October 13, 2023 • 53 mins
Mark Holland, the federal minister of health, holds a news conference in Charlottetown with his provincial and territorial counterparts following their two-day meeting. Holland co-chaired the meeting with Ya'ara Saks, the federal minister of mental health and addictions, and Mark McLane, Prince Edward Island’s minister of health and wellness. Holland highlights the importance of collaboration between the provinces, territories and the federal government in addressing the shortcomings in the health-care system in the aftermath of the COVID-19 pandemic. Among other issues, the meeting focused on the plan for a sustainable health workforce, health data, mental health and addiction as well as public health.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:04):
Thank you for listening to Pictures MediaRadio. Welcome to Policy and Rights,
the show about the government policy andhuman rights. Hello Banu, Welcome everyone,
(01:07):
Vie et tourmont. I'm Alex Mayeu. I'm with Minister Holland, Alexandromije
deve Columnius Holland, Mets Avena.We'll start the event now. Today you'll
be hearing from Minister Holland, theFederal Minister of Health, the Honorable Yara
Sachs, Federal Minister of Mental Healthand Addictions and Associate Minister of Health,
(01:30):
and the Honorable Mark McLain who isthe Minister of Health and Wellness for PI.
Also joined by the provincial and territorialministers of Health from across Canada.
Following the remarks by Minister Holland,Minister Sachs and Minister McLain, will open
the floor to media for a questionand answer. All ministers who are here
(01:51):
today and also those who are availableonline, will be here to answer your
questions. We'll begin with questions inthe room and then move to online for
reporters who are onlinepance of and sitin the interesting time. We asked that
(02:13):
you keep your questions to the topicof today of the very important meeting I
find that GARDI the town on montmarwill begin now with our first speaker,
l over to Minster Hound Alex Plea, my non Milogue Melchristmas City in s
(02:49):
s will person the participate virtual Mancity in Ramond. We and I want
to start by saying and acknowledging thatwe are gathered on the traditional and unseated
territory of the McMahon people. AndI also want to start by banking Minister
McLean for hosting us in beautiful BritishColumbia where we've had two days of really
(03:15):
rich and meaningful conversations. Excuse me, Pi, there you go. I
was in British Columbia, yes wasit yesterday? Yes, I was in
British Columbia yesterday announcing the bilateral agreement, which was very exciting. But no,
this is also extremely beautiful province onthe other side of the coast here
in Pi, where we've had awonderful discussion. And I just want to
(03:38):
say, Mark, you've done aphenomenal job hosting us here over the last
couple of days. You know,all of us here on this stage are
charged with an incredible responsibility and thatis the health of Canadians, and Canadians
look to us to make sure that, in their moment of greatest vulnerability,
that the system that they've been soproud of is going to be there for
(03:58):
them. And it's not just aboutmaking sure that that system is there for
them when they're ill, that thatsystem prevents them from getting ill, it
stops them from ever getting sick inthe first place. And we had an
opportunity with the Canadian Medical Association,with the Canadian Federation of Nurses, and
with healthcare professionals to hear from themabout the state of our healthcare SYSM.
(04:20):
And the reality is we have somuch to be proud of in our healthcare
system, so many remarkable things happening, so many incredible ways that it is
there for Canadians. But it's alsoreally stretched. And this is a time,
particularly in workforce, where we're facingcrisis and where we have to rise
to that occasion. COVID tested itsheart. Our system was already under stress
(04:45):
and dealing with a global pandemic thatstrained and asked so much of so few
and the weight that they had tocarry. Our doctors, our nurses,
personal support workers, all of thefolks in the health system. All that
they had to carry it was reallymore than any that it could be asked
of any human and yet they didit, and of course they came out
(05:10):
and our system is exhausted and stretchedin the need of support. And that's
what we're here to work on andmake sure that we deliver. Nothing short
of the transformation of our health systemcan be our overall objective. And I
think there's enormous room for optimism.And I'll start with the people that I'm
assembled here today. Health ministers arerepresenting every province in every territory, of
(05:35):
different political stripes, unified in theidea that we need total collaboration, that
we need to work together for solutions. That the spirit that we found in
the pandemic, which was rising tothe challenge of the pandemic and making sure
that the country and this includes ourrelationships with provinces and territories, have one
of the best pandemic responses anywhere inthe world. The way that we work
(05:58):
together, the way that we collaborated, I think is instructive to the path
forward on health to make sure thatwe have already one of the best health
systems in the world. But thatwe moved to having the best health system
in the world, something that isthere now and in the future for folks
to be able to count on seLe Premia flac new participant de Sante de
(06:21):
Canada and the discute the Prete Communein the Levois Collective, a suite a
securely Canadien, Canadian newdo Surge thesystem system de Sante and I want to
take a few moments to talk aboutsome of the concrete outcomes that came from
(06:44):
our extremely productive conversations in the lasttwo days. And I'm going to start
in the area of health workforce,where the needs are most critical. So
our plan for a strong and sustainablehealth workforce is one that is shared by
all levels of governm and dominated ourconversations over the last two days. Lutien
de tree A Lane busch Adden Attende swan as l'tienne moment he Landois Bessoie
(07:19):
and during our meeting we reconfirmed ourcommitment to supporting health workforce and working together
on concrete actions in five particularly infive tangible areas. I'll start with retention
because retention is I think the mostimportant key we have to hold the core
of what we have the incredible peoplewho've been lifting us up in these difficult
(07:41):
times. We need to contribute tocollaborate with them to make sure that retention
issues are put at the four andso I'm going to start with us talking
about the dissemination and implementation of theof the Nursing Retention Toolkit New continue at
Travallier de Fassant collabortive s Le mettainon posts uh du on Mettan lasane on
(08:07):
posts the personnel in from delt professionde la Sente dn Le new comments erent
Pali Defusion trust met on post thePersonnelle Infamier. Secondly, I'm going to
talk about the domestic education supply.Together, we're undertaking a study of education
(08:33):
and training supply demands for key healthcareprofessionals tendify the best pan Canadian approaches to
meet future healthcare demands for Canadians overthe next decade. Three. Foreign Crudential
recognition and ethical recruitment. We havecommitted to reducing the time it takes for
internationally educated health professionals to join ourworkforce by allowing them to begin the credential
(08:54):
process overseas. By expediting pathways forthose who have success fully completed training and
education that is equivalent to a graduatefrom an approved Canadian program, and by
reducing the time for licensure for qualifiednurses and physicians. This includes a commitment
from health ministers to a ninety dayservice standard for regulatory bodies to provide certification
(09:18):
and licensure to internationally educated health professionals. Next to talk about labor mobility and
the importance for those in the workforceto be able to work throughout this country.
We will together implement a process thatallows health professionals and good standing in
one jurisdiction to practice in any otherCanadian jurisdiction without significant delay or the need
(09:41):
to meet additional regulatory requirements. We'llfocus on physicians this year and nursing in
future years. New metrent uve processPremitra reglier provence in terrotois, the exerz
(10:01):
les profession province inte retoire stretau inpotent nibas wined Uh, the satisfire de
exis gens regular Montaire, New NewConcentran Medience and the person in personnel in
filmier dons An. Lastly, onworkforce data in planning. We commit to
(10:26):
working together to improve the availability ofsharing and standardization of health workforce data,
improving planning, as well as supportingthe establishment of the Center of Excellence for
the future of health workforce. Thisis critically important to make sure that we
don't just deal with the health workforceissues we're facing today, but to make
sure that we know exactly who weneed in the future and that we've got
(10:48):
the plan to have the health forcethat we need to meet the challenges of
the future. With respect to digitalhealth and health data, data isn't always
sexy to talk about, but datasaves lives, and we've been talking a
lot for a long time over data, and there was a really rich conversation
today. One of the reasons ourhealthcare system is understrained is because we're not
(11:09):
fully harnessing the power of health informationto improve outcomes, to support healthcare workers
and create efficiencies in a society,we're just about everything you can imagine is
accessible electronically. Most patients don't haveaccess to their own electronic health information.
This information is not always shared betweenhealth professionals to support their care. This
(11:30):
often results in duplication tests, increasecost, safety risks, as well as
frustrations alike for doctors and patients.As I mentioned, we've been talking about
this a long time well. Aspart of the Working Together Plan, governments
are committed to modernizing the healthcare systemthrough improvement to health data and digital tools.
(11:52):
Don Leppelin Ensemble Lugubamas gagiert on Modernisethe System de sante on the Media
de sente a leutil numerque. Specifically, we are committed to adopt common standards
and policies and to improve the wayhealth information is collected, shared, used
(12:13):
and reported to Canadians. This meansthe Canadians will be able to see what
improvements are being made to their healthcaresystem. Today we discussed how together we
will make progress on these commitments byendorsing a Pan Canadian Health Data Charter and
a joint federal Territorial Action Plan onHealth Data and Digital Health. This charter
(12:35):
emphasizes the importance of putting people atthe center of our healthcare system and ensuring
they have access to their own healthinformation, building and maintaining trust on how
data is used and shared to makesure that privacy is protected while promoting fairness,
equity, and respecting Indigenous control overtheir data. The charter is one
(12:56):
element of a broader plan to advancehealth data commitments. The action Plan builds
on progress underway to adopt common standardsso data can securely flow between health and
data systems throughout the implementation of aPan Canadian interoperability roadmap, and that ability
for systems to be able to communicateis so critical. Le chanp fee partis
(13:18):
dun pliant pu vax vison the progressjemin on mattier de done du sante le
plan dacion le pro adapte lenorme communeenculdn puissant cercule doing fasan entres system done
(13:39):
du sante grass almis dun fou deroute pan Canadien the linear lintecropability. The
action Plan also prioritizes other key areasneeded to improve health data, such as
harmonizing our approaches to responsible use instewardship of health data, better sharing of
public health information, building of publictrust, which is so key to combat
(14:03):
misinformation that we know was at theheart of so many problems during the pandemic,
Understanding how health information is used forpublic good with appropriately appropriate privacy safeguards.
