Madam Speaker, I am pleased to enter the debate and talk about this very important quarantine bill.
I want to start by speaking about what I consider probably the most important issue facing this great country today, and that is health care. I want to couch this in the context of what this Quarantine Act means to the Canadians as it relates to health care.
I was one who pushed the government and the Prime Minister on the issue of the health care accord. When the Prime Minister was in my during the election campaign, I sat and listened to a group of cancer patients from Cancer Care Ontario who talked about some of their concerns and related some of the problems. This is one reason why I pushed it.
The Prime Minister then signed the accord, which we know provides $41 billion over the next 10 years. Some of that money will go to help out with things like the Quarantine Act. Looking at the health care system, it is my belief we have a number of concerns. One is the quarantine situation, which is a relatively new concern. My hon. friend last time highlighted the situation of SARS. We have the avian flu situation. It is relatively new in terms of the consciousness of Canadians.
There were a lot of concerns about the waiting list times and what we would do with regard to long term waiting lists for key areas like heart surgery, knee surgery, sight replacement. Those were on the public's mind. Some of the issues relating to quarantine are relatively new. Bringing this bill in will highlight to people just how important the health care system is as it relates to quarantine.
As I have dealt with and looked at this bill, a number of questions have come up from a number of people. I would like to talk a bit about the bill and what I see as an important part of it. I also want to answer some of the questions I have received from people who have talked about their concerns.
One concern raised is why there is no protection or compensation for people who are quarantined. I asked the hon. member that question on the last round. It is my understanding that the Department of Justice is looking at compensation and considering the proper wording.
Members who have concerns regarding that issue should rest assured that is definitely part of the concerns of the ministry and it will deal with the issues of compensation for people who are quarantined. Everything from Workers' Compensation situations to employment insurance are things that make this a encompassing and detailed act.
The other question that comes up is, why is the bill is so urgent at this time? As I mentioned, we could talk about the SARS scenario. It offers authorities related to people departing Canada as well. My hon. friend from Peterborough made a valid point. It is not only people coming into Canada who are the concerns. It is also people leaving.
I am from Ontario. We know what happened during SARS outbreak. It affected everything, including tourism. People were not coming to Canada. As we well know, we have a country built on tourism. We have a tremendous amount of support, for example, from people in the United States who come to Canada. As a result of this legislation, I think we will ensure that people continue to come in this great country.
The next question is, why so little consultation? There was a lot of consultation with the public and the provinces. We can always do more in that regard. I want to commend the health committee that looked at this. I did not have the opportunity to sit on that committee, but I did have the opportunity to read some of Hansard . I know the committee did some fine work in terms of consultation.
It is always difficult in committee to do the type of consultation that is needed because there is always so little time, as there is in this House, to pass things. However I do want to say, in a non-partisan way, that the committee had some good consultations on this.
We have attempted, as a government, to work with the public health community as a first step. I want to commend the minister in that regard. I know she has done an excellent job in dealing with a lot of the public health community groups that are out there that have given us, I think, some very good ideas.
We also want to consider the minimum requirements to allow flexibility to handle further public health emergencies because, as I said, this is an all-encompassing act that would look at a lot of those areas.
We want to continue to work with the stakeholders as we continue to go through what I consider phase two.
The Quarantine Act impacts on other sectors. One of the questions that has been asked, particularly by people on the financial side, concerns the financial impact of those costs.
I know that when it comes to the health care deal, the $41 billion over 10 years is a tremendous amount of money but getting virtual unanimity from all political parties and all provincial and territorial premiers to sign the deal was not an easy thing to do. However, when we are talking about the $41 billion, cost becomes a very important part of it because so much goes into the areas I have mentioned and people want to know what the cost will be for this particular impact and what the cost impact will be as a result of this legislation.
I believe, having looked at it and having had some discussions with people in the financial field, the act is consistent with the initial norms in managing serious infection scenarios. The cost of having inadequate tools is much greater.
I will highlight that. To this day the cost and the impact on the economy, by not only lost wages of people but lost tourism, was absolutely tremendous. We have a tremendous amount of tourism because we are blessed with having one of the most beautiful countries in the world. We have everything from oceans to mountains to beautiful scenery. Tourism is very important and when we look at the cost, the cost of this Quarantine Act is far less than if we were hit with just one serious situation.
I know some people look at the financial cost but most of us are more concerned about the human impact. However the financial impact has been taken into consideration.
What do we know about the public's receptiveness for this act? I know in the public opinion polls health care is the number one issue and it has been for the last number of years I have been in politics. I was at the provincial level for about 13 years and it has been the number one issue going back to the early 1990s bar none.
As a result of some of the things, the influenza, the SARS outbreak, I think we have seen probably over the last little while even more concern relating to health care and certainly during that period of time. I guess it was the springtime during that period of time that in terms of the public opinion poll it would have even been greater than it was at any other time.
The number one issue for people in this country is health care. I therefore think the Quarantine Act has broad support right across this great country, which is why I am a little concerned with the opposition not wanting to get this legislation through.
Why do the provinces feel they are not being respected in their jurisdiction? That is something that comes up on a lot of the bills that we deal with. I know it is an important issue to all provinces, and certainly having been a provincial MPP for 13 years I know the jurisdiction questions. I know jurisdiction is important to provinces like Alberta and Quebec. Some people in this country believe that the way to deal with that is to simply send the money from the federal government off to the provinces and let them deal with it because it is their jurisdiction.
I am not one who believes we can do that. When we are talking about the Quarantine Act and about dealing with something right across the country, we cannot talk in isolation. It does not just affect Ontario or Alberta or any of the other provinces. It affects the entire country and we cannot do it in isolation.
