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Crucial Fact

  • Her favourite word was terms.

Last in Parliament January 2024, as Liberal MP for Toronto—St. Paul's (Ontario)

Won her last election, in 2021, with 49% of the vote.

Statements in the House

Canada's Walk Of Fame May 27th, 1999

Mr. Speaker, allow me to join all Canadians in congratulating the newest inductees to Canada's Walk of Fame, whose stars will be unveiled today during a special ceremony in Toronto. Each one of these celebrated Canadians has made a significant national and international contribution in entertainment, culture and sport.

Canada's Walk of Fame is a recognition not of a single achievement, but of an entire body of work. These stars represent many of the facets of our cultural life: the evolution of cinema from the silent films of Mary Pickford to the futuristic images created by our David Cronenberg; music ranging from the 1960s protest anthems of Buffy Sainte-Marie to the rock anthems of Rush. They remind us of the thrill of seeing Rocket Richard flash across the ice, or of experiencing Céline Dion in concert. From the intimate family moments we have shared watching Wayne and Shuster and “our pet” Juliette to the enjoyment of the film characters created by Hume Cronyn and Lou Jacobi, each star is a shining example of the talent and creativity of our great country.

Four more stars will be awarded this year by public nomination. I encourage all Canadians to participate in selecting the most famous Canadians who have inspired them through telling our stories, sharing our hopes and adding sparkle to our lives.

Canadian Blood Services April 30th, 1999

Mr. Speaker, Canadian Blood Services is launching this week its first youth initiative aimed at raising the awareness of young Canadians of the ongoing need for blood donations.

CBS is kicking off this campaign by sponsoring the band category at the YTV network's 1999 youth achievement awards, which will be held this evening at the National Arts Centre. This event, which is celebrating its 10th anniversary, is widely recognized as a premier platform to champion and promote the youth of Canada.

Bayer Inc., a leading manufacturer of blood products, has enthusiastically agreed to partner with CBS and develop a 30 second advertisement targeted at the youth market, to secure air time for this ad on YTV, and to allow for a young person designated by each CBS blood centre to attend the youth achievement awards.

Fourteen youths have flown to Ottawa for this special two day program of activities which will include a visit to Parliament Hill. These exceptional members of the youth community have all distinguished themselves in assisting CBS in its essential mission, either through public speaking or recruitment of blood donors and volunteers, and they are here today.

I would ask all members of parliament to join me in congratulating these exceptional young people.

Canadian Hemophilia Society April 16th, 1999

Mr. Speaker, I am pleased to inform the House that April 17, 1999 is World Hemophilia Day.

This year in Canada approximately 50 newborns will be diagnosed with hemophilia, an inherited blood clotting condition caused by deficiency of two blood proteins.

The impact of hepatitis C and HIV-AIDS on the hemophilia community has been devastating, bringing many challenges. The Canadian Hemophilia Society provides support and services to Canadians who live with the disease. The society has responded to the increased challenges with programs and services that endeavour to meet the needs of all persons living with hemophilia and those also infected with hepatitis C and/or HIV-AIDS.

Please join me in congratulating the Canadian Hemophilia Society and its compassionate volunteers for their work and dedication.

Budget Implementation Act, 1999 April 14th, 1999

Mr. Speaker, I have two questions for the hon. member.

In the litany of individual provincial problems with health care delivery the member made it sound like this is only about money.

I would ask the member to comment on the Ontario Hospital Association's presentation to the finance committee. The association said that this is not about money. This is about mismanagement. It is about not having income-outcome measures and setting best practices and those kinds of things.

How can the member prove that this is just about money? How can he blame the federal government for what some people feel is a mismanagement problem in terms of the delivery system?

I am astounded that as a physician, a profession which is criticized for over-medicalizing our health care, the member could actually think that we could fund a sort of fix it part of the system instead of a holistic model that the patients know works. A health transfer does not deal with the social determinants of health, poverty, violence, the environment and all those things.

The only way to a sustainable health care system is to keep people well and not let them get sick. It is only the doctors that seem to have trouble getting the picture.

Budget Implementation Act, 1999 April 14th, 1999

It is in the federal spending power to set priorities which we think are in the best interest of all Canadians. That is separate from health care delivery.

Budget Implementation Act, 1999 April 14th, 1999

I will be more than happy to find it but I do trust—

Budget Implementation Act, 1999 April 14th, 1999

The issue is health care delivery and there has been a consensus that health care delivery must be dealt with by the province. Some of the standards that have been set in terms of the Medical Research Council of Canada and all of the things we have had before have always had joint agreement in terms of—

Budget Implementation Act, 1999 April 14th, 1999

Mr. Speaker, I would draw the hon. member's attention to the principle of the social union which was to treat all Canadians with fairness and equity. It was extraordinarily important to the finance minister and to the government that all Canadians receive on a per capita basis their rightful percentage of the CHST.

