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View Marc Miller Profile
Lib. (QC)
MP Viersen, thank you for that question. In fact, I would probably encourage a more developed question or at least more time to respond on Friday. We do have a number of examples. They are too few, but clearly it's something we're very aware of, and we're moving to make sure that we do fill that need and demand from indigenous PPE providers.
View Marc Miller Profile
Lib. (QC)
As an equally overarching comment, one of the observations I've had in the short time in which I've had the honour to serve as indigenous services minister is that at some point you realize that the pace has to be dictated by indigenous communities, and not the reverse. That means we talk on their terms and according to their priorities, and that we realize there's not a one-size-fits-all answer, which is so self-evident.
You may go into a particular community and say this framework we've proposed works perfectly. You may go into a different part of the country and hear “No, we have a treaty basis and we would like to proceed along those terms”, or in a different part of the country it might be rejected entirely and there's a different nature of discussion.
This is self-evident to the communities you're discussing, but perhaps not to a number of well-meaning, non-indigenous people, including me a couple of years ago, for sure. This is a long process. It is indeed sometimes frustrating, but I think this government has been dedicated to doing its best to get it right.
It requires patience. It requires dialogue first and foremost, but also recognition that it is key to support those pillars that I mentioned in response to Adam. They are pillars to identity and self-governance and nationhood that we take for granted, but they are very important in fostering and continuing to foster in the right way.
View Marc Miller Profile
Lib. (QC)
I could say a few things.
You're right, Adam, that it isn't necessarily a remoteness issue. We've seen that in the Six Nations, and Pam has been instrumental in making sure we're aware of that and that there is a response.
This isn't necessarily for our ministries. Minister Monsef is in charge of ensuring that we move forward on connectivity. Clearly, when it comes to education, and being able to study at home and have more people connected at the same time, the needs are more acute and the disparities are greater the further north you go, but it isn't limited simply to more northern areas, although that need is acute as well.
There are reflections that we need to have as we deploy, as part of our governmental undertaking in prior budgets, connectivity solutions to communities and get people wired, particularly in a COVID environment, where there are issues with making sure contractors are observing the proper protocols. That will be largely insufficient, and as we move forward, we have to continue having that reflection and making sure that people do have access to connectivity solutions.
View Marc Miller Profile
Lib. (QC)
Thank you.
I will provide a two-part answer.
With respect to the first question, which concerns the similar amounts that are part of the allocations to communities, this is that good old $300 million plus allocated at the very beginning. The Government of Canada gave the money to the communities to ensure that they had the financial means to make their own decisions and to mitigate a potential outbreak of COVID-19. It worked well.
Of course, since nothing can be taken for granted and we need to prepare for a second wave, an additional fund of over $200 million has been allocated specifically to mobile solutions for screening and isolation. These are internal resources that can be strategically deployed in communities.
Now, since we cannot predict how the pandemic will evolve, we are trying to determine what support communities need so that we can target it better than before. We have been asked for resources, for additional security, for example, or envelopes for better preparations; these are not financial choices made at the expense of decisions that should always be health-focused first and foremost.
With respect to the first part of your question, it remains to be seen, but we are always prepared to reevaluate envelopes that were previously allocated.
View Marc Miller Profile
Lib. (QC)
The nature of the data always has to be carefully scrutinized. Across the country, the old debate about disaggregated data rages on.
We do compile statistics on what we can control, so to speak, that is, data on resource deployment on reserve, as well as data provided to us either by the provinces or territories or by the communities themselves. The work, which is not perfect, is continuing so that we can shape public policy appropriately and be able to predict the second wave, as you said.
View Marc Miller Profile
Lib. (QC)
Thank you, Chair.
Kwe. Tansi. Ulaakut. Boohzoo. Good afternoon. Bonjour.
Before I begin, I want to acknowledge that I'm here, very close to Canada's Parliament, on the unceded traditional territory of the Algonquin people.
Mr. Chair, I'm pleased to join all of you, including my colleagues, Ministers Bennett and Vandal, virtually. With me as well to answer your questions from Indigenous Services Canada are Jean-François Tremblay, my deputy minister; Valerie Gideon, senior assistant deputy minister for the first nations and Inuit health branch; Dr. Tom Wong, chief medical officer of public health for FNIHB; Mary Kapelus, assistant deputy minister for education and social development programs; and Chris Duschenes, director general, lands and economic development sector.
