House of Commons Hansard #321 of the 44th Parliament, 1st Session. (The original version is on Parliament's site.) The word of the day was diabetes.

Topics

Motions in AmendmentPharmacare ActGovernment Orders

7:10 p.m.

Bloc

Jean-Denis Garon Bloc Mirabel, QC

Madam Speaker, there are dissenting voices in every society. There are debates in every society. However, Quebec's voice is heard in the Quebec National Assembly, which is made up of 125 members who are elected by the people.

My NDP colleague's leader had the nerve to send a letter to Quebec's health minister. He literally told the health minister that he wanted a meeting with him, that he wanted to educate him and teach him how pharmacare works.

Do members know how Quebec's democracy responded? First, he was told to take a hike, because it was deeply disrespectful and ridiculous. Then, Quebec's democracy unanimously passed a motion in the National Assembly denouncing this kind of paternalistic attitude, which is, and always will be, unacceptable.

Motions in AmendmentPharmacare ActGovernment Orders

May 30th, 2024 / 7:10 p.m.

Conservative

Colin Carrie Conservative Oshawa, ON

Madam Speaker, I want to thank my colleague from Mirabel for a very well-thought-out speech.

I come from Ontario, and the Conservative Government of Ontario has something called the Ontario drug benefit program. The member is aware of, and quite rightly pointed out, the jurisdiction of the provinces.

The pharmacare program that the government is bringing forward is not really a pharmacare program. It is like an announcement. It does not cover most of the drugs that the provincial plans cover. No Canadian, no Ontarian, wants a worse plan that would cover less. Perhaps the federal government would only cover certain medications.

Could the member explain to the Liberals and the NDP a little more about the jurisdictional issues that they are dealing with, and what people on the ground in his community are really asking for?

Motions in AmendmentPharmacare ActGovernment Orders

7:10 p.m.

Bloc

Jean-Denis Garon Bloc Mirabel, QC

Madam Speaker, that is an interesting question.

One thing is for certain: If the federal government has money for the provinces to cover more drugs, then perhaps even more drugs could be covered if the money is sent to the provinces and they are given the right to opt out with full compensation so that they can expand programs with existing infrastructure.

However, Ottawa has this bad habit of creating structures, bureaucracy and new layers of all sorts of things that cost a lot of money. Then we end up with dental care plans like the Liberal plan that ultimately involves the private sector, which runs counter to the very principle of the Canada Health Act if it were subject to it. That is what we end up with. These are failures after failures.

What is the point of all this? It is about campaigning for the Liberals and the NDP.

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

Hochelaga Québec

Liberal

Soraya Martinez Ferrada LiberalMinister of Tourism and Minister responsible for the Economic Development Agency of Canada for the Regions of Quebec

Madam Speaker, I am also from Quebec and I fully respect Quebec's jurisdictions.

I have a question for my colleague. Does he not know that, right now in Quebec, IUD fittings, for example, are not covered by insurance? Women have to pay every month for their method of contraception, which costs between $20 and $30. Many women choose not to take contraceptives.

Why not simply join a program that will give all women free access to their choice of contraception?

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

Bloc

Jean-Denis Garon Bloc Mirabel, QC

Madam Speaker, my best regards to the minister. I thank her for her very good question.

I will use the same wording to answer. Does she not know that Quebec is asking for health transfers? Does she not know that Quebec needs unconditional transfers? Does she not know about the health care funding deficit? Does she not know that if Ottawa stopped saying no to health transfers, we might not be where we are today?

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

Madam Speaker, I would like to start off by just taking a moment to congratulate the citizens of the United States of America and the rule of law that has prevailed this evening. Donald J. Trump has been convicted of 34 felony counts. Justice will be done in the United States, and a serial criminal, who has committed many crimes but never had to pay the price, will finally be behind bars in a matter of a few months.

I send my regards to the citizens of the United States. Tonight, the verdict is in, and Donald Trump has been found guilty on 34 counts. Finally, we see justice being served in the United States.

There are Conservatives who admire this convicted criminal. I think it is important and very relevant to the debate tonight that Conservatives have imposed five hours of debate, at a cost to Canadians of $400,000. This is being spent on a debate that Conservatives have put forward—

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

Some hon. members

Oh, oh!

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

NDP

The Assistant Deputy Speaker NDP Carol Hughes

I just want to remind members that if they have questions or comments, or if they are not interested in listening to the debate, they should ensure that they hold off until it is the appropriate time or step out of the chamber and come back when they are interested in listening to the debate.

