moved that Bill C-323, An Act to amend the Excise Tax Act (mental health services), be read the third time and passed.
Mr. Speaker, whenever we have an opportunity to bring a private member's bill to this House, it is an important and exciting day. I know some of my colleagues on both sides, or at least over here, have had the opportunity to do that, and some of them even successfully, which is a great feeling, especially when private members' bills speak on behalf of the people who asked us to do this work on their behalf. It is a significant opportunity that can have a very personal meaning attached to it.
Bill C-323, as you, Mr. Speaker, have spoken about, has had a bit of a tumultuous course in this House, even having been adopted in the fall economic statement, in some form at least. Many would suggest that it should be taken as a great compliment that the NDP-Liberal government would see the wisdom of things that we do on this side of the House, which happens very rarely, I would suggest. We should be happy that it happened. Since it is Friday, we will just be happy that it happened, nonetheless.
The original form of Bill C-323 recognized that psychotherapy and mental health counselling services are not exempt from GST and/or HST, thereby making it significantly more expensive when Canadians have to pay out of pocket for those things. If we do the math associated with it, depending on where one lives, removing those services from GST or HST could mean that every seventh or eighth session would, in essence, be free, although we know nothing is free. Certainly on this side of the House, we get concerned with the use of the word “free”.
That being said, one significant type of therapy that was omitted originally was registered massage therapy services. When we look at how people recover from their mental health stress, distress and illnesses, we do know that registered massage therapy services can be a significant part of that. Many people choose to use registered massage therapy services on a regular basis as maybe a health maintenance type of program. Of course, many people choose to use it with injury and other illness as part of their ongoing self-care regimen. When we look at the utility of registered massage therapy services, I would suggest that adding it to this private member's bill would make perfect sense with the way it dovetails with self-care that Canadians so desire.
I know that I have talked a bit about this before, but it is worth repeating. Mental health difficulties and, indeed, perhaps even the crisis that exists in Canada are ongoing. In a more cumulative sense, we know that after age 40, one in two Canadians will have had a mental health diagnosis during their lifetime. Those fortunate enough to have someone sitting beside them can look at that and understand how significant that really is, when we realize it is every other person in Canada at the current time.
I will try not to irritate the NDP-Liberal government too much, because I do want it to pass this bill, but I cannot not say that I am incredibly disappointed with its announcement of the $4.5-billion Canada mental health transfer, which has never been allocated. I know that the folks on the other side of the House will say that they have allocated it in a different way, and this and that. I am not entirely convinced of that. I would like to see the numbers and understand where the $4.5 billion is.
That being said, I am not trying to be irritating to the NDP-Liberal government, but it is a bit of a cruel trick to say to Canadians that this country values mental health treatment and support for people who suffer with mental illness. The NDP-Liberal government effectively said, “We will transfer $4.5 billion to provinces to help strengthen mental health treatment and diagnosis”, and then, of course, it did not happen. That is the proverbial rug being pulled out from under people, and it is a sad day when that happens. It was a big announcement, but it just did not happen; that is the way it went.
To further underscore the severity of mental illness in this country, we know from studies being done that the cost to the economy of our great nation is about $51 billion every year in lost productivity, direct health care costs and mental health quality-of-life issues for people who suffer from mental illness. It is not insignificant; even though we talk in the House easily about billions of dollars, $51 billion is a heck of a lot of money. How do we put a price on individual suffering and the angst and distress that it causes?
I think one thing that has been done reasonably well in our great country is the ability that people now have to understand that, first, mental health issues are incredibly common, and also, second, that it is important that we have the courage and the ability to speak out about them. Certainly initiatives like the Bell Let's Talk Day have been important. I will also give a shout-out to Kids Help Phone, because I think it has done incredible work.
There is also the advocacy work of my colleague, the member for Cariboo—Prince George, with respect to the 988 suicide prevention hotline. I am absolutely thrilled to tell members that he will speak to Bill C-323 later. His passion and his compassion for Canadians always come through in everything that he says. When he speaks, it really comes from the heart, which has a significant amount of meaning for me. I am happy to call him a friend and a colleague.
