This is page numbers 883 - 925 of the Hansard for the 13th Assembly, 5th Session. The original version can be accessed on the Legislative Assembly's website or by contacting the Legislative Assembly Library. The word of the day was chairman.

Topics

Supplementary To Question 357-13(5): Health Board Empowerment
Question 357-13(5): Health Board Empowerment
Item 6: Oral Questions

Page 889

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. In Fort Smith we had an experience as I referenced in my Member's statement where there was great political effort at this level made to institute a thorough full-scale investigation into the Fort Smith Health Centre, which cost about $1 million and a tremendous amount of stress which ended up being cancelled the day before it started. I would just like to get some assurance from the Minister as well that type of activity will not take place, again at least without full consultation, with community leadership and the boards in question? Thank you.

Supplementary To Question 357-13(5): Health Board Empowerment
Question 357-13(5): Health Board Empowerment
Item 6: Oral Questions

Page 889

The Speaker Samuel Gargan

Mr. Ng.

Further Return To Question 357-13(5): Health Board Empowerment
Question 357-13(5): Health Board Empowerment
Item 6: Oral Questions

Page 889

Kelvin Ng Kitikmeot

Thank you, Mr. Speaker. I can give that assurance, certainly. It is a very dramatic step to get into that type of an enquiry type of situation and as you know, there would have to be serious circumstances to warrant having that happen, Mr. Speaker. Thank you.

Further Return To Question 357-13(5): Health Board Empowerment
Question 357-13(5): Health Board Empowerment
Item 6: Oral Questions

Page 889

The Speaker Samuel Gargan

Thank you. Oral questions. Mr. Roland.

Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 889

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Speaker. Mr. Speaker, my question will be directed to the Minister responsible for Health and Social Services. It follows my Member's statement on the Inuvik Regional Health Board or the proper terminology would be the Inuvik Regional Health and Social Services Board. Mr. Speaker, in light of the concerns that have been brought forward with the decision that the board has made, I would like to ask the Minister, can you explain the background of this particular issue of medical services for the Sahtu residents and that reflects on the whole issue of the board in its decision to affect how medical services are accessed? Thank you.

Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 889

The Speaker Samuel Gargan

The Minister of Health and Social Services, Mr. Ng.

Return To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 889

Kelvin Ng Kitikmeot

Thank you, it is good to be back. People must have missed me the last couple of days. In respect to the Sahtu health care services, the last Minister of Health and Social Services chose to bring to Cabinet a decision paper that outlined where the Sahtu communities went for their health services. Specifically, it was decided at that time, Fort Good Hope and Colville Lake residents had the choice of going to Inuvik or Yellowknife for their services. People in Norman Wells, Deline and Tulita were asked to be referred to Yellowknife for their services. Thank you.

Return To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 889

The Speaker Samuel Gargan

Thank you. Oral questions. Supplementary, Mr. Roland.

Supplementary To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 889

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Speaker. In reference to the concern that a Cabinet decision was made and is still in effect, if this guideline or policy is in effect and guides Ministers in the way decisions are made, does this Cabinet still, and the Minister as well, have to follow past direction of past Cabinet decisions? Thank you.

Supplementary To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 889

The Speaker Samuel Gargan

Mr. Ng.

Further Return To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 889

Kelvin Ng Kitikmeot

Thank you, Mr. Speaker. Mr. Speaker, generally Cabinet or Ministers will adopt or operate on the basis of former Cabinet decisions. Ultimately, each Minister has responsibility under specific statutory instruments, legislation, outlining their authority. I use for example, my case as Minister of Health and Social Services under the Territorial Hospital Insurance Services Act, I have the authority to establish boards of management. I have the authority to delegate to them the authority to control health facilities, health programs and

services within that area which is scooped out, Mr. Speaker. Thank you.

Further Return To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

The Speaker Samuel Gargan

Thank you. Oral questions. Supplementary, Mr. Roland.

