Mr. Speaker, we are here to debate Bill C-64 at third reading. It will come as no surprise to anyone when I say that the Bloc Québécois will be voting against this bill. I am the last person from the Bloc Québécois who will be rising today to speak to this bill on pharmacare. We will soon be voting on it and we will see whether it passes.

What we have been saying repeatedly in the House is simple. What the Bloc Québécois wants is for the federal government to stop interfering in provincial jurisdictions. We want the money to be transferred to Quebec with no strings attached and we want full financial compensation. We want health transfers. That is what we want, and that is what we will continue to hammer home. I feel like I have to keep repeating myself in the House and that is not right. All the Bloc Québécois wants is to defend Quebeckers' rights and to simply get the money we send to the federal level back so that we can improve the pharmacare program that we already have in Quebec.

When this bill was being studied in committee, the Bloc Québécois proposed an important amendment. It read as follows:

(4) Despite subsections (1) and (2), a province or territory may elect not to participate in national universal pharmacare, in which case that province or territory remains unconditionally entitled to receive payments in order to maintain the accessibility and affordability of the prescription drugs and related products already covered by its public pharmacare.

I do not think this amendment was unreasonable. Its purpose was simply to uphold respect for jurisdictions. The committee chair rejected the amendment on the grounds that it was out of order. The reason will come as a surprise to many. The chair ruled that our amendment was out of order because, in his opinion, it would have required royal recommendation, which we obviously challenged. In committee, however, we can challenge a decision, but unfortunately, we cannot debate it. The committee therefore voted to uphold the chair's ruling.

I was rather shocked that the committee ruled our amendment inadmissible. The purpose of the amendment was simply to ensure that jurisdictions are respected and that Quebec be given the money that has already been budgeted and set out in the bill. Quebec is simply asking that its share be set aside and that the money be transferred to Quebec so that it can improve the system that already exists in Quebec. It is unbelievable that that was rejected. It makes no sense.

I think the opposite is what should require a royal recommendation. Anything that goes against the Canadian Constitution should require a royal recommendation. That is not the case here. Unfortunately, this bill goes against the very foundations of the Canadian Constitution. Let me explain.

It is rather ironic that it still takes a member of the separatist party to remind the House how the Canadian Constitution works, when the government never misses an opportunity to point out that the Constitution is untouchable and that all the issues related to it are not important to Canadians and Quebeckers or that Quebeckers do not care about jurisdictions. However, as surely as I stand in the House today, based on the polls we are seeing, I can say that Quebeckers want jurisdictions to be respected. Whenever Quebeckers are asked who they would prefer to manage services like education or health care, the vast majority of the time, the answer is the same: Quebec.

It is all the more ironic given that the Constitution I am talking about is the one that was imposed in secret by the father of the current Prime Minister, during the night of the long knives in 1982. That was a little refresher. Since then, the Liberal Party's tendency has grown stronger. Increasingly, English-speaking Canada wants Ottawa to be its real government, the one that manages the bulk of public services. Conversely, Quebec has made a different choice. Quebec wants to manage its own jurisdictions, its own health care system, its own education system, its own day cares and so on. That is the choice that Quebeckers are making and that is the clear choice that the Quebec National Assembly made when its members unanimously reiterated that jurisdictions must be respected.

Of course, pharmacare has a noble objective, that of giving every individual, every person who needs medical services or prescription drugs the ability to get those drugs for little or no cost. It is so noble that Quebec has already done it. Quebec already has its own pharmacare program. Taking care of people affected by the difficult economic conditions we are experiencing is very noble. The problem is that these measures are ill-suited to the different realities of Quebec and Canada's provinces.

Even with all the good faith in the world, this was inevitable. Health and housing are not federal matters. The House of Commons has no business getting involved in those areas. That is because Quebeckers believe that their real government is in Quebec City. As long as that is the case, the concept of fiscal imbalance will exist. My colleague from Mirabel is very familiar with the concept of fiscal imbalance. We will not stop talking about it in the House. By fiscal imbalance, I mean the fact that the provinces have insufficient financial resources in relation to their own powers, while the federal government normally has surpluses. It is hard to understand why it has these deficits given all the money it collects. Yes, it has services it is supposed to deliver, but they are not exactly high-quality services.

The responsibilities that fall under federal or provincial jurisdictions must be respected. More simply, as Bernard Landry used to say, “the needs are in the provinces but the means are in Ottawa”. Even if the federal government tries hard to deny its existence, the fiscal imbalance is a major problem that has been recognized for many years. As the population ages, the cost of Quebec's social programs is rising rapidly. The cost of pharmacare is obviously rising rapidly. It is up to the Quebec government, and the Quebec government alone, to determine where the funds for these programs should go and how to improve the pharmacare program that already exists.

Since Quebec is chronically underfunded, we might wonder, as we often do, if a Quebecker is worth less than a Canadian. The Government of Quebec is shouting itself hoarse asking for health transfers. What does the federal government have to say in response? It responds with even more intrusions into Quebec's jurisdiction. That is what we are seeing again today with pharmacare. Unfortunately, the reason Quebeckers prefer to have pharmacare and every area of Quebec's jurisdiction run by Quebec City, is that everything the federal government touches results in failure. Federal equals failure.

I have talked about ArriveCAN several times in the House. I have a question: How much does Tylenol cost when it is 7,500% higher than its cost, like the ArriveCAN app was? It is going to be expensive. That is what is happening with pharmacare. The pharmacare that the federal government is going to create is going to cost us a lot more because the only thing the federal government does is mismanage its programs, run them completely inefficiently, like it did with ArriveCAN.

Quebec's system may be imperfect, but it does not need interference or duplication of costs. It needs more money. That money is in the hands of the federal government. It is a mixed system, a system that works well between a “forgiver” and company contributions and individual payroll contributions. It is not perfect, but it works. It is based on an existing model in France. The federal government is modelling its plan after it. However, instead of simply saying that Quebec has the expertise and skills to run its own pharmacare, the federal government wants to duplicate it and make it less efficient. It is crazy and that is why the Bloc Québécois is against this type of bill and the pharmacare program proposed by the federal government.

I keep hearing my NDP colleagues remind us that the major unions, including the Fédération des travailleurs et travailleuses du Québec, have come out in favour of moving forward with pharmacare. Of course, they had their reasons, as I will explain today. The reason is noble, the objective is noble. Improving medical coverage and offering pharmacare to people with diabetes or people who use contraception is noble, but it is not a federal jurisdiction. It is up to Quebec to decide how to do that. It would cost Quebec less to improve its own pharmacare program than to have it managed by the federal government. A ton of evidence shows that the federal government has no idea how to manage its own programs. Does anyone need to be reminded about passports or ArriveCAN? No, I will not go there. It is too late, and if the truth be told, I am a little too tired for that.

In conclusion, once we recognize, first of all, the fiscal imbalance problem, which will continue for as long as Canada is governed by the current Canadian Constitution, and secondly, the need to take steps to help our fellow citizens, the House will have to ask itself some hard questions. When the federal system was set up, important needs came under federal jurisdiction, like participating in imperialist wars. Today, the real needs are in the provinces.

Let us be honest. Instead of voting on pharmacare tonight, why not vote to reopen the Canadian Constitution and finally put an end to this farce of separate jurisdictions?

Let us ask Quebeckers to vote again, put an end to jurisdictions, and declare Quebec's independence.

Nathalie Sinclair-Desgagné

$526,303.00