The hon. member for New Westminster—Burnaby.

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

Madam Speaker, I would also suggest to Conservative members that they should not be drinking and coming into the House. It is not a good combination, and it does not look good on them. The reality is—

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

NDP

The Assistant Deputy Speaker NDP Carol Hughes

The hon. member for Cariboo—Prince George is rising on a point of order.

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Madam Speaker, my hon. colleague has been in this chamber for a very long time and knows that we cannot do indirectly what we cannot do directly. To assert that Conservative members are drinking and coming into the chamber intoxicated is incredibly unparliamentary. I would ask that he withdraw those comments.

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

NDP

The Assistant Deputy Speaker NDP Carol Hughes

I am not sure exactly what is being done. If the hon. members could stick to the subject matter that is before the House, the House will run much more smoothly. I do not think that putting accusations forward is proper.

I would just ask the member to withdraw so that we can continue.

The hon. member for New Westminster—Burnaby.

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

Madam Speaker, it was not an allegation, but advice, and that is quite a different matter.

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

An hon. member

Oh, oh!

Motions in AmendmentPharmacare ActGovernment Orders

7:15 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

However, Madam Speaker, I will withdraw it if that advice was misconstrued by any member, including the member who seems to be shouting very belligerently.

This debate tonight is going to cost us $400,000, which is a lot of money. Even Conservative MPs, I think, would agree to that. However, what they have proposed in this debate tonight on pharmacare is a Conservative series of motions to delete the entire bill. That is why we are spending $400,000 of taxpayers' money. That is it. That is what they have to offer tonight, which is certainly in keeping with what they have been doing since February 29. They have been trying to block, by all means possible, the passage of pharmacare.

Why would they do that? Why would they waste $400,000 of taxpayers' money? Conservatives love spending money. We saw this under the Harper regime, with $30 billion given each year to overseas tax havens, tens of billions of dollars given to corporate CEOs in the oil and gas sector and $116 billion, including from the CMHC, given to banks to prop up their profits. I mean, there were unbelievable amounts of cash showered on lobbyists, on corporate CEOs and on banks. Conservatives love to spend money on anything but what actually helps people.

Conservatives have raised the question today, curiously, and are spending $400,000 of taxpayers' money on a useless debate where all they are offering, in terms of motions, is deleting every single clause in the bill. There is absolutely nothing respectful of Parliament to try to put forward such a motion. They are ready to spend $400,000 to basically waste a whole evening on a useless debate about deleting the bill rather than just voting against it, which is what normal people would do. However, they are unwilling to spend a penny to help people such as Amber.

Amber pays $1,000 a month for her diabetes medication. She lives in Burnaby, B.C. She has to scrimp and save; she finds it difficult to keep a roof over her head and to put food on the table. However, the member for Carleton and his entire caucus are suggesting that it is okay to burn $400,000 tonight on a useless, meaningless debate in which they are simply trying to delete every single clause of the bill. For them, it is okay to give $116 billion, including from a housing fund, for bank profits. It is okay to give tens of billions of dollars to corporate CEOs in the oil and gas sector. It is okay to put in place the infamous Harper tax haven treaties, for a loss of $30 billion each and every year over the course of the dismal Harper regime; that is nearly $300 billion that they just burned. However, when it comes to helping Amber or their own constituents with paying for diabetes medication, which can sometimes cost as much as $1,500 a month, Conservatives draw the line. They say, “No, hey, we give money to banks. We give money to oil and gas CEOs. We give money to big people. We give money to the rich. That is where we love to spend our money.” The member for Carleton, the lobbyist-in-chief of the Conservative Party, believes that this is where Canadian taxpayers' money should go, not on pharmacare and certainly not on dental care.

Now, on the dental care front, Canadians have said overwhelmingly to Conservatives that they are wrong. There were 120,000 seniors getting dental services in the first three weeks. What Conservative MP, over the course of their career, can ever point to having helped people? On the NDP side of the House, we can point to 120,000 seniors, including many in Conservative ridings, who have been helped immediately by the work of the member from Burnaby South and the entire NDP caucus. The NDP forced dental care through the House of Commons even though it was voted against four years ago by both Conservatives and Liberals. We certainly proved our worth to Canadians, and we have come back on pharmacare. However, Conservatives say the same thing: “We do not want to see our constituents helped.” There are 18,000 people in each Conservative riding in the country who would benefit from having diabetes medication paid for. Amber is just an example of what millions of Canadians are living with.

