House of Commons Hansard #323 of the 44th Parliament, 1st Session. (The original version is on Parliament's site.) The word of the day was national.

Topics

Pharmacare ActGovernment Orders

12:40 p.m.

Liberal

Jennifer O'Connell Liberal Pickering—Uxbridge, ON

Mr. Speaker, I rise on a point of order. I find it interesting that the member opposite seems to be obsessed with the NDP and has not yet spoken on the pharmacare legislation at hand. I would ask that he get to relevance.

Pharmacare ActGovernment Orders

12:40 p.m.

Conservative

The Deputy Speaker Conservative Chris d'Entremont

Relevance is a point of order. Actually, it is the best one we have had so far today. Let us stick to the bill before us.

The hon. member for Battle River—Crowfoot.

Pharmacare ActGovernment Orders

12:40 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Mr. Speaker, it is interesting how calling out the failures of the NDP not only offends New Democrats, but offends Liberal members of Parliament. It truly is telling of the level of absurdity that this place has descended into, when simply calling out the failures of this so-called confidence and supply agreement, this coalition, this poorly negotiated agreement that has propped up one of the most corrupt governments in Canadian history, that NDP and Liberal members would become so offended when we bring forward some things, including talking about the history of those parties. I will be happy to address some of the failures specific to the Liberal Party here in short order, for that member specifically, but it seems like that they do not want to hear those things because they are simply offended that somebody would dare question their pre-eminence.

I will get into the substance of Bill C-64 in just a moment, because the context of it is so important. The Liberals, backed up by the New Democrats, do not want an opposition in this place. That is why the Liberals bought off the NDP. That is why we see so often that the Bloc Québécois are quick to go with them. They want an audience, not an opposition. This is a sad state of affairs. This place has a long democratic tradition, where we should be able to discuss the affairs of the nation and have meaningful debates. Whenever somebody suggests very valid points of criticism, such as those I brought forward to the previous Liberal member, like our concerns about the impact that Bill C-64 would have on the coverage of many Canadians, the government's response has been to ask us to trust it. Many Canadians over the last nine years have clearly communicated their concerns to me and many of my colleagues. I know that many Liberals are hearing the same thing. As I have travelled across the country, in airports or in communities that, in some cases, are represented by Liberals, I have heard from individuals saying they have lost trust not only in the Liberals, but also in the way that the Liberals, propped up by the NDP, have conducted themselves over the last number of years. There is an erosion of trust in our institutions.

For the government to ask us to trust it is not good enough, when there a real risk that 97% of Canadians, who do have some form of drug coverage currently, may be at risk of losing some of those benefits. That is a real concern for so many Canadians. In this circumstance, the government has promised much and has truly delivered very little. Government members will stand up and bluster about how great this is and whatnot, but when it comes to what Canadians actually need, they are failing to deliver.

A clear proof point on that front comes from the government's work with provinces. The Prime Minister was quick to brag about going around the provinces to deliver his agenda. However, when it comes to the history and the way that this federation was built, health care is provincial jurisdiction. Now, the federal government does play a role in the federal health transfer. We have seen on that front that there is a litany of failures. In fact, the Prime Minister promised to tear up the previous agreement that would have actually resulted in more funding dollars, because it was tagged to inflation, than the agreement that the Prime Minister went around the backs of different provinces to sign. He was quick to talk and puff up his chest, yet he has not met with premiers since those initial discussions, despite saying it was so important to meet with the premiers nearly a decade ago.

We have even seen how different provinces are treated differently. There are some provinces that the Prime Minister has been quick to suggest the government is happy to work with and other provinces that they may not like the party that those people in that province elected. It is not a conversation around whether they should or should not like a particular political party. The government is quick to dismiss any province that would bring forward legitimate concerns. When the government tries to go around the provinces, it ends up ultimately putting Canadians and the care that Canadians expect and deserve at risk.

There is no question that we need to address some of the challenges when it comes to health care. That is why Conservatives have been talking so significantly about some of these things, including making sure that Canadians have access to care, especially when there is a shortage of family doctors. There are so many doctors who are not eligible to work in Canada today because there is no clear process for recognition. The solution to that is very simple.