On behalf of all of us, I'd like to thank the committee for this opportunity to provide an update on how our government has been working with first nations, Inuit and Métis leaders, indigenous organizations and communities, as well as provincial and territorial governments to mitigate the threat posed by the global pandemic of COVID-19.
As of April 30, we've seen 131 confirmed cases of COVID-19 in first nations communities on reserve. We're also tracking one confirmed case in Pond Inlet, Nunavut.
To support indigenous communities in preparing for and responding to the COVID-19 pandemic, our government has allocated over $740 million to meet the public health needs of first nations, Inuit and Métis communities. To date, more than $59.8 million in funding has been used to purchase equipment for medical personnel and to support communities' preparedness measures. That funding is in addition to our government's budget 2019 investment of about $80 million to support preparedness for public health emergencies like this one. That investment was used to develop a network of regional coordinators and strengthen first nations communities' ability to deal with public health emergencies and pandemics.
Indigenous Services Canada continues to maintain stockpiles of personal protective equipment and hand sanitizer for use in first nations communities during public health emergencies. The stockpiles are available to first nations communities that may require personal protective equipment to ensure the safety of health care workers and others supporting the delivery of health services during a public health emergency like this pandemic.
To date, we have provided communities with 167,000 surgical gowns, 200,000 surgical masks and about half a million vinyl gloves. That is in addition to equipment already provided by the provinces and territories. It is very important to note that this is a collaborative effort. We continue to respond quickly to requests and assess them within 24 hours.
It's important to underscore that many community and service providers are adapting their operations to respect the requirement for physical distancing. National indigenous organizations, such as the Thunderbird Partnership Foundation and First Peoples Wellness Circle, have developed a series of resources related to COVID-19 that are available online. One of our supports has been to financially assist the First Peoples Wellness Circle in developing an online platform for its network of local multidisciplinary mental wellness teams that are currently offering services to 344 communities.
Also, working with the provider, we've increased the number of crisis intervention counsellors on shift at the Hope for Wellness helpline, which is now receiving more than 100 calls and chats a week linked to COVID-19. The experience of self-isolation and physical distancing and having family members who may be at higher risk or who fall ill can have significant and real impacts on mental health. We recognize this and are engaged with partners to support solutions to address and bolster mental health, particularly for youth.
Supporting indigenous youth is another key area of our focus. The department is working with indigenous partners, including youth organizations, to support and promote indigenous resources for youth. For example, We Matter is an indigenous-led youth organization focused on life promotion and messages of hope and resilience. They've developed tool kits, which are available for youth, teachers and support workers to help youth and those who support youth.
Similarly, the Canadian Roots Exchange has set up the creation community support fund to support youth mental wellness during the COVID-19 pandemic with local solutions.
Members of this committee may recall that on March 18, the Government of Canada allocated $305 million towards a new, distinctions-based indigenous community support fund to address immediate needs related to COVID-19 in indigenous communities and amongst urban indigenous populations. This funding is part of the COVID-19 economic response plan and is in addition to the needs-based support for first nations and Inuit health and emergency management.
We recognize that post-secondary students are facing an unprecedented situation because of COVID-19.
A week ago, on April 22, the Prime Minister announced nearly $9 billion in funding for post-secondary students and recent graduates, including indigenous students. We know that many indigenous students face unique and special situations related to financial stability, employment opportunities or just the ability to continue their education as planned.
That is why $75.2 million will be provided to support first nations, Inuit and Métis post-secondary students while they deal with COVID-19. This is over and above existing funding for financial assistance programs for indigenous post-secondary students. It could cover the cost of technological equipment as courses move online, allow for summer school enrolment, and cover expenses related to food, child support, housing and transportation. In the event of delayed graduation, it could cover an additional academic year and associated expenses.
Ultimately, this funding is meant to ensure that indigenous post-secondary students are able to continue or start their studies as planned despite barriers posed by COVID-19.
We're also taking steps to support indigenous-owned businesses during this crisis. The Government of Canada will provide up to $306.8 million in funding to help small and medium-sized indigenous businesses through the network of aboriginal financial institutions that offer financing to indigenous businesses. This measure will help an estimated 6,000 indigenous-owned businesses endure this difficult time and will hopefully provide the stability they need to persist.
