This is page numbers 1955 - 1978 of the Hansard for the 16th Assembly, 3rd 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 health.

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Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

February 3rd, 2009

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

Thank you very much, Mr. Speaker. I would like to follow up on my Member’s statement with respect to the John Tetso Memorial Library closing in Fort Simpson. I sent numerous e-mails and memorandums to the government and particularly to the Minister of Education, Culture and Employment to assist the community in this matter. I would just like to ask the Minister: what stage or how far has this department gone in successfully dealing with the community organizations in addressing this very important matter for residents of Fort Simpson? Thank you.

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

The Speaker

The Speaker Paul Delorey

The honourable Minister of Education, Culture and Employment, Mr. Lafferty.

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

Jackson Lafferty

Jackson Lafferty Monfwi

Mahsi, Mr. Speaker. Certainly, we have been working closely with the community of Fort Simpson on this particular area. We have been working with various organizations in the community. As you know, the Deh Cho Hall is in the process of closing down because of the inspection that took place. At the same time, Mr. Speaker, we are working…I appreciate all of the correspondence that the MLA has sent to my department, to my attention. We are doing what we can to work with the community on finding solutions to have this community library based on if there are any vacant working units. At

this time, we are exploring options. ECE is also working closely with DDEC and also Public Works. There are scheduled meetings on February 10th with the mayor of the village, the district education authority, school staff and the ECE library services to explore additional options. One of the options is a library in the school area. Mahsi.

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

The issues are twofold with the closing of the library. One, of course, is short-term space and a long-term solution which is providing resources to do renovations to a school and an additional building that can house a library. I’d just like to know, once again, how far has the department been successful in looking at short-term solutions and maybe even using the new government office building that’s in Fort Simpson. Have they looked at any engineering plans? Can that building sustain library services, and include, as well, resources to upgrade the current existing Village of Fort Simpson building to renovate and beef up that structure so it can house a library? Thank you.

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

Jackson Lafferty

Jackson Lafferty Monfwi

Mr. Speaker, with our department we did explore various options in the community. The first option is, of course, the Member identified the new building if it could hold the library books and so forth. Certainly, the second floor, there’s space available but the weight of the books certainly cannot be feasible to having a library on the second floor. Also, PWS, I’ve been working closely with them and they confirm that Fort Simpson doesn’t have a suitable rental space available in the community.

We’ve done what we can as a department in working with the community. We do continue to work on an option of the school modification, but we have to work with the DEA because we have to respect their decision as well. The school operates within the community, so we continue to work closely with them and there is a planned meeting to discuss further options.

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

I would like to reiterate that the Department of ECE is responsible for library services throughout the Northwest Territories and they have made provision to assist other communities. Once again, this issue has been...We really felt it was on the backburner for awhile; they knew it was coming. I think the important thing here, Mr. Speaker, is where is the Minister looking at providing any resources in the community in the short-term to provide for library space?

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

Jackson Lafferty

Jackson Lafferty Monfwi

Mr. Speaker, we did look at, like I said earlier, options in the community, whether it be a rental space, but we haven’t had success to date in that respect. Certainly, we have to keep in mind about the capital planning process. Once the discussion takes place with the DEA and

the school staff and also the parents and the community, we can certainly move forward on that. Again, I have to respect the wishes of the community of how we can proceed with this. I’m more than willing to hear more from the MLA on how we can proceed with this from the community’s perspective.

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

The Speaker

The Speaker Paul Delorey

Thank you, Mr. Lafferty. Final supplementary, Mr. Menicoche.

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

The Minister mentioned the capital planning process, so there’s indication there that he’s willing to help the community with the long-term space needs of the library. I’m really pleased to hear that. When does that capital planning process begin?

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

Jackson Lafferty

Jackson Lafferty Monfwi

First and foremost is the consultation process with the community and how that structure’s going to look, if there’s space availability within the school, the modifications, the cost factor. Those are the issues that we need to take into consideration. I will keep the MLA in contact and in the loop with the community as well. Mahsi, Mr. Speaker.

Question 55-16(3): Closure Of Deh Cho Hall
Oral Questions

The Speaker

The Speaker Paul Delorey

Thank you, Mr. Lafferty. The honourable Member for Kam Lake, Mr. Ramsay.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

David Ramsay

David Ramsay Kam Lake

Mr. Speaker, my questions today are for the Minister of Health and Social Services. Numerous other Members have asked questions today about the supplementary health benefits and the proposed changes to those. Part of the big issue that I’m having with this is the analytical work, the work that somebody inside of the Department of Health and Social Services is, and should be, conducting on this. I don’t know how the Minister and the government could go public with a policy as half-baked and disjointed as this policy is. The Minister announced it in December and here we are the first week of February, I’ve probably got 500 e-mails, the Minister has got a number of e-mails and calls and concerns. Obviously, the policy itself is flawed. I’d like to ask the Minister today: who exactly is doing the work on this program and this policy change inside the department? How many people have been working on this thing? Obviously, somewhere along the line people are messing this thing up in a big way, Mr. Speaker. Thank you.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

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

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Range Lake

Sandy Lee

Sandy Lee Minister of Health and Social Services

Mr. Speaker, the policy section of the Department of Health and Social

Services were responsible for designing and doing consultations between 2003 to 2007 on the implementation of the policy with the health insurance office in Inuvik and we have obtained Blue Cross, who is the provider of insurance programs for the government to implement this plan.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

David Ramsay

David Ramsay Kam Lake

Mr. Speaker, there are only 42,000 residents here in the Northwest Territories and I find it completely absurd that the Minister cannot answer a question about how many people this will impact. She talks about low-income earners and families. How many of those people are there in our Territory and where are they? She can’t answer that question.