My colleague, Minister Stax will betalking in a moment about the important
work that we have been talking aboutover the last few days as well on
mental health and substance use. Finally, with respect to public health, we
(14:28):
all know that COVID nineteen had asignificant impact on health, social and economic
well being of people right across thecountry. Today we reflect on that collaboration,
as I spoke at the beginning,and how our jurisdictions respond to the
pandemic and continue to continue to applythose lessons addressed for the best interests of
public health, understanding that public healthis as essential as any other part of
(14:52):
our health system to the health andwellbeing of our nation. Folks. I
am deeply encouraged by the spirit ofthe converse that we've had. There is
no doubt the ministers at the Todaybletoday had one thing in their heart and
one thing on their minds, whichis the betterment of health of Canadians and
the betterment of the health system thatserves them. It was a great honor
to participate with all of my colleaguestoday and I want to thank Mark specifically
(15:16):
you once again for hosting us herein Pei for this amazing last two days.
Thanks folks, and it's a pleasurenow to turn it over to my
colleague and friend your Sex. Thankyou, Mark, and thank you for
(15:39):
everyone who is here in Pei.It's a pleasure to be joining you here
today. As Minister Halland mentioned,this is our first Health Minister's meeting and
it was an important opportunity to discusshow we can continue to work together as
we strengthen the health and care forcare of Canadians. And I can't emphasize
enough the energy and commitment around thetables and the discussions to a collaborative and
(16:03):
strong approach to ensuring that the healthand being of Canadians is the center of
all of our work together. Butbefore I go any further, I want
to acknowledge that our healthcare system wouldnot exist without the skilled and dedicated workers
who keep it running. Health workersare truly the heroes of our healthcare system
and have been through a lot overthe past few years, a lot both
(16:27):
during COVID, During the COVID pandemicand its aftermath. You have been there
day in and day out to showup for Canadians each and every single day,
and we are tremendously grateful for that. These workers have shown incredible resilience.
But there is no doubt that thepressure in working in a system that
faces many challenges has taken a toll, both physically and mentally. That's why
(16:52):
it has been both my priority andeveryone around the table today who understands that
supporting our health workers is must becentral to the plan to improve our healthcare
system. We cannot care for Canadianswithout you, and you need to be
cared for as well. As MinisterHolland mentioned, we are working with the
provinces and territories to retain existing workersas well as to recruit and train new
(17:15):
ones. Come lament Le Minister hollnnu colon existence aci l'amboche la pomac de
nuvau donuvau Treballo. We are alsoworking to find ways to help internationally educated
health professionals put their skills and experienceto work here more quickly, and improving
(17:37):
processes for existing health workers to workacross jurisdictions, including ournesses is another part
of this shared priority. The newemployon galt a trouve de facon de la
plat de metro plurafle competence a littleExperience, La malie la de prosus popometto
(18:00):
at Trevello de la Sante Actuel deTrevall Trevaller, Dance de Zotto, Administer
saintre E gelmint dn Se Priote Paltaji. It's with a strong and well supported
health workforce in place we can ensurethat Canadians have access to the health care
they need but also when they needit. That includes mental health care and
(18:21):
substance use services. The need forthese services is staggering, particularly amongst our
young people who were hit hard throughthe pandemic, and as we all know,
there's no health without mental health.That's why earlier this year, our
government announced nearly two hundred billion overten years to provinces and territories to improve
(18:42):
the healthcare for Canadians, including afocus on improving access to timely, equitable
and quality mental health and substance useservices. Today, my colleagues and I
have agreed to continue to working togetherto support the mental health of young people
and their families, as well assupport individual tools with complex needs. We
(19:02):
need to care for our most vulnerablein their time of need. We also
discuss the implementation launch of the nineeighty eight Suicide Crisis Helpline, which will
be available as of November thirtieth.Once the helpline launches, people in Canada,
regardless of where they live, willhave access to bilingual, trauma informed
and culturally appropriate suicide prevention support throughphone and text at any time of day,
(19:27):
every day of the year. Wemust continue our collaboration to address the
toxic drug supply and overdose crisis.Since my appointment in July, I've had
the time to visit several communities affectedby substance use. We see you,
we hear you. We will beworking together. Diva di pu Visite pus
(20:00):
Protective Dona pap avec des Problem desubstance and I've heard heartbreaking stories of addiction
and loss, as have many ofmy colleagues. But I've also heard inspiring
stories of support, recovery and hope. De Pert Mayona in Spirant, my
(20:29):
minister of colleagues and I want tobuild on that hope. We want to
build on that relentless compassion. Weall recognize the value of compassionate, evidence
based services that can keep people safeand provide a pathway to recovery. Canadians
must have access to a full rangeof services and tools to address substance use.
Every journey on the path that onetakes to recovery must may be different,
(20:52):
and we know that, but wemust have a full toolbox of resources
for those who struggle with substance use. And that's why our government supports a
comprehensive approach focused on prevention, harm, reduction, treatment and enforcement, because
we must use every tool, Wemust be compassionate, and we must be
relentless. That is why we arelooking forward to launching the renewed Canadian Drugs
(21:17):
and Substances Strategy. Our approach willcontinue to use both the public health and
public safety lens and we will beworking together to ensure that individuals are supported
while supporting also those families and lovedones who need their help as well.
At the same time, we continueto challenge the stigma and tear down the
barriers that prevent people from getting thehelp that they need. When walls are
(21:41):
up, those who need our helpare not seen. But when we break
down stigma, when we bring lightto those who must be seen, those
who we must embrace and give themthe care and the services that they need,
we will create resilient communities together becausewhen people get the right support,
(22:02):
we know that there is hope andin my short time in this role,
I've had the chance to hear somany stories of Canadians who have received support
and their lives have been changed forthe better because of it. The overdose
crisis where are facing is a verycomplex one, and it's easy to look
at the statistics and feel overwhelmed.But the truth is we are not powerless
(22:23):
in this fight, and we arenot without tools, and we are not
without hope. There is a lotthat we as Canadians, and of all
our colleagues here who have worked togetherover the past two days, can do
to save the lives and turn thetide of this crisis. I'm very encouraged
by our discussions today and I lookforward to our continued collaboration as we were
(22:45):
to support the mental health and wellbeing of Canadians. Thank you. I
will now hand it over to MinisterMacLean. Thank you, Minister Seex.
As you can probably hear in theprocess of losing my voice, that speaks
to the volume of conversations that we'vehad over the past two days. And
(23:10):
as chair, I was very proudto host my colleagues in Prince Enrhode Island.
We do one thing well in PIand is our hospitality, so it
was a privilege and an honor tochair our last two days of meetings,
which were again extremely robust, extremelyhelpful. I think we all share a
lot of commonalities in our issues thatwe face. Not all solutions our tailor
(23:34):
made to each province, but it'simportant that the collaboration and again even the
off meeting time was extremely valuable toall of us to have social conversations about
our healthcare systems. I also wantto thank the Canadian Association of Emergency Physicians
CMA cfn U and the Pilliance forMental well Being to present to us.
(23:59):
It was very important. Each oneof those stakeholders is an important piece of
our healthcare system, so they arevery valuable conversations. We look forward to
the Empower report that is coming outfrom our emergency room positions soon. Thank
you to doctor Ross who visited oneof our patient medical homes and I appreciate
(24:21):
her excitement for the collaborative care modelthat we've we've begun to implement in PI.
So it was very affirming to heardoctor Ross and her excitement after visiting
one of our homes that we havestood up on. Prince Varod Island.
So again guessing closing, it's beenan honor to chair this committee. I'm
very fortunate that my colleague, MinisterThompson from Nova Scotia will will carry the
(24:47):
baton for the next FVT. Soit's nice to host these ministers within Atlanta,
Canada, so we can have Atlantic, Canada and national conversations with regards
to healthcare. Again, I doalso want to recognize our healthcare workers.
Over the past few weeks, I'veembarked on a focus on the frontline tour.
(25:07):
I've had over one hundred meetings withhealthcare workers and that includes our ends,
physicians, payroll ots, and it'sbeen very beneficial. And my single
biggest takeaway from that is the passionthat they have for their job. Sitting
across from them, you can feelit. It's palpable, so we appreciate
what they've done for us. Ithink we all recognize we are in a
(25:30):
reactive phase of healthcare. We're nowin a proactive phase. So that does
excite me that we have a senseof urgency. I think at the table
that we need to react, needto expedite, We need to work on
workforce pact ways, licensure and allthose issues going forward. So I think
if from a theme perspective, Ithink the ministers behind me understand the importance
(25:55):
of urgency and our ability to actand to continue for those healthcare workers.