We need leadership that will bring the country together, to figure out that path forward so that what could be tens of thousands of doctors could actually get to work delivering the care for Canadians, following that Hippocratic oath that they took when they entered medical school. That would be good news for everybody because it would address a shortage. It would increase productivity. One of the challenges, and it is interesting because one does not hear the Liberals talk very much about this, is that we have a massive productivity challenge in our country. When one has wait-lists, when one has long processing times, and this is not limited to health care but includes permitting for houses, benefits, name it, if there is a delay, it has a negative effect on productivity. However, it is specifically impacting productivity on our national workforce when it comes to health care.

Canadians are being forced to wait. A constituent of mine waited three years for a hip replacement because they were in their 40s. Because of the processes and the hoops that they had to jump through, they had to stop working and there were family challenges associated with that. Again, these other parties do not want to hear some of this stuff, because they would rather simply stand on an empty promise than actually address the real challenges that are facing our constituents. When it comes to productivity, if we can address some of those things, we will see our national productivity increase, and we will provide more doctor and nurses. It makes sense that one has a nurse that is trained at an institution and has the training that is required to deliver the quality of care that is acceptable in this country.

The proposal that the Leader of the Opposition has brought forward, which he has called the blue seal plan, would give certainty in a process that currently has no certainty. That is just common sense. For somebody who is looking for opportunity, looking for a future, looking to build what used to be known as the Canadian dream, which has been so much eroded under these Liberals, there would be certainty.

A physician, a nurse or another health care provider could come to this country and have certainty. What the Leader of the Opposition has talked about is that within 60 days they would be given the thumbs-up or thumbs-down so they could get to work or at least know then, going forward, what upgrading and what training needed to be done so that they could deliver that care that, obviously, they want to give to Canadians.

It is truly a shame that there are so many talented immigrants in this country who are not able to do the work that they trained so hard to do. That is an absolute disgrace, yet, with some political will, some collaboration and working with provinces, as opposed to pitting them against each other like what the Liberal government does on a daily basis, we could see solutions and better outcomes for Canadians.

There are serious concerns that I hear about, and I know many of my colleagues do as well. Because of the potential impacts of the passing of this bill, there would be an erosion or outright dismantling of private drug plans. That includes publicly funded drug plans that are delivered by private companies, as everybody in this place, and all public servants, the 400,000 of them or so, are experiencing, as well as with provincial and other levels of government.

In this process, we have not heard clarity. The Liberals will say that they addressed that at committee. Yes, it was asked. The questions were asked, but the answers were not given in any way that would provide certainty.

What does this mean? The bill talks about being single-payer, which may be simply fanciful language from the Liberals to appease their coalition partners in the NDP and means nothing. I would suggest that this is just as bad, because it is abusing the democratic process and just speaks to the poor negotiating tactics of the leader from Burnaby South, but we will leave that, because I think I addressed that appropriately in the beginning of my speech. This could practically mean that private companies would then be changing the way that they deliver those specifics. It would put employee benefits at risk, including when somebody signs up for a job. When somebody signs a contract for work, the benefit package is a part of the compensation package.

The Liberals have not done their job or their homework in terms of making sure that all the i's are dotted and the t's are crossed, as the saying goes. What they are doing could put some of those things at risk and directly impact the ability of Canadians from coast to coast to coast to access the drugs they already have.

That could mean simple issues, such as the pharmacist saying, well, this certain drug is not covered, but this one is, or outright not being able to get it covered altogether. This can be a huge issue in some cases. Further, it could scrap coverage plans, and there is no question that it will force Canadians onto the government plan. We see this as well when it comes to the dental care plan.

We have yet another example where there is big talk but little in terms of actual deliverables for Canadians. In fact, it is interesting. When we listen to the Minister of Health, he talks about how many people have signed up for the program. Even last week, he said how many people had registered for potential appointments. The language he used was truly a cop-out.

