Stephen Ellis

[Questions on the Order Paper, May 8th, 2023]

With regard to the Statistics Canada Biobank at the National Microbiology Laboratory: (a) how many Canadians' (i) blood, (ii) urine, (iii) DNA, samples are currently stored there; (b) of the samples in (a), how many have been there for (i) less than a year, (ii) one to three years, (iii) over three years; (c) what are the guidelines and methods used by the Biobank related to how the samples are (i) used, (ii) stored, (iii) disposed of, (iv) anonymized; and (d) what are the timelines for sample disposal?

[Firearms, May 8th, 2023]

Mr. Speaker, one of the mass casualty commission's recommendations directly reflects the Liberal ban on firearms, Bill C-21. This bill would add firearms without consultation, and even use this tragedy to its advantage. The opposition was fierce; however, a revamped version has reared its ugly head. What we know clearly is that the monster from this tragic event was not a legal gun owner, and nor were his guns legal. In a recent op-ed, the authors state that the focus should be on securing the border, providing mental health support and diverting at-risk youth from gangs.

When will the Prime Minister start addressing violent repeat offenders and stop attacking grandpas who own a hunting rifle?

[Criminal Code, May 2nd, 2023]

Madam Speaker, my hon. colleague from Cariboo—Prince George, who introduced Bill C-321, said he could go on about this particular topic for hours and perhaps years if we allowed him to. As I listened very carefully to his speech, it made me very emotional to hear the harrowing stories that have been told to him. Of course, we know that those things are difficult to hear and difficult to understand.

As I have said in the House before, I have been a family doctor. I graduated from medical school 30 years ago. It is difficult to understand, very carefully, what people have to put up with day in and day out. When someone works in an emergency room, they will, every day, see paramedics and nurses and, as we say in Nova Scotia, LPNs, and CCAs, support workers and other staff who work inside the hospital and have suffered violence. That is something that becomes very hard to understand. For those who are not interested in perpetrating violence, it becomes very hard to understand how someone could possibly have any interest in harming the person who is there to help them. For the majority of people around this country who are listening in this evening, I am sure that does not compute. However, it is important that we make it very clear to the Canadian public that this does happen and that it happens on an everyday basis.

Underlining that fact with some personal experience is something that is very important. We can all talk about numbers. We can talk about the percentage of paramedics in Ontario and Nova Scotia. Sixty-seven per cent of them were verbally abused and 26%, in 2014, had been subject to a physical assault. In North Bay, Ontario, 60% had endured violence, including sexual harassment and physical assault. We all know very clearly that this has no place in the workplace. The strange fact, though, is that it happens in the health care workplace, where health care is being delivered, which, as we have heard from multiple members, could be at the side of the road or in a hospital setting, a nursing home or the person's own home. We know very clearly that this happens.

I have heard the word “hero” used here this evening. It is heroic, in a sense, that the workers who endure this kind of violence show up to work again. It is inexplicable. There really are no words for it. If this type of violence occurred in another workplace, it would very likely be a career-ending injury for many folks. In the health care field, as strange as it is, perhaps owing to the fact that many health care workers are there because they have a heart for the work, they show up to that work again and again, in spite of being abused verbally, physically and, sadly, also sexually. Have I seen this happen? Yes, I have seen it happen, and that presents a very difficult situation. The verbal abuse endured by frontline medical staff in 2023 is beyond belief. People who believe that they can take their frustrations out on other people has, sadly, become some sort of weird, acceptable situation in our society. My friend and colleague from Cariboo—Prince George brought that forward in a very eloquent and elegant manner.

Understanding that, of course, there is frustration with the medical system, we know very clearly that those frontline workers are not in charge of the medical system. They are not the administrators of it. They are not the funders of it. However, those folks who are frustrated by the level of care they have received and the time they have waited still feel it appropriate to lash out at those frontline health care workers who, we know very clearly, are there to help and have gone into these professions with very good reason and a clear conscience.