So so thank you and welcome toPrince Everda. Thank you to Minister Holland,
to Minister Sachs and Minister mcclaina Sachs. Well, now take some questions
(26:15):
in the room. I see there'sa line up already. If you can
state your name, your media outlet, and who your question is for,
you'll have one question in one followup of a go ahead. Hello.
(26:37):
My name is Teresa right, I'mwith iPolitics. My question is for Minister
Holland on the Bilateral Health accords.The money for the for these deals was
announced in February. It's billions ofdollars on the table for these provinces.
I know that you did announce anagreement with BC this week, but why
is it taking so long to reachdeals with the other provinces and how much
(27:00):
is politics playing a role in inin the progress of those deals. Well,
thank you so much for the question. It's it's taking long time,
so it's got to be done,right, Uh, You know, I
got into this job just over twomonths ago, UH, and immediately getting
into the job, I reached outto the good folks here to talk about
the status of the bilateral agreements andmake sure that that we get the results
(27:22):
that we need working collaboratively. Youknow. One of the things that is
going to be so critical about this, and we're all committed to it,
is to make sure Canadians can seeas to see that progress, see it
in data, see it empirically.Uh. And because it's it's essential that
we have that uh and UH.You know what you measure, you achieve
(27:47):
and so that Look, it takessome time to have those conversations, but
those conversations have been extremely fruitful.We had an opportunity uh to UH to
launch with BC on Tuesday with MinisterDix, who is right over there,
and I think it was a phenomenalday for British Columbia and Canada, and
in that really laid out the nextthree years of how we're going to be
(28:11):
collaborating together and what folks can expect. We're going to have others that are
happening very very soon, so youdon't have to wait very long. But
the reality is we've got to getthis right and respect the partnership we have
with provinces. You know, there'sreally rich conversations that we're having here and
around those bilaterals. You say,your Paul up and just on pharmacare the
(28:36):
NDP rejected the last version of thebill that your government presented to them.
They've said that they'll accept nothing lessthan universal single payer program that is administered
through the public system. Will youcommit to that as the model in the
upcoming bill? Well, you're right. The conversations are continuing with the new
(28:56):
Democrats and indeed with all parliamentarians abouthow we make sure that people aren't put
into an impossible position where they haveto figure out how to pay for an
essential item or pay for essential drugs. And I'm very proud of the work
that has been done in partnership withprovinces. You know, about three point
five billion dollars is saved every singleyear as a result of bulk purchasing.
(29:18):
And we're moving forward with a nationalstrategy on rare diseases, drugs for rare
diseases that we're working with provinces onand so there's a lot of things that
are happening outside of this specific issue, and of course I understand the attention
to this issue. We've committed tolegislation and we've committed to a process.
But just as I was, youknow, when I was House Leader,
getting to agreement with other parties isn'teasy, and that's the reality of the
(29:41):
minority Parliament. But I think Canadiansexpect us to work together and they respond
respect us. They expect us,frankly, on the one hand, to
make sure that they aren't put inthat situation I was describing with their drug
costs, and to make sure thatwe help help them, but at the
same time also make sure we're responsiblewith the fiscal purse. We are in
a situation where we have to actprudently, UH that we don't have the
(30:04):
ability to you know, to uhto to to spend you know, what
could be forty or forty five billiondollars. You know, we have to
be prudent. So it's there's athere's an ongoing discussion and UH and I
look forward to its continuance. Nextquestion, Nicolas stan Bake, how you
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(30:33):
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(30:59):
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(31:23):
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(32:22):
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(32:49):
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(33:13):
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(33:40):
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(34:01):
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(34:25):
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(34:47):
Carrie Campbell, CBC. I havea question for the host minister. We
would get him up. I justyou mentioned Minister McLain. The the tour,
the Canadian Medical Association had doctor KathleenRoss of one of our medical homes
and PI the collaborative care clinics.I think I got a glowing review and
the CMA says this is the modelthey want to see in all the provinces
(35:07):
which haven't adopted this system yet.Today, though, we found out that
the clinic in Summerside is having toreassign thousands of patients. Seven hundred of
those will go to virtual care becausethat clinic does not have the doctors it
needs. It has one of fourpositions filled, I think is what it's
said in that. So what aresome tangible things you think are coming out
(35:30):
of these meetings which are going toallow you to hire, whether it's those
positions or any of the other vacanciesin your healthcare system. Thank you,
Cariy. Obviously, we all understandthat physician supply has not kept up with
population growth. You know, obviouslythis problem it's been a long time coming.
I'm excited by the expediated pathways thatwe've created the scope of practice again
(35:52):
on Prince ll Rhde Isoan. We'vecreated the Associate Physician Program or FOLD to
integrate those new healthcare providers into oursystem. We understand that the challenges in
healthcare, the top three are staffing, staffing, and staffing. So again
in regards to that clinic, weneed to continue to recruit and train physicians
(36:19):
on Prince Everard Island. So againwe've made that long term investment in the
medical school here on Prince Everard Island, so we understand that we do have
to create our own We know fromthe research that local and ties to the
community are important in that recruitment process. So again that's a long term approach
to our problem. But I thinkover the last two days we've understood that
(36:39):
we need to work on the residentmatching program with cirms. We need to
look at Expedia pathways, we needto look at scope of practice. So
we are experiencing net gains in oursystem. I know people don't always experience
them, but again, you know, our current and some of the our
older physicians have large practices that requireone three doctors to replace them. And
(37:02):
again we continue to see significant populationgrowth on prince Ll RD Island, which
is challenging. So we do haveto swim against the population current from time
to time. But again I thinksome of these steps and some of the
initiatives that we spoke of in thelast two days, we'll start the yield
results. Thank you, And it'sjust if you want to stay there and
(37:22):
if anyone else, maybe if thefederal minister wants are joined as well.
But I think he's kind of addressedthis when we talk about those bilateral funding
agreements. It was announced for PIback I think it was February twenty second.
We had a few provinces announced thatday. They had an agreement in
principle, and as I recall,what we were told is that money would
be able to be used in thisyear's Pei health budget. So I just
(37:44):
wonder from your point of view,what are the sticking points such that you
still haven't ratified that agreement. Yeah, We've always been proud of our relationship
with the federal government. Our Premierhas always been very collaborative with our federal
partners. So again I think we'reclose on the Bylats. From that perspective,
we all understand that money won't fixeverything in healthcare, so again we
(38:04):
are I shouldn't say that was myfederal minister behind me with regards to funding,
but again I'm confident that our bileAds we've proven in the past to
be one of the first at thetable with regards to early child child educators
and day ten dollars day daycare.So I'm proud of that relationship. So
the Buylat money will flow and wewill continue to invest. And we have
(38:27):
had the biggest healthcare increase in ourbudget in history. We have got about
fourteen percent, So we are puttingour money behind our healthcare system. Next
question, Hi, Hi, Ihave a question for Minister McLean. My
name is Tin. When I'm withthe Guardian here in Charlatown, we've been
hearing a lot about population growth inPei and by twenty thirty. The problem
(38:52):
is projected to reach two hundred thousandpeople here on PI. That's going to
put a lot of strain on thehealth care system here. Is anything that
comes out of the meetings the pasttwo days that you think it's going to
help population growth and the strain it'sgoing to have on the health care system
here. Yeah, I think it'sa challenge for all of us on the
(39:14):
stage here today as we're all experiencingsignificant population growth in all our jurisdiction.
So it is a challenge in providinghealthcare again, back to collaborative care,
Doctor Ross, you know, ourpractices are our family doctor centric centric at
this time and we need to moveaway from that. I always explain it
as we have an inverted pyramid witha family doctor at the point where we
(39:38):
need to turn that pyramid around whereyou're entry into the system has many,
many entry points. So we've startedthat process. So I think that's an
important part of our transformation of ourhealthcare system. And even again from the
federal government perspective, they've increased theexpress entry program for healthcare workers. They're
going to double who they expatiated expediatedpathways through immigration so hopefully that will help
(40:06):
satisfy our help our human resource challenges. Thank you. Follow up question,
next question, Hi, Hi,I'm Alana Piroll with CTV. I have
a maritime related question, so thatmight be Minister McLean again specifically for the
(40:29):
Maritimes. Is there a list ofpriorities that came out this week when it
comes to what needs to be donefirst and foremost? I guess I will
speak on behalf of my Minister fifthand Minister Thompson who joined us virtually over
the past two days. So againwe always ad Minister Osborne as well.
Is important Atlantic ministers continue to collaborateagain because some services we can't provide and
(40:52):
some jurisdiction so we require cooperation.So again those conversations were proud of those
relationships, so that we do.But specifically to the last two days,
we focused on, you know,not regional needs, but more national and
provincial based needs. Follow up,you say that you didn't focus on regional
(41:16):
needs obviously though is a top priorityfor a lot of people who are living
in all of these regions that arelooking for healthcare commitments. But just as
a whole, I guess when canCanadians in this case, and Maritimers expect
to start to see some of thesesteps really be implemented across our healthcare system.