It was an anomaly that had been capped by the previous government and it needed to be right. It needed to be fair. It is part of the social union principle that all Canadians be treated equally. Therefore that was reflected in the budget.

Budget Implementation Act, 1999 April 14th, 1999

Mr. Speaker, I think the issue is the provinces all have agreed that this is necessary. There was no club to their heads. Even Quebec signed a health accord saying it was extremely important that people understand what it is for.

Constitutionally, actually it was only hospitals that were the provincial responsibility. There has always been an agreement that health care is a joint responsibility in terms of what we do federally, research and prevention and all of those things.

What is imperative is that throwing money at problems without any accountability would not be acceptable to any taxpayer or any business person. We are saying there has to be a set of objectives and we will then figure out what the performance indicators are, what are the kinds of things that the various sectors can agree on as to what is acceptable.

I agree that you cannot start measuring things unless you have an ability to remedy the things that are not working properly. A 1995 document from the University of Ottawa and Queen's University made it clear that if we moved to what is in the social union, best practices, we would be saving $7 billion a year in health care.

We are doing too many unnecessary surgeries. We are giving antibiotics for colds. We are doing way too many things that are totally ineffective. We are ordering tons of laboratory tests that have been outdated for 20 years.

We need a way to help the provinces share best practices and help them save money to be able to provide exemplary and optimal patient care. This is not going to be if we keep allowing money to go places without the kind of scrutiny and accountability Canadians expect.

I am thrilled that these two things have come together. It is amazing that the hon. member would say that there was a club to the heads of the provincial premiers. They all willingly signed it.

The social union talks about transparency. It talks about best practices. It talks about accountability. It talks about involving Canadians in setting their social priorities. Hopefully at the end of the turf war of we are going to set some objectives and promise Canadians that they are going to happen together. It is the beginning of trying to get some sense out of this very complex federalism.

There were experts present at our town hall meeting last week. The Minister of Intergovernmental Affairs was fabulous in explaining that fact and compared this to other countries. For example in the United States, unless the states sign on to lowering the driver's age they do not get any money for highways. We could not pull that off in Canada if we tried. Canadians would not want that kind of power for the central government.

There is also huge power for the provincial premiers. We have an interesting complex tug in terms of tension. This has been a brilliant piece of work that a lot of us were very worried about before. It is thrilling to actually see this work and now be able to implement things, to put the meat on the bones of the social union, get these sectoral agreements going, start setting objectives and actually give Canadians a bang for their buck.

Budget Implementation Act, 1999 April 14th, 1999

Mr. Speaker, it is a pleasure for me to rise today to speak to Bill C-71, the budget implementation act of 1999. The premise today is that it is a great budget that will be easy to implement because it was a great process.

It is on the ground that problems are felt, it is on the ground that real solutions are formulated and it is on the ground that budgets are implemented. I hope we will never return to the day when ministers of finance and a few close advisors cloister themselves and then come out of their perceived telephone booths to announce to Canadians what they think is good for Canadians. We know that does not work. People do not want to be told what is good for them when they have not been included in the process.

I have been pretty fortunate to have come from an institution like Women's College Hospital. Women's College Hospital had the motto “Non quo sed quo modo”, meaning that it is not only what we do but how we do it. It is very interesting that when we have a motto such as that we actually look at the way we do things.

In the federal budget there are two hows: how we decide what we want and how we do what we want. It was indeed the process in terms of how we decide what we want, the thorough consultation and rigorous analysis of this budget, that has ensured its relevance to Canadians and thereby its success in implementation.

It is a feminist theory, if we are allowed to use that term, which I am proud to use, that is actually part of inclusive decision making. One of my great heroes, Ursula Franklin, once told a story of being invited to a PD day at a school. She insisted that all of the staff be included. The teachers thought that maybe just the faculty should be included. However, because the topic of the day was identifying children at risk, Ursula felt that she would like to have all of the staff there.

It was quite interesting that as they began the day, within the first half hour the janitor put up his hand and said “I know kids from violent homes because they are on the doorstep when I open up the school in the morning”. It was in the next half hour that the Jamaican cook put up her hand and said “I know who the kids are who are hungry because they help me clear the plates. I know they are eating the scraps on the way to the kitchen”.

It is only through inclusive decision making that we end up with a result that is relevant and one which we can implement.