Canadians are looking for contraception. Women are looking for their reproductive rights and freedoms. There are 25,000 on average in each and every Conservative riding in the country, and the Conservatives say, “No, we do not want to give them that money. We want to burn $400,000 on an all-evening debate about motions that would simply delete every single clause of the bill.” That is the one contribution that Conservatives have been making to the debate since February 29.

On this side of the House, we actually believe in helping people, unlike the member for Carleton. He has never really held a job in his life. He worked for Dairy Queen for a few weeks, and that is it. Everything else has been given to him by the Conservative Party. In my background, I had to work as a manual labourer. I had to work in the service industries. I had to work my way through school as a teacher. I worked in a brewery. I worked in an oil refinery. I have working experience. The member for Carleton has not a whit, and maybe that is why, because every single member of the NDP caucus can point to that real-life, real-world work experience, we understand that when people are struggling to make ends meet, they actually need us to help them.

Conservatives will say they want to take a few cents off a litre of gas on the price on carbon. They are going to eliminate the price on pollution, as if somehow that would help Canadians, and we know full well that already the cost of the climate crisis goes far beyond the price that it has put on pollution.

The Conservatives, despite the fact that now the member for Carleton has been leader for a couple of years, have not been able to offer a single solitary thing to Canadians who are struggling to make ends meet and put food on the table. One could ask, if the Conservatives are bad, what about the Liberals? The reality is that the biggest fault of the Liberal government has been that it continued all the Harper practices. We still have the infamous Harper tax haven treaties still costing us $30 billion a year, according to the PBO. The government also coughed up money to the banks over COVID and was willing to spend money from the CMHC. Instead of that going to affordable housing, it went to prop up the banks, and the government has continued the oil and gas subsidies.

The biggest thing that I can reproach the Liberals on is the fact that they have acted like the Conservatives, with some exceptions, and that is because the NDP has stepped up to force them to get dental care into place. That has been an undeniable success. It is the best new support for Canadians that we have seen in decades. Now with pharmacare, people like Amber can know in the next few months, once we pass this bill, that they will actually get supports, and Amber will not have to struggle to find $1,000 each month to pay for her diabetes medication.

That is why I am supporting the bill, and that is why I find it ridiculous that the Conservatives are forcing, at a cost of $400,000, this ridiculous debate to delete all clauses in the bill tonight.

Motions in AmendmentPharmacare ActGovernment Orders

7:25 p.m.

Winnipeg North Manitoba

Liberal

Kevin Lamoureux LiberalParliamentary Secretary to the Leader of the Government in the House of Commons

Madam Speaker, one of the things that amazes me is the degree to which the Conservatives are so insensitive to their own constituents. One of the biggest beneficiaries of passing this legislation would be people with diabetes. Every member of Parliament has literally hundreds, if not thousands, of constituents with diabetes, and this bill is long overdue. I would like to to see it passed, and the Conservatives do not seem to want to recognize the important impact this is going to have on Canadians with diabetes.

Could the member provide his thoughts on that aspect, please?

Motions in AmendmentPharmacare ActGovernment Orders

7:25 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

Madam Speaker, the question is a very relevant one. On average, 18,000 people in each and every Conservative riding in the country, whether it is Cariboo—Prince George or Cumberland—Colchester, could benefit from the pharmacare provisions that the NDP have pushed the government to put into place, yet those members of Parliament, instead of helping their constituents, are siding with big pharma.

Who are they benefiting by, for the last few months, fighting to stop this bill from helping their constituents who pay $1,000, sometimes $1,500, a month for medication? I think they need some reflection, because Conservatives are not doing anything to help their constituents at all.

Motions in AmendmentPharmacare ActGovernment Orders

7:25 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

Madam Speaker, it is absolutely fascinating, because when we look at the statistics, about a million people really do suffer from a lack of coverage. That is just the fact, in spite of the conflated numbers that the member from NDP wishes to state.

Maybe the member could do his math again on behalf of all Canadians and let Canadians know how many diabetics really need this program. There are some, admittedly, who really need it, whereas many others have fantastic coverage. His foolish plan would actually take away their coverage, leaving them with less ability to choose the insulin that works well for them or the other medications that are important to their own health, and the freedom of choice that they now have.

Perhaps the member could swallow his pride and get his numbers straight on behalf of Canadians.

