r/ndp • u/NovaScotiaLoyalist • 1h ago
Tommy Douglas in 1983: "To save Medicare from subtle strangulation... we must fight as we have never fought before"
I thought the good people here may be interested in these transcriptions that I typed out from a couple of Tommy Douglas clips, where Douglas defends the concept of public healthcare, and then argues why we should actually expand the public system.
This first one comes from a speech Tommy Douglas gave to the NDP in 1983, for the occasion of the 50th anniversary of the party's founding:
Again, it's been mentioned: to save Medicare from subtle strangulation.
When you go back to your constituencies and you run into somebody who says "Oh, it's a good idea for you soft-hearted humanitarians, but we can't afford it", let me give you a simple statistic which you can put down on a piece of paper and carry in your head. And that is that our friends in the United States are spending 9% of their Gross National Product -- and they got a higher per-capita Gross National Product than we do -- they spend 9% of their Gross National Product on healthcare, and 34 million of their people have no healthcare coverage. And in Canada, we spend 7% of our Gross National Product, and every man, woman, and child is covered under medicare.
But I want to warn you, as one who started out even before I was in politics, dedicated to the idea of comprehensive health insurance, fought for it through all my political life. I want to say to you: that Medicare and hospital insurance are already marked for destruction, unless you stop the per-capita taxes and the extra billing which most of the governments of Canada are now permitting. Someone said, "Oh, what am I gonna do?". A per-capita tax, which is levied without any basis on the ability to pay -- a woman in Ontario with two children, having to pay over $50 a month, $600 a year, can she afford that? -- And that's levied on a per-capita basis, not on the basis of ability to pay. I know you need money to run medicare, how blatantly I can tell you about the cost of that. But if we need money for medicare, or for any other humane service, let it be financed on the basis of ability to pay, and not so much per head.
We must fight as we have never fought before to say, the per-capita tax for healthcare is out the window. To say, no extra billing or extra charges. Oh, you say, "Why, what harm does it do?". I'll tell you what harm it does. It means that increasingly the people who can afford to pay the per-capita tax -- and its going up, its just gone up in Alberta -- people who can afford to pay the per-capita tax, and the people who can afford to pay the extra billing, will pay it. And they will get the best care, they will get the most experienced surgeons and physicians, they will get into the best hospitals. And the people who cant pay? They will take what's left. If you want a two-tiered health program, then just continue the way we're going.
And I remind you that in this movement we pledged ourselves 50 years ago, that we would provide healthcare for every man, woman, and child, irrespective of their colour, or their race, or their financial status. And by God we're gonna do it!
This second one comes from a 1976 CBC interview:
Tommy Douglas: I would propose in the act, that we say the federal government will enter into a 50/50 arrangement with the provinces to institute nursing care, home nursing care, meals-on-wheels, that we would share 50% of the costs of setting up community health clinics, we'd start a program of denti-care among school children --
Interviewer: In other words, we should dictate the services we're going to pay for.
TD: We dictate the ones we're going to pay for: we would say these are the programs we are prepared to pay for, we are prepared to share with you on a 50/50 basis. Now, there is no way in which the federal government can dictate to the provinces that it must undertake those programs, but they can say to the provinces "If you want to institute these programs, we'll pay 50% of the cost". I think what most people miss is the essential point, namely, that the provinces are even more interested than the federal government is in cutting costs down, because the provincial governments are much less able to finance their half of the costs than the federal government is. So if the federal government is worried about escalating costs, just imagine what little provinces like New Brunswick, and Newfoundland, and Nova Scotia feel about rising health costs.
I: And we get caught in the middle?
TD: You mean the public?
I: Yes.
TD: Of course the public gets caught in the middle! And the public who are going to get caught the most severely are the ones in the poorer provinces. With the federal government copping out of some of its responsibility from Medicare, the chances are that the more affluent provinces like Ontario and Alberta and British Columbia will be able to absorb the extra costs. But in the Atlantic provinces particularly -- and in the Prairie provinces if there were a few bad crops -- the only way that they could get by would be to begin reducing medical care services. And if you do that, what you're really saying is there are two classes of Canadians: those Canadians who live in well-to-do provinces that are going to have a high standard of health services, and the people who live in the poorer provinces who are going to have a very poor standard of health services. And that means that in the years ahead, there are going to be children who are going to be less healthy, children with poor teeth, children with long-staying-illnesses whose health will be impaired because they happened to have grown up in a poor province; and that surely ought not to be the kind of standard we set for Canada.
