Thank you, Mr. Speaker. I want to follow up on some questions a colleague, Mr. Hawkins, had earlier in regard to a patient who was medevacked to Edmonton and who, in fact, is a constituent of mine. I’m going to ask some questions today. I want to try to get a better understanding of what happened and why it is that the government and the Department of Health would send a patient who had a stroke to a facility if they knew there were no rooms there for that patient. The answer that Ms. Lee provided to Mr. Hawkins yesterday wasn’t clear enough for me. Could she explain why they would knowingly send a patient who had a stroke to a hospital that had no room for them?

Thank you, Mr. Ramsay. The honourable Minister of Health and Social Services, Ms. Lee.

Thank you, Mr. Speaker. I think it is important to note that it is not the Department of Health that makes the decisions on who gets sent to where for medical care. It’s the doctor at Stanton hospital who decided, because of her condition and her medical needs, that she needed to be sent to Edmonton. My understanding is that in most situations the doctor here communicates with a doctor in the receiving location to make sure they agree to take this patient.

Now, I think it’s also important to note that she did receive and she is receiving the care she needed; it’s just that she couldn’t have her own room. She was in a triage facility in emergency. She was being monitored and tested, and she had attending doctors to make sure that they were looking after her. It was not the ideal situation, but she was being taken care of.

Whether it’s the department’s responsibility or the doctor’s responsibility, I think we have to do our utmost to ensure that when patients from the Northwest Territories are sent south, they actually have a room and will be looked after the way they should be. I agree with Mr. Hawkins; I don’t think 34 hours in an emergency room with a daughter and a three month old baby is appropriate.

I’d like to ask the Minister…. I know that yesterday she had mentioned that other centres like Grande Prairie or perhaps even Calgary were looked at as a possible location to send this constituent of mine. Was that in fact done? Did the doctor look at other locations to send this patient?

My understanding is that the receiving doctor at Capital Health decides where

this patient should go. The decision was made that the patient should be sent where she went. Our agreement that we have with Alberta is that we are guaranteed the medical services that Alberta residents get, and that’s what we have.

I didn’t hear an answer on whether or not other locations in Alberta or even…. I’m not sure; maybe the Minister could let us know. What other agreements do we have with health authorities in southern Canada to look after our patients? Are there other options? There are going to be huge demands on Capital Health in Edmonton. If their rooms are full, we need to be looking after our patients, and we have to ensure that this type of scenario is never allowed to play itself out again. So will the Minister answer that question?

I don’t have the detailed information. I believe our agreement is with the Government of Alberta. There might be some subagreements with Capital Health. What happened yesterday is unfortunate. We do want to see that that sort of situation does not happen. But I think it is really important, in the political forum that we are in, that these are medical decisions made by medical practitioners in Stanton and in Edmonton in the best interests of the patients.

Thank you. The time for question period has expired. I will allow the member a final supplementary question. Mr. Ramsay.

Thank you, Mr. Speaker. Again, I want to ask the Minister…. As I understand it, the bigger issue here is that Capital Health in Alberta is going to a one board approach, which is going to mean a reduction in services to NWT residents. What strategy has the Minister got to deal with situations like this that are going to arise?

There is no evidence to suggest that there is going to be a reduction in services because of the amalgamation of boards. There is no evidence to suggest that what happened to this particular patient has anything to do with amalgamation. Obviously, we as a government want to monitor this situation and make sure that we’re not affected negatively in that way.

Now, I think we have to keep in mind that Capital Health does provide us with very valuable services in many regards. Sometimes we run into problems. I could also advise the Member that I, in fact, talked to the Minister of Health in Alberta himself, when we were in FPT meetings, shortly after he had announced that the boards would be amalgamated. I talked to him on the phone as well to make sure that he understands that Capital Health is a very important service provider and that we continue to have a good working relationship with them.

Time for question period has expired. The Member for Yellowknife Centre, Mr. Hawkins.

Thank you, Mr. Speaker. I seek unanimous consent to return to item 8 on our agenda, oral questions. Thank you.

Unanimous consent granted.

Thank you, Mr. Speaker. I’d like to continue questioning, and I certainly want to thank Mr. Ramsay for helping on this issue, because it is an important issue for this family in Yellowknife.

I continued to ask the Minister four times yesterday: would she provide a written apology to this family in light of the way that this family was treated and certainly in recognition of the duration that this process went on? Is the Minister willing to write apology to this family and also recognize what she will be doing to make sure this does not happen again in the future?

Thank you, Mr. Hawkins. The honourable Minister of Health and Social Services, Ms. Lee.

