Madam Speaker, I think most hon. members would agree it is fair to say that health care is the number one issue for most Canadians. Political parties grapple and posture over the Canada Health Act, medicare and the delivery of health services. The public sees through most of this and in many ways is far ahead of the political parties in terms of understanding the major problems in health care.
For example, I was in Nova Scotia last week and met a middle aged woman with undiagnosed recent loss of feeling in her midsection and legs. This is obviously a major concern to her and to her family. The doctor's office triumphantly phoned her to say that it had obtained an appointment for her for an MRI on November 5, five months away. These Canadians will be forced to go to Bangor, Maine, and pay approximately $2,500 on demand for an MRI. Any reasonable analysis would conclude it should be a priority necessity of health care delivery. This is not an isolated story. This story could be replicated across the country. In B.C. they would go to Seattle or to Spokane rather than to Bangor, Maine, and so on from west to east.
The public knows full well that there is rationing and that is a two tier system is in play big time already. Politicians who close their eyes or reject this reality are doing a great disservice. We have seen evidence of that happening here today.
The answer for Canada lies in harnessing the best delivery mechanisms for all Canadians at a cost society can afford. No Canadian should be denied basic health care delivery. Nor should Canadians who wish to step outside the public health care delivery system be told they cannot do so. We do not tell the Vancouver Canucks, the Toronto Maple Leafs or the Montreal Canadiens that their hockey clubs cannot have their private hyperbaric chambers or that they cannot have their team doctor, do we?
I will reiterate the official opposition supply day motion:
That this House recognize the health care system of Canada is in crisis, the status quo is not an option, and the system that we have today is not sustainable; and, accordingly, that this House call on the government to develop a plan to modernize the Canadian health care system, and work with the provinces to encourage positive co-operative relations.
That is a reasonable and progressive motion. Yet the Minister of Health has already indicated the government will not buy into supporting it.
The Liberals are health care hypocrites and hypocrites generally. The 1997 Liberal red book stated that the Liberals would not allow a two tier health care system and that they were committed to a continuing role in the financing of medicare.
What is the Liberal track record on financing health care? The provinces know their federal transfers have been cut since 1993. The Liberals spin the numbers and say, “Well, no, not really”. Meanwhile, the naked truth is that the Liberals cut health care to avoid other program reductions in the 1990s in order to balance the annual budget. The deficit was eliminated by the finance minister by off-loading a bigger burden for medicare onto the provinces, and the Liberals have never made good for those cuts.
Now the Liberals want to portray themselves as the great defenders of medicare and place impossible constraints on the provinces. The provinces are in an increasingly difficult set of circumstances and we are witnessing some things that are coming from that. We have bill 11 in Alberta. The Saskatchewan health care review was announced yesterday. All the provinces are demanding that the federal government reinstate funding to 1993 levels before the provincial governments will co-operate on other issues with the federal government.
Health care delivery is a provincial responsibility. The only way to focus on the patient is to encourage the provinces and the federal government to check their politics at the door and concentrate on stabilizing the funding and modernizing the Canada Health Act. This will only happen through innovation on the part of provinces and a flexible federal government that provides freedom to the provinces to push ahead.
Here is a partial strategy that we should consider. The provinces need leadership from the federal government to help orchestrate change. Respecting the existing jurisdictional framework is the surest way to begin building a sustainable, enviable health care system. The long term funding base must be restored. The provinces are calling for a $4.2 billion annual increase.
The feds must initiate relations with the provinces to support and encourage a health care system that works in the best interests of Canadians. Co-operation is the key but that is not what we have been seeing coming from the government recently, in particular from the minister. We must dedicate our efforts to a universal, portable, comprehensive and accessible health care system. Does that remind you of the Canada Health Act, Madam Speaker? It certainly does to me.
We must examine the roles of administration for better efficiency, productiveness, and overall better service for the patient. We must create standards and independent auditing for greater transparency and delivery of health care. Without that transparency we do not have accountability.
Our present health care delivery system has one fatal flaw: the average consumer who utilizes that service has no idea what that service actually costs. If the consumer does not know that, most often the deliverer does not know that either. One cannot begin to reform a system until both sides of that equation are well aware of what the costs are. Canadians deserve no less. Health care hypocrites, like the Minister of Health, should actually get out of the way.
I now want to review the five basic principles of the Canada Health Act, in particular the accessibility provisions. In 1993 we had an average wait of 9.3 weeks and in 1998 it went up to 13.3 weeks. People are waiting up to nine months to see a specialist. We are also losing on the technology front.
Earlier I gave an example of what is happening with MRI waiting lists in Canada and how different it is from the U.S. We are failing on that score.
In terms of universality, I have pointed out in this place and in correspondence how remote communities are so discriminated against in terms of their ability to access health care. Very often it is the federal government, which is removing federal infrastructure, that is actually working against the universality of health care provision by its other actions. I have a major concern on that front. The government is really not addressing that and, in many ways, is discriminating against remote communities.
The final thing I want to talk about is public administration. Eighty per cent of health care costs are labour component, whether it is doctors, nurses or administrators, and we must look at that whole area in a constructive fashion.