Yeah, I guess it's important againfrom an Atlantic perspective, that we
(41:37):
continue to collaborate. I use theterm net gains a lot in my conversations
with those three colleagues that if wecan work together in order to expediate any
type of process that we're trying tohelp our healthcare system. So again,
we are again, as you know, provincials are task with the responsibility of
(41:57):
delivering healthcare, so we do workon our own provincial mandates individually. But
I think it's meetings like this,I think we've we've all understood the importance
of collaboration. We do have alot of commonality in our our problems,
but we do have specific issues andsolutions that maybe tailor made certain parts of
the of the country. Thank youvery much. I believe we'll be moving
(42:22):
to zoom at the moment. Thankyou very much. If you're a journalist
on the Zoom and wish to aska question, please use the hand raising
function. Again, we asked thatyou limit yourself to one question and one
follow up, and please state towhom your question is directed see journalist or
the zoom in quest on according tofour men smite in quest ad kivu pose
(42:52):
first question, not premier q tide co opt to len from Helen Yes,
Hi, can you hear me?Yes? Okay, My question is
probably from Minister McClain, but alsoif someone from Alberta and or Ontario can
answer, that'd be great. Ijust wanted to know where the provinces stand
(43:12):
in terms of dental care. Ottawais moving ahead with its program and most
provinces have already some sort of coverage, so I wanted to know is there
any disagreement on this? And alsoI wanted to ask the same question about
pharmacare Ottawa is planning to table abill before Christmas. What do provinces think
(43:34):
about that? I remember in thelast meeting in December twenty nineteen in Toronto,
most provinces said that we didn't needpharmacare a person. Hi, thank
you for the question, and I'mvery proud of the fact that Alberta has
(43:55):
some of the most comprehensive care forlow income individuals on dental plans, and
so we are in discussion with ourfederal counterparts. And they're very good discussions.
Obviously, we don't want to losewhat we have and we want to
enhance it. So we have somevery good discussions ongoing and look forward to
(44:15):
sharing more as we have the availabilityto do so. Thank you. In
terms of Bei's perspective on dental careand pharmacare, again, as a small
jurisdiction, sometimes one size does notfit all, we recognize that. I
think our federal partners will recognize thattoo as well, so we need to
(44:36):
be cognizant of that as we havethese discussions. Again, we too are
very proud of our current dental programthat we have in Prince overd Isle,
and again we'll have continued to havethose discussions on pharmacare and what kind of
impacts positive and negative, if manyhave, on our current system that we
have in Prince overt Isyle. ButI guess as a follow up, I
(44:59):
guess the question was specifically on pharmacare, what's the overall feeling by provinces or
sentiment. I remember that back thenprovinces said, hey, we already have
a problem financing the services that alreadyexist. We should finance those services before
adding more. So is that stillthe sentiment or are you okay with Ottawa
(45:22):
going ahead with that? With respectto Pharmacare, I think it's important to
recognize that the provinces all have pharmacareprograms across the country about thirteen billion dollars
worth, and so we've had init for the last number of years the
(45:45):
desire for the federal government to getinvolved in a national pharmacare program, and
it's been There was a national reportthat was written by a former Ontario Minister
of Health, doctor Eric Hoskins,and they're proceeding and working on their priority.
We are not aware of the detailsof that yet, but if you
look at Pharmacare in Canada, wellover ninety percent of Pharmacare supports are provided
(46:08):
by the provinces, and so we'rean important player and all that, and
we're interested in what the federal governmentis doing. What we really are interested
though, is making sure that Canadianshave care. In British Columbia, when
we adopted universal access to contraception fora group of people who tend not to
receive deductible based Pharmacare program, namelyyoung women, it has made a very
(46:32):
significant impact both in their health andfrankly in their pocketbook, and the issues
of access to prescription drugs are criticalin every province, so we're taking action
all the time. All of theprovinces have taken action, for example,
and Biosimilars, which is to reducethe cost of prescription drugs in Canada,
has had a profound and positive impact. It has allowed us to fund other
(46:57):
drugs. So we're very interested inwhat the federal government is doing and encouraged
that they'd want to play a rolein this to support Canadians. But our
focus is on Canadian patients, onpeople living with chronic diseases, on people
who have rare diseases and are facingsometimes catastrophic cancer consequences, and getting access
to the drugs they want. Everysingle provincial jurisdiction has been acting in this
(47:21):
area, and the federal government isgoing to come forward to as legislation and
we're looking forward to seeing what thatlooks like. Thank you, I see
For next question, we'll go toLindsay Armstrong with the Canadian Press. Please
go ahead, Lindsay, thank youvery much. My question is for Minister
Dubai. I'm wondering what are thesticking points in the negotiations for Quebec and
(47:45):
what changes do you need to beable to sign on. Well, I
answered that a bit previously. Whenwe had the first presentation, we were
very clear that the transfer front federalhad to be without conditions and this is
(48:08):
not negotiable for us. We've beenvery clear that health is a matter of
provincial jurisdiction and we stick to that. So I don't have any more comment
on that. Thank you. Anyfollow up, Lindsay Hi, Yes,
(48:36):
a question for Minister MacLean regarding thePharmacare legislation, What specifically is needed for
your province to administer such a program. What needs to be in the legislation
for that to work for you ona provincial level. Thank you for the
question. Sorry again, I thinkwe need to as as Minister Howme explained
(48:58):
to us today during meetings is thatthere's ongoing conversations in Ottawa with regards to
what a Farmacare program will look like. Again as he navigates a minority government
and how they work with their partnersin order to bring a Pharmacare program for
consideration. So you know, ourofficials continue to provide input and that's what
(49:20):
these couple of days are for inorder to provide some direction in that,
but it is I don't want touse a wait and see approach. But
again we need to see how thiswill work. And again we're very sensitive
to our smallness and our small jurisdictionin that a one size fits all may
not be appropriate in Prince erward Ownand it may not be appropriate in other
(49:44):
jurisdictions as well. Thank you,I see. Unfortunately this will have to
be our last question. Malado isMaelfoe, Daniel or Castile. We're going
to go to Katie Dangerfield with GlobalNews. Katie, please go ahead.
Hello, This question is for MinisterHolland. This week the UK proposed raising
(50:06):
the legal age that people in Englandcan buy cigarettes by one year every year
until it is illegal for the wholepopulation. Could this be something Canada would
consider implementing. Thank you for thequestion. We know that tobacco is the
number one cause of preventable illness inthis country. In fact, it's the
(50:27):
only product if you take as directed, will kill you. So you know,
cessation efforts are absolutely critical and inpartnership with provinces and territories, with
a not for profit sector with pharmacists, doctors, nurses, the efforts on
cesstation have really been remarkable. We'vebeen able to see Canada to have an
extremely low prevalence rate, but itneeds to be lower. So you know,
(50:52):
we're going to continue having conversations abouthow we do just that. I
used to be in Ontario on theCommittee for Act on Tobacco and this is
an issue very close to my heart. It is absolutely devastating to see so
many people die and get sick fromsomething that's so preventable. So you know,
(51:12):
continue to have you know, tode normalize it, to find ways
to help people with cessation, andlook at what's the best way to really
get at it and base it onevidence of what will work. So we're
looking at what other jurisdictions are doingand we'll look at the evidence from that
to inform our best decisions. Thankyou. Any follow up, Katie,
(51:35):
Yeah, So just to clarify,do you have any tangible examples of what
candidate is doing to crack down ontobacco use with you, Well, you
know, this is multi jurisdictional,so you know, one of the things
that is so important with cessation effortsis the relationship that people have with their
physician or with their pharmacists and theconversations they have with them about the cessation
(51:59):
tools that are available. And we'revery fortunate there is a vast array of
cessation tools that are available. Thefederal government has taken historic action, has
been a leader on UH, forexample, plane packaging, on taking aggressive
action on on on advertising, onhelping to communicate the dangers of tobacco and
(52:20):
work with the not for profit sector, and on issues like industry de normalization.
So folks can understand some of thetactics and ways that tobacco companies here
and elsewhere have tried to get peopleaddicted to their product. UH. So
you know, we we have beenseen as a global leader in tobacco.
I think you have every expectation tomake sure to know that that will continue,
(52:42):
UH and that that effort will bemulti jurisdictional. Thank you very much.
That concludes our event, Living NotYes We Go. The show has
(53:24):
been produced by Depictions Media. Pleasecontact us at Depictions dot media for more information.
Thank you for listening to Pictures MediaRadio. Welcome to Policy and Rights,
the show about the government policy andhuman rights. Hello Banu, Welcome everyone,
(01:07):
Vie et tourmont. I'm Alex Mayeu. I'm with Minister Holland, Alexandromije
deve Columnius Holland, Mets Avena.We'll start the event now. Today you'll
be hearing from Minister Holland, theFederal Minister of Health, the Honorable Yara
Sachs, Federal Minister of Mental Healthand Addictions and Associate Minister of Health,
(01:30):
and the Honorable Mark McLain who isthe Minister of Health and Wellness for PI.
Also joined by the provincial and territorialministers of Health from across Canada.