If the government want to deliver health care for Canadians, then it should get to work and work with provinces to ensure that provincial plans can be complemented and whatnot. However, that is not what the Liberals did. They signed an agreement, seemingly on the back of a napkin, to keep the NDP happy. This does not fulfill the promises and the objectives that they so publicly brag about.

The result is a very real potential that, in terms of outcomes, Canadians will not be better off after the Liberals have tried to fix the problem. This is the case when it comes to drug coverage, as we are debating today; when it comes to dental care, as has been and will continue to be debated; and when it comes to so many of the other things that the Liberals have promised.

What is the solution? Well, first and foremost, we need leadership in this country that will bring provinces together to address the challenges we face in ensuring that Canadians can get the health care they need. That includes mental health care. This is incredibly relevant when it comes to this conversation because the Liberal Party promised that there would be a Canada mental health transfer, yet we are now several years into a mandate and that promise has not been delivered on. I guess it was not negotiated on the back of a napkin in this confidence and supply agreement.

This speaks to how little the Liberals care about ensuring that Canadians have access to the care they actually need. We need leadership in this country so we can make sure that every Canadian can, in fact, have those better health outcomes and that Canadians can, once again, start to trust the institutions that we have worked so hard to pay for over multiple generations in this country.

I look forward to being able to answer questions on this and ultimately ensure that we get answers for Canadians.

Pharmacare ActGovernment Orders

12:55 p.m.

Liberal

Michael Coteau Liberal Don Valley East, ON

Mr. Speaker, the member spoke for 20 minutes about many different subjects, but he still did not have much clarity on a very simple bill.

Just so Canadians know, the pharmacare bill speaks to supplying people who are diabetic with medicine and supplies, as well as supplying people with contraception.

The member opposite said many different things, and he talked about process. Do you believe that the government should be in a place where it can provide people who have diabetes with medicine and women with contraception, yes or no? It is a very simple question.

Pharmacare ActGovernment Orders

12:55 p.m.

Conservative

The Deputy Speaker Conservative Chris d'Entremont

What I believe in and what I do not believe in is not important. Maybe the hon. member for Battle River—Crowfoot could answer.

Pharmacare ActGovernment Orders

12:55 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Mr. Speaker, if the bill were addressing those things, then so be it. However, there are far more questions than answers when it comes to access to drugs that Canadians already have and working with provinces.

When it comes to ensuring that Canadians have access to the care they need, the bill would cost a lot and deliver little. At the rate a which the Liberals have expounded upon failure, we see that Canadians should certainly not have high expectations when it comes to being able to deliver their basics.

I would simply say this: When the Liberals peacock about all their promises, they never talk about deliverables, because they have so little to show for all the dollars they have spent.

Pharmacare ActGovernment Orders

12:55 p.m.

Bloc

Luc Thériault Bloc Montcalm, QC

Mr. Speaker, Quebec realized a long time ago that it needed pharmacare. The Bloc Québécois is calling for Quebec to have the right to opt out with full compensation, so that it can improve its plan. That is also what the Quebec National Assembly called for unanimously, across party lines.

I have a simple question for my Conservative colleague. What are the Conservatives proposing for pharmacare?

Pharmacare ActGovernment Orders

12:55 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Mr. Speaker, I think that is part of the questions Canadians have. They elect provincial governments that are responsible for delivering health care. They expect their federal government to work with the provinces. Have we seen that? The simple answer is no, we have not. We see a government that is quick to divide and demonize and that pits one province and one region against another instead of working for the best interests of Canadians. It cares more about political wins and photo ops than it does about seeing results. Not only are the Liberals a dollar short and a day late, but they also have no interest in ensuring that Canadians have access to the health care we pay for and deserve. This has become very clear.

There is a lot of work that needs to be done. The Liberals are failing at it. It is time for leadership at the top to ensure that we can bring accountability and a system that actually works for the best interests of Canadians.

Pharmacare ActGovernment Orders

12:55 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

Mr. Speaker, Conservatives seem to be ideologically opposed to the contraception components of pharmacare. We heard from the member for Peace River—Westlock, who exposed the Conservative agenda, which is to end access to reproductive freedoms for women and access to abortion. That has been very clear. He spoke out loud something that seems to be a hidden agenda of Conservatives.