Indigenous businesses, including indigenous government-owned corporations and partnerships, are also now eligible to apply for the Canada emergency wage subsidy to support them in their efforts to retain and rehire laid-off employees and weather the current challenges. Taxable indigenous government-owned corporations are already eligible for the wage subsidy. We've adjusted the eligibility for the wage subsidy to include indigenous government-owned corporations and partnerships to support them to retain employees who are still on the payroll and to rehire workers previously laid off. I know this is important to committee members, because it's been raised by a number of you, and I appreciate your advocacy, which made a difference.
The government has also established a business credit availability program to provide $40 billion in additional support through the Business Development Bank of Canada and Export Development Canada, which are working together with private sector lenders to coordinate credit solutions for individual businesses, which some indigenous businesses may be able to leverage. This is important.
Finally, I’d like to bring attention to the positive progress we have seen in our support for first nations indigenous people off reserve and in the urban indigenous populations generally.
We recently concluded a proposal-based process to distribute $15 million to organizations that provide critical services to first nations off reserve and indigenous peoples living in urban centres. This funding is part of the government’s indigenous community support fund, which I referred to earlier. To date, 94 proposals have been supported through the indigenous community support fund. This includes support for friendship centres as they continue their important work to serve urban indigenous communities in the face of this pandemic.
Again, thank you for the advocacy of members on this committee who pushed so hard.
We know that friendship centres, for example, are playing a crucial role, with their key support ranging from delivering food to families, young people and elders; responding to calls for assistance and support; to providing crucial mental health and cultural support for urban indigenous community members.
As our response to the COVID-19 pandemic continues and adapts to new data, we ask indigenous communities and partners to continue to assess their evolving needs. We ask them to reach out to their regional departmental contacts so that we may assist them in supporting community members. At the same time, we continue to focus on longer-term goals such as housing, employment and ending drinking-water advisories.
We are determined to respond to the evolving needs of first nations, Inuit and Métis communities and their members and to respond to requests from Indigenous communities themselves.
That is why, for example, the Canadian Rangers are currently helping to distribute food and supplies and to provide medical assistance not only in Nunavik, but also in northern Saskatchewan, northern Ontario and northern Quebec. The Canadian Armed Forces and their Ranger detachments have extensive experience with assisting communities, sometimes their own communities, and everyone in Canada.
We have seen Rangers and Canadian Armed Forces members stand up and step up wherever Canadians need it most all across the country: in our long-term care facilities, in areas with acute resource needs, and in remote areas of the country. That is why we continue to work together to improve access to essential services for indigenous peoples.
Today our thoughts and prayers go to the military personnel who lost their lives earlier this week in the helicopter crash in the Ionian Sea, as well as to their families. Canada is grieving with them as well, as we all try to come to grips with this tragic incident.
The government has designed and supported a series of measures to provide timely and direct support to all Canadians and peoples of Canada in response to this crisis. These measures will help us to meet the needs of Canadian households and to ensure that Canadians can pay for essentials like housing and groceries during this difficult time. Further, these measures offer timely financial support to indigenous peoples in Canada, no matter where they reside.
On another note, I want to thank the members of this committee in particular who have reached out either directly to me, to parliamentary secretaries or to my staff to advocate for the continued health response to a health problem. This is not a partisan issue, and I want to thank you for parking that and moving towards ensuring we have a health response to a health problem, because at the end of the day, we're talking about the lives of Canadians, indigenous peoples living in Canada, and that is precisely the measure by which we will all be judged as we tackle this epidemic we are all confronted with on a daily basis.
I want to thank everyone on this committee who has reached out, talked to my parliamentary secretaries and done amazing work to advocate for the people reaching out to them. We are taking a number of measures and putting them forward in record time. Obviously, mistakes are made and when you point them out we do our best to adjust. I want to thank you all for that. I want to highlight the non-partisan nature of the outreach, and highlight your character as humans in having done that. I appreciate that deeply. My staff appreciates it, and indeed I believe everyone on the committee appreciates it.
Again, working together, we can save lives and we can flatten the curve. Meegwetch. Nakurmiik. Thank you. Merci. Mahsi cho.
View Marc Miller Profile
Lib. (QC)
Yes, and thank you, Gary, for the passion in that question. It is something that I'm worried about as well, and indeed all Canadians should be. I am going to spend very little time speaking in general terms. This is very important, and I think you deserve specific answers. I will pass it over to Tom Wong to speak to the specific actions that we are taking.
