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QUESTION PERIOD — Health

Health Care Transfers

February 8, 2023


Honourable senators, the first ministers’ meeting on health care took place yesterday. Prime Minister Trudeau had announced that he would make a substantial offer to premiers with respect to increasing health transfers in light of current needs. He offered $4.6 billion a year over 10 years. That’s only 16% of what the provinces and territories were asking for. That falls far short of being a substantial offer and is nowhere near the type of funding that would help support health systems and address the issues they’ve been having.

Leader, I understand that in a negotiation some strategists may decide to start off with a low or ridiculous offer, but that is rarely met with success. Don’t you believe that the federal government, by offering 16% of the funding requested, is sending a message to the provinces and territories that 84% of what they requested isn’t needed to maintain and improve health care?

Hon. Marc Gold (Government Representative in the Senate) [ + ]

The answer is no, senator.

First, I do not want to engage in partisanship, but it is important to point out that your leader, Mr. Poilievre, did not say anything while waiting for the meeting to begin. He very quickly said, “We are going to honour it”, which is what Mr. Harper also did the last time. That is a good political move and I commend him for that.

However, as you well know, the fact that the provinces asked for a certain amount of money, while completely ignoring the tax points transfer, does not necessarily mean that the amount they requested was appropriate. It also does not mean that the provinces expected to get everything they asked for. As you said, there are ways of negotiating, and that is true on both sides.

The federal government’s response is meaningful and responsible. More money will be transferred to the provinces. As I mentioned before, for the first time, $2 billion will be allocated to address challenges uniquely faced by Indigenous peoples. Given the context in Canada and around the world and given that we have an economy that has just come through a pandemic, this is also a very fiscally responsible decision.

The Government of Canada showed that it has been accountable to Canadians in regard to health care. It has been equally accountable to the provinces, which have exclusive jurisdiction over the management of the health care system, meaning that they ensure that the reforms work for their citizens. For the first time, thanks to the data sharing approved by Premier Legault, Premier Ford and others, we will be able to exchange information and know where the money given to the provinces is going. If we give $1 billion to the provinces, it doesn’t mean they’re going to spend it on health care. That game has been played for a long time by the provinces, and the money with no strings attached often ends up in the general revenues.

For the first time, through data sharing and bilateral agreements, we will have the means to follow the money to see if it’s actually having an impact. This is a step in the right direction.

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