Mr. Speaker, I am pleased to speak Motion No. 513, brought forward by the member for Kamloops—Thompson—Cariboo. It is a motion that encourages the federal government to both encourage and assist the provinces in their health care delivery.
It is a rare opportunity to speak about health in the House. I applaud the member for Kamloops—Thompson—Cariboo for raising the issue of health as a federal issue in the House. It is a rare opportunity because time and again the current government says that health is not a federal issue, that it is a provincial issue, that the federal government does not hold any responsibility for the health file. However, I could not disagree more.
The Canada Health Act is federal legislation that earmarks funding for health care that is delivered by the provinces, but there are certain strings attached to this funding. Health care must be accessible, portable, universal, comprehensive and it has to be publicly administered, so dedicated funding with strings attached.
The agreement under the act, or the accord, expires in 2014, which is just around the corner. This date should not just mark a time to reconfirm our commitment to our health care system. In fact, we need to use this opportunity to revision health care and begin our commitment to the health care system that we deserve.
In Canada, if we go to the doctor, if we go to the hospital, it is free. That is the great legacy of Tommy Douglas and his vision for medicare. However, what many of us forget is that was just phase one of Tommy's vision. Phase two was tackling all of those things that would actually keep us healthy and out of the hospital, such as pharmacare, home care, health promotion and prevention, social determinants of health.
My conversations with Canadians over the summer reflect what we have seen in recent polls, that we are concerned about health care. We are concerned about the lack of universality of coverage for all Canadians, the rising costs of pharmaceuticals, the need for an immediate solution to health care staffing and training issues and the protection of Tommy Douglas' medicare vision.
We need to address these concerns.
However, first, let us set the record straight. The hue and the cry about unsustainable health care is a myth. Health care costs are rising dramatically as a share of total public spending. However, huge corporate tax cuts, resulting in the lowest corporate tax rate of any G8 nation, have deprived our system of much needed revenues and have made our health care costs seem bigger by comparison.
In my lifetime, as a percentage of GDP, health care costs have actually risen only slightly, about 4% or 5%.
Right-wing ideologues ignore the reality that medicare costs are stable and they promote the fallacy of an unsustainable health system. However, “unsustainable” is code for “privatization”.
We can make our system better. We can do this by identifying potential savings and efficiencies within the system. Huge savings could be achieved by implementing a national pharmacare plan. Just as an example, having a single buyer negotiate for cheaper drug prices could save Canadians billions and relieve Canadian businesses of the burden of paying for private drug insurance. This would free up more money for them to invest in our communities.
We could also save on administrative costs, because private drug plans cost 10 times as much to administer as public plans.
We also need to invest in smarter health information technologies, something that this motion touches on, improved access to diagnostics and testing and better staffing and human resources strategies in health care, particularly in rural and northern areas.
If we fail to adapt medicare to the way that health care should be delivered today, private alternatives will fill the gaps. If we fail to act, we will lose control of the health care agenda and we will end up with a more costly and less accessible health care system. Time is of the essence: 2014 is practically tomorrow. The majority of Canadians who want Tommy's legacy protected cannot sit back and let that happen.
As 2014 and the time for health care renegotiations quickly approach, I hope that all Canadians, including the Canadians in the House, continue to fight for the best health care for everyone by preserving our achievements and extending Tommy's dream for medicare to its second phase.
One thing is for certain, federal leadership is needed. With Ottawa taking the lead, together with communities, we can make the system stronger. We can make it more responsive and modernized. In turn, we can help each other live better, healthier and stronger lives.
This motion articulates a very small step towards this vision, and when it comes time for voting, I will be pleased to support it.