You should know that ever since we've had news of this outbreak, we've been engaging with the Government of Saskatchewan, working in particular with the Northern Inter-Tribal Health Authority and the Saskatchewan Health Authority to ensure that our responses are not only appropriate but coordinated. You may have heard recently of some of the surge support that we have provided in terms of getting PPE into the community. There's a lot of active work being done on contact tracing and making sure that communications are heightened so that people are isolated and we are controlling something that could become precisely as you describe it.
On that, I would ask either Valerie Gideon or Tom Wong to speak for a couple of minutes about the specific actions that are taking place.
View Marc Miller Profile
Lib. (QC)
Thank you, Gary.
Speed has been perhaps one of the most important factors in a lot of the decision-making processes. We have compressed into literally hours what sometimes takes weeks. I know that you, as an experienced member of Parliament, have seen how quickly things have moved.
Again, this package was approved in record time, working with NACCA and the 59 AFIs that have identified the needs and have the established client networks to establish a series of partially forgivable and partially interest-free loans for medium and small businesses that are indigenous in nature. That is critical, and we expect it to be deployed within the coming weeks. It isn't a question of being jammed up at a particular instance of government. It's just a question of being able to deploy the funds, assuring those companies that they do have the financial backing of the Government of Canada. We know how pressing that need is, and we are moving to get things out at a speed that is pretty remarkable for any government.
To give you that reasonable expectation, we believe that it could be a question of a couple of weeks, but again, we'd have to revert to the institutions that are providing those within their network of well-established contacts. Again, I'd note that the CERB is available, the wage support is available and the clarification with respect to indigenous proponents is also out there, so that is also one of the options available in addition to the specific supports.
View Marc Miller Profile
Lib. (QC)
Thank you, Adam. This is an important question.
First, I want to take a second to recognize the important work of off-reserve indigenous organizations and local community organizations across the country that are supporting indigenous peoples. It's most often in an urban context and most often some of the most vulnerable, and this is a compounding factor in someone's susceptibility to getting COVID-19.
It's why on March 18 our government announced the funding through the COVID-19 economic response plan that included a $15 million fund channelled through the indigenous community support fund. This was the most expedient way to address a crying need that exists throughout Canada, frankly at any level of government, that has not gone fully satisfied and fully funded.
We streamlined—and this is important—the application process to about a week period, asking community organizations to submit what their requirements were. There was a screen of criteria that my team mobilized to look through, specifically focusing on a health response to the health problem, to assess quickly a number of the crying needs that exist.
I will confess to members that beyond the 94 organizations that were selected, there were many more with very good applications that would be worthy of funding. We had $15 million at the outset to disburse. I will say at the outset that this is not enough. Some great examples include the Nova Scotia Native Women's Association, which requested and was then recommended for over $200,000; the Nanaimo Aboriginal Centre, which requested significant amounts of money and was accorded as much, $87,000; and the Tahltan, Kaska, Tlingit 3 Nations Society, which was awarded $22,000. These are all examples of organizations that are doing incredible work for vulnerable populations that aren't necessarily entirely served by their home communities, and that is something we recognized.
Again, these are service providers, so the network that we have with them in terms of governance is a bit different from if we were distributing funds to communities on the basis that we typically do. There was a process of request and response. Again, we are working hard to deploy additional funds.
Let me say this. This is a whole-of-government approach. The network of shelters that we have funded through the wage support, including $40 million for shelters, a great number of them serve indigenous peoples. A number of the Reaching Home homelessness initiatives that we've deployed—over $170 million—do serve indigenous people, but they are just not specific to indigenous peoples.
Again, I will acknowledge that this is not enough and we are working to serve more people in very vulnerable situations, and that's the work we will continue to do. Frankly, it's the result of the advocacy of people like you and other members of this panel that has brought this to fruition in such a short time.
View Marc Miller Profile
Lib. (QC)
The answer, Adam, is yes. Part of the challenge we've had in getting the money out is that we're working with currently existing parameters that may have more restrictive components to them. We've worked to expand the terms of conditions as a policy framework within our department, and indeed that's being done at repetition across government. The answer is yes. There are always parameters, particularly to request-based funding, but we have worked extremely hard to enlarge them to make sure that there is flexibility to adapt that culturally responsive approach to COVID-19.
View Marc Miller Profile
Lib. (QC)
I'm happy to answer.
As the Minister of Indigenous Services and the member of Parliament for a riding in downtown Montreal, I am particularly preoccupied by these issues. You know as well as I do that the situation in downtown Montreal's long-term care community is catastrophic. The fact that people are dying—our seniors, the people who built this country—makes me very emotional. For the short term, we have to think about how the Canadian military can help these people in need. As a society, we also need to engage in a thought process about the long-term once the crisis arising from the COVID-19 pandemic is over, which won't be anytime soon.