Motions in AmendmentPharmacare ActGovernment Orders

7:30 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

Madam Speaker, I like the member.

We have had a breakthrough. One Conservative has finally admitted that people actually need pharmacare. One Conservative said, “Oh gosh, yes”. His numbers are wrong, but he is right in saying that people actually need pharmacare.

Why have the Conservatives been fighting tooth and nail to block this bill since February 29? Why have they been trying to stop their constituents, 18,000 of them, who he has just admitted actually need the program, from getting the program they need?

There is a breakthrough tonight. Maybe this is a use for some of that $400,000 that the Conservatives are burning. If some Conservatives had the penny drop and finally realize that they are doing the wrong thing, they may start to do the right thing. That would be a benefit to all Canadians.

Motions in AmendmentPharmacare ActGovernment Orders

7:30 p.m.

Winnipeg North Manitoba

Liberal

Kevin Lamoureux LiberalParliamentary Secretary to the Leader of the Government in the House of Commons

Madam Speaker, the member was starting to hit the nail on the head here, when he made reference to the fact that there might be some benefit in terms of late-night sitting tonight, if somehow we can get the Conservatives to flip-flop on this particular issue.

It is encouraging, and the first step is to recognize not only people with diabetes, but also the millions of Canadians who would directly benefit because of contraceptive coverage. I believe it is somewhere around nine million women who would, potentially, directly benefit from this aspect of the program.

Can the member comment?

Motions in AmendmentPharmacare ActGovernment Orders

7:30 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

Madam Speaker, that is very important, too.

There are 25,000 people in each and every Conservative riding in the country who would benefit from the provisions around contraception. Conservatives should be embracing that. On the issues of family planning, women's bodily autonomy, reproductive rights and freedoms, if Conservatives actually believe in freedoms, they should be supporting this bill.

I am hoping, perhaps, there may be some usefulness for the $400,000 that the Conservatives are spending tonight to try to delete all sections of the bill. If one, or maybe two or three Conservative MPs wake up and actually vote in favour of the bill, maybe it will be worth it.

Motions in AmendmentPharmacare ActGovernment Orders

7:30 p.m.

Winnipeg North Manitoba

Liberal

Kevin Lamoureux LiberalParliamentary Secretary to the Leader of the Government in the House of Commons

Madam Speaker, it is a pleasure to be able to rise and speak to this legislation today.

There are some aspects of public policy that I have had a great deal of interest in over the years, not only here in Ottawa, but also during the days I spent in the Manitoba legislature. Canadians have a justified expectation that provincial and federal governments will work together on the important issue of health care. It is part of our Canadian identity. In many ways, it is one of the biggest treasures we have as Canadians.

At the end of the day, when I look at this legislation, Bill C-64, I see it as a significant step forward in recognizing just how important it is, when we talk about health care, that medications need to be incorporated in a very real and tangible way into the discussions. I think of the number of people over the years who have ended up going to emergency services, had a premature death or were in situations where there were additional costs for health care. Imagine the number of different pharmacare programs that are scattered throughout the provinces. Even within a province, there are multiple different forms of pharmacare programs being provided. However, even with all of those hundred-plus national or provincial insurance programs that are out there, there are still many Canadians, hundreds of thousands, who have absolutely no insurance for prescribed medicines.

This policy that is sound and makes sense. Therefore, I am bewildered as to why, yet again, we see the official Reform Party across the way saying no to Canadians on what I believe is a significant step forward toward a national pharmacare program. It would start off with two medications, in two areas. I believe Canadians would overwhelmingly be in support of this. Whether it is people in Quebec, Manitoba, B.C. or Atlantic Canada, we will find resounding support for this initiative, and I would like to think that Conservatives, at some point in time, will open their eyes and have a better appreciation for the true benefits of this program.

This is not new for me. I have been talking about it in this House for many years. For the last half-dozen or so years, I have raised the issue. I have presented petitions on the issue. Whenever I had the opportunity to highlight the importance of pharmacare, I would often make reference to the importance of the federal government working with provincial governments across the country to encourage more participation in a truly national program. Interprovincial migration happens all the time. I have family members who live in different provinces. In fact, I have a brother who lives in B.C. and a sister who lives in Newfoundland and Labrador. The types of coverage vary. We all have opinions. Because this includes medication for people with diabetes and contraceptives for women, we would all benefit directly because we all have family members or know people who would benefit from that. I would personally love to see an add-on to it with respect to shingles.