We know, sadly, that in our society, many frontline health care workers, especially nurses and often paramedics, are females. We also know, sadly, that is a particular difficulty because certain individuals of our society feel the need and, perhaps the superiority, I do not know what goes through their minds, to lash out at females in our society. This appears to be something that happens much more regularly, and, obviously, this is borne out in studies. I have a daughter, Samantha, who is a paramedic. We have that kindred shared relationship to understand the things that she has seen and experienced. She is a tough cookie. She was a rugby player in university. However, we can all understand very clearly that having those things said and done to one certainly takes its toll over time. Once again, it has been said very clearly that that contributes to compassion fatigue, burnout and the reason why people begin to leave their profession.

Especially in today's day and age, when we know that there is a significant need for nurses, paramedics, physicians and any type of health care worker, it must not help them to think they are not being supported by their society. This is an epidemic, which is a bit of an overused word, but it is an epidemic of violence against frontline health care workers. For those who choose to work in these professions, it is important to understand that there are 338 of us in the House of Commons who want to support them and to say that the violence that they endure, sadly, on a regular basis is not acceptable, and that it needs to be a mitigating factor when perpetrators of such violence are brought to justice.

We need to get to the root causes, to understand what we could do as legislators to help with prevention, what we could do as legislators to help change this country so that the attitude is different. We know that those steps are all so important. Certainly as an interim step, allowing frontline health care workers to know that we are there, from all across this country, to support them is going to be a necessary and important step so that they know they are not forgotten.

I do not think it would be helpful to the House or those listening at home to continue to talk about the terrible cases we have heard about very clearly this evening. I will not belabour those points, other than to be very clear that I would challenge my colleagues in the House, not only those who spoke but also the folks who would have the opportunity to pass this bill on to committee and to perhaps make amendments there. I challenge them to make a bill here that, when it goes to committee, is even better. It is not that I want to criticize my colleagues, but let us not weaken this bill; let us strengthen it. Let us make it broader. Let us define those things that need definition. Let us not let perfection be our enemy and allow this bill to not get into the great laws of Canada. I think that is the challenge we have.

I spoke about another challenge in the House before. I believe that we actually have an opportunity here to do something. There are so many days when coming to the House of Commons can be very frustrating. Quite honestly, oftentimes, not much happens and not much gets done. There is a lot of talking and there are a lot of words, but there is not a lot of action. This bill is something that we could have as an actionable and effective tool to help reduce the violence against frontline health care workers. When we have an opportunity in the House of Commons to actually operationalize something, then we need to seize that opportunity with both hands and be able to move that forward so it becomes the law of this great country. My colleague from Cariboo—Prince George has captured a moment in time that is going to allow us, with the support of all of my colleagues, to do that here in the House of Commons. I hope that we are able to do that, because it is something that would be transformative.

[The Environment, April 27th, 2023]

Mr. Speaker, I rise today to announce the death of a groundbreaking tidal energy project near Digby, Nova Scotia. It was operated by a world-leading company, Sustainable Marine Energy, which has been killed by the Liberal government.

A wonderful opportunity to make this country a leader in clean energy has been lost and thousands of hours of hard work have been wasted. This paints a picture of a government that is psycho-sclerotic, unintelligent, unimaginative and unwilling to experiment with new ideas to protect our environment, outside of taxing Canadians into submission at the fuel pump.

In the paraphrased words of the Premier of Nova Scotia, the federal government is shutting down a project that would change the economy of Nova Scotia and supply clean, green energy.

The federal Liberal government is happy to saddle us with a carbon tax, which will cost us more and do little to protect the environment.

Shame on the Liberal government.

