Thank you, Mr. Chairman. It had been talked about even last year. I think it was a CT scan, the reference that was made. Apparently it is fairly expensive -- not only expensive to purchase the necessary equipment, but it is also very expensive to maintain, and it has to have a certain volume of application to make it cost effective. There are some procedures that they are looking at to see if we could put them into the Territories, but that was one of them that I did inquire about. The nature of its operation is relatively expensive for the number of applications, and it would be far cheaper to send patients south to do it.
Debates of March 30th, 1992
Topics
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 522
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Thank you. Territorial hospital insurance services, $3,616,000. Agreed? Mr. Antoine.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
Jim Antoine Nahendeh
Thank you, Mr. Chairman. On the THIS Board there is a note on the last paragraph that says, "To provide funding for increased requirements for the operations of regional health and hospital boards, $1,575,000. This request is partially offset by a negotiated cost sharing arrangements with the federal government. The offset is estimated to be $740,000. However, there is an unresolved dispute with respect to this cost sharing arrangement with the Department of Indian and Northern Affairs Canada." So is this saying that the $740,000 is for cost sharing -- there is a possibility it could be offset but there is a dispute over it, so we might not get it? Is that what it means?
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Mr. Pollard.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
John Pollard Hay River
Yes, Mr. Chairman, that is correct. We may not get all of it.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Thank you. Territorial hospital insurance services, $3,616,000. Mr. Antoine.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
Jim Antoine Nahendeh
What is the nature of this dispute? Why is there a dispute there?
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Mr. Pollard.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
John Pollard Hay River
Mr. Chairman, it goes back to the actual health transfer. The health transfer included three documents, and Mr. Chairman, as you are well aware, the government of the day was warned that this thing could get out of hand. It seems that it has. The federal government maintains that when there was a block transfer into our base from Health and Welfare Canada, that that should have taken care of part of the health costs for aboriginal people in the NWT. The Government of the NWT maintains that, yes -- and that was in those 1988 dollars, the reason for that transfer of funds -- but we maintain that as the cost of delivering those services increases, then the federal government should be responsible for those increases. So I guess the difference between the federal government and ourselves, mostly, is the fact that there has been no escalator, other than the escalator in the formula funding agreement, placed upon the amount that was transferred from Health and Welfare Canada. That is the dispute at the present time.
As you well know, there have been arrangements back and forth and offers made back and forth, and we just do not seem to be able to put something on the table that the federal government is attracted to, and vice versa. But again, it shows up in the supp, and yes, we may not get all that money. Thank you.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Mr. Antoine.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
Jim Antoine Nahendeh
Thank you, Mr. Chairman. When the Minister is talking about aboriginal people, who are you talking about?
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Mr. Pollard.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
John Pollard Hay River
Status Indians and Inuit people, Mr. Chairman.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Mr. Antoine.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
Jim Antoine Nahendeh
This territorial government took responsibility for administration of health services for status Indians and Inuit in the health transfer program. If there is a dispute over the funding arrangement for the status people and the Inuit people, and if you are unable to recover the full amount, is there a possibility that the level of services provided to status Indians and Inuit would decrease?
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Mr. Minister.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
John Pollard Hay River
No, Mr. Chairman.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Thank you. Territorial hospital insurance services, $3,616,000. Agreed?
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
March 29th, 1992
Page 523
Some Hon. Members
Agreed.
--- Agreed
Medical Care Plan, Total O and M, Agreed
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Thank you. Medical care plan, not previously authorized, $3,425,000. Agreed?
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
Some Hon. Members
Agreed.
--- Agreed
Medical Travel, Total O and M, Agreed
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Thank you. Medical travel, not previously authorized, $3,144,000. Agreed?
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
Some Hon. Members
Agreed.
--- Agreed
Total O and M
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
The Chair Richard Nerysoo
Thank you. Total department, not previously authorized, $13,054,000. Agreed? Mr. Gargan.
Bill 25, Supplementary Appropriation Act, No. 3, 1991-92
Item 18: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 523
Samuel Gargan Deh Cho
With regard to medical travel, it is for additional costs for patients travelling from their homes to the nearest treatment centre. Is this treatment centre referring to the hospitals? This $3,144,000 is additional costs with regard to travelling from the community to a treatment centre. I guess the treatment centre is where I am a bit confused; as to whether it meant a hospital or an alcohol and drug treatment centre.