In that vein, we do know, sadly, that 11 Canadians die every day by suicide. It goes without saying, of course, that this is 11 Canadians too many. When we think about it deeply as an individual, we begin to think how bad things must be in a person's life that they think their only option is to take their own life, that things are that incredibly difficult and that there is no future they can possibly see. However, certainly if they have the opportunity to realize there is a 988 number, and they think, “Hey, I can reach out to this number and have someone answer me”, then we know the likelihood is hopeful that they may see a different picture when they are finished with some talk therapy, as we might say.
However, accessing talk therapy, accessing help from a therapist of whatever kind one may choose, has become exceedingly difficult in this country. We know that it has become more and more difficult because Canadians do not have access to primary care. Seven million Canadians do not have access to primary care in this country. Why is that important? It is important because the majority of the way we access care in this country is by having a primary care provider. If they are unable to meet someone's service needs themself, they will reach out on their behalf and help find someone who can.
Even in the town of Truro, Nova Scotia, where I live and where I was a family physician for many years, when people finally make the decision to present themselves to me, for example, as a former family physician, and have made the decision that they need to get some help, they do not want to wait months or weeks to get that help.
I know that they have struggled with that decision, often over many weeks and months, and that when they finally make that decision, it is important that they get help in a timely fashion. Sadly, at the current time, the timely help that Canadians need is just not available to them, and we need to be more responsive, as a country, to Canadians who need mental health care. This is not just for financial reasons but, most important, for the mental health quality of life that Canadians want to experience, and for their inclusion in and enjoyment of society.
We also have to talk a bit about the opioid crisis when we are talking about mental health in this country. People with a mental health diagnosis are twice as likely to suffer with substance use disorder and misuse of substances as well. We all know in the House that this is a crisis in this great country. I am not going to stand here to say that we do not, perhaps, disagree on how it is being treated. However, it is important that Canadians understand that we all would agree, and certainly I do not think I will get much push-back from my colleagues, that there is a crisis with respect to opioid use in this country. We also know that incredibly, sadly and disappointingly, 22 Canadians are dying every day from opioid overdoses.
As I said, we may differ on how this should be tackled. That being said, we do know that resources need to be given to help with things such as prevention. How do we help ensure that future generations of Canadians do not suffer with substance use disorder the way that we are seeing in our country now? We still also believe in this country that there needs to be disruption of those who deal drugs and profit from the suffering of others. That has to be an important part of it and, of course, recovery has to be a part of it, as well as what quality, meaningful recovery looks like. We can argue about that, but we need to make progress with respect to recovery in this country, especially for those who want to choose to attend recovery programs, get their lives back in a meaningful fashion and mend those relationships that have become very difficult to mend.
People need vocational training. They need housing. They need support. We all know that, and it does not matter from which side of the House one is arguing that point. This is a huge problem. In spite of the fact that we know there are differences in how we want to approach it, we have seen compassionate testimony on the health committee. I know, by virtue of the fact that all of us agreed to extend the study on opioids in Canada, that we know that this is a significant problem for many Canadians.
Therefore, we turn our attention to unmet mental health needs. A third of Canadians have unmet mental health needs. That is a significant number of people, and we know that currently 20% of Canadians are suffering with mental health issues. When we do the math, based on 40 million Canadians, that is quite simply eight million Canadians. This is a significant problem in our country, and we need to devote some resources to fixing that problem.
Bill C-323 is not a cure-all. It is not a panacea. It does not mean that, if it is passed in the House, suddenly all of the mental health issues are going to be gone for Canadians. Boy, I wish I had that opportunity.
For people who are seeking help and are paying out of their pocket, Bill C-323 would help. The bill would mean that, as a country, we would not charge them GST and HST on psychotherapy, counselling therapy and registered massage therapy services. If the House sees fit to, hopefully, pass the amendment and ensure that this bill is significantly different, it would be sent to the finance committee, since it deals with taxes and not to the health committee. The health committee does not want us to deal with money there, but just other important health-related issues.
I will leave it at that. Hopefully, Canadians now have a good understanding of the compassion and concern that we on this side of the House, shared with our NDP and Liberal colleagues, have for Canadians who are suffering out there, and that we see fit to help alleviate that suffering in some way, shape or form, today, here in the House.
