This is page numbers 203 - 234 of the Hansard for the 14th Assembly, 2nd 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

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Mr. Dent.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. Mr. Chairman, the Minister has said there have been discussions ongoing and the department is hopeful we can move to a different model for primary health care. I think the Minister knows the committee was supportive of that approach.

But specifically, in the four months that are covered by this interim appropriation, can we expect to see any resolution to this? Are we six months or a year away from seeing this instituted here? What is the time frame under which we expect to see this?

The Minister also knows the committee suspected there would be some resistance to this. I would like to hear what efforts the department intends to take, probably in conjunction with health boards and here in Yellowknife with Yellowknife Health and Social Services, to address the public concern that may arise about the switch in the model?

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Madam Minister.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you. I am going to refer that question to Ms. Ballantyne. Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Ms. Ballantyne.

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Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Ballantyne

Thank you, Mr. Chairman. Mr. Chairman, the move towards a different kind of primary care model is going to happen in stages. We certainly are not going to get there in a few months.

The first and primary objective is to stabilize the physician population in Yellowknife because we have lost a significant number of family physicians over the last few years, to the point where services to the outlying communities which were serviced by Yellowknife physicians are also being affected. They are not getting their regular medical clinics either. So the first concern is to stabilize the physician population by providing an alternative payment method that would meet the concerns of physicians.

Currently, physicians in Yellowknife are paying very high overhead costs to the point where they are finding their practices unsustainable. They are having difficulty attracting new physicians to come and work in this environment. I certainly would not want to give the impression that we are going to be moving very quickly to a brave new world of primary care.

This is obviously going to take some time in terms of both moving the physicians to a new kind of payment model. That needs to be done on a voluntary basis. The tradition of physicians working on a fee-for-service basis is very strong in Canada. We need to preserve that choice for physicians locally who do not wish to come onto contract.

The negotiations are complex. They are sensitive. I think all parties would agree they are extremely challenging in terms of the number of issues we are trying to deal with. I would be very hesitant to put any kind of timeframe on a conclusion, given the dynamics that are at play. I will say the department is very determined to try to implement an alternative primary care model.

We sincerely believe that offering physicians an alternative payment will help to stabilize the method. Certainly the response we are getting from a majority of physicians locally is that they are very interested in the alternative payment method and support it. I think the best we can do at this point is commit to keep the standing committee apprised of our progress and certainly to convey in our negotiations to physicians that Yellowknife MLAs are also hearing from their constituents that they want to see progress on this issue. Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 230

The Chair

The Chair Paul Delorey

Thank you, Ms. Ballantyne. Mr. Dent.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. I think we all recognize this type of change will take some time. Is there anything that the department can say to deal with the fears that the public has right now that their health, particularly in emergency situations, may be at risk?

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Madam Minister.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you. I refer this question to Ms. Ballantyne. Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you. Ms. Ballantyne.

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Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Ballantyne

Thank you, Mr. Chairman. Mr. Chairman, I think in Yellowknife we have had a very enviable situation for many years, where we have been able to pick up the phone in the morning and get in to see a physician that day. That is not the reality in the rest of Canada.

We are now in a position where you may have to wait a few days or you may get an appointment the next week, but this is still within the realms of acceptable access. The Stanton emergency room, although it is busy, having spent some time there recently myself, they are very busy but they are able to cope. We are not hearing reports from Stanton that they are unable to cope with the emergency room load at this point. It is something we are monitoring very carefully. Right now, I certainly do not feel there is a crisis locally. I would not want to convey that. Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mrs. Ballantyne. Mr. Dent.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. I am not sure that is going to satisfy the people who have concerns about the service they are receiving at the emergency room. Particularly, this came about because a mother heard from her doctor that the doctor was not being very reassuring about the service level at the emergency ward.

I think this is something we need to move on very quickly. I would encourage the department to put their best efforts into resolving the physician situation, while still moving ahead with the changes.