First, I'd like to highlight the Quebec government's commitment to giving some indigenous communities the latitude to decide for themselves when their children will return to school. That being said, as a human being, I do wonder how we can ask indigenous communities to do what we, as non-indigenous people, are not doing. This question has been around for decades, if not centuries.
Regardless of which provinces and territories decide to lift restrictions, we have to think about how to adapt the supports provided to indigenous communities while taking into account the medical, public health and scientific guidelines that must be followed. It is possible to provide more support to the local economies of these communities, which serve regions, of course, and to provide them with medical assistance. As you know, these communities are already vulnerable because of unacceptable historical circumstances. That matters to me, just as it should matter to all Canadians.
We're not out of the woods yet. To flatten the curve, people have to follow strict medical and public health guidelines, and we expect everyone to do so. We can talk about lifting restrictions gradually at some point, but we have to make sure we don't overlook indigenous communities.
View Marc Miller Profile
Lib. (QC)
Let me start by thanking you for your very timely question.
To go back to what I said earlier, we've allocated $15 million to initiatives being carried out off reserve and in urban centres by 94 community groups that serve indigenous peoples. There's also the Reaching Home community program, an investment we made to support the homeless. Lastly, we've provided financial support to women's shelters. I'm sure you'll agree that we need to take a concerted approach, and our discussions need to include the cities, the provinces and the federal government.
Granted, the funds that have been allocated aren't enough. Our goal at first was to distribute the funds as quickly as possible, by using existing structures, while showing more flexibility. For example, we were able to get money to the National Association of Friendship Centres quickly via our usual funding mechanisms.
In addition, two weeks ago, we had already received more funding applications from various organizations than we were expecting. We are still processing those very relevant applications, some of which came from organizations in downtown Montreal, in my riding and the riding of Minister Garneau, that serve highly vulnerable indigenous groups, including many Inuit.
These are matters of direct concern to us all, as Canadians, as MPs and as human beings. We are going to keep doing this work, because it's not going to go away overnight, regardless of what lockdown restrictions are lifted. We know that we won't be out of the woods until a vaccine is available.
View Marc Miller Profile
Lib. (QC)
View Marc Miller Profile
Lib. (QC)
Members of the committee, good morning.
I would like to begin by acknowledging that we come together on the unceded traditional territory of the Algonquin people.
It is my pleasure to be here to discuss the 2019-20 supplementary estimates (B) and the 2020-21 main estimates for the Department of Indigenous Services.
From Indigenous Services Canada, I'm joined by Sony Perron, associate deputy minister, Philippe Thompson, chief finance, results and delivery officer, Valerie Gideon, senior assistant deputy minister of the first nations and Inuit health branch, and Joanne Wilkinson, assistant deputy minister for child and family services reform.
Since its creation in 2017, our department has focused on closing socio-economic gaps and working with partners to improve access to services for first nations, Inuit and Métis. The department works in collaboration with partners to improve well-being in indigenous communities across Canada and to support indigenous peoples in assuming control of the delivery of services in their communities at the pace and in the ways they choose, of course.
Over time, it is our goal that indigenous peoples will have the capacity necessary to deliver programs and services to their peoples, and this department, and my role, will be obsolete. We are working with partners to build this capacity.
To support this essential work, the department's 2019-20 supplementary estimates (B) detail initiatives totalling approximately $1 billion. This brings total appropriations for the department to $13.8 billion for this fiscal year.
More than half of this new funding—$588.3 million—is to support the ongoing delivery of the first nations child and family services program, bringing the program's overall budget from $1.2 billion to $1.8 billion.
Members will be aware that this committee served a vital role in addressing the overrepresentation of indigenous children in care with its study of Bill C-92, an act respecting first nations, Inuit and Métis children, youth and families, which came into force at the start of this year and empowers indigenous peoples to assert their inherent jurisdiction over child and family services and the well-being of their children.
Of the amount requested for this program, $414.9 million supports the implementation of the Canadian Human Rights Tribunal rulings from 2016 to September 2019 related to first nations child and family services by funding agencies based on their actual needs and focusing on activities and programs aimed at preventing children from being taken into care.