[Excise Tax Act, April 25th, 2023]

Mr. Speaker, one of the things we often find here in the chamber and in the federal government, or at least I have found since I have been here in the last 18 to 20 months, is that sometimes we try to swing for a home run, but we strike out. I think this is something we can start with and actually make a difference in the lives of many Canadians in an area of health care that we know is in significant crisis. If we start saying, “Hey, we're going to do this, or let's add that, or something else,” then we are not actually going to accomplish anything, which is my fear in saying, “Yes, we should aspire to greatness.”

Of course, everyone in their own life should aspire to greatness, but I think we should aspire to things that we can actually do so that we can make a difference in the lives of Canadians, and then we are moving things forward here. Again, when the Conservatives have the ability to form government, we will attempt to do great things, hopefully with the support of all of our colleagues, and then we can see Canada move forward as a greater country.

[Excise Tax Act, April 25th, 2023]

Mr. Speaker, I think I have used up all my French today, and I apologize to my colleagues. It is hard to speak and think at the same time in a different language, so maybe I used it all up.

As I said previously, there are some different definitions, but if we look at this as a broad definition in a different basket to be able to say that these are the types of services that are provided by these individuals, then I think we have a pathway forward to begin to say that we need to provide help for these services. The other way to look at it is from the opposite point of view. The mental health counselling services that are required to charge GST or HST are the folks we want to be exempted from this.

I do not think the nomenclature needs to allow us to not be able to move forward and cause us to have paralysis on this. We need to move forward for the betterment of all Canadians.

[Excise Tax Act, April 25th, 2023]

Mr. Speaker, I think that it is important to find a way to address the problem. We can find proper titles for professions such as psychotherapist and mental health counsellor. I think that it is possible, then, to group together all professions offering the same services even if they have different names.

I think that this is a way to find the process that will be best for all Canadians.

[Excise Tax Act, April 25th, 2023]

moved that Bill C-323, An Act to amend the Excise Tax Act (mental health services), be read the second time and referred to a committee.

Mr. Speaker, it is a pleasure to be here this evening to introduce this bill, which would exempt psychotherapy and mental health counselling services from the goods and services tax. There is a mental health crisis in Canada. Unfortunately, these problems affect 33% of Canadians, from the youngest to the oldest. This is serious. It is a very serious problem.

This evening I rise to address an extremely troubling issue for Canadians, which is mental health. It is very difficult to capture exactly what we are talking about when we speak of mental health. I will talk a bit about it, as we go forward, in multiple areas, using my experience as a physician over the last 30 years, and about what it means to me and those folks whom I have had the opportunity to treat with respect to their mental health.

Before I start that, though, I want to read a letter I received today:

Good morning Dr. Ellis,

We met in April last year...and had a memorable discussion about the impact of the tax on psychotherapy and counselling therapy services on your constituents. I am now a full-time clinician working with children and youth, and our conversation especially touched on the main barriers to mental health care for these vulnerable young people in Canada.... I have followed this issue closely. I appreciate that you called [the Canadian Counselling and Psychotherapy Association] to speak before HESA, and your commitment to rectifying this issue through your Bill C-323.

As you likely know, our parliamentary petition e-4126 [has] been rejected by the Government due to semantics over the different regulatory titles of our profession in the various regulated provinces. Unfortunately, I now need to increase my fees in order to account for this unfair tax. I am deeply concerned about the financial strain it will have on my clients, and clients of all clinicians across Canada and in your constituency. Inflation has significantly increased the cost of psychotherapy and counselling therapy services.

It causes me considerable discomfort to have to read that here and underscore the importance of the need to change the unfair Excise Tax Act. We know that many therapists who help to look after the mental health of Canadians do not charge tax on their services. For instance, psychologists, psychiatrists and family doctors do not have to charge HST on their services.

The difficulty here is access. We all know that when someone is referred for treatment for mental health issues in Canada, it takes an inordinate amount of time to access those services. That is one of the things I have learned, having been a family doctor. Actually, I graduated from medical school 30 years ago this year, which is shocking since I was 12 when I graduated. Doogie Howser was my name. I am just joking; this is a serious subject.

