Mr. Speaker, I thank my colleague from Elk Island and the House for allowing me to speak on an issue that is very close to all our hearts.
Bill C-45 is five years too late. Everybody in the House knows and understands the problems we have, not only in our health care system but in our education system and in the welfare programs that we have today.
We have a situation today in health care where there is an increasing disparity between the resources that we have to pay for and what we ask for. As time passes, as we get older, as our demographics change and as the demands on our health care system increase, that gap between what we have to pay for and what we demand of our health care system will increase and widen. The result will be extraordinary pain and suffering for Canadians from coast to coast.
While we support the addition of $5.5 billion into the system, as my colleague from Elk Island so eloquently stated, this is but a drop in the bucket. This will do nothing and it is little more than an election ploy.
Sadly, the bill should have been put forth five years ago because it will only get us back to 1995 levels. The public may not know or understand this, but when the funding actually comes in it will only get into the sharp edge of health care one and a half years from now. What will happen to all the patients who sit and suffer in quiet pain and suffering at home? People are suffering and waiting for timely access to health care, the timely access that the Minister of Health likes to stand up and crow about. He says that all Canadians must have timely access to essential health care services and that the government is doing that. That is bunk. That is absolutely untrue.
Let us talk about the truth. Let us talk about what is going on in health care in Canada today. For more than five years the government has removed funding for health care on the one hand, while on the other hand, it has restricted the provinces from giving their patients, the sick people in their provinces, the chance to get the care they require. The provinces have been hamstrung. Their hands have been tied behind their backs and they have been unable to be innovative because of the federal government.
It is disingenuous of the government to say on the one hand that it will uphold a system. We all want to ensure timely access to essential health care services in a public system for all Canadians. Canadians should not have to pay out of their own pockets for health care or be refused health care as a result of having no money in their pockets. No one in the House wants that, least of all us, but for heaven's sake we should not use politics and try to stand up and be the great white knight defending people's health care when in reality we are actually restricting the ability of people to get health care when they need it.
All of us here have a common interest in ensuring that our public health care system is strengthened. However, since the Liberal government came to power it has been restricting the provinces' ability to do this.
A lot of the words in the bill are good. The bill talks about collaboration, about commitment and about the desire to have a publicly funded, sustainable health care system where people have timely access to health care services. However, they have been talking about that for seven years. The reality can best be illustrated by the story of Mrs. Marilyn Slater, who lives on Vancouver Island. She is a 64 year old who recently had her hip replaced.
Mrs. Slater was paralyzed with pain because of her hip and desperately needed an operation. About two years ago she went to see her physician. He told her that she would get a hip replacement within two years. She waited in pain for two years to get her hip replaced. This was the health care system that was supposed to give her timely access to essential health care services. Was it timely? No. Was it essential? Yes. Did she suffer? Yes. Is this what the Canada Health Act or the government is supposed to uphold? No.
It is completely unfair to allow people like Marilyn Slater and so many others across this country to suffer.
In the hospital where I sometimes work, a situation has occurred over the last year. People are on waiting lists for a little over two years before they can get in to see an orthopedic surgeon. Because of a lack of money, the hospital told the orthopedic surgeons, knowing they were working only one day a week in the operating room, that, although the hospital was sorry, it would have to cut the operating room time to a half day a week. This pushed the waiting lists for a patient to be seen in this community, which serves half of British Columbia, to three and a half years. A three and a half year wait to see an orthopedic surgeon for patients in severe pain has nothing to do with health care and everything to do with being inhumane. It is torture.
There are ways of dealing with this, but for heaven's sake, putting forward a bill that will put money into the sharp edge of health care, some of it a year and a half from now, and ultimately put us back to where we should have been five years ago, is not good health care.
When the bill goes through and the money goes to the health care system, we will still have people suffering, like Marilyn Slater and the people in northern British Columbia. This is happening all over the country. Barrie and Peterborough hospitals routinely close down their emergency departments because the hallways are filled with people on gurneys and they cannot fit any more in. Why are those people there? They are there because they cannot get a bed in a hospital. The hospitals are saying that they do not have enough money to pay for nurses and open up beds. That is not good health care and it is happening across the country.
