.
On the Canada Health Act, each bilateral agreement will need to reinforce common core principles. The first among these is our shared responsibility under the Canada Health Act. This means governments must ensure that medically necessary services are provided on the basis of need, not one's ability or willingness to pay.
In Canada, all people should need to get health care is their health card, not a credit card. It also means that under the act, where there is evidence of patient charges for medically necessary health services, such as for abortion services, mandatory deductions to the Canada health transfer payments of a province or territory must be taken. There is a precedent for this.
As the Prime Minister pointed out last week, the Canada Health Act requires that governments protect, promote and restore the physical and mental well-being of residents of Canada and facilitate reasonable access to health services without financial or other barriers.
Governments must also ensure equitable access to health care services and that such access is supported by a strong public health care sector.
Next, the bilateral agreements we negotiate would reflect our joint commitment to health equity and reconciliation with indigenous peoples. We will work together to ensure indigenous peoples across the country are able to access quality and culturally safe health services, which are free from racism and discrimination, anywhere in Canada.
Finally, agreements would also support improving equitable access for other underserved and equity-deserving groups, including Canadians living in rural and remote areas, as well as those living in official language minority communities.
Canada's health care system is facing a major challenge. As Canadians, we all count on the system to take care of us and the people we care about. We expect it to be there when we need it.
We are at a critical juncture. There are cracks in the health care system, and they are getting wider. Now we have to act fast to save the system we all cherish.
Provinces, territories, stakeholders, care providers and the Government of Canada all have to work together to fill those gaps before these problems get even worse.
Last week, we came together and took a giant step forward. There is still much work to be done, but with that approach, the one that our government has proposed and the premiers have now accepted, we are pointed in the right direction and we have a clear path ahead of us.
Our government looks forward to working with the provinces and the territories in the weeks to come so that we can move forward together. Canadians are counting on us.