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View Stéphane Bergeron Profile
View Stéphane Bergeron Profile
2020-03-12 12:17 [p.1995]
Madam Speaker, I would like to congratulate my colleague from Montcalm on his excellent speech. I could almost say that there is nothing more to add. In fact, he said it all and left me with practically nothing to say.
In any event, as the Standing Orders would have it, I will add my voice to that of the hon. member for Montcalm. There may be some overlap, but that will only illustrate that the Bloc Québécois speaks in the House with one voice, the voice of Quebec.
We have heard our NDP colleagues present the same arguments in the House a few times now, either during question period or in their interventions. I have heard some extremely compelling arguments about the difficulty many Canadians have paying for the drugs they need for their health. I have to say that I appreciate the arguments being made by our NDP colleagues and why they are making them here.
The problem is that they are making these arguments in the wrong parliament. Under the Constitution Act, 1867, and the new version that was imposed on us in 1982, which changed nothing in this area, health is the exclusive jurisdiction of the provinces. The federal government has a very bad habit of meddling in the provinces' jurisdictions and neglecting its own. Rather than looking after its own affairs, it seems that it is always tempted to stick its nose in the affairs of others.
We saw this, for example, in the recent crisis involving the Wet'suwet'en. Under the Constitution, the federal government still has fiduciary responsibility for first nations in Canada, but the Prime Minister continued to repeat that it was up to the provinces and police forces to intervene. It was a crisis that strictly affected western Canada and relations between the federal government and a first nation, but every day the Prime Minister repeated that it was up to the provinces and the police to intervene.
The federal government meddled in the health sector. It left a bad taste in our mouth, and we are still talking about it today. My colleague referred to this, and I would like to expand on this subject.
One day, the federal government woke up and wondered whether it would be a good idea if all Canadians across the country had the same pharmacare coverage. The provinces answered that health care is their domain. The government then offered to foot 50% of the bill, hoping that would get the provinces on board. The provinces approved and said they agreed.
Today, the federal government is covering about 17% of the bill. Right now, we have to fight tooth and nail just to get the federal government to do the bare minimum and cover the increases to system costs, since the provincial health transfer escalator is 3% a year. However, health care costs across Canada, especially in Quebec, are rising at a rate of about 5%. We would like the federal government to increase its contribution, not to 50% as initially promised, but to a mere 25%. We are therefore requesting an annual escalator of just over 5%, but even that is asking too much.
For Quebec, it is a case of once bitten, twice shy. We are not exactly eager to have the federal government put its paws all over this yet again. The Quebec government gets the money to pay for its own pharmacare plan from the overall health care budget, but this overall budget is being underfunded by the federal government.
Are we going to let the federal government put its paws all over health care again? Certainly not. We suffered through previous federal government interference in health care. Years and decades later, we are still asking the federal government to reverse the changes that were made to health transfers by the previous Conservative government, which capped them at 3% a year.
That does not cover rising health care costs. There is a shortfall because annual increases to federal health transfers have been anemic. There is a shortfall, which means that the federal contribution to health is actually shrinking. That is a fact. Do we want the federal government to do more? No, for goodness' sake, no more federal involvement. The more it does, the more harm it causes. We do not want that.
My NDP colleague said she understands that Quebec is distinct and wants its own system. Why is that not reflected in the motion, as my colleague from Montcalm requested? This is the second time this has happened. The first time, the New Democrats were so surprised that the Bloc Québécois voted against their motion. I turned to the NDP's House leader, who wanted to me support his motion today, and I asked him why the motion did not say anything about letting Quebec maintain its own drug program and giving it the right to opt out with full compensation. The NDP's latest motion says nothing about that either. Why is it so hard for them to understand?
We are not going to make any commitments based solely on our colleagues' empty words. Empty words have caused nothing but trouble for Quebec and the provinces. Provinces are still struggling with what came to be called a fiscal imbalance. The tax base they were allocated to fulfill their responsibilities was far below what they needed. At the federal level, however, the tax base exceeded the government's needs, which means that, historically, the federal government has ended up with a lot of money. Not knowing what to do with that money, it decided it would be a good idea to take it and stomp right over provincial jurisdictions.
If the government is so flush with cash to invest in health care, it should increase transfers so that the provinces and Quebec can meet their needs. We are facing a global public health crisis, yet we are still quibbling over an increase to health transfers.
I think that if the federal government wants to do something, it should focus on its own areas of responsibility. With regard to prescription drugs, there are two things that fall to the federal government. First, the federal government needs to increase health transfers. That is the first thing. As I mentioned, Quebec has its own pharmacare plan, but it is funded from the overall health care budget. If the government increases its health transfer contributions, it will give the Quebec government some breathing room, which will help the province maintain its pharmacare plan and its health care system in general.
The second thing that the federal government needs to do is something we have been long waiting for, but it always gets put off. It involves amending the regulations so that Canadians stop overpaying for drugs. Our drug prices are aligned with those of several other countries, which, for a variety of market-related reasons, traditionally set prices too high. The United States is a classic example. The government needs to amend the regulations and stop aligning Canada's drug prices with those of the U.S. That alone will substantially change the cost of medication.
Instead of trying to meddle even more in Quebec and provincial jurisdictions, you should mind your own business and do what you have to do. One thing you must do at the federal level is amend the regulations.
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