Mr. Speaker, first I want to congratulate the member for Joliette for giving us the opportunity to have a debate on health care funding. He sits on the House of Commons Standing Committee on Finance. Usually, he shows a good understanding of economic and financial issues and he is good with numbers. This time, however, he has failed miserably.
I am glad the member for Joliette brought this to the House of Commons, but after that he fails on a number of counts because he is attempting to confuse Canadians.
We know full well that the goal of the Bloc Quebecois and the member for Joliette is not to have a useful debate on health care policies, but rather to try to convince Quebeckers that they would have a better future outside the Canadian federation. However, they will never succeed in achieving that goal.
First, the member talked about the commitment to split health care costs fifty-fifty. That never existed. This is a myth perpetuated by the Bloc Quebecois and many other opposition parties. There was a commitment early on to cost share insured expenses, insured health costs, through the hospital system and through the medical services plans. However, since then we have had a huge growth in prescription drugs and in home care so the fifty-fifty percentage is just not valid.
Second, as has been pointed out by many of my colleagues today, including the parliamentary secretary, the member talked about the contribution of the federal government but conveniently ignored the tax points.
In 2003 the tax points amounted to $17 billion in the CHST. The member conveniently forgot also equalization. Equalization for all the provinces amounted to $10 billion per year. I find it strangely ironic that the Bloc Quebecois member for Joliette said that Quebec had been seriously disadvantaged. As my colleague, the minister of state, pointed out, the province of Quebec receives some $4 billion to $5 billion of the $10 billion in equalization. Some disadvantage that is.
For those listening to the debate, we should try to clarify the question on tax points. The federal government is contributing a huge amount. If we add in tax points, if we add in the federal government's direct expenditures in the health care system, which amount to $5 to $6 billion a year for first nations health, veterans health, health protection, disease prevention and a whole variety of other programs, the federal contribution is actually beyond 40%. That will grow as further investments are made in health care, which the government has shown very capably that it can do once the fiscal situation resolves itself, or is started on the right path.
In 1976, at the urging of the provinces and territories, the federal government ceded some tax points to those jurisdictions. This was not one or two percentage points in terms of tax. For example, in personal income tax, this was roughly 11 percentage points. In corporate taxes it constituted 1%.
In other words, the federal government said that for the taxpayer this will be transparent. The taxpayer will not really understand or see that there has been a transfer of tax revenues to the provinces and territories. However, the transfer was a huge amount of taxing capability. The rationale for that at the time was that the provinces were well positioned, they were close to the citizens of their particular provinces, they were well acquainted with their needs and aspirations and they were capable of delivering that kind of program.
This is not an inconsequential amount. Unfortunately, the tax points are always conveniently forgotten by all members and particularly by the Bloc Quebecois.
I find it also absolutely amazing that the member for Joliette talked about the federal government not putting any money into the health care system.
I would like to quote the member for Joliette, who said, on January 14, 2004:
--including the difference in spending growth in the federal and the Quebec health departments over the last five years. Ottawa, which has no responsibility with regard to health care delivery, has increased its spending by 78%, whereas the Quebec government, responsible for health care institutions and health care delivery, has increased its spending by 33%.
They have never been satisfied with what the federal government has done, which includes $34.8 billion to the provinces, a five year agreement that was signed just last year and more recently, the $2 billion that was taken from this year's budget to top off the CHST for health care.
Again I quote the member for Joliette. Here is what he said on November 4, 2003:
This is not an economic update. It is a political manoeuvre to allow Paul Martin to make the announcement himself a few weeks before the election. I cannot believe that Mr. Martin will not announce the $2 billion for health before calling an election.
Therefore, even if the government comes forward with a $2 billion investment, the cynical Bloc Quebecois will say that this is simply politics. We know that the top priority of Canadians is health care and our government is responding in that fashion and responding very well.
However, this goes beyond just money, and the minister of state pointed it out very well. We have to manage our health care system much better. We have an aging population. We have technology that is rapidly coming into play and that is creating opportunities to give Canadians better quality health care, to prolong their lives and to provide them with better treatment, but this costs money.
That is why our government says that it will insist on greater accountability, so citizens of every province can compare how their province has done, in terms of the value of the money that they have put into the health care system, against other provinces. They can compare how their province has done with waiting lists for emergency services and surgeries, and a whole host of other things.
There will be more accountability through the newly announced health council so citizens can ensure that they get value for their dollars. Yes, there will be more money put into health care by our federal government in the years to come, I am absolutely convinced of that, and by the provinces, but we need to ensure that we manage these costs prudently.
In the throne speech the government announced that there will be a greater emphasis on public health. In my riding of Etobicoke North we have a community health centre. The Etobicoke health centre provides a whole range of health promotion, health prevention and treatment to citizens. Therefore, it provides better care at a lower cost for our citizens. We need to look at that model. We need to provide the lower cost and better patient care solutions so we can move forward and have a health care system that is sustainable. We have many challenges ahead of us in the health care system.
Regarding the Bloc motion, it is healthy that we are having this type of debate, but unfortunately the only thing the Bloc Quebecois has succeeded in doing today is to again further confuse citizens, and that is very unfortunate.
Is it sufficient that the federal government contributes 40% of the total expenditures? Perhaps not. Perhaps we need to do more. Perhaps we all need to do more. However, to try to make this point about a 16% contribution, when the member from Joliette knows patently well that this figure is not even a close approximation of the truth, is a disservice to the citizens of Canada and to Quebecers.
With that, I certainly will be voting against this motion.