Also, I haven’t heard the Minister give us an answer as to her assertion that this move is cost neutral. Where is that evidence, Mr. Speaker? I’d like to see it, and so would everybody else. It just hasn’t been proven.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Range Lake

Sandy Lee

Sandy Lee Minister of Health and Social Services

Mr. Speaker, it’s hard to explain all this. The Health Care Program is a demand-driven service. I can’t tell you, as the Minister of Health, who is exactly on the system on any given day. Let’s just be logical. How many people are in the hospital? Well, I guess we could do that. We could do it today, take an inventory, but there are lots of people accessing this program and for all kinds of different reasons with all kinds of family make-ups and stuff.

What I want to say is, as the Minister, what you look at is the policy intent and policy objective, and cost neutral does not mean that we have $5 million for supplementary health and we cannot spend one cent more. That’s not how we operate supplementary health programs because the Member knows that for as long as this program has been around, we’ve been spending about $7 million over the last number of years and we have to come back for a supplementary appropriation if it goes over. The government sets out policy objectives and what it says is that until now we have provided supplementary health benefits to those who are over 60, 100 percent. If you have a specific condition on the list, it’s 100 percent. If you are indigent, 100 percent. We had no means to include income as a criteria, so the government has the right to say, okay, let us include an ability to pay or an inability to pay as a policy factor. Then once you set that out, whoever meets that criteria gets on that system and we pay for it. But since we announced that, I acknowledge that we are leaving out more people than we should. So I’m willing to change that. The catastrophic cost policy, the ceiling is too high. We are leaving out too many people. We don’t want to do that because people have asked us to do that, so we are changing that. We are being responsive to make sure that we

meet the policy objectives and we are helping our residents who need it.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

David Ramsay

David Ramsay Kam Lake

Mr. Speaker, again, I do find it hard to believe that we don’t know and we can’t guess. Maybe now that we’re looking at income testing, I think there are other ways we can model this. We can find out -- and I agree with the Minister -- if low-income earners and low-income families are the area that we need to address as a government, we should be doing that. We should find out how many people there are in that segment and find out what it costs. That’s what we’re asking for here.

While I’m talking about cost, I want to ask the Minister what work is the Department of Health and Social Services doing on chasing down the 3,000 to 4,000 renegade health care cards that are out there costing us money? Nothing, Mr. Speaker. That’s the answer to that one.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Range Lake

Sandy Lee

Sandy Lee Minister of Health and Social Services

Mr. Speaker, I can categorically tell the Member that he is wrong when he says nothing is being done about tracking down those people with NWT health care cards when they should not...We have implemented an audit program. The audit office of the GNWT has been sending letters...We’ve been doing auditing of all of the claims that we are receiving on NWT health care and if there are too many services being rendered outside of the provinces, we’re writing them and we’re asking them to document them and if they don’t give us the documents we call them and we are tracking them down. We have been auditing this is in a very serious way. The Member is very wrong in saying that nothing is being done because we took that issue very seriously.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

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

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

David Ramsay

David Ramsay Kam Lake

Mr. Speaker, I know the Minister has just announced this new work that the department is working on on the renegade health care card issue. That’s news to me. Also news to me lately is the announcement that we’re losing our chief medical officer and that the government had signed a physicians’ contract. They don’t tell us, we find out in the press. That’s the way this government operates, Mr. Speaker. Thank you.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

Thank you, Mr. Ramsay. I didn’t hear a question there. Ms. Lee, did you want to respond?

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Range Lake

Sandy Lee

Sandy Lee Minister of Health and Social Services

Mr. Speaker, the Member could go back on the record. I have announced the audit program that we are doing to keep track of health records. The medical health officer, he made a personal choice to go work in Alberta. He was going to communicate to the Members himself, but Alberta decided to announce it two weeks before so

that’s why the Member didn’t know. With respect to the physicians’ contract, we communicated to every Member, we wrote them a letter way before it was announced in the media. Thank you, Mr. Speaker.

Question 56-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

Thank you, Ms. Lee. The honourable Member for Yellowknife Centre, Mr. Hawkins.

Question 57-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Robert Hawkins

Robert Hawkins Yellowknife Centre

Mr. Speaker, I’m sort of reminded of a famous individual known as Tommy Douglas. He fought tooth and nail for health care and I could imagine his position now; he’d be rolling in his grave to find out that means testing or income testing our health care system is the way to go. I think he’d call this a user-pay system and this is sort of a door being cracked open to that demonstration.

If I could loosely quote the Minister, a minute ago she said I don’t understand what the big deal is about the implementation date. Mr. Speaker, that’s the whole problem. It’s the implementation date without reasonable consultation. She said a delivery date must be delivered by this time and we’re going to get there hell or high water. That’s what that date does.

What I’m going to ask the Minister is: would she agree to this House today that she will first take off any implementation date without approval of this House, without the support of this House on any changes to the Supplementary Health Benefits Program.

Question 57-16(3): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

The honourable Minister of Health and Social Services, Ms. Lee.