Following the remarks by Minister Holland,Minister Sachs and Minister McLain, will open
the floor to media for a questionand answer. All ministers who are here
(01:51):
today and also those who are availableonline, will be here to answer your
questions. We'll begin with questions inthe room and then move to online for
reporters who are onlinepance of and sitin the interesting time. We asked that
(02:13):
you keep your questions to the topicof today of the very important meeting I
find that GARDI the town on montmarwill begin now with our first speaker,
l over to Minster Hound Alex Plea, my non Milogue Melchristmas City in s
(02:49):
s will person the participate virtual Mancity in Ramond. We and I want
to start by saying and acknowledging thatwe are gathered on the traditional and unseated
territory of the McMahon people. AndI also want to start by banking Minister
McLean for hosting us in beautiful BritishColumbia where we've had two days of really
(03:15):
rich and meaningful conversations. Excuse me, Pi, there you go. I
was in British Columbia, yes wasit yesterday? Yes, I was in
British Columbia yesterday announcing the bilateral agreement, which was very exciting. But no,
this is also extremely beautiful province onthe other side of the coast here
in Pi, where we've had awonderful discussion. And I just want to
(03:38):
say, Mark, you've done aphenomenal job hosting us here over the last
couple of days. You know,all of us here on this stage are
charged with an incredible responsibility and thatis the health of Canadians, and Canadians
look to us to make sure that, in their moment of greatest vulnerability,
that the system that they've been soproud of is going to be there for
(03:58):
them. And it's not just aboutmaking sure that that system is there for
them when they're ill, that thatsystem prevents them from getting ill, it
stops them from ever getting sick inthe first place. And we had an
opportunity with the Canadian Medical Association,with the Canadian Federation of Nurses, and
with healthcare professionals to hear from themabout the state of our healthcare SYSM.
(04:20):
And the reality is we have somuch to be proud of in our healthcare
system, so many remarkable things happening, so many incredible ways that it is
there for Canadians. But it's alsoreally stretched. And this is a time,
particularly in workforce, where we're facingcrisis and where we have to rise
to that occasion. COVID tested itsheart. Our system was already under stress
(04:45):
and dealing with a global pandemic thatstrained and asked so much of so few
and the weight that they had tocarry. Our doctors, our nurses,
personal support workers, all of thefolks in the health system. All that
they had to carry it was reallymore than any that it could be asked
of any human and yet they didit, and of course they came out
(05:10):
and our system is exhausted and stretchedin the need of support. And that's
what we're here to work on andmake sure that we deliver. Nothing short
of the transformation of our health systemcan be our overall objective. And I
think there's enormous room for optimism.And I'll start with the people that I'm
assembled here today. Health ministers arerepresenting every province in every territory, of
(05:35):
different political stripes, unified in theidea that we need total collaboration, that
we need to work together for solutions. That the spirit that we found in
the pandemic, which was rising tothe challenge of the pandemic and making sure
that the country and this includes ourrelationships with provinces and territories, have one
of the best pandemic responses anywhere inthe world. The way that we work
(05:58):
together, the way that we collaborated, I think is instructive to the path
forward on health to make sure thatwe have already one of the best health
systems in the world. But thatwe moved to having the best health system
in the world, something that isthere now and in the future for folks
to be able to count on seLe Premia flac new participant de Sante de
(06:21):
Canada and the discute the Prete Communein the Levois Collective, a suite a
securely Canadien, Canadian newdo Surge thesystem system de Sante and I want to
take a few moments to talk aboutsome of the concrete outcomes that came from
(06:44):
our extremely productive conversations in the lasttwo days. And I'm going to start
in the area of health workforce,where the needs are most critical. So
our plan for a strong and sustainablehealth workforce is one that is shared by
all levels of governm and dominated ourconversations over the last two days. Lutien
de tree A Lane busch Adden Attende swan as l'tienne moment he Landois Bessoie
(07:19):
and during our meeting we reconfirmed ourcommitment to supporting health workforce and working together
on concrete actions in five particularly infive tangible areas. I'll start with retention
because retention is I think the mostimportant key we have to hold the core
of what we have the incredible peoplewho've been lifting us up in these difficult
(07:41):
times. We need to contribute tocollaborate with them to make sure that retention
issues are put at the four andso I'm going to start with us talking
about the dissemination and implementation of theof the Nursing Retention Toolkit New continue at
Travallier de Fassant collabortive s Le mettainon posts uh du on Mettan lasane on
(08:07):
posts the personnel in from delt professionde la Sente dn Le new comments erent
Pali Defusion trust met on post thePersonnelle Infamier. Secondly, I'm going to
talk about the domestic education supply.Together, we're undertaking a study of education
(08:33):
and training supply demands for key healthcareprofessionals tendify the best pan Canadian approaches to
meet future healthcare demands for Canadians overthe next decade. Three. Foreign Crudential
recognition and ethical recruitment. We havecommitted to reducing the time it takes for
internationally educated health professionals to join ourworkforce by allowing them to begin the credential
(08:54):
process overseas. By expediting pathways forthose who have success fully completed training and
education that is equivalent to a graduatefrom an approved Canadian program, and by
reducing the time for licensure for qualifiednurses and physicians. This includes a commitment
from health ministers to a ninety dayservice standard for regulatory bodies to provide certification
(09:18):
and licensure to internationally educated health professionals. Next to talk about labor mobility and
the importance for those in the workforceto be able to work throughout this country.
We will together implement a process thatallows health professionals and good standing in
one jurisdiction to practice in any otherCanadian jurisdiction without significant delay or the need
(09:41):
to meet additional regulatory requirements. We'llfocus on physicians this year and nursing in
future years. New metrent uve processPremitra reglier provence in terrotois, the exerz
(10:01):
les profession province inte retoire stretau inpotent nibas wined Uh, the satisfire de
exis gens regular Montaire, New NewConcentran Medience and the person in personnel in
filmier dons An. Lastly, onworkforce data in planning. We commit to
(10:26):
working together to improve the availability ofsharing and standardization of health workforce data,
improving planning, as well as supportingthe establishment of the Center of Excellence for
the future of health workforce. Thisis critically important to make sure that we
don't just deal with the health workforceissues we're facing today, but to make
sure that we know exactly who weneed in the future and that we've got
(10:48):
the plan to have the health forcethat we need to meet the challenges of
the future. With respect to digitalhealth and health data, data isn't always
sexy to talk about, but datasaves lives, and we've been talking a
lot for a long time over data, and there was a really rich conversation
today. One of the reasons ourhealthcare system is understrained is because we're not
(11:09):
fully harnessing the power of health informationto improve outcomes, to support healthcare workers
and create efficiencies in a society,we're just about everything you can imagine is
accessible electronically. Most patients don't haveaccess to their own electronic health information.
This information is not always shared betweenhealth professionals to support their care. This
(11:30):
often results in duplication tests, increasecost, safety risks, as well as
frustrations alike for doctors and patients.As I mentioned, we've been talking about
this a long time well. Aspart of the Working Together Plan, governments
are committed to modernizing the healthcare systemthrough improvement to health data and digital tools.
(11:52):
Don Leppelin Ensemble Lugubamas gagiert on Modernisethe System de sante on the Media
de sente a leutil numerque. Specifically, we are committed to adopt common standards
and policies and to improve the wayhealth information is collected, shared, used
(12:13):
and reported to Canadians. This meansthe Canadians will be able to see what
improvements are being made to their healthcaresystem. Today we discussed how together we
will make progress on these commitments byendorsing a Pan Canadian Health Data Charter and
a joint federal Territorial Action Plan onHealth Data and Digital Health. This charter
(12:35):
emphasizes the importance of putting people atthe center of our healthcare system and ensuring
they have access to their own healthinformation, building and maintaining trust on how
data is used and shared to makesure that privacy is protected while promoting fairness,
equity, and respecting Indigenous control overtheir data. The charter is one
(12:56):
element of a broader plan to advancehealth data commitments. The action Plan builds
on progress underway to adopt common standardsso data can securely flow between health and
data systems throughout the implementation of aPan Canadian interoperability roadmap, and that ability
for systems to be able to communicateis so critical. Le chanp fee partis
(13:18):
dun pliant pu vax vison the progressjemin on mattier de done du sante le
plan dacion le pro adapte lenorme communeenculdn puissant cercule doing fasan entres system done
(13:39):
du sante grass almis dun fou deroute pan Canadien the linear lintecropability. The
action Plan also prioritizes other key areasneeded to improve health data, such as
harmonizing our approaches to responsible use instewardship of health data, better sharing of
public health information, building of publictrust, which is so key to combat
(14:03):
misinformation that we know was at theheart of so many problems during the pandemic,
Understanding how health information is used forpublic good with appropriately appropriate privacy safeguards.
My colleague, Minister Stax will betalking in a moment about the important
work that we have been talking aboutover the last few days as well on
mental health and substance use. Finally, with respect to public health, we
(14:28):
all know that COVID nineteen had asignificant impact on health, social and economic
well being of people right across thecountry. Today we reflect on that collaboration,
as I spoke at the beginning,and how our jurisdictions respond to the
pandemic and continue to continue to applythose lessons addressed for the best interests of
public health, understanding that public healthis as essential as any other part of
(14:52):
our health system to the health andwellbeing of our nation. Folks. I
am deeply encouraged by the spirit ofthe converse that we've had. There is
no doubt the ministers at the Todaybletoday had one thing in their heart and
one thing on their minds, whichis the betterment of health of Canadians and
the betterment of the health system thatserves them. It was a great honor
to participate with all of my colleaguestoday and I want to thank Mark specifically
(15:16):
you once again for hosting us herein Pei for this amazing last two days.