If anybody says that we have timely access to health care, I would like to know where, because it does not happen too often. It happens to people who are acutely injured, to be sure. It is only because of the bravery and courage of our medical health care workers in the field that they are able to do this.
We need solutions. We have a manpower crisis. The government gives vague concepts of how to relieve this but where are the specifics? The specifics need to be talked about now because in the next 10 years we will have a lack of 112,000 nurses in Canada. The average age of the physician population right now is about 45 to 46. There is a crisis today in virtually every medical specialty, whether it is in neuropathology, neurosurgery or general surgery. The list goes on. We need an effective plan.
I want to propose one plan to the government, speaking personally. The government should work with the provinces to allow an expansion of the number of people not only in medical schools but in nursing colleges and technology schools. Let us not forget the medical technologists who are an integral part of our health care team. Many of them are working one and a half jobs just to fill in for the lack of personnel.
One option may be for the government to pay 10% to 15% toward a student's tuition fees and in return the student would serve an equal number of years in an underserviced area. That would relieve the maldistribution problem that we have. We know that if a medical worker goes into an urban setting during a period of time it is very difficult to attract them to an underserviced area; in fact it rarely happens. What we have to do is catch them when they get out of school.
Speaking personally, this plan would allow people to have their tuition fees paid for the amount of time they are in school. In return they would provide an equal number of years in a rural, underserviced area. That is what is done in military training. It can be done in health care. If that is done it will provide some access to people who are desperately in need of care in rural settings.
Another aspect I want to talk about is education. The situation now is that post-secondary education has been completely gutted for a number of years. Students are having a very difficult time making ends meet and have had an onerous burden placed upon them.
Certainly it is true they have to pay for their tuition, but what is happening now is very interesting and actually violates a sense of egalitarianism the government likes to profess to have. Money has become a significant factor in preventing people from gaining access to professional schools. In the faculty of medicine at the University of Toronto it costs about $10,000 a year to become a doctor. I could not have become a physician if those had been the fees when I was going through.
That is a major restriction now to people of low to middle class means. They cannot afford to send their children to professional faculties any more. Now those faculties are becoming the purview of the children of the rich. That is not right. No one in the House would like to see that happen.
As our party and our former leader have in the past, let us talk about an income contingent loan replacement scheme. Our scheme would enable students to put back the money they have taken out in loans. Those moneys would be put back in a way that is fair to them and fair to taxpayers. We have encouraged and have tried to put the government on notice in this regard for a number of years. We have indicated that these students have suffered. Some of them had to end their studies because they could not afford them. The plan our party has put forth would enable them to study and it would be fair to taxpayers.
On the issue of children, my colleague from Elk Island spoke very eloquently about the need for strengthening the parent-child bond. We cannot have an inequitable tax regime such as we have today, which does not enable parents to spend more quality time with their children. This has to change.
For years we have been asking the government to ensure that there is tax fairness between parents who choose to go to work and parents who stay home. It is not difficult. It could be changed simply. Let us change it. We need to do that. The tax system of today also restricts the ability of many parents to stay at home. As a result parents are forced into the workplace.
We also need to consider, if we are to engage in a childhood development scheme, something that will work well. The Minister of Labour has been a leader, as has the minister responsible for children, on how we can ensure the basic needs of kids are met. As the Minister of Labour knows through her program in Moncton, strengthening the parent-child bond very early on will have an enormous, profound, positive effect on the development of a child into adolescence and into adulthood.
In fact someone won the Nobel prize for showing that the developing brain in a child is like a sponge. If we subject a child to sexual abuse, violence, improper nutrition, a lack of proper parenting or a lack of discipline, we find the child's brain does not develop properly and his or her cognitive abilities and emotional strength built early in life do not necessarily happen. We need to look at the body of evidence that actually works and to work with parents to ensure that takes place. It has to start early on.