I have been to Camrose and talked to people there. They have raised the issue of pharmacare. We know that pharmacare access to contraception and diabetes medications can make a difference of up to $1,000 or $1,500 a month. There are millions of Canadians who need access to these important medications. It is true that the bill just talks about those first two classes of medication, but it is going to make an important difference in the lives of 18,000 people in the member's riding of Battle River—Crowfoot when it comes to diabetes medication, as well as 25,000 people in his riding when it comes to contraception.

Are Conservatives ideologically opposed to helping people, or are they simply being cruel to the people who face the struggle, each and every day, to pay for their medication and put food on the table?

Pharmacare ActGovernment Orders

12:55 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Mr. Speaker, it is interesting that the member wants to talk about ideology when he, along with his leader and every single member of the New Democratic Party, have abandoned any semblance of ideology that once existed. They have abandoned it for the pursuit of some false perception of power. They stand in this place and claim that they are solving all these problems; however, when it comes to the actual deliverables for Canadians, the very people the member is referencing in my constituency, and, in fact, in his constituency and all 338 constituencies across this great country, are not seeing the results that are being promised.

The member is propping up the Prime Minister; he has sold out to a false Liberal agenda that truly is a day late and a dollar short. The NDP and the Liberals are selling Canadians short, not only on the ability to access the care they need but also on the real conversation that needs to take place to ensure that we can have a better health care system that meets the needs of Canadians.

Pharmacare ActGovernment Orders

1 p.m.

Conservative

Ed Fast Conservative Abbotsford, BC

Mr. Speaker, I listened very carefully to my colleague's speech and his quite accurate suggestion that there is a massive trust deficit in Canada today. Canadians do not trust their federal government, because of the many broken promises our country has been littered with.

Could my colleague touch on a few more of those proof points that show why Canadians are now so skeptical about the Liberal government, with its NDP coalition partners, being able to actually deliver a pharmacare program in the first place?

Pharmacare ActGovernment Orders

1 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Mr. Speaker, I appreciate the question from my colleague from Abbotsford. He was a minister in a government that cared not only about making announcements but also ensuring that, at every step of the process, the hard work required to accomplish anything in government would be done. He and many others under the previous Conservative government were willing to roll up their sleeves and get the job done.

There are so many proof points that it would take days to litigate them all, but I would simply suggest this: I hear a very tragic thing from constituents. They say that there was a time when they could respect the institutions even if they did not like the government, but increasingly, because of the scandals, the broken promises and the ego-driven policies of the Liberal government, propped up by the sellout NDP, they have lost trust in our institutions more generally. That is a tragedy.

It is going to take work by Conservatives to ensure that we can repair the trust that has been so damaged by the Liberals and New Democrats.

Pharmacare ActGovernment Orders

1 p.m.

Liberal

Leah Taylor Roy Liberal Aurora—Oak Ridges—Richmond Hill, ON

Mr. Speaker, the member talks about losing trust. I would like to say that Canadian women have lost trust in the Conservative Party.

You are standing there now, objecting to a program that would give contraceptives to women, when most of your caucus does not want women to have choice when it comes to other issues. For you to now say that we should not be providing contraceptives to 25,000 women in your riding, as well as other women across Canada, is absolutely absurd.

Could you please explain whether you support Canadian women or not?

Pharmacare ActGovernment Orders

1 p.m.

Conservative

The Deputy Speaker Conservative Chris d'Entremont

I am not going to explain it. My colleagues should make sure they talk through the Chair instead of directly to other members.

The hon. member for Battle River—Crowfoot.

Pharmacare ActGovernment Orders

1 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Mr. Speaker, how do we know that Liberals are down in the polls? We know because they are bringing back these divisive issues. They want to play politics as opposed to working for the best interests of Canadians. The member, and so many from both the Liberal caucus and the New Democratic caucus, are terrified about the prospect of not getting their pensions, so they are trying to divide Canadians.

The Leader of the Opposition has been clear: Conservatives are here to work for Canadians, including Canadian women.