I understand that in some provinces there is better coverage than in other provinces. That is one reason I would argue, as my daughter has in Manitoba, that we need to get provinces to come to the table in such a way that we could recognize the best pharmacare program that we could have, while expanding it to what it ideally could and should be into the future, with a higher sense of co-operation. I believe that is the answer. I think it was back in 2016 or 2017, I recall being on Keewatin Street in the north end of Winnipeg, asking people to sign a petition on the importance of national health care and on a national pharmacare program.

The NDP House leader made reference to a Quebec union and its thoughts about ensuring not only that this program sees the light of the day, but also that all politicians get behind it. There is a saying from the national nurses union that health care workers understand and they appreciate. If one goes into a hospital, one will find, at least in Manitoba, that one's medications are covered. When one leaves the hospital, depending on their situation and what kind of a plan they might have, they will get their medication. Many may not have a plan, so they will not get the medications, and often, the person returns to a hospital situation. I have talked to individuals, particularly seniors, who talk about medications versus food. That is a real discussion that takes place, sadly. From a personal point of view, the pharmacare program has been more important to me than the dental care program, and we have seen the success of the dental care program.

As a government, with the Prime Minister, we have seen how much Liberals value our health care system, our Canadian identity, virtually from the get-go with the buying of prescription medications to be circulated in order to support provinces, until not that long ago when we made a contribution of $198 billion over the next 10 years to support our health care system so that we can enhance programs such as staffing requirements, long-term care and mental health. Those are expectations our constituents have. That is the type of thing that we are delivering because we have seen agreement after agreement with provinces and Ottawa dealing with health care, and we recognize just how important the issue is. We continue to be able to work with the different jurisdictions.

I believe that when we think about issues like mental health, dental services, pharmaceuticals and long-term care, they are all things that I believe, through the Canada Health Act, we have a responsibility to show leadership for. I like to think that whether it is a territory or a province, there is a some semblance of what we could expect and that it would be of a similar nature. That is why we have transfer payments, equalization payments and so much more. That is why we have a government that not only understands it, but it brings in budgetary measures to support it and legislative measures like we are debating today on Bill C-64. The Conservative Party needs to wake up and understand what Canadians want. That is better quality health care, and Bill C-64 delivers just that. Conservatives should be voting in favour of it, not filibustering.

Motions in AmendmentPharmacare ActGovernment Orders

7:40 p.m.

Conservative

Warren Steinley Conservative Regina—Lewvan, SK

Mr. Speaker, I do not get to say this very often, almost never, in the House, but that speech by the member was so much better than the previous drivel that we heard from the member for New Westminster—Burnaby. It was not good, but better than what the NDP House leader from B.C. had said, which was incoherent babble.

I do have a question for the member, which I asked the previous health minister and the current health minister at committee: How many provincial health ministers at FPT meetings asked for a pharmacare program? I have talked to the health minister in Saskatchewan, and this was never on the agenda at any FPT meeting. How many provincial health ministers asked the NDP-Liberal government to bring in this program?

Motions in AmendmentPharmacare ActGovernment Orders

7:40 p.m.

Liberal

Kevin Lamoureux Liberal Winnipeg North, MB

Mr. Speaker, I will do better than that because I have been talking about this and campaigning on this type of issue for many years, and a vast majority of the constituents, the people whom I represent, want to see this. They want to see strong national leadership, and we are getting that through the Prime Minister, through the current government and the collection of Liberal MPs, and we are grateful for the support we get from the NDP. Because of that, we are going to see it happen, and as a direct result, millions of Canadians could realize the benefits. Our health care system is being improved upon, and believe it or not, that is something that the member who posed the question would also like to see.

Motions in AmendmentPharmacare ActGovernment Orders

7:40 p.m.

Conservative

Tom Kmiec Conservative Calgary Shepard, AB

Mr. Speaker, I will actually ask the member a question about the legislation. In Bill C-64, clause 6, “Payments”, it says very specifically that it is supposed “to provide universal, single-payer, first-dollar coverage”.

First-dollar coverage means that if a private insurance company today covers diabetic medication, it will not be able to do so if this legislation comes into force. In fact, it would be a crime. It would be illegal to do that, which means that there is a great potential for Canadians who are currently insured for their diabetes medication with a private insurer to lose it. They are actually the majority in this country.

How many Canadians would lose the coverage that they currently have because of this first-dollar coverage found in clause 6 of Bill C-64?