Our government believes in supporting a prevention-based system, where the needs of first nations children come first. Funding for the first nations child and family services program has more than doubled between 2016 and 2018-19. Since 2016, we've worked with partners to implement systemic remedies in support of the needs of first nations children. This means taking steps to keep children with their families to keep them connected with their communities and their culture.
The other two major items presented in the supplementary estimates (B) are funding to support Jordan's principle and emergency management service providers.
I'd like now to turn to the main estimates for 2020-21.
For the upcoming fiscal year, the department's main estimates are $12.8 billion. This reflects a net increase of approximately $538.7 million, or 4%, compared to last year's main estimates.
Further to these estimates, the department also anticipates funding from any investments announced in budget 2020, as well as future Treasury Board decisions. This additional funding is expected to be accessed through the supplementary estimates process.
This year, the department's main estimates reflect a net increase of $483.6 million related to the transfer of individual affairs and lands and economic development programs, as well as internal services from Crown-Indigenous Relations and Northern Affairs Canada.
In addition to this, you will see increased funding related to some of the department's core priorities. For example, these estimates reflect an increase of $85.7 million for elementary and secondary education, as well as post-secondary education programs. From 2011-12 to 2018-19, actual expenditures in education have increased by about 41.7%. This is reflective of our government's commitment to ensuring that every first nations child has the best start in life and that first nations maintain control of first nations education.
You will also note that, in these estimates, $1.5 billion in funding is set aside in 2020-21 for first nations that have entered into the 10-year grant agreement, including 85 first nations that moved to the grant model last fiscal year, with additional first nations communities that will move to the grant in 2020-21.
The 10-year grant is a key initiative of our government's ongoing commitment to establish a new relationship that moves towards flexible, predictable and sustained funding for first nation communities.
I hope this presentation has provided insight into the department's supplementary estimates (B) and main estimates documents.
We have made, and are continuing to make, important changes in our relationships with first nations, Inuit and Métis. While there is still much work to do, our government's historic investments are making a difference in closing the gaps that exist and are improving the quality of life of indigenous peoples, all while advancing self-determination.
Before I end my remarks, I would like to briefly update the committee on COVID-19 as it relates to indigenous peoples in Canada, as I know you share my concerns about that. I thank those who attended the meeting with Valerie Gideon this morning for a more detailed briefing. In fact, I would invite further questions, should you so choose.
Our government is working with all levels of government, including actively supporting indigenous communities to prepare for COVID-19. This is a matter of the health and well-being of all Canadians. This is a time for jurisdictional co-operation, not divisions.
These efforts are supported through a federal-provincial-territorial special advisory committee for COVID-19 that is focused on coordination of federal, provincial, and territorial preparedness and response across Canada's health sector for all Canadians, including first nations, Inuit and Métis.
The federal government, including Indigenous Services Canada, has multiple systems in place to prepare for, detect and limit the spread of infectious diseases, including COVID-19.
In budget 2019, I would note, our government invested $211 million over five years, including $79.86 million, as the first-ever investment in health resiliency and health emergency preparedness on reserve. These investments have enabled first nations to strengthen their capacity, have allowed us to establish effective inter-jurisdictional networks, and are supporting us in our work to monitor and manage COVID-19.
My officials are working very closely with first nations communities to support them in implementing their pandemic plans, to provide surge capacity where needed, and to offer technical assistance as required.
The importance of clear, concise and timely communication and information-sharing can't be overstated. We all have a role to play in ensuring that our communications are based on the best science and the clearest recommendations. Factual, practical and clear information is essential. We're working with partners to make this information available in indigenous languages through print, radio and social media.
We have learned from past outbreaks. Accurate information is critical, and we all have a role to play in making sure that people are referring to information from trusted sources such as governments and community leadership.
My officials are working with local health directors, health workers and nurses through various social networks including with regional medical officers of health. These medical officers of health are also working with provincial partners in ensuring that supports to first nations, whether they live on reserves or not, are fully integrated into provincial plans.
The department has a network of regional emergency management and communicable disease emergency coordinators, as well as regional medical officers. Together, they advise and support first nations across provinces and lead public health emergency preparedness and response as required.
While recognizing that, in the territories, primary health care is delivered by the territorial governments, my department is working closely with indigenous partners and territorial governments to share information and prepare for COVID-19 and will be available to provide surge capacity support in a timely manner if needed.
While we have in place solid planning, monitoring and surge capacity, we also need to be very vigilant.