Thanks folks, and it's a pleasurenow to turn it over to my
colleague and friend your Sex. Thankyou, Mark, and thank you for
(15:39):
everyone who is here in Pei.It's a pleasure to be joining you here
today. As Minister Halland mentioned,this is our first Health Minister's meeting and
it was an important opportunity to discusshow we can continue to work together as
we strengthen the health and care forcare of Canadians. And I can't emphasize
enough the energy and commitment around thetables and the discussions to a collaborative and
(16:03):
strong approach to ensuring that the healthand being of Canadians is the center of
all of our work together. Butbefore I go any further, I want
to acknowledge that our healthcare system wouldnot exist without the skilled and dedicated workers
who keep it running. Health workersare truly the heroes of our healthcare system
and have been through a lot overthe past few years, a lot both
(16:27):
during COVID, During the COVID pandemicand its aftermath. You have been there
day in and day out to showup for Canadians each and every single day,
and we are tremendously grateful for that. These workers have shown incredible resilience.
But there is no doubt that thepressure in working in a system that
faces many challenges has taken a toll, both physically and mentally. That's why
(16:52):
it has been both my priority andeveryone around the table today who understands that
supporting our health workers is must becentral to the plan to improve our healthcare
system. We cannot care for Canadianswithout you, and you need to be
cared for as well. As MinisterHolland mentioned, we are working with the
provinces and territories to retain existing workersas well as to recruit and train new
(17:15):
ones. Come lament Le Minister hollnnu colon existence aci l'amboche la pomac de
nuvau donuvau Treballo. We are alsoworking to find ways to help internationally educated
health professionals put their skills and experienceto work here more quickly, and improving
(17:37):
processes for existing health workers to workacross jurisdictions, including ournesses is another part
of this shared priority. The newemployon galt a trouve de facon de la
plat de metro plurafle competence a littleExperience, La malie la de prosus popometto
(18:00):
at Trevello de la Sante Actuel deTrevall Trevaller, Dance de Zotto, Administer
saintre E gelmint dn Se Priote Paltaji. It's with a strong and well supported
health workforce in place we can ensurethat Canadians have access to the health care
they need but also when they needit. That includes mental health care and
(18:21):
substance use services. The need forthese services is staggering, particularly amongst our
young people who were hit hard throughthe pandemic, and as we all know,
there's no health without mental health.That's why earlier this year, our
government announced nearly two hundred billion overten years to provinces and territories to improve
(18:42):
the healthcare for Canadians, including afocus on improving access to timely, equitable
and quality mental health and substance useservices. Today, my colleagues and I
have agreed to continue to working togetherto support the mental health of young people
and their families, as well assupport individual tools with complex needs. We
(19:02):
need to care for our most vulnerablein their time of need. We also
discuss the implementation launch of the nineeighty eight Suicide Crisis Helpline, which will
be available as of November thirtieth.Once the helpline launches, people in Canada,
regardless of where they live, willhave access to bilingual, trauma informed
and culturally appropriate suicide prevention support throughphone and text at any time of day,
(19:27):
every day of the year. Wemust continue our collaboration to address the
toxic drug supply and overdose crisis.Since my appointment in July, I've had
the time to visit several communities affectedby substance use. We see you,
we hear you. We will beworking together. Diva di pu Visite pus
(20:00):
Protective Dona pap avec des Problem desubstance and I've heard heartbreaking stories of addiction
and loss, as have many ofmy colleagues. But I've also heard inspiring
stories of support, recovery and hope. De Pert Mayona in Spirant, my
(20:29):
minister of colleagues and I want tobuild on that hope. We want to
build on that relentless compassion. Weall recognize the value of compassionate, evidence
based services that can keep people safeand provide a pathway to recovery. Canadians
must have access to a full rangeof services and tools to address substance use.
Every journey on the path that onetakes to recovery must may be different,
(20:52):
and we know that, but wemust have a full toolbox of resources
for those who struggle with substance use. And that's why our government supports a
comprehensive approach focused on prevention, harm, reduction, treatment and enforcement, because
we must use every tool, Wemust be compassionate, and we must be
relentless. That is why we arelooking forward to launching the renewed Canadian Drugs
(21:17):
and Substances Strategy. Our approach willcontinue to use both the public health and
public safety lens and we will beworking together to ensure that individuals are supported
while supporting also those families and lovedones who need their help as well.
At the same time, we continueto challenge the stigma and tear down the
barriers that prevent people from getting thehelp that they need. When walls are
(21:41):
up, those who need our helpare not seen. But when we break
down stigma, when we bring lightto those who must be seen, those
who we must embrace and give themthe care and the services that they need,
we will create resilient communities together becausewhen people get the right support,
(22:02):
we know that there is hope andin my short time in this role,
I've had the chance to hear somany stories of Canadians who have received support
and their lives have been changed forthe better because of it. The overdose
crisis where are facing is a verycomplex one, and it's easy to look
at the statistics and feel overwhelmed.But the truth is we are not powerless
(22:23):
in this fight, and we arenot without tools, and we are not
without hope. There is a lotthat we as Canadians, and of all
our colleagues here who have worked togetherover the past two days, can do
to save the lives and turn thetide of this crisis. I'm very encouraged
by our discussions today and I lookforward to our continued collaboration as we were
(22:45):
to support the mental health and wellbeing of Canadians. Thank you. I
will now hand it over to MinisterMacLean. Thank you, Minister Seex.
As you can probably hear in theprocess of losing my voice, that speaks
to the volume of conversations that we'vehad over the past two days. And
(23:10):
as chair, I was very proudto host my colleagues in Prince Enrhode Island.
We do one thing well in PIand is our hospitality, so it
was a privilege and an honor tochair our last two days of meetings,
which were again extremely robust, extremelyhelpful. I think we all share a
lot of commonalities in our issues thatwe face. Not all solutions our tailor
(23:34):
made to each province, but it'simportant that the collaboration and again even the
off meeting time was extremely valuable toall of us to have social conversations about
our healthcare systems. I also wantto thank the Canadian Association of Emergency Physicians
CMA cfn U and the Pilliance forMental well Being to present to us.
(23:59):
It was very important. Each oneof those stakeholders is an important piece of
our healthcare system, so they arevery valuable conversations. We look forward to
the Empower report that is coming outfrom our emergency room positions soon. Thank
you to doctor Ross who visited oneof our patient medical homes and I appreciate
(24:21):
her excitement for the collaborative care modelthat we've we've begun to implement in PI.
So it was very affirming to heardoctor Ross and her excitement after visiting
one of our homes that we havestood up on. Prince Varod Island.
So again guessing closing, it's beenan honor to chair this committee. I'm
very fortunate that my colleague, MinisterThompson from Nova Scotia will will carry the
(24:47):
baton for the next FVT. Soit's nice to host these ministers within Atlanta,
Canada, so we can have Atlantic, Canada and national conversations with regards
to healthcare. Again, I doalso want to recognize our healthcare workers.
Over the past few weeks, I'veembarked on a focus on the frontline tour.
(25:07):
I've had over one hundred meetings withhealthcare workers and that includes our ends,
physicians, payroll ots, and it'sbeen very beneficial. And my single
biggest takeaway from that is the passionthat they have for their job. Sitting
across from them, you can feelit. It's palpable, so we appreciate
what they've done for us. Ithink we all recognize we are in a
(25:30):
reactive phase of healthcare. We're nowin a proactive phase. So that does
excite me that we have a senseof urgency. I think at the table
that we need to react, needto expedite, We need to work on
workforce pact ways, licensure and allthose issues going forward. So I think
if from a theme perspective, Ithink the ministers behind me understand the importance
(25:55):
of urgency and our ability to actand to continue for those healthcare workers.
So so thank you and welcome toPrince Everda. Thank you to Minister Holland,
to Minister Sachs and Minister mcclaina Sachs. Well, now take some questions
(26:15):
in the room. I see there'sa line up already. If you can
state your name, your media outlet, and who your question is for,
you'll have one question in one followup of a go ahead. Hello.
(26:37):
My name is Teresa right, I'mwith iPolitics. My question is for Minister
Holland on the Bilateral Health accords.The money for the for these deals was
announced in February. It's billions ofdollars on the table for these provinces.