Pharmacare ActGovernment Orders

1 p.m.

An hon. member

Oh, oh!

Pharmacare ActGovernment Orders

1 p.m.

Conservative

The Deputy Speaker Conservative Chris d'Entremont

On a point of order, the hon. member for Abbotsford.

Pharmacare ActGovernment Orders

1 p.m.

Conservative

Ed Fast Conservative Abbotsford, BC

Mr. Speaker, as I was listening to that answer, I could not hear what my colleague was saying. The member for Kingston and the Islands, and many others, such as the member for—

Pharmacare ActGovernment Orders

1 p.m.

Conservative

The Deputy Speaker Conservative Chris d'Entremont

I noticed it was really loud in here.

Business of the HouseGovernment Orders

1 p.m.

St. Catharines Ontario

Liberal

Chris Bittle LiberalParliamentary Secretary to the Minister of Housing

Mr. Speaker, there have been discussions among the parties, and if you seek it, I believe you will find unanimous consent for the following motion:

That, notwithstanding any standing order, special order, or usual practice of the House, during the debate pursuant to Standing Order 66 on Motion No. 57 to concur in the 19th report of the Standing Committee on Finance, no quorum calls, dilatory motions or requests for unanimous consent shall be received by the Chair and at the conclusion of the time provided for debate or when no member rises to speak, whichever is earlier, all questions necessary to dispose of the motions be deemed put and a recorded division deemed requested and deferred pursuant to Standing Order 66.

Business of the HouseGovernment Orders

1:05 p.m.

Conservative

The Deputy Speaker Conservative Chris d'Entremont

All those opposed to the hon. member's moving the motion will please say nay.

It is agreed.

The House has heard the terms of the motion. All those opposed to the motion will please say nay.

(Motion agreed to)

The House resumed consideration of the motion that Bill C-64, An Act respecting pharmacare, be read the third time and passed.

Pharmacare ActGovernment Orders

1:05 p.m.

Bloc

Marilène Gill Bloc Manicouagan, QC

Mr. Speaker, I have risen three times today because I was so eager to speak.

I am pleased to speak today at third reading of Bill C-64. We have been debating this bill for a long time. Clause-by-clause study took place last week, but we do need to wind up the debate at some point.

Before continuing with my speech, I would ask my colleagues to respect my right to speak and not talk over me.

First, to make things clear, if they are not already, the Bloc Québécois's position has not changed one iota: We are against Bill C-64.

I would like to remind my colleagues of the purpose of the bill. Obviously, a bill can have several different purposes, depending on which side we are on. Sometimes it may seem like a bill has a noble goal, but that may not be the case.

I would like to talk about something that is totally obvious to me but that people tend to forget when we get into these debates. Bill C‑64 addresses one of the 27 items in the agreement that the Liberals reached with the NDP in 2022 to stay in power by forming a sort of coalition with the NDP. This may have been in the NDP's best interests, although maybe it will want to argue that point.

I would like to remind the House of the wording of the second item in this agreement: “Continuing progress towards a universal national pharmacare program by passing a Canada Pharmacare Act by the end of 2023”.

They want to “continu[e] progress”. We often hear similar phrases in the House, phrases like continuing to move forward, continuing progress or continuing to do something. That is all very vague, in my opinion. I would imagine that pretty much anything we do is progress, even the bill we are currently discussing. Perhaps that covers the disagreement there was between the Liberals and the NDP on this issue.

As members know, the Liberals dragged their feet on introducing this bill. This bill was in the works for years. They were talking about it in 2022. It was introduced on February 29. They could not agree on the cost of the measure. Of course we would like to see a pharmacare act, but perhaps not at all costs, if my colleagues will pardon the pun.

This bill was introduced on February 29, at the very last minute, to save the agreement and to save the Liberals. I might add that it was also to save the NDP. I must say that I did not hold my breath at the time.

A moment ago, I talked about the purpose of the bill. I think that this bill was introduced purely for the purpose of garnering votes. It could have been introduced sooner, but there was an agreement. The NDP would not want to bring the government down. That is why I was not surprised when the bill was introduced this year, one year away from the election, just before the budget.