Proximity-related factors, such as overcrowding, and other determinants of health can increase the risks for some populations, including indigenous peoples. This is why we need to be focused on supporting communities on an ongoing basis and ensuring that we are able to reduce risks where possible.
I would now be happy to answer any questions that the committee may have.
Meegwetch.
View Marc Miller Profile
Lib. (QC)
What I consider unacceptable is the socio-economic gap that exists between indigenous and non-indigenous peoples. The investments we have made, MP Vidal, are historic and they are but a start in closing that socio-economic gap. It would be wrong to state that this can be achieved overnight or in one term. If any of my team wants to speak to those indicators, I would encourage them to do so, but this has to be put in a much broader context.
View Marc Miller Profile
Lib. (QC)
I think in the global context, those investments, while they are historic and shouldn't be understated, are addressing the cost of inaction that has existed over decades. We have closed the financial gap in education on reserve. That is something all Canadians should be proud of. The results will come, and we know that graduations are the same or above non-indigenous graduation rates when that gap is closed, and when that devolution occurs to indigenous communities with respect to education or any other matter. These are ambitious goals, and I would concede that.
I would ask that my staff talk about those indicators specifically, but there is a cost to inaction and we see that every day. There's also a cost to action, and that's precisely what we've implemented.
View Marc Miller Profile
Lib. (QC)
Thank you for the excellent question. From day one this government, in budget 2016, invested a multi-billion dollar envelope to address the unacceptable long-term water advisory situation on reserves in Canada. To date, we have removed 88 long-term advisories, as well as preventing a number of them. The larger projects, which required buildup time in, you will concede, a very short period for an unacceptable situation, remain to be lifted. We're very confident, with the coming summer...in the coming months to be able to lift a great number of them.
I would remind this committee, because I think it's very important, that as of September 30, 2019, so a few months ago, more than $1.3 billion in targeted funding was invested to support 574 water and wastewater projects, including the 265 that have now been completed. These projects will serve close to half a million people. These are projects that are complex in nature for a variety of reasons—the geological situations, the remoteness of communities—and we are cognizant of that. We have always looked at the indicators and the constantly moving scenario as opposed to simply investing a large amount in infrastructure in 2016. We were constantly engaged with communities that we talked to on a weekly basis to ensure update and partnership. We knew that, and going into budget 2019, we invested hundreds of millions of dollars into the operation and maintenance of these facilities. We knew that these facilities took work and the dedication of people who are now the pride of their community.
There's a lot of work to be done. That's why I've asked my team to focus in particular on the issues we may be facing right now, so that we're not facing them in the spring of 2021, that we remain absolutely committed to.
View Marc Miller Profile
Lib. (QC)
I will split my time with Valerie Gideon because I think she would have some important elements to add on this.
The budget that this department administers resembles and mirrors that of a province. It administers health care, education, emergency management and infrastructure. The key areas, to your point, are the social determinants of health. They guide everything that underpins the unacceptable socio-economic gap that exists between indigenous and non-indigenous peoples. This is a multi-pronged approach that has to be done in partnership with indigenous communities. When it comes to health care, there are specific needs, as we well know, in indigenous communities. There is, frankly, well-deserved and proven skepticism as to how indigenous communities have been let down.
Working in partnership with indigenous communities to make sure that the health approaches are culturally sensitive is not only important policy, but also affects the scientific outcome of the health benefit and is key in a lot of areas. It's also why the Prime Minister has asked me to put forward distinctions-based health legislation, because we know that the outcomes are better when indigenous peoples have input into their own health. It's almost axiomatic.
The investments that we've made in the last four budgets are enormous, but as you mentioned, there is an enormous gap to close by building hospitals, making sure there are health workers in place, making sure there is access, particularly in remote areas. If there are specific needs in those remote communities, whether you need to fly someone in or out, it is very expensive, but meeting them is key to ensuring that the health outcomes are at par, if not higher than for non-indigenous peoples.
I would just ask Valerie to add a bit of colour on that, please.
View Marc Miller Profile
Lib. (QC)
You are absolutely right. That is unacceptable. The fact of the matter, however, is that it falls under the authority of the Société d'habitation du Québec and the Canadian Mortgage and Housing Corporation; my department does not have jurisdiction over them.
We have ways that we can conduct checks, and we rely heavily on the choices made by indigenous communities. One of the main elements of my mandate is to rely on and empower them so that they can spend the funding how they choose. They have the real-world information to make the right choices. It's their right to make their own decisions, because the money is theirs.