Supplementary To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Speaker. If, yourself, as the Minister of Health and Social Services has statutory powers under the Territorial Hospital Insurance Services Act, do you have to go to Cabinet to make decisions that affect the NWT residents, for example, the Sahtu situation?

Supplementary To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

The Speaker Samuel Gargan

Mr. Ng.

Further Return To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

Kelvin Ng Kitikmeot

Thank you, Mr. Speaker. Mr. Speaker, in a circumstance like this, I can be guided by a Cabinet decision, but I do not have to go to Cabinet because of authority that is invested in me under the statutory instrument. I can, of course, have the option of going to Cabinet to seek the overturn of a former decision if I deem that would be necessary or if I wanted to get some Cabinet direction or guidance on it, but ultimately, no. Thank you.

Further Return To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

The Speaker Samuel Gargan

Oral questions. Final supplementary, Mr. Roland.

Supplementary To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Speaker. If, you, as the Minister of Health, are not bound to follow a current or former Cabinet decision, what happens in a situation where a Cabinet decision is in conflict with your decision as legally afforded by you. For example, again, the Sahtu situation has been expressed in this Assembly?

Supplementary To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

The Speaker Samuel Gargan

Mr. Ng.

Further Return To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

Kelvin Ng Kitikmeot

Thank you, Mr. Speaker. Mr. Speaker, I would have a couple of options. As I indicated, I could put forward a new decision paper to Cabinet to reverse the former Cabinet decision or I could exercise my authority as I indicated under the legislation and basically, not consult with Cabinet in implementing or supporting any changes that may have been inconsistent with former Cabinet decisions. Mr. Speaker, by doing so, I would be exercising my authority by implying to amend or repeal the former decision. Thank you.

Further Return To Question 358-13(5): Medical Services For Sahtu Region
Question 358-13(5): Medical Services For Sahtu Region
Item 6: Oral Questions

Page 890

The Speaker Samuel Gargan

Oral questions. Mr. Picco.

Question 359-13(5): Financial Aid To Hepatitis "c" Individuals
Item 6: Oral Questions

Page 890

Edward Picco Iqaluit

Thank you, Mr. Speaker. I would like to follow my colleagues and ask the questions to the Minister of Health. Mr. Speaker, the Minister just returned from a meeting with his provincial, territorial and federal counterparts on health. My concern today Mr. Speaker is, why was it decided not to help, financially, the Hepatitis C sufferers? Thank you, Mr. Speaker.

Question 359-13(5): Financial Aid To Hepatitis "c" Individuals
Item 6: Oral Questions

Page 890

The Speaker Samuel Gargan

The Minister of Health and Social Services, Mr. Ng.

Return To Question 359-13(5): Financial Aid To Hepatitis "c" Individuals
Question 359-13(5): Financial Aid To Hepatitis "c" Individuals
Item 6: Oral Questions

Page 890

Kelvin Ng Kitikmeot

Thank you, Mr. Speaker. Mr. Speaker, this is a serious, complex issue. There was a decision actually by provincial, territorial and federal health Ministers to work toward providing a financial assistance package to Hepatitis C affected individuals. The issue, quite frankly, I have to be careful because there is some sensitivity in negotiations going on between the federal government and my provincial and territorial colleagues in respect to who is going to contribute what toward this program and what are some of the perimeters of the program that may be offered, Mr. Speaker. Thank you.

Return To Question 359-13(5): Financial Aid To Hepatitis "c" Individuals
Question 359-13(5): Financial Aid To Hepatitis "c" Individuals
Item 6: Oral Questions

Page 890

The Speaker Samuel Gargan

Thank you. Oral questions. Supplementary, Mr. Picco.

Supplementary To Question 359-13(5): Financial Aid To Hepatitis "c" Individuals
Question 359-13(5): Financial Aid To Hepatitis "c" Individuals
Item 6: Oral Questions

Page 890

Edward Picco Iqaluit

Thank you, Mr. Speaker. Mr. Speaker, during these negotiations and meetings, what is the position of the Northwest Territories government on this issue? Thank you.