I also get the feeling that it may have been because the government is short on ideas. I have spoken many times about the government's lack of vision. It has been eight, almost nine, years since the government came to power. It will have been 10 years by the time the election comes around.

I have noticed that the House is copying the debates taking place south of the border. Take the debates over contraceptives and diabetes medication. It is not that I am not happy to see my colleagues across the aisle and next to me tackling the official opposition, to use a soccer term, here in the House over a woman's right to do what she wants with her own body. I was not unhappy about that. However, it is being done for the purpose of gaining votes. There is one party in the House that wants to limit women's rights. This may resonate with some people, even me, but it should not be done for that purpose alone.

In fact, maybe it was entirely arbitrary. The government did not know what to do, what to propose. It desperately wanted pharmacare, but it had no idea what it really wanted to do, so it thought about what could help it win votes. It figured that it could take certain debates from the U.S. bipartisan system and copy them here to pit the good guys against the bad guys.

In short, I am not saying that these billions of dollars that will be spent by the government are a form of pre-election advertising, but that is what it looks like. Again, Quebeckers and Canadians need to be aware of the partisan agenda hidden behind this bill. There is a hidden objective.

I think it takes a certain kind of courage to oppose a bill that seems virtuous. That is what we are being told: If we do not vote in favour of the bill, it is because we are against it. I, of course, am 100% in favour of a woman's right to choose and all methods of contraception. I am a member of the Bloc Québécois. I speak on behalf of Quebec. I am not against the provinces' positions. I do not mind if they decide that the federal government can interfere in their jurisdictions. That is their choice, and I respect it. At the same time, that is not what I want for Quebec. That is why the Bloc Québécois proposed the following amendment in committee:

Despite subsections (1) and (2), a province or territory may elect not to participate in national universal pharmacare, in which case that province or territory remains unconditionally entitled to receive payments in order to maintain the accessibility and affordability of the prescription drugs and related products already covered by its public pharmacare.

Our amendment concerns the ability to opt out with full compensation from the pharmacare program. It was not debated because we could not debate it in committee during clause-by-clause study of the bill. It was not rejected either. I would say that what happened is even worse: It was ruled inadmissible. I wish I could avoid talking about the reasons the committee chair ruled the amendment inadmissible, but I think it is important to go over them because this is just another clear demonstration of bad faith, in my opinion, and the federal government's disregard for the jurisdictions of the provinces and Quebec.

It was argued that the amendment required a royal recommendation, which is false. What we were told is that it will generate additional costs and that, since we are an opposition party, it requires a royal recommendation. I hate to say it, but that is absolutely false. The amendment did not require a royal recommendation, because the funds had already been committed by the government. The Bloc Québécois's amendment was therefore legitimate and admissible.

This is not the only time that government members have made arguments that do not hold water and that are merely a pretext to interfere in Quebec's jurisdiction. The government did the same thing in the case of Bill C-35, which deals with the child care program. As far as I am concerned, this is not only a sign of disrespect toward Quebec, it is basically an insult, because over the decades, Quebec has built a social safety net that is the envy of North America. We have pharmacare, as well as dental coverage for young people. We have free education and early childhood centres. We have made some huge social advances.

In this case, the federal government is digging in its heels and refusing to allow Quebec to opt out unconditionally with full compensation. As I see it, Ottawa is refusing to recognize Quebec's decades of leadership in this area. The same thing happened with child care centres and Bill C‑35. What is more, the federal government is doing all this without having jurisdiction over this area or having any expertise in care and social services. Quebec is being denied something we have every right to request by a government that lacks both expertise and jurisdiction. The government has no compunction about turning us down, but at the same time, it has to follow our example with a view to “continuing progress”, as they put it so eloquently. I have no problem with the federal government continuing progress, but I do not want this progress to come at Quebec's expense.