As a new member of the finance committee I was truly impressed with the inclusive nature of the process, with the thoughtful and impressive deputations and with the ability to analyse problems, present solutions that had been tried in other jurisdictions, present the risk of doing nothing and the rationale for government to invest in these solutions.

We heard from the grassroots across the country. We heard from the researchers, the policy analysts and the business community. We heard concerns of health care, brain drain, decreasing disposable income and our debt. We also heard their solutions. They felt that reinvestment in health care was imperative. They felt that we should reinvest in research, target tax relief and get our debt to GDP in line. We heard from all of the partners whom we will need to implement these policies.

On February 16 the Minister of Finance presented what I think was a brilliantly crafted balance of the solutions presented. The availability of resources were allocated according to the priorities stated by Canadians. Health care was without a doubt number one. Our most valued social program received the major investment.

It was clear that just money would not ensure the restoration of Canadians' confidence in the system. Experts, including the National Forum on Health, have been very clear. There has to be real accountability for the dollars spent. There have to be dollars for a health information system that will begin that process. The Canadian Institute of Health Research will begin the exemplary process of co-ordinating research in the broadest definition of health from the molecule to the community. We will be able to look at health promotion, disease prevention and treatment and research into best practices in health care delivery. We know that best practices could save an additional $7 billion a year.

The 1999 budget was exciting because of the other how also, the second how of how we do things. That is the landmark agreement of the social union. It will begin a process by which the federal and provincial governments will commit to a new transparent method of delivering programs. They will have to report their outcomes to Canadians.

Our Prime Minister's commitment to getting the health accord and the social union signed has rendered the dollars assigned in this budget even more important. Canadians can now be assured that every dollar will go as far as it possibly can. Evaluation and accountability are now imperative. The new social union framework values Canadians' equality, respect for diversity, fairness, individual dignity and responsibility, mutual aid and our responsibility for one another. These things have been agreed upon.

It is no longer the survival of the fittest in this big cold country. A long time ago we decided that we would look after one another. We are not going to be asking levels of government to report to one another; we are asking all levels of government to report to Canadians.

That all Canadians are created equal and should be treated equal and equal per Canadian funding was a principle of the social union.

We have to meet the needs of Canadians with sustaining social programs and services. We have reaffirmed the Canada Health Act in active participation in a social and economic life.

The second principle was mobility. This will allow Canadians to pursue opportunities. It ensures what is so important, that a Canadian is a Canadian.

The third premise which is extremely important is the public accountability and transparency in terms of getting the health information systems, achieving and measuring results, involvement of Canadians and ensuring fair and transparent practices. It is this point that will make every dollar spent in the budget go that much further.

Working in partnership for Canadians, joint planning and collaboration, reciprocal notice and consultation was the fourth aspect.

The fifth aspect was a proper clarification of the federal spending power. This means that dollars assigned in a federal budget have been predetermined and will be easily implemented. Dispute avoidance and resolution was obviously important, as was the three year review.

In my riding there was great debate before the budget about giving dollars to the provinces in the CHST. One very adamant constituent was very clear at our prebudget consultation that we were not to just give money to Mr. Harris.

The signing of the social union health accord has been a tremendous step forward for our federalism. Canadians need to feel confident that dollars dedicated for health care would be spent on health care. The commitment to transparency is imperative to rebuild the confidence of Canadians. It makes me very optimistic in terms of the truly positive role for government.

Social union will ensure that Canadians will continue to be consulted to set their social priorities. The federal and provincial governments have to make sure that it happens. It is only in that way that we get to deal properly with the tough issues like the preschool development of our children, homelessness, and persons with disabilities which cross all ministries and all levels of government.

Last week in St. Paul's we had a town hall meeting with the Minister of Intergovernmental Affairs. We also had a panel consisting of Lorne Sossin, a constitutional lawyer; Barbara Cameron, a professor of political science from York University; Martha Friendly, a child care researcher; and Andrew Coyne. It was an interesting debate in St. Paul's, a riding that is known for caring desperately about the big picture and putting Canada first.

It came from that meeting how complex our federalism is and how important it is that we deal with a matrix of responsibilities, accountabilities, but together set some real objectives as to what it means to be a Canadian and what we care about. It is imperative that we move forward with our partners, the private sector, the third sector and our provincial colleagues.

We have our choices, our policy levers and our incentives and our programs. We actually continue to ask Canadians at election time what they care about. We tell them how we interpreted that in our speech from the throne, but it is at budget time where we get to set the priorities that came forward with the dollars that have been allocated.

This budget was a balanced one. It reflected the true priorities of Canadians as they said to us. Therefore it will be an extraordinarily easy budget to implement because the people implementing it were the people involved in deciding what was there.