That being said, I think it is important to say that, as clinicians, one thing we understand is that when someone comes into our office and has finally made the decision and realized that they are suffering with a mental health problem, they want treatment and they want it now. The sad state of affairs that exists in Canada is that we are not able to provide that. Of course, delays may easily mean someone does not get the treatment they need, only to then slip further into the issues they have. That presents a significant difficulty.

We know there is a significant range of mental health issues we can see from a clinician's perspective. Whether it is an issue with a young person whose relationship is breaking up, more severe depressive type symptoms or generalized anxiety disorder, there is a whole host of issues, all the way to schizophrenia and depression in later years in seniors. All of those things form the basis of what we understand as mental health.

There have been considerable efforts made around the world, and in Canada in particular, to look at mental health issues and make it more acceptable to speak out loud about mental health so that people know speaking about it is what will allow them to seek out the help and services they need. However, those services may not be available. It would be an absolute shame if someone has made that decision and then is unable to receive the services they need.

Mental health, of course, affects our physical health. Often, as a family physician, I would spend a lot of time in the office trying to understand exactly what was wrong with someone. A common presentation, like maybe insomnia, a lack of ability to sleep or feeling tired all the time, requires a significant amount of workup to ensure there is no physical health problem.

Oftentimes, I would go down that road of understanding and try to convince somebody that their problem lies with an illness such as depression. Once they are convinced of that, which is not always the case, then of course the treatment regime is what follows. It could be medications, but counselling is an essential part of treatment to help people begin to undo some of the negative thought processes they have and help them with a more resilient type of thinking for the future.

We know that those two things go hand in hand. They are essential. Again, there is a multitude of ways to receive that type of treatment, but we know that psychotherapy and mental health counselling can be a significant part of it.

With the letter I read, we know very clearly that there is a significant financial burden on folks who are working in this industry and how difficult it is for people who are coming forward. Oftentimes, psychotherapy services and mental health counselling services, for those fortunate enough to have a health care plan, have a limit within a plan. Often there is no coverage, of course, for those not fortunate enough to have a health care plan.

That means, specifically for these two types of services, that people are paying GST or HST on top of a significant amount, perhaps $150, $175, $200 or $250 an hour, to receive those types of services. Of course, as we all know by doing simple math, that can add up fairly quickly, which becomes a disincentive. If we do the math quickly, we can understand that if we remove this tax from these services, almost every eighth visit will be free for a person. To me, that is a significant issue.

Another thing I want to mention is the breadth of Canadians who are affected by mental health issues. I had the opportunity to speak to some international medical graduates this past week in the Toronto area who were in this country from two years to 28 years. Unfortunately, as we know, with the systems that exist, all 15 folks I had the opportunity to speak with were unable to gain licensure here in Canada as physicians. They worked as lab techs, security guards and physician assistants, and some of them had moved on. One guy rose through the ranks to be vice-president of a company. They were all very well-educated and hard-working folks.

The other part of this is that sadly, Canada, in the international medical community, has become known as the graveyard for doctors. That is the term they use. When they come here, they get in an interminable cycle that does not allow them to practise. Why am I talking about this? It is not because we have this great program called the blue seal program, which would eliminate these problems. It is because of the heart-wrenching stories I heard from these international medical graduates, who were very well trained in their own country.

One of the telling stories I heard was of a gentleman who said his children knew that he was a physician, but when he went to work, they asked why he was dressing up in a security guard uniform. When we hear that, we can understand the heart-wrenching nature of the amount of effort that all of these folks put into their work, into their profession, which they are unable to practise here. I could tell that the tears were very close to the surface and ready to flow.

That is an important story because we know, as I said at the beginning, that mental health can affect people of younger ages all the way to the end of life. We know that is a significant issue. We also know that there are other significant groups, such as racialized minorities, immigrants and people who identify as part of the LGBTQ community, that suffer with more mental illness than other portions of the population. We need to understand that mental illness affects everybody across every spectrum of the population in Canada. It is a very important thing we need to underscore.