As I said before, Quebec already has a public pharmacare plan for part of the population that the government introduced nearly 30 years ago. I need to repeat this because I think some people have trouble hearing it. This is not the case with everyone, but in the House, it is true of nearly the majority. As far as Canada is concerned, it is trying to catch up. It is behind by 30 years, so now it is encroaching on our jurisdiction. It may be more. We also have a private plan offered by employers, to which workers contribute as well. No one in Quebec lacks pharmacare coverage. People need to stop spreading falsehoods.

The choice was made by Quebeckers. It was not Ottawa that made this choice, it was Quebec. Our plan is also paid for by Quebeckers. The federal government did not give a red cent for this plan. We know what is right for us. We do not need someone else to tell us. We are capable of taking care of ourselves. We do not need paternalistic Ottawa trying to manage a pharmacare plan in Quebec without expertise, without legitimacy and without experience.

I keep thinking that what the Bloc Québécois is asking from the federal government is simple and it makes sense. We are asking the federal government to take care of its own responsibilities, such as foreign affairs, defence and fisheries. It seems to me that the federal government has enough responsibilities. It has more than enough things to take care of.

Perhaps that is not sexy enough for the government. I should ask that question. Is that sexy enough for the government? Health and education are the two areas that affect people the most. Of course, health is a matter of major importance. We talk about the things we care about. If we are not alive, then nothing else matters, obviously. Health is important. These are the two budget items that are most important for Quebec.

The government knows that, for years now, its health transfers have been insufficient. They are shrinking down to nothing. It knows all that. If the government reduces the transfers, the burden will fall heavily on Quebec and the provinces. Who gets the blame when there is a shortage of care and services? Quebec and the provinces, obviously.

Jean Chrétien understood this well. He bragged to the G7 that all he had to do to balance the budget was reduce health transfers. He said that Canadians would look for someone to blame, but that they would not blame the federal government, because health is under Quebec's and the provinces' jurisdiction. They are the ones who would be cutting health care and education. For him, it was simple: Canadians would take it out on the provinces. The federal government would be able to achieve a balanced budget, and no one would hold anything against it. The provinces would pay the price, both literally and figuratively.

It always comes down to this, unfortunately, but as a separatist, I have no other choice. I am a separatist and I am pragmatic. It always comes down to the fiscal imbalance. The federal government collects more money than it needs to fulfill its responsibilities, while the provinces and Quebec are not collecting enough to manage their own jurisdictions. They are short of money, which gives the federal government an opening to spend money on things under Quebec's and the provinces' jursidiction.

It is unbelievable. It is like the federal government is stealing from the provinces and Quebec. It is strangling them. If they meet certain conditions, it will back off and let them breathe again.

We would not thank anyone who is strangling us for stopping. We understand that interference is always done with a purpose. I mentioned this earlier, but it is still the same thing with the government and its minions.

The federal government swoops in like a saviour, slapping its flag on cheques, which it tosses around like confetti, and the cavalry of government members run around, trumpets blaring, trying to solve the problems it created itself. In fact, the more I think about it, the more I like that image. It has definite educational value. However, although we may be laughing over it, it is a hard fact.

While the government is gaily running around, it has forgotten why it was elected. Perhaps it does not know. Perhaps it has forgotten. When a government has no vision, it may take a peek in the neighbour's yard, looking for direction.

Again, interfering in areas of provincial and Quebec jurisdiction has a purpose for them. In fact, the purpose is twofold in this case: one, to keep the government in power, and two, to prepare for the next election.

Until we gain independence, Quebeckers will have to fight to make sure this government respects us, respects our expertise and experience and gives us what is ours, meaning our money and, of course, control over our own jurisdictions. It will also have to respect the fact that we have our own pharmacare program.

Quebeckers are capable of discussing amongst ourselves, at home, and improving our pharmacare plan with our experts, based on our experience and our wishes. It is not up to the federal government to tell Quebeckers what to do. We refuse to let our own tax money be used against us and at our expense.

One way to respect us is to vote down Bill C‑64. I may be a member of the Bloc Québécois, but I am not the only one who says so. The Quebec National Assembly has said it too. Christian Dubé, Quebec's health minister, pointed it out the day before the bill was introduced. We do not want this bill. We do not want the federal government to encroach on areas of Quebec's jurisdiction. I would remind the House that the National Assembly alone speaks for all Quebeckers.