This is one of the cases where I believe that the federal government can play a coordinating role. I say this to my hon. friends, particularly in the Bloc who come from Quebec and want to respect the jurisdictions, we all believe in that but there are times when we have to look at things from a national perspective. It is a very delicate balance.
I think the Quarantine Act tries to respect the provinces' jurisdiction while at the same time ensuring that a nation-wide plan is in place. I think Ontario raised that concern. I was there during that period of time. I happened to be sitting in the chair and I remember the member who was the health minister coming in every day. I used to ask him if he was okay because he was losing so much weight working on this. One of the concerns was that we needed a national plan. The provincial government was saying that it needed to make sure that the federal government was ready for the next time and God forbid there is a next time that something like this happens.
The Government of Ontario and the federal government worked very hard during that initial crisis but we need to learn from that. For people who have concerns about this act dealing with the provincial governments on the health care issue, they only need to look at the health care deal that was signed with the other provinces.
Every province and territory, every Liberal New Democrat and Conservative premier signed the deal, with flexibility by the federal government for the Quebec government to sign the deal. I think the same thing can apply to the Quarantine Act. There can be flexibility, protecting the jurisdictions of the provinces, that are very mindful of their jurisdiction, but ensuring that there is both money and a plan through this act to deal with it at the national level.
If we look at the situation I firmly believe that one of the big concerns relating to the provincial governments is the cost factor. I am hopeful the $41 billion that will go to the provinces with these deals, and with the agreement with Quebec that was specially put together knowing the concerns that it has, that we can come up with a Quarantine Act that will protect provincial jurisdiction.
Under the British North America Act health care was given to the provincial governments because it said in one line something about hospitals going to the provincial jurisdiction. We never realized in those circumstances that the health care system would become the number one spending priority of all provinces. In Ontario, health care has gone from 24% to, I believe, easily 35% and may go to 50% of the cost.
If we do not have the federal government involved both with money and with acts like the Quarantine Act, I do not believe the province of Ontario could solve all the health care issues. When we talk about waiting lists, sometimes we may have to give the provinces the money and allow them to do with it what it needs to do. It may be for example that Ontario has problems in one particular area that are good in another area. Manitoba may be strong in one area. Wait lists may be longer for knees and not so much for heart. We need to ensure that the provinces have the flexibility to make the decisions of how they are going to deal with it.
However when it comes to things like the Quarantine Act , it is the one issue that transcends all borders. In the past it was not as big a problem because people were not travelling as much. Now within 24 hours we can have any type of disease spread right around the world just simply by people getting off a plane and bringing a particular disease into any particular country.
I am very mindful of the jurisdiction of the provinces but I believe that the Quarantine Act will protect that.
The big concern I have heard from people, and some of the members have mentioned it as well in their speeches, is that the minister appears to have extraordinary power to make interim orders and what checks and balances are in place.
When the Minister of Health was here during the member's speech I briefly had an opportunity to share some of my thoughts with him. I was pleased to have been able to spend some time with the Minister of Health on some of these issues. When the Prime Minister was kind enough to take some of the new members aside he asked me what the difference was between the federal House and the provincial House. I told him that in all honesty, in the short period of my mandate, within six months, I had spent more time with the Minister of Health as a federal member than I did in the 13 years in the provincial legislature.
As part of my MBA, I put together a strategic plan for the ministry of health and actually gave the plan to the minister of health, a very fine lady and a good friend of mine, Elizabeth Witmer. She looked at me as though I was crazy for putting a strategic plan together for the provincial ministry of health. She must have thought I was a bit of a keener but it was as a result of putting together my MBA.
However I must say that the federal minister has spent more time with backbenchers like us asking questions on this particular bill and has been able to allay some of our concerns, one dealing with the interim orders.
There are examples of scenarios where ministerial orders would be critical, declaring public emergencies. We all hope and pray, of course, that this will never be needed, but the minister is required to table the order in Parliament in 15 days. There is a fine line between giving enough power to get the job done by the minister of health and then also ensuring that the minister of health of any political stripe does not have too much power. It is a very difficult and very delicate balance.
What is being proposed is that the minister would be required to table the order in Parliament in 15 days, which I believe would allow the people in the House to then deal with it.
I will say in a critical way but not in a non-partisan way that I do not blame any particular side. Although as hon. members would imagine, I obviously have a bias on which side I think is making the House work.
One of my concerns is that when we see the antics that are being played with the bill, we need to ensure that if we give more power to the House, we do the right thing. One of the right things is passing the bill, not playing political games because we are looking at the other picture.
I have been outspoken throughout my career about wanting to give more power to the people. I know a lot of my hon. friends feel that way as well, but there is a fine balance.
I do not think anybody in the House believes that the Quarantine Act is not important, but we still get caught up in the politics of wanting to adjourn the debate, move on and not deal with it. We rise on points of order but there is a time and place for that. When it comes to acts that are so important, so critical to the future of the country, we need to get away from the political games.
On the one hand, I am one of those who have fought for 13 years for giving more power to the legislature, which this will do through the order in Parliament in 15 days. The trouble is that this is my first minority government and, unfortunately, sometimes the political games hon. members play make this place not work the way it should. However I am sure everyone would come through in any type of crisis.
I want to say to all members of the House that this is a very good legislation. We need to work on it to ensure it puts in place the health care of our citizens, which is so important. Let us work on the bill. Let us put all the partisanship aside and get on with the job we were sent here to do, which is to help people by passing the amendments to the Quarantine Act.
I thank all the members for patiently listening to me. I look forward to their comments and questions, because at the end of the day we are all here to help improve the safety and the health of all of the citizens we were sent here to represent.