Thank you, Mr. Speaker. I am always willing to take responsibility and apologize where necessary, but I am not sure if I could apologize on behalf of the services provided by the Government of Alberta. I am not the Minister in Alberta. These are decisions made by the doctor in Stanton and the doctor at the receiving end. I think it is unfortunate and regrettable that this situation happened. I believe that the department officials and the people responsible at this end did everything we could to help with the patient and the family.

Mr. Speaker, all those hospitals in Alberta, all those hospitals in Calgary and Edmonton and elsewhere, yet there were no beds. I’m wondering who is taking responsibility for sending one of our patients, who was in dire need of serious medical care, to a hospital, or certainly a city, that has no beds. Is the Minister willing to take responsibility specifically for that and write an apology on that issue so this family has some healing and can go forward?

Mr. Speaker, I don’t have the information on what decisions were made to see whether it would have been better for the patient to be sent elsewhere or to be moved and on what condition. I don’t know any of that information. I’d be happy to undertake, for the Member, to have

officials review this file and see what happened and whether there should be any steps taken.

Mr. Speaker, I’d like the Minister to explain a paradox. At one moment she’ll take responsibility, and at another moment she’s not responsible because it’s a doctor’s situation. At the one moment it’s Capital Health’s decision where to send the patient, yet she acknowledges that she spent all day on the phone. I’m really confused. If she doesn’t have control, why does she bother calling? If she’s the Minister, I would think she’d be in charge and respectful and do the honourable thing by providing a written apology to the family. But then she says it’s not her responsibility.

So who’s responsible for this particular situation? I’ll certainly take her up on that potential review. Ultimately I want to know: is she going to take responsibility and provide a written apology for this family? That is what they’re asking for; that’s what I’m asking for.

I did what I think the Member expects a Minister to do. When the patient’s husband called me at my office and told me what was going on, I directed the department to look into it. That is what I did. And I was advised of what was going on in between some of the actions the government was taking.

So, Mr. Speaker, I am responsible as the Minister of Health and Social Services and as a Member of this Assembly to respond to calls I get at my office, and that is what I did on Monday. I am willing to have the department review this file and also look to see what had happened and what we could do to see if we could do anything to prevent this from happening again, with the understanding that the doctors decide. We cannot second guess the doctors’ understanding, and they decide where these patients go.

Thank you, Ms. Lee. Final supplementary, Mr. Hawkins.

Thank you, Mr. Speaker. I’ll certainly, once again, accept the offer to review this file. I think that is a good first step for this family. Still, there’s quite a bit of vagueness on whether the Minister will provide a written apology to this family. I certainly hope the Minister will clear this up.

We need to be ultimately clear. Do we allow doctors — and this is certainly not a slight against doctors — to send people to hospitals where they can’t be treated? I want to be clear on that. Do we allow doctors to send patients south to hospitals that have no beds for them? In such cases I’m concerned about the level of service that will be provided.

I think the Member is quite incorrect in saying that the patient was sent where

the patient was not being treated. That is not correct, and that is questioning the capacity of doctors to do their work, Mr. Speaker. This patient — and I keep saying this — was monitored. She was being tested. It was important that she was monitored. She was being treated.

I think it’s quite inappropriate, actually, for us to talk about individual health situations, and I think it’s wrong for the Member to say this person was not treated. It is just that she didn’t have her own room. I understand, given her circumstances — she had a young baby and another daughter — it would have been much better for her to have been in her own room, but the decision was made that it was better for her to stay in emergency until she could get her own room. If she checked out — and she had the option to check out — she would not be on that waiting list.

So it was a medical decision that was made, and I think that we as the political masters have to be careful about questioning the practices and work of medical professionals.

Thank you, Ms. Lee. The honourable Member for Frame Lake, Ms. Bisaro.

Thank you, Mr. Speaker. I would appreciate this opportunity to actually ask a question that my brain remembered shortly after I sat down.

I’d like to ask the Minister of Education, Culture and Employment this question. I’d like to say that I appreciate that there are funding implications to raising the minimum wage. I do want to say, though, that I think there are likely very few people who are currently working at minimum wage in our territory. If it was a large percentage, I’d be very surprised. People simply can’t survive on that amount of money.

My guess is that even an increase of $1.75 per hour to the minimum wage could relatively easily be funded by finding efficiencies and savings within the department. I love to use this example: doing reports electronically instead of printing them and distributing them. It’s a good example and one I’m fond of.

So to the Minister: will he attempt to do the necessary analysis to see what it would cost to increase the minimum wage to, say, $10 an hour before we meet to review business plans in November?