Mr. Chairman, since I see I am running out of time, I am going to add another issue before my time is up. I am interested in finding out from the interim budget how much is allocated to placement for children in facilities in southern Canada? Just what intentions does the department have to try and repatriate services for those children to the Northwest Territories? Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Madam Minister.

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Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. For the first part of the question, the answer is contracts for southern placements are $2,298,000. The second part of Mr. Dent's question was, what plans do we have for repatriation? As Ms. Ballantyne previously mentioned, our alternative programming initiative, which is in the works at this time, would increase the number of placements available for children from the current 16 beds that are available to 28. That could see a very significant percentage of the 40 that are referred to the south return to the North if that plan proceeds. Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Madam Minister. The Chair recognizes the Member for Mackenzie Delta, Mr. Krutko.

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Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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David Krutko

David Krutko Mackenzie Delta

Thank you, Mr. Chairman. Mr. Chairman, my question is in regards to the health insurance program, especially the non-insured health program that is specifically for aboriginal and first nations people.

In my riding, one thing you find is there is not really enough money to adequately provide services when you look at the cuts that have taken place. For eyeglasses, you are limited to one pair, I think, every two years. In dental care, there is a top I believe of $400 per person.

I think that because of these cuts, it is affecting the health and well-being of these people because of the total bill for the whole procedure. I wonder what is this government doing to try to top that up so that you are not maxing out your health benefit program?

Could the Minister tell me what her department is doing to ensure people are not told, "Sorry, you have used up your limit. Come back next year, come back in two years"? Especially for people with glasses and dental care. That is the area where I hear the most concerns. Could the Minister tell me, what are they doing to top up that program so people get the care they really need? Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Krutko. Madam Minister.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Mr. Chairman, the Member is right that some of the changes in the federal government programs and policies have impacted the non-insured health benefits program and have made the program more difficult to manage, both administratively and financially.

Discussions are ongoing, however, with Health Canada to resolve issues such as disputed claims. The Member mentions the dental services. With the change in the program with the federal government, it has made the processing of applications and approvals for work and payments, time consuming and cumbersome. What we can do as a department is continue to work with the federal government to raise these issues on behalf of northern constituents.

I do agree with the Member that recent changes have created significant issues for Northwest Territories residents. We look forward to the resolution of these problems but the discussions are ongoing at this time. Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Mr. Krutko.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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David Krutko

David Krutko Mackenzie Delta

Thank you, Mr. Chairman. In the whole area of the supplementary health benefit program, is there a way we could combine the program so that we could allow people to access it? In some cases, where a lot of people need their eyes checked, they may find out that the prescription that they received may have to be changed. Because of the time frames that are in place, you have to wait a while before you can get your renewal or replacements.

I am wondering if there is a way that we could use the other health benefit program so that they would not have to wait that long. Most of the people, especially aboriginal and First Nations people, do not have the economic potential that other people have and they do not have the resources to afford to buy glasses over and above the ones that they are allocated. I hear complaints from people where they either break their glasses or lose their glasses and they try to go get another pair. It seems like it is the elderly. The older they get, the more fragile they are and they are the ones that usually get stuck not being able to replace their glasses once they break them.

I was wondering if the government could use the other programs that are in place to offset the monies that may be needed to replace the programs that are there so we could top it up with other dollars. Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Krutko. Madam Minister.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Mr. Chairman, the Member's suggestion of using other dollars to top up programs that are traditionally funded by the federal government can be a dangerous route to take because the federal government has certain responsibilities under these programs. When the territorial government then gets involved in participating in supplementing these, what you actually do is remove the onus from the federal government to live up to the obligations that they have, and that can set a dangerous precedent. I think that it would be the direction in the department to continue to work with the federal government to ensure that they do live up to their obligations and provide adequate funding for these various programs. Thank you.

Inuvik Hospital
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you Madam Minister. Mr. Krutko.