BC Reports contained a very good front page article, in the last two weeks, on the issue of fetal alcohol syndrome, the leading cause of preventable brain damage in the country today. Almost half of all people in jail today have fetal alcohol syndrome or fetal alcohol effects. It is an entirely preventable problem. It is devastating problem for children. Their cognitive abilities are destroyed. Their average IQ is 68. They have difficulty with interpersonal relations. Unfortunately many of them, as we have found, go into lives of crime. It is preventable. In order to prevent it we have to start before, in the prenatal phase. An effective head start program that strengthens the ability of parents to be good parents would work to prevent that.
Let us imagine if we were able to do that not only from a humanitarian basis but from a total cost basis. One of those children costs the system almost a half million dollars a year up to age 18, and it is preventable. Let us imagine the savings if a child does not go to jail, which costs $100,000 a year in a juvenile institution. As someone who has worked in jails for a number of years, it is terrible to see. It is a waste. It is a waste for the taxpayer. It is a waste for the human being. It is a waste for society.
I could only encourage the government to follow along with the lead of my colleague, to work with what it knows is effective to strengthen the parent-child bond and to look at the tax regime. If something is to be implemented, it should not be a national day care centre but a program that strengthens the parent-child bond so that the parents can be better parents to their children. We know that is the most effective way. Also we must ensure that children get proper nutrition and that parents have the means to do that.
On the welfare system, another aspect of CHST, we know there are two populations on welfare: those people who will never be able to take care of themselves, but thankfully we have a system that allows us to do that, and another population that would like to work but for reasons cannot.
One of the biggest complaints we receive from people on welfare is that they do not want a handout. They want a hand up. What really aggravates them is that they want to get some skills, some training, and they need a bit of help to enable them to do that. However what they find is that they are penalized when they try. They are penalized when they say they want to work a bit, to get back into the workforce and to develop the skills that will enable them to provide for their families.
In the way the current welfare system is structured it rewards people for staying at home and not working. It actively penalizes individuals who are trying to get the necessary skills to stand on their own two feet.
I know that is not the objective of anyone in the House, but we have not seen leadership on the part of the government to work with the provinces, because it is a provincially managed program, to reform our welfare system so that we can give people who want to work the tools and the skills to enable them to stand on their own two feet. They would be so grateful for that, that votes, money and accolades would go to whomever does it. That is what we need. We need leadership in these areas and we need reform of the system.
The Minister of Health said on November 27, 1999, and this can be ascribed to education and to welfare, that medicare would soon be unable to provide Canadians with timely access to medical care unless major reforms are undertaken.
I have not seen, and I do not know if anybody else has seen them, those major reforms coming down the pipeline. We certainly see nice words in the bill. There is a commitment to some funds that will put it back to 1995 levels, but we do not see the major structured reforms of leadership that will be required on the part of the government to make those reforms relevant and effective for the 21st century, be it health care, be it welfare, be it education.
There rests on the shoulders of the government an extraordinary opportunity in leadership. Why does it not call the first ministers together again? They should be locked in a room along with the relevant ministers and told that the problem has to be fixed. At the end of the day they all have the same interests. We need to have the interests of the public at heart. They should put away the nonsense, the political drivel, and sit down to fix the problem, given effective solutions that already exist in the country today. They exist. Good solutions from not only our country but from around the world exist.
We could look at the German model for health care. We could take the best from Moncton, Michigan and Hawaii for children. We could look at welfare programs in other parts of the world that give people a handout to give them a hand up.
We could look at manpower solutions that would address a problem that if not dealt with today would result in the deaths of many Canadians tomorrow. It is not something that we could deal with tomorrow, because this problem affects us today. It takes four to twelve years to train the people we need after high school.
I could only beg on the part of myself and my colleagues that the government takes Bill C-45 and implements it but gets back to the drawing board now to help people who are suffering in quiet desperation and enduring years of pain unnecessarily. Let us get together and do that. Let us implement the solution. Let us not wait five years to make any changes. Let us do it this year.