I know that you did announce anagreement with BC this week, but why
is it taking so long to reachdeals with the other provinces and how much
(27:00):
is politics playing a role in inin the progress of those deals. Well,
thank you so much for the question. It's it's taking long time,
so it's got to be done,right, Uh, You know, I
got into this job just over twomonths ago, UH, and immediately getting
into the job, I reached outto the good folks here to talk about
the status of the bilateral agreements andmake sure that that we get the results
(27:22):
that we need working collaboratively. Youknow. One of the things that is
going to be so critical about this, and we're all committed to it,
is to make sure Canadians can seeas to see that progress, see it
in data, see it empirically.Uh. And because it's it's essential that
we have that uh and UH.You know what you measure, you achieve
(27:47):
and so that Look, it takessome time to have those conversations, but
those conversations have been extremely fruitful.We had an opportunity uh to UH to
launch with BC on Tuesday with MinisterDix, who is right over there,
and I think it was a phenomenalday for British Columbia and Canada, and
in that really laid out the nextthree years of how we're going to be
(28:11):
collaborating together and what folks can expect. We're going to have others that are
happening very very soon, so youdon't have to wait very long. But
the reality is we've got to getthis right and respect the partnership we have
with provinces. You know, there'sreally rich conversations that we're having here and
around those bilaterals. You say,your Paul up and just on pharmacare the
(28:36):
NDP rejected the last version of thebill that your government presented to them.
They've said that they'll accept nothing lessthan universal single payer program that is administered
through the public system. Will youcommit to that as the model in the
upcoming bill? Well, you're right. The conversations are continuing with the new
(28:56):
Democrats and indeed with all parliamentarians abouthow we make sure that people aren't put
into an impossible position where they haveto figure out how to pay for an
essential item or pay for essential drugs. And I'm very proud of the work
that has been done in partnership withprovinces. You know, about three point
five billion dollars is saved every singleyear as a result of bulk purchasing.
(29:18):
And we're moving forward with a nationalstrategy on rare diseases, drugs for rare
diseases that we're working with provinces onand so there's a lot of things that
are happening outside of this specific issue, and of course I understand the attention
to this issue. We've committed tolegislation and we've committed to a process.
But just as I was, youknow, when I was House Leader,
getting to agreement with other parties isn'teasy, and that's the reality of the
(29:41):
minority Parliament. But I think Canadiansexpect us to work together and they respond
respect us. They expect us,frankly, on the one hand, to
make sure that they aren't put inthat situation I was describing with their drug
costs, and to make sure thatwe help help them, but at the
same time also make sure we're responsiblewith the fiscal purse. We are in
a situation where we have to actprudently, UH that we don't have the
(30:04):
ability to you know, to uhto to to spend you know, what
could be forty or forty five billiondollars. You know, we have to
be prudent. So it's there's athere's an ongoing discussion and UH and I
look forward to its continuance. Nextquestion, Nicolas stan Bake, how you
can poor alemnist Hollands transfer. There'sassiation income Assassi Midquel can A yenque de
(30:33):
mont coms as monsieur lean capre tosimois les transfer disponible don cofre de province
q specel contra dispaniable we larchan dispaniyeah, char evident man yeah in transfer
(30:59):
provance continue the uh, the nouveauuh not discussion pronounce the bilarteral agreements UH
continue a spansco ontruve and sluc andbiento ramansa recunize prie, the co oparacion,
(31:23):
the che l fast on the fatshow specific premium mount uh, the
davois indicate le don a disband inpublic man person the wire partuo lute temportant
a qui fremon and the ability thevore the voi lu liutally ban fas system
(31:57):
un avec not bilateral agreements from posalocas on the the davoir in conversation letois
and a the tip the cop apassi plu cous this conversation on this pros
(32:22):
and specific moddern the bilateral agreement havethese days information, mays one Raymond.
The darvoi in conversation pull complex maylisten schwis wir uh in agreement in the
(32:49):
agreement in the town at the topChristian TV mist last Christian de d B.
They are a maks on TV.Excuse those cock punk Quebec that top
passland down l album medic repons whathappens pasi concern Now the ags go to
(33:13):
the concert de Mond wo Quebec concerts. The gun here the minister blast the
mono, the need preprises, concerns, the prevals. You can say o
que back saying the man repeated peopleany shake the Maxisan TV se rapping cane
we see o Quebec avoir largen setthe wait spani concern and also cli up
(33:40):
on a postal that do the mapor skitty they need to concern compu serve
on the program and the premier programscall me they don't need as a tabloid
barb or sweets. Just the mana milia the Minnesot m P on the
twit. The cart ap prostrated aboutthey doney specific mank solar cancer on the
(34:01):
miajure down the tabloid bar said thetip as dene PRIs novel, dan me
sit up packet thenie solar canci don'twe only tutied that carrapplically the mound.
Can you solve an example or NATAtrend ZIP exam the nouveaux processes for very
(34:25):
example, only allow your priser XAXsong composed allow only tutor fed that car
like pluse the Denisolar cansign keep inthe Bregrand calls that they say, Oh
Canada, and we only sample sexcept the man. See question next question
(34:47):
Carrie Campbell, CBC. I havea question for the host minister. We
would get him up. I justyou mentioned Minister McLain. The the tour,
the Canadian Medical Association had doctor KathleenRoss of one of our medical homes
and PI the collaborative care clinics.I think I got a glowing review and
the CMA says this is the modelthey want to see in all the provinces
(35:07):
which haven't adopted this system yet.Today, though, we found out that
the clinic in Summerside is having toreassign thousands of patients. Seven hundred of
those will go to virtual care becausethat clinic does not have the doctors it
needs. It has one of fourpositions filled, I think is what it's
said in that. So what aresome tangible things you think are coming out
(35:30):
of these meetings which are going toallow you to hire, whether it's those
positions or any of the other vacanciesin your healthcare system. Thank you,
Cariy. Obviously, we all understandthat physician supply has not kept up with
population growth. You know, obviouslythis problem it's been a long time coming.
I'm excited by the expediated pathways thatwe've created the scope of practice again
(35:52):
on Prince ll Rhde Isoan. We'vecreated the Associate Physician Program or FOLD to
integrate those new healthcare providers into oursystem. We understand that the challenges in
healthcare, the top three are staffing, staffing, and staffing. So again
in regards to that clinic, weneed to continue to recruit and train physicians
(36:19):
on Prince Everard Island. So againwe've made that long term investment in the
medical school here on Prince Everard Island, so we understand that we do have
to create our own We know fromthe research that local and ties to the
community are important in that recruitment process. So again that's a long term approach
to our problem. But I thinkover the last two days we've understood that
(36:39):
we need to work on the residentmatching program with cirms. We need to
look at Expedia pathways, we needto look at scope of practice. So
we are experiencing net gains in oursystem. I know people don't always experience
them, but again, you know, our current and some of the our
older physicians have large practices that requireone three doctors to replace them. And
(37:02):
again we continue to see significant populationgrowth on prince Ll RD Island, which
is challenging. So we do haveto swim against the population current from time
to time. But again I thinksome of these steps and some of the
initiatives that we spoke of in thelast two days, we'll start the yield
results. Thank you, And it'sjust if you want to stay there and
(37:22):
if anyone else, maybe if thefederal minister wants are joined as well.
But I think he's kind of addressedthis when we talk about those bilateral funding
agreements. It was announced for PIback I think it was February twenty second.
We had a few provinces announced thatday. They had an agreement in
principle, and as I recall,what we were told is that money would
be able to be used in thisyear's Pei health budget. So I just
(37:44):
wonder from your point of view,what are the sticking points such that you
still haven't ratified that agreement. Yeah, We've always been proud of our relationship
with the federal government. Our Premierhas always been very collaborative with our federal
partners. So again I think we'reclose on the Bylats. From that perspective,
we all understand that money won't fixeverything in healthcare, so again we
(38:04):
are I shouldn't say that was myfederal minister behind me with regards to funding,
but again I'm confident that our bileAds we've proven in the past to
be one of the first at thetable with regards to early child child educators
and day ten dollars day daycare.So I'm proud of that relationship. So
the Buylat money will flow and wewill continue to invest. And we have
(38:27):
had the biggest healthcare increase in ourbudget in history. We have got about
fourteen percent, So we are puttingour money behind our healthcare system. Next
question, Hi, Hi, Ihave a question for Minister McLean. My
name is Tin. When I'm withthe Guardian here in Charlatown, we've been
hearing a lot about population growth inPei and by twenty thirty. The problem
(38:52):
is projected to reach two hundred thousandpeople here on PI. That's going to
put a lot of strain on thehealth care system here. Is anything that
comes out of the meetings the pasttwo days that you think it's going to
help population growth and the strain it'sgoing to have on the health care system
here. Yeah, I think it'sa challenge for all of us on the
(39:14):
stage here today as we're all experiencingsignificant population growth in all our jurisdiction.
So it is a challenge in providinghealthcare again, back to collaborative care,
Doctor Ross, you know, ourpractices are our family doctor centric centric at
this time and we need to moveaway from that. I always explain it
as we have an inverted pyramid witha family doctor at the point where we
(39:38):
need to turn that pyramid around whereyou're entry into the system has many,
many entry points. So we've startedthat process. So I think that's an
important part of our transformation of ourhealthcare system. And even again from the
federal government perspective, they've increased theexpress entry program for healthcare workers. They're
going to double who they expatiated expediatedpathways through immigration so hopefully that will help
(40:06):
satisfy our help our human resource challenges. Thank you. Follow up question,
next question, Hi, Hi,I'm Alana Piroll with CTV. I have
a maritime related question, so thatmight be Minister McLean again specifically for the
(40:29):
Maritimes. Is there a list ofpriorities that came out this week when it
comes to what needs to be donefirst and foremost? I guess I will
speak on behalf of my Minister fifthand Minister Thompson who joined us virtually over
the past two days. So againwe always ad Minister Osborne as well.