When an issue falls under the authority of a Quebec or Canadian government department that is overseen by us, we have control mechanisms at our disposal, but there are anomalies, and this is one of them.
View Marc Miller Profile
Lib. (QC)
Mr. Perron will answer your question.
I am not trying to downplay your comment. I think that is an aberration and it should never happen. We could perhaps begin a discussion on auditing. I want you to know that, for the funds we allocate, first nations are the most subject to financial audits across Canada. Our audit and transparency mechanisms are very prevalent for the funding we provide. Generally, compared with the rest of Canada, we see that aboriginal people are sometimes audited too much. As I was saying to you, aberrations do exist, which is very unfortunate. We have mechanisms to remedy that.
View Marc Miller Profile
Lib. (QC)
That's a very, very important question. It's important to highlight that there are distinctions, obviously. Indigenous populations are much more vulnerable, for the reasons you've highlighted: overpopulation/overcrowding in housing, health outcomes that are lower than those of non-indigenous Canadians and access to health care in a culturally sensitive fashion.
Regarding the specific measures I highlighted in my introduction, there is the $79 million for emergency preparedness, and the Prime Minister's announcement, $100 million of which first nations can access in tandem with the amounts provided in support of provincial and territorial governments.
The specific issues you raise are very, very important. We have not only surge capacity that we are working at internally in providing and getting out to communities, the fact that we have access to it and they have access to it should something arise, and we can then step up—
View Marc Miller Profile
Lib. (QC)
You're absolutely right. We have actually reached out directly to health centres and to health providers. Sometimes that information doesn't necessarily get back to leadership. We can work on getting that information there, and then directly to the public.
View Marc Miller Profile
Lib. (QC)
I would ask Valerie to step in on that. A briefing was given to all parliamentarians this morning with some very important details, so I'd ask her to elaborate a bit on it. It's a very important question.
View Marc Miller Profile
Lib. (QC)
Given the options we have before us, in the case that there is an outbreak and there is a necessity to self-isolate, we're looking at the option of having isolation tents. We're looking at the ability to have increased personnel to specifically address overcrowding.
It is unacceptable. I think all Canadians need to realize the level of overcrowding that exists in indigenous communities. We have made historic investments, but given the timeline that you're describing the most expedient thing is to increase our capacity and to have a sensitive and appropriate approach, in particular to handwashing and the capacity to self-isolate. We know the communities are more vulnerable. That's why we're dedicating additional resources to that.
View Marc Miller Profile
Lib. (QC)
Again, Gord, we have a staged approach. As the Prime Minister has mentioned, money is not an issue. This is about getting surge capacity in place and having a staged approach. If and when issues occur in community, it has to be appropriate to the community. We have to have that proper level of engagement in a community.
View Marc Miller Profile
Lib. (QC)
Can you clarify that? Are you talking about Kashechewan with respect to the coronavirus or with respect to potential flooding?
View Marc Miller Profile
Lib. (QC)
Again, we're engaging with every community. Kashechewan is not the only community at risk. Should communities be at risk, we'll be prepared to intervene in a way that isn't simply with respect to flooding, but also with respect to medical needs if the tandem occurrence of an outbreak occurs, which would obviously be extremely—
View Marc Miller Profile
Lib. (QC)
I think the issue you raise is an immensely compelling and distressing one. It was highlighted most notably in the murdered and missing indigenous women's report. In fact, we can talk about different departmental responsibilities.
The preparedness for that falls under Minister Bennett's mandate. It doesn't prevent me from speaking to it. Clearly, we know from the report that being accompanied when travelling to access shelters is a key awareness in communities and of capital importance. Given the statistics you raised, and it is clear in the public mind that we need to address these issues on a community-wide basis. That includes clear issues with respect to policing, which is mentioned in my mandate letter and Minister Blair's mandate letter, and issues with respect to accompaniment in various medical situations when women are most vulnerable and when travelling. This is something we have addressed. There is also the need for an increased number of shelters on and off reserve, which we've proceeded to invest in and will continue to do so.
This is a multi-pronged approach because of the precarity of indigenous women in particular to the violence that accompanies and is characteristic of human trafficking. It is one of the issues that we have focused quite heavily on in our upcoming action plan, but also as a whole-of-government approach to address this entirely unacceptable situation.
View Marc Miller Profile
Lib. (QC)
There is broad funding. I think people should await the action plan, but even before the action plan is announced this coming summer, there has been money invested in a number of these initiatives.
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