Mr. Speaker, I am pleased to rise today in the House to speak in support of the efforts of my colleague from Winnipeg North Centre in terms of ensuring that Bill C-13, which aims to establish a new framework for health research, becomes an effective piece of legislation that will be able to redress some of the problems in linking health research to practice in Canada.
Along with my NDP colleagues, I applaud the efforts by all those who worked to create the new legislation. However, along with my colleagues, I have several reservations about the legislation and hope that these will be taken into consideration when this bill reaches the committee stage.
In order for the bill to achieve its goal, it requires a considerable amount of political will to ensure that the research that will be conducted in the 10 to 15 new health institutes will indeed reach the hands of health practitioners throughout the country. While the bill acknowledges the need for this commitment, it does not ensure that the government will remain committed and be one of the driving forces in achieving the goals of Bill C-13.
The bill talks about increasing links, but it does not go as far as to enshrine the will to accomplish these links. In light of the continued cuts to transfer payments, I have to wonder how the government intends the CIHR to achieve its goal.
Since 1986 federal cuts to health care funding have totalled approximately $36 billion. The amount transferred via the CHST to my home province of Nova Scotia has been steadily decreasing since 1993 when this government came to power.
The bill does little to take into consideration the consequences of these cuts in transfers. These cuts have led to a diminished capacity of the health care system to care for its patients and new research findings have not been able to get off the ground and be applied. Because of these transfer cuts, problems have arisen throughout the country.
Take for example the tar ponds on Cape Breton Island, a toxic wasteland which has wreaked havoc on the health of the people in the local area and on the environment. People have died as a result of this toxic sludge. People have reported arsenic bubbling up in their backyards and basements. An entire residential street had to be bulldozed because it was considered extremely dangerous to one's health to live there. Even the government has recently committed another $37 million for a clean-up effort, but still no toxic sludge has been removed from the tar ponds.
Even though all of this money was provided to alleviate a major health concern, it has not translated into a healthier step forward for the communities affected by the tar ponds. Study after study after study have shown the ill-health effects and have shown the dramatic increase in the incidence of cancer. The government, however, has lacked the political will and commitment or health infrastructure to act upon this.
The CIHR needs a clear mandate to intervene in these types of situations where hard research has proven that adverse health conditions and/or effects exist. The government also has to provide a real commitment to ensure that sufficient funding exists. I sincerely hope that this issue will be examined in depth at committee. The CIHR will only be effective in working with its health practitioner partners if sufficient funding exists in the core health care system.
One of my major concerns with the proposed CIHR is its lack of clear commitment to an approach or framework of health care and service ethics. In this day and age with rapid increases in innovation and health care technology, it is absolutely essential that the ethical effects of medical research be given a high priority. Bill C-13 barely acknowledges this need.
The challenge we are faced with today is to ensure that, as with health care, we engage in preventive ethics, not just curative ethics. What I mean by this is similar to that old saying about an ounce of prevention is worth two of medicine. We need to be actively engaged in encouraging that ethical concerns are a priority in any new and ongoing health research and practice.
Today there are many ethical dilemmas in health research. I will highlight a few that relate to women.
These days simply because the technology exists, many women who would otherwise not be able to have children can have them. This is a fantastic gain for so many. However, there are ethical concerns about how these reproductive technologies are being implemented by health practitioners. These concerns need to be widely debated. They are already hot topics for researchers but so far, because the government has not acknowledged the need for ethical responsibility in medical services, they have not come under serious discussion and consideration in the public health care system in Canada.
It would be much more beneficial if we acknowledged this need for ethical responsibility now rather than later. The CIHR could provide for ethical responsibility by engaging in a little of what I call preventive ethics. It will be so much easier to deal with ethical concerns if they are enshrined in the legislation and recognized by health researchers and practitioners.
The last point of concern I raise is a simple one. It has long been acknowledged that men and women have different health needs. What has been harder to acknowledge and achieve is a balance in health research to ensure the particular differences and the needs of women and their bodies are taken into consideration.
My suggestion for the committee that will be examining Bill C-13 is that we ensure it is not just the universal male body that is used in all of the interesting and exciting research to be done in Canada in the future. There is certainly room within the legislation to require that one of the 10 to 15 institutes be a women's health institute. All of the institutes created as a result of Bill C-13 should ensure that their boards and committees have gender parity and ensure gender analysis is a major priority.
I reiterate that in principle I believe Bill C-13 is a very good start on the road to linking research and practice throughout the country. However to date, the government has done little to make me believe that it will provide a considerable amount of support including the political support that will be required to ensure the success of the Canadian institutes of health research, and that it is not just another empty handed gesture.
I call on all hon. members of the House to get the message to the government that we are serious about the need for a holistic approach to health care in Canada. We need a commitment from this government that it will provide an adequate budget and significant and stable funding for health research.