Is important Atlantic ministers continue to collaborateagain because some services we can't provide and
(40:52):
some jurisdiction so we require cooperation.So again those conversations were proud of those
relationships, so that we do.But specifically to the last two days,
we focused on, you know,not regional needs, but more national and
provincial based needs. Follow up,you say that you didn't focus on regional
(41:16):
needs obviously though is a top priorityfor a lot of people who are living
in all of these regions that arelooking for healthcare commitments. But just as
a whole, I guess when canCanadians in this case, and Maritimers expect
to start to see some of thesesteps really be implemented across our healthcare system.
Yeah, I guess it's important againfrom an Atlantic perspective, that we
(41:37):
continue to collaborate. I use theterm net gains a lot in my conversations
with those three colleagues that if wecan work together in order to expediate any
type of process that we're trying tohelp our healthcare system. So again,
we are again, as you know, provincials are task with the responsibility of
(41:57):
delivering healthcare, so we do workon our own provincial mandates individually. But
I think it's meetings like this,I think we've we've all understood the importance
of collaboration. We do have alot of commonality in our our problems,
but we do have specific issues andsolutions that maybe tailor made certain parts of
the of the country. Thank youvery much. I believe we'll be moving
(42:22):
to zoom at the moment. Thankyou very much. If you're a journalist
on the Zoom and wish to aska question, please use the hand raising
function. Again, we asked thatyou limit yourself to one question and one
follow up, and please state towhom your question is directed see journalist or
the zoom in quest on according tofour men smite in quest ad kivu pose
(42:52):
first question, not premier q tide co opt to len from Helen Yes,
Hi, can you hear me?Yes? Okay, My question is
probably from Minister McClain, but alsoif someone from Alberta and or Ontario can
answer, that'd be great. Ijust wanted to know where the provinces stand
(43:12):
in terms of dental care. Ottawais moving ahead with its program and most
provinces have already some sort of coverage, so I wanted to know is there
any disagreement on this? And alsoI wanted to ask the same question about
pharmacare Ottawa is planning to table abill before Christmas. What do provinces think
(43:34):
about that? I remember in thelast meeting in December twenty nineteen in Toronto,
most provinces said that we didn't needpharmacare a person. Hi, thank
you for the question, and I'mvery proud of the fact that Alberta has
(43:55):
some of the most comprehensive care forlow income individuals on dental plans, and
so we are in discussion with ourfederal counterparts. And they're very good discussions.
Obviously, we don't want to losewhat we have and we want to
enhance it. So we have somevery good discussions ongoing and look forward to
(44:15):
sharing more as we have the availabilityto do so. Thank you. In
terms of Bei's perspective on dental careand pharmacare, again, as a small
jurisdiction, sometimes one size does notfit all, we recognize that. I
think our federal partners will recognize thattoo as well, so we need to
(44:36):
be cognizant of that as we havethese discussions. Again, we too are
very proud of our current dental programthat we have in Prince overd Isle,
and again we'll have continued to havethose discussions on pharmacare and what kind of
impacts positive and negative, if manyhave, on our current system that we
have in Prince overt Isyle. ButI guess as a follow up, I
(44:59):
guess the question was specifically on pharmacare, what's the overall feeling by provinces or
sentiment. I remember that back thenprovinces said, hey, we already have
a problem financing the services that alreadyexist. We should finance those services before
adding more. So is that stillthe sentiment or are you okay with Ottawa
(45:22):
going ahead with that? With respectto Pharmacare, I think it's important to
recognize that the provinces all have pharmacareprograms across the country about thirteen billion dollars
worth, and so we've had init for the last number of years the
(45:45):
desire for the federal government to getinvolved in a national pharmacare program, and
it's been There was a national reportthat was written by a former Ontario Minister
of Health, doctor Eric Hoskins,and they're proceeding and working on their priority.
We are not aware of the detailsof that yet, but if you
look at Pharmacare in Canada, wellover ninety percent of Pharmacare supports are provided
(46:08):
by the provinces, and so we'rean important player and all that, and
we're interested in what the federal governmentis doing. What we really are interested
though, is making sure that Canadianshave care. In British Columbia, when
we adopted universal access to contraception fora group of people who tend not to
receive deductible based Pharmacare program, namelyyoung women, it has made a very
(46:32):
significant impact both in their health andfrankly in their pocketbook, and the issues
of access to prescription drugs are criticalin every province, so we're taking action
all the time. All of theprovinces have taken action, for example,
and Biosimilars, which is to reducethe cost of prescription drugs in Canada,
has had a profound and positive impact. It has allowed us to fund other
(46:57):
drugs. So we're very interested inwhat the federal government is doing and encouraged
that they'd want to play a rolein this to support Canadians. But our
focus is on Canadian patients, onpeople living with chronic diseases, on people
who have rare diseases and are facingsometimes catastrophic cancer consequences, and getting access
to the drugs they want. Everysingle provincial jurisdiction has been acting in this
(47:21):
area, and the federal government isgoing to come forward to as legislation and
we're looking forward to seeing what thatlooks like. Thank you, I see
For next question, we'll go toLindsay Armstrong with the Canadian Press. Please
go ahead, Lindsay, thank youvery much. My question is for Minister
Dubai. I'm wondering what are thesticking points in the negotiations for Quebec and
(47:45):
what changes do you need to beable to sign on. Well, I
answered that a bit previously. Whenwe had the first presentation, we were
very clear that the transfer front federalhad to be without conditions and this is
(48:08):
not negotiable for us. We've beenvery clear that health is a matter of
provincial jurisdiction and we stick to that. So I don't have any more comment
on that. Thank you. Anyfollow up, Lindsay Hi, Yes,
(48:36):
a question for Minister MacLean regarding thePharmacare legislation, What specifically is needed for
your province to administer such a program. What needs to be in the legislation
for that to work for you ona provincial level. Thank you for the
question. Sorry again, I thinkwe need to as as Minister Howme explained
(48:58):
to us today during meetings is thatthere's ongoing conversations in Ottawa with regards to
what a Farmacare program will look like. Again as he navigates a minority government
and how they work with their partnersin order to bring a Pharmacare program for
consideration. So you know, ourofficials continue to provide input and that's what
(49:20):
these couple of days are for inorder to provide some direction in that,
but it is I don't want touse a wait and see approach. But
again we need to see how thiswill work. And again we're very sensitive
to our smallness and our small jurisdictionin that a one size fits all may
not be appropriate in Prince erward Ownand it may not be appropriate in other
(49:44):
jurisdictions as well. Thank you,I see. Unfortunately this will have to
be our last question. Malado isMaelfoe, Daniel or Castile. We're going
to go to Katie Dangerfield with GlobalNews. Katie, please go ahead.
Hello, This question is for MinisterHolland. This week the UK proposed raising
(50:06):
the legal age that people in Englandcan buy cigarettes by one year every year
until it is illegal for the wholepopulation. Could this be something Canada would
consider implementing. Thank you for thequestion. We know that tobacco is the
number one cause of preventable illness inthis country. In fact, it's the
(50:27):
only product if you take as directed, will kill you. So you know,
cessation efforts are absolutely critical and inpartnership with provinces and territories, with
a not for profit sector with pharmacists, doctors, nurses, the efforts on
cesstation have really been remarkable. We'vebeen able to see Canada to have an
extremely low prevalence rate, but itneeds to be lower. So you know,
(50:52):
we're going to continue having conversations abouthow we do just that. I
used to be in Ontario on theCommittee for Act on Tobacco and this is
an issue very close to my heart. It is absolutely devastating to see so
many people die and get sick fromsomething that's so preventable. So you know,
(51:12):
continue to have you know, tode normalize it, to find ways
to help people with cessation, andlook at what's the best way to really
get at it and base it onevidence of what will work. So we're
looking at what other jurisdictions are doingand we'll look at the evidence from that
to inform our best decisions. Thankyou. Any follow up, Katie,
(51:35):
Yeah, So just to clarify,do you have any tangible examples of what
candidate is doing to crack down ontobacco use with you, Well, you
know, this is multi jurisdictional,so you know, one of the things
that is so important with cessation effortsis the relationship that people have with their
physician or with their pharmacists and theconversations they have with them about the cessation
(51:59):
tools that are available. And we'revery fortunate there is a vast array of
cessation tools that are available. Thefederal government has taken historic action, has
been a leader on UH, forexample, plane packaging, on taking aggressive
action on on on advertising, onhelping to communicate the dangers of tobacco and
(52:20):
work with the not for profit sector, and on issues like industry de normalization.
So folks can understand some of thetactics and ways that tobacco companies here
and elsewhere have tried to get peopleaddicted to their product. UH. So
you know, we we have beenseen as a global leader in tobacco.
I think you have every expectation tomake sure to know that that will continue,
(52:42):
UH and that that effort will bemulti jurisdictional. Thank you very much.
That concludes our event, Living NotYes We Go. The show has
(53:24):
been produced by Depictions Media. Pleasecontact us at Depictions dot media for more information.
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