We also need to understand that the health care system is failing us. We know that in Canada, some services in mental health care are paid for, such as in my province of Nova Scotia, but we also know that for expenses in health care, Canada is ranked first among 30 OECD countries in percentage of health care spending as part of the economy. We know that we are severely lacking in doctors per 1,000 people, in specialist wait times and in access to resources. For this reason, we know that when the government has the opportunity to make changes on some very specific things, that could perhaps cross party lines if there is something we can significantly do about it.

It behooves us to look at a few things regarding the way the pandemic has impacted the mental health of Canadians.

We certainly know that youth have been significantly affected, more so than other segments of the population. Since COVID-19, fewer Canadians report having excellent or very good mental health. It was 68% in 2019 and it was down to 55% in July 2020. Prior to COVID, youth aged 15 to 24 were the least likely to report excellent or very good mental health, a sad state in and of itself, but they reported the greatest decline, a 20 percentage point reduction, from 60% pre-COVID to, sadly, 40% in July 2020. Inexplicably, it appears that seniors aged 65 and older have not experienced declines in mental health since the pandemic began. As I mentioned previously, women continue to report lower levels of mental health compared with men, from 52% to 58%.

Another very important thing to note is that there are groups in Canada doing very good work. I will give a shout-out to my daughter, Allison Fitzgerald, who was on TV this morning talking about Kids Help Phone, which has done excellent work. It has some shocking numbers, though, when we think about it. Since the pandemic began, it has had 14 million interactions with youth in Canada. We know that is a significant issue that continues to come forward.

The Canadian Paediatric Society put out policy briefs with respect to child and youth mental health, recognizing the significant issues associated with it. It said, “Accessible, evidence-based treatments can help mitigate long-term disabilities and support academic and occupational success.” It also said, which we again need to underscore, “Those under the age of 25 have been uniquely impacted by the pandemic.” They have had stress, anxiety, disrupted access to learning and identity-affirming activities, and reduced academic and economic opportunities.

In conclusion, what can we do to help support all Canadians? We can modify the Excise Tax Act and eliminate the taxes on psychotherapy services and mental health counsellors. Even though we may say this is not a huge issue, we have an opportunity to do something. The government needs to look at opportunities so we can stop talking, make a difference and do something to help the health of Canadians.

[2020 Shootings in Nova Scotia, April 18th, 2023]

Mr. Speaker, April 18 and 19, 2020, are the days ingrained in the memories of all Nova Scotians, and indeed all Canadians. Today marks three years since an inexplicable madman inserted himself into the lives of 22 Nova Scotians and an unborn baby.

The hurt and disbelief continue to be a part of everyday life. Events such as this do not happen in Canada, let alone in a small community such as Portapique, Nova Scotia. Words fail when we attempt to understand the gravity of the situation, when we attempt to grasp the ongoing rawness of emotions or attempt to understand how and why this happened.

Our thoughts, at times, are frozen as we attempt to process, to interpret and to explain the shock, the horror and the sadness experienced by all affected. Those of us left behind need to continue to honour their memory, ensure the terrible events are not forgotten, and hold accountable the systems and institutions that failed these Canadians in their time of greatest need.

I invite everyone in the House to keep all of those left behind, especially the families, in their thoughts and in their prayers.

[Public Services and Procurement, March 28th, 2023]

Mr. Speaker, at a time when Canadians are facing being caught in the vice of a cost-of-living crisis, the current Liberal government has done nothing but crank the handle. Rather than merely being content with raising the carbon tax, the tax on everything, the government is still spending millions upon millions of dollars on outside management consultants, and I have been schooled on being careful about that. There is something broken when the current Liberals cannot seem to understand that the spending is an inflationary dollar upon dollar. Why is the Prime Minister more focused on helping his high-priced Liberal consultants than on helping everyday Canadians?