Thank you, Mr. Chairman. I want to refocus my question to the area of communities, especially the frontline workers who are usually the nurses at the health care centres. They are the ones who get the people coming in on a day-to-day basis.
One thing that I have always wondered is why is it that they are limited on the type decisions that they can make as an individual, especially when it comes to a situation when we talk about the possibility of medevacs. In my riding, there is a bus service that takes people from the communities to the regional health centre in Inuvik. Even there, they have to get permission from Inuvik. One thing I feel we have to do more of, especially as a government, is give more authority and responsibility to the people who are dealing with the patients on a one-to-one basis and make those decisions and give them the tools so they can make decisions without feeling threatened by someone above them or if they did something by saying, "Okay. We think that personally, you are not well. We do not want to take a chance, so we will send you to Inuvik," without them having to pick up a phone to phone Inuvik and ask what they think. If the doctor is coming in another three weeks, should that patient have to wait for three weeks to make a doctor's appointment?
I think we have to start finding ways to make better use of the people we have in the system. I think that is one of the frustrations we find with the frontline people, especially the nurses in our communities. When you talk to these nurses, they love what they do. The frustration that they have is when they are stuck in a position where they know the decision that they want to make is the decision that is not being supported by someone else. We have to look at allowing more flexibility in that area.
Another frustration you hear from frontline workers is having the tools to do the job that they are supposed to do. In many of the health centres, you do not have small things like a bus service or a small little vehicle to get you from point A to point B. A lot of the frustrations they get is that people are calling them saying so-and-so is sick and cannot make it to the health centre. They have to say sorry, there is nothing they can do. People assume because they are the nurse, they should come down to them. If the communities have the ability of having, not an ambulance service, but some vehicle that is accessible where you can have someone from the health centre go and pick up the individual and bring them to the health centre; it could also be used for the nurses to do their community tours. Many of these communities do not have the little things such as a vehicle to get them to do their job, to do their elder care, to go to home care where they go to the different elders within the community. A lot of these people have to find their own rides or walk to these communities.
Those little things we do to keep those nurses. The other thing is the facilities they work in. The big concern in Aklavik is sure, they know there is a new health centre that is going to be coming, but again, it is having to work within a cramped space. You have four people crammed into one little office, not having the luxury that other people have where you can go somewhere else and have that luxury. I think we have to improve the conditions these nurses are working under.
I think it is also important that we seriously consider looking at how we work within the First Nations communities. You talk to the nurses, the mayor, the chief, they seem to work together on community issues. However, it seems like when they need the tools or they need the resources to take on more authority and more responsibility, that is where they run into the problem with the red tape, or someone at the health boards is not responding or cooperating with them to do these unique things, to find ways to simplify the process or try to deal with these problems, especially where you have over-worked nurses and what not in the community, to try to find alternative ways of assisting nurses by having to either hire somebody to work part-time, be answering phones, or having somebody there that they can have just to be translating to an elder so they can explain to them what is going on.
Those little things that I see can go a long way to ensuring the health care of our communities.
Another area that I feel we have to do more of is start working in partnership with communities, especially First Nations governments such as band councils, in trying to access resource dollars that presently the federal government has a lot of.
I am talking about programs such as the aboriginal healing program. You are talking $100 million in that area. You are looking at programs such as Brighter Futures, community wellness. I think we as a government know we cannot do everything but if we pool our resources together, we are able to deal with these problems a lot better and a lot of the aboriginal communities I represent are frustrated because of the red tape trying to get the nickel and dimes out of this government, yet they are working okay with the federal government when it comes to the aboriginal healing program and other federal programs. So they are able to access those funds, but they are having problems accessing funds from this government.
There has to be a more cooperative and open process to allow for this government to streamline or pool the resources we have so we are able to get more mileage out of the resources that are out there, not only our resources but federal resources, so that we can pool our dollars and communities can deal with the front line issues, especially when you talk about problems we see in our communities; FAE/FAS, alcoholism, drug abuse. Those people need to have those resources so we can have healthy people who will assist us in the government. Without healthy people, it is costing us more money in the long run. So there are things we have to do to look at alternatives that are out there.
Another area is the alternative treatment program that you touched on. I for one have been hounding this House, especially in the 13th Assembly -- poor Mr. Ng, I think he is probably having nightmares about me today with regard to Tl'oondih. That facility is still there. It is being used by the aboriginal groups in the region, yet it is not being used by this government. As a government, we cannot afford to build new facilities.
We should start partnering up to use those resources and facilities that are out there where the aboriginal groups are using a lot of the resources they are getting through the aboriginal healing programs to run programs, regardless if it is the Inuvialuit or the Gwich'in. Again, that comes to looking at alternative treatment programs. Right now, we only have one treatment facility within the Territory. We have to start using those facilities that are out there.
I just want to touch on a few areas that we have been talking a lot about here. There is the whole area of reports, studies and what not. Since I have been here, we have been talking about the Med-Emerg report, which was back in the 13th Assembly. Then there was the Ministerial Forum on Health, which submitted a report to this House. Now we are doing another review on another report that is coming forth shortly. Again, I think that we have to start dealing with the problems that are out there. I am not trying to put as much emphasis, onus on studies, reports and what not. What we are seeing is we are being studied to death.
Our problems are compiling. It is costing us more to deal with these problems. Unless we deal with the problems that are there now, I do not think we can continue to put the resources and dollars into these reports. We have to start implementing the reports and the recommendations that come out of those reports, which a lot of good people and a good pile of information has been compiled over the last number of years. I think it is important that as a government we start implementing those recommendations that come out of these reports and not continue to one report after another report after another report. I for one am seeing that as a waste of resource dollars that could be better spent in the health care system.
I just wanted to make sure I got as much mileage out of my ten minutes. With that, I will leave it to the Minister to respond.