Recently, opposition parties in the federal legislature have been demanding that the federal government of Prime Minister Justin Trudeau create a public inquiry into the matter of Chinese and other foreign interference in our national security scene. I touched on this issue in a recent blog: Why would the Canadian government need a public inquiry on national security matters.
Now, we have several health and medical related bodies asking the federal government to have a public inquiry into the handling by governments of the COVID-19 pandemic in Canada. On July 24th, the British Medical Journal (BMJ) published a letter by more than a dozen Canadian physicians and health advocates shining a spotlight on what they’ve dubbed the country’s “major pandemic failures,” from the devastation in long-term care homes, to vaccine hoarding, to higher death rates among lower-income communities. Why would one need a public inquiry when there are already a number of federal and provincial bodies, such as Health Canada and the Public Health Agency of Canada (PHAC), which were directly involved in the coordination of policies and actions in response to COVID-19? Indeed, Health Canada has already indicated that there are a number of audits and studies underway, including the launch of an independent public health review panel and a series of comprehensive audits on the agency’s pandemic response being undertaken by the federal Office of the Auditor General.
The difficulty in Canada is that the responsibility for health matters is a shared one between the federal government and thirteen provincial/territorial governments. The implementation of a national COVID-19 strategy had to be coordinated among the provinces which for the most part were responsible for the actual implementation of actions on the ground, including the eventual mass vaccination of Canadians across the country. In addition, the on-going responsibility for long-term care residences lies with the provinces, and these facilities were known prior to COVID-19 to have major resource issues, including health care personnel shortages. The unfortunate high level of pandemic-related deaths at the outset was largely due to numerous systemic problems in long-term care residences in several provinces. As a result, plans are already underway by the provinces to attempt to correct these problems, especially when it comes to health care resources. The state of our hospitals and emergency services are also the responsibility of each province, and would require a thorough investigation of problems arising during the pandemic with respect to the handling of patients. There have already been several studies as to why communities with low incomes, immigrants and essential workers were hardest hit by COVID-19.
In addition, this past spring it was reported that there is a citizen-led, cross-Canada inquiry, the National Citizens Inquiry into Canada’s Response to COVID-19, which aims to examine how governments and institutions reacted to the pandemic. This appears to be a unique inquiry in many ways since it is citizen run and citizen funded.
Yes, there is little doubt that there were frustrations and concerns about the impact of existing complexities within the Canadian health care system, with its joint responsibilities between the two levels of government. Some, like the physicians and health advocates, might conclude that Canada was ‘ill-prepared’ and ‘lacked coordination’ in the COVID-19 pandemic. However, the same could be said for most Western countries, including the U.S. and Britain. No one disagrees that it is time to investigate what happened and learn how to prepare for the next pandemic. Having another full-scale public inquiry is probably not the best way to go.
There are enough expert organizations already out there, both federally and provincially, which need to examine their roles and resources when it comes to meeting the challenges associated with pandemics. By doing so, each of the necessary blocks can be strengthened and improved so as to develop more coherent and appropriate policies and actions in the future. In the past, Canada was infatuated with so-called royal commissions related to economic and social matters. However, they were top-heavy in resources and took a very long time to complete. In most cases, the resulting reports were simply shelved and forgotten about until the next crisis occurred. I truly believe that our existing institutions can carry out their post-mortem studies in a lot faster and more efficient matter. This way, they each will ultimately be accountable for the results, especially when it comes to carrying out any subsequent recommendations in a timely manner.