Mr. Speaker, I will be sharing my time with the member for Western Arctic. We will be supporting the motion but, and there is always a but is there not?
We have a history where the Liberals were 13 years in power, where they had a great deal of opportunity to deal with the very serious issue that is facing many Canadians. I am going to focus my time today on first nations, Métis and Inuit. We know that wait times for services and access to services is a very serious issue in communities from coast to coast to coast.
Just taking information from Health Canada's own website, it talks about the status of aboriginal health in Canada and about higher rates of chronic diseases such as diabetes. Type 2 diabetes affects first nations people three to five times more than the general Canadian population. There are higher rates of infectious diseases such as tuberculosis. Tuberculosis rates in first nations communities living on reserves continues to be 8 to 10 times higher than the Canadian average. There is a gap in life expectancy for aboriginal men and women compared to the non-aboriginal population and higher rates of suicide. This is from the government's own website.
When we talk about health care, what is critical is something called the social determinants of health. We cannot talk about wait times in the absence of all of the other factors that contribute to what could be considered a healthy community. In the document called the “Blueprint on Aboriginal Health: A 10-Year Transformative Plan” from November 24-25, 2005, it talks about the determinants of health which directly relate to wait times.
It talks about determinants such as housing, education, food security, violence against aboriginal women, children and elders, and environment including clean water and environmental contaminants.
When we talk about the social determinants of health and wait times, there seems to be a link missing. The Assembly of First Nations currently has a campaign called “Make Poverty History: The First Nations Plan for Creating Opportunity”. It reminds Parliament and Canadians who are paying attention of the problem.
The campaign 2000 report that was just released on Friday re-emphasizes the desperate poverty in many first nations communities. However, in the document that the Assembly of First Nations put forward regarding first nations poverty, it talks about the fact that one in four first nations children live in poverty compared to one in six Canadian children. Of course, we do not have Canadian children and aboriginal children who are poor without having families that are poor.
The document talks about the fact that first nations homes are about four times more likely to require major repairs compared to Canadians overall, that nearly 1 in 30 live in homes without hot running water. Many have no cold running water or flushing toilets and some 5,486 houses on reserves are without sewage services. About one in three first nations people consider their main drinking water supply unsafe to drink.
The United Nations human development index would rank first nations communities 68th out of 174 nations. More than half of first nations people are not employed. Life expectancy of first nations men is 7.4 years less and 5.2 years less for first nations women than Canadian men and women respectively. I could go on. The numbers are grim.
When we talk about what that looks like in terms of people's lives, we are talking about first nations, Métis and Inuit children who go hungry. We are talking about first nations, Métis and Inuit children who do not have a house to live in that is fit for humans to live in.
This summer I had an opportunity to go to Kashechewan and while I was there one of the grandmothers invited me into her home. The house was spotless except for the bedroom where her grandchildren were supposed to sleep. The bedroom had mould growing up over one side of the wall and across the ceiling. We asked the grandmother where her grandchildren slept when they came to visit because they could not sleep in the bedroom. She said they all get together and sleep in the living room.
I would challenge any member of the House to say that they would have their grandchildren sleeping in a house like that. None of us would accept that and yet we are asking first nations, Métis and Inuit families to have their children exposed to those kinds of contaminants.
If we want to talk about wait times, what are the wait times to ensure that first nations, Métis and Inuit children and families have adequate housing? Where are those wait times? We are not talking about those.
When we are talking about the blueprint on aboriginal health, there are some clear directions that were laid out in 2005 and we are still waiting. If the government wants to talk about wait times, we are still waiting for action on any number of these items.
There was a recommendation for improved delivery and access to health services to meet the needs of all aboriginal people through better integration and adaptation of health systems. This talks about building on and improving initiatives to foster public health, developing models and funding approaches to improve services, and supporting culturally and linguistically appropriate care. That one is absolutely essential.
In many of these communities we have Cree men, women and children. We have Hul'qumi'num men, women and children, and yet they cannot get service in their own language. We can imagine what kind of miscommunication happens there. We cannot get culturally appropriate services.
In many communities we are asking communities to have elders leave their community when they need extended care or long term care. Some of these elders are going into nursing homes where they cannot understand the care providers. Where is the wait time guarantee there for culturally and linguistically appropriate services?
The document goes on to talk about other national directions, measures that will ensure that aboriginal people benefit fully from improvements to the Canadian health system. There are things such as telehealth, infrastructure development, implementation of health human resource strategies, and exploring the current needs of those who may not have access to non-insured health programs. The third point is a forward looking agenda of prevention and health promotion and other upstream investments.
This comes back to what I was talking about in terms of housing, education, clean water and employment opportunities. We need to put wait times guarantees in place for these kinds of initiatives.
This document goes on to talk about laying out a framework in terms of developing an ongoing collaborative working relationship, clarifying roles and responsibilities, and measuring progress and learning as we go. Substantial amounts of consultation and work have been done and yet people still wait.
Recently, I had the opportunity to visit some of the communities in my own riding. I was on Kuper Island where the Penelakut people live. The chief and council met with me and I thanked them for their time. They were telling me the fact that their water source was below a decommissioned dump. A couple of children in that community have rheumatic fever. The physicians were saying that was directly related to the living conditions on reserve.
The Penelakut people struggle with the fact that they live on an island. They were relocated to a small island against their will. They have limited access to health care. It is a struggle for them. If there is an emergency on the island, they are serviced by ferry that does not run certain hours of the day. They have challenges if there is an accident when the ferry service is not running. They are understaffed in terms of the health care professionals that are available to them.
There are a number of other communities in my riding that face similar challenges. The T'Sou-ke First Nation reserve has had trouble with the septic systems failing. It has sewage seeping up in the front yards where the children could be playing.
The Snuneymuxw people and the Chemainus people live in mouldy housing with overcrowding and insufficient access to transportation. I live in a rural-urban area, but many of these communities have no access to transportation. When elders or families with children want to access a hospital or other primary care providers, if they do not have a vehicle, there is no public transportation. How do they get timely access?
I will wrap-up by talking about diabetes. There was a first nations diabetes report card which outlined a number of recommendations, part of which are already in place regarding prevention and treatment guidelines. We already know what they look like. They should be implemented immediately in first nations communities.