In closing, I would therefore like to let the voices of Quebeckers be heard through the unanimous demands of the National Assembly for compensation to be paid to Quebec. That is what the Bloc Québécois has asked for, because the Bloc Québécois speaks on behalf of Quebeckers. The motion unanimously adopted by the National Assembly on June 14, 2019, reads as follows:

THAT the National Assembly acknowledge the federal report recommending the establishment of a pan-Canadian pharmacare plan;

THAT it reaffirm the Government of Québec's exclusive jurisdiction over health;

THAT it also reaffirm that Québec has had its own general prescription insurance plan for 20 years;

THAT it indicate to the federal government that Québec refuses to adhere to a pan-Canadian pharmacare plan;

THAT it ask the Government of Québec to maintain its prescription drug insurance plan and that it demand full financial compensation from the federal government if a project for a pan-Canadian pharmacare plan is officially tabled.

That was back in 2019, so the Quebec government made its position clear quite some time ago. Today, I am still trying to be a voice for the National Assembly. I hoped that the federal government would respect Quebec's decision to refuse to join the federal plan, for example, in the motion put forward at the committee studying Bill C‑64. We respect the provinces that want to take part in the program set out in the bill, since coverage is rather inconsistent across Canada, but in Quebec, everyone is covered by a pharmacare program.

It is up to us to decide what we want to do next. It is not up to the federal government.

Pharmacare ActGovernment Orders

1:20 p.m.

NDP

Peter Julian NDP New Westminster—Burnaby, BC

Mr. Speaker, I am quite fond of the member, but she just said that we need to listen to Quebeckers.

However, as the Bloc Québécois members should know, the largest coalition in Quebec's history, namely two million people under the umbrella of all the central labour unions, the Centrale des syndicats du Québec, the Centrale des syndicats démocratiques, the Confédération des syndicats nationaux, the Fédération des travailleurs et travailleuses du Québec, the Union des consommateurs and all the allied groups around the Fédération de la santé et des services sociaux, is calling for us to pass this bill, Bill C‑64.

The coalition members have been very critical of the current program in Quebec, including the fact that there are user fees for the drugs and many people are not covered. There are a lot of problems with the current situation. This broad coalition that the Bloc Québécois seems to refuse to listen to, says the following:

We are asking the federal government not to give in to the provinces and territories, which are asking for an unconditional right to opt out with full financial compensation.

The coalition members want to have the NDP's public, universal pharmacare program.

I have a very simple question. Why is the Bloc Québécois refusing to listen to Quebeckers?

Pharmacare ActGovernment Orders

1:25 p.m.

Bloc

Marilène Gill Bloc Manicouagan, QC

Mr. Speaker, I am not at all surprised by my colleague's question. Perhaps others have answered it, but I will answer again.

I have listened to what the coalition of labour unions are saying. I understand that they want improvements to pharmacare in Quebec, but I will repeat that it is up to Quebeckers to do that. Yes, there can be a coalition. I understand that, but the fact remains that we have a National Assembly and that is the body that will make the decisions. It is the one in charge.

Sometimes it seems as though Canada may do something worthwhile when it gets involved, and we think that something is going to happen. However, what I would say to my colleague is that there is many a slip 'twixt cup and lip when it comes to this bill. There is a really long way to go. There is a committee that is going to meet and hold consultations.

Quebec already has the experience and the expertise. Why not leave the task to a government that already knows how the system works? The federal government can tell Quebeckers that it wants to improve the pharmacare system, but as I said, we will discuss the matter among ourselves. However, the federal government can send us the money that it does not know how to spend because it is unable to take care of its own jurisdictions. We will improve the system.

Quebec has said that it will improve its pharmacare program. I think that the question is irrelevant. I am really pleased that there are ways to exert pressure to help us make gains, but the federal government needs to talk to the ones who are in charge, the Quebec National Assembly and Quebec, when it comes to improving our pharmacare program.

I do not need a paternalistic party telling Quebec what to do.