(Quebec) Minister Christian Dubé’s bill to put an end to the use of placement agencies is an “empty shell” in the eyes of the Fédération interprofessionnelle de la santé du Québec (FIQ). According to the union, Quebec misses its target and must give more bite to its aims.
“If the government thought it would please the healthcare professionals in the public network and the union organization […] with this pretense of a firm position against private agencies, it is clear that he did not succeed in fooling anyone,” said the president of the FIQ, Julie Bouchard.
Yet it was at the request of the union that the Minister of Health took the decision to legislate to abolish the use of agencies. “I’m still looking for the thank you,” retorted Minister Dubé at the opening of consultations on Bill 10, which began Tuesday in Quebec.
The union points out that the measures to tighten the screw on the independent workforce (ME) will for the most part be specified by regulation, the nature of which is not known for the moment.
“Bill 10 is absolutely no guarantee of limiting MOI, much less eliminating it,” continued Mr.me Bouchard who was the first group heard in committee.
The FIQ recommends that “the guidelines necessary for the gradual elimination” of the independent workforce, such as annual targets, deadlines and the basic criteria for government calls for tenders “be included” in the draft law and not in a regulation.
“This modification is essential so that Bill 10 really ensures the progressive elimination” of the agencies, writes the FIQ in its brief where the union issues a long list of recommendations concerning the working conditions of nurses.
As in emergency measures
The Minister of Health has argued that “the bulk” of the regulations to be tabled later by his government will be similar to the ministerial orders aimed at agencies during the health emergency. “I don’t think it’s an issue,” he said in a press scrum.
During the health crisis, measures had been taken to tighten the screws on agencies, such as the establishment of ceiling prices by profession. A 90-day period had also been made mandatory between the time an employee who leaves the network can return to work there for an agency.
“Everything you asked of me will be in the regulations. There will be no surprises,” reassured Minister Dubé in responding to Mr.me Bouchard. He recalled that the government had to give itself “flexibility” by proceeding by regulation.
According to the opposition, Minister Dubé retains too much leeway. “Precisely, it’s a bit of a blank check to the Minister,” launched Liberal MP André Fortin. “It looks more like a collection of decrees,” said Vincent Marissal, of Quebec solidaire.
“The powers given to the minister within the bill make it possible to eliminate the recourse just as much as to continue it,” argued PQ MP Joël Arseneau.
A “key element” of the Health Plan
Minister Dubé recalled that the use of agencies has exploded since the pandemic. “What should have been an exception has become a mode of management over the last few years,” he said, adding that the number of agencies “has proliferated.”
He also reported that companies have also taken advantage of network spending to raise their prices. Mr. Dubé argues that the Quebec state has paid “300 to 400 million” too much for “the same service” by using agencies.
In 2021-2022, the Quebec government spent nearly a billion dollars to hire independent workers. This is a 380% increase since 2016.