Where the services provided are under the Canada Health Act, one of the positions in the Canada Health Act is portability. So this faces all jurisdictions. We have to provide service. The issue that goes beyond is what is the understanding of the agreement on devolution of what the Territories would provide and that’s part of this discussion. Of course, our other problem is health care changes so quickly that what was once service within a hospital is now moved out.
When the Minister says it’s a priority, it certainly is. Quite frankly, the issue is not necessarily Nunavut going to the table. We have their attention and while certainly under the portability act, I as a deputy can’t say I’m not going to take your client. That probably has come out a few times in the conversation with my colleague in Nunavut, saying you have to pay attention to this.
So the first thing is a long time, because it is a legal agreement and this will be an issue for them as far as affordability and where they may or may not get a better deal, i.e., Manitoba or elsewhere. But also, our own accountabilities as far as what we agree to and what some of our physicians or other clinical people may think they should be providing. The bottom line, there’s no liability, there’s more of an issue of if we refuse service under the Canada Health Act. The liability here is are they real dollars, are they some assumption, what actually was the agreement and what part of this is an extension of the contract.
So Larga, one thing the Member flagged, I think I’ll look into because my understanding is there are multiple agreements and Nunavut also has agreements in Edmonton with lodging. So is that our cost or theirs? It’s a bit more complicated, but I’m comfortable and I’ve said that to the Minister, around liability, but we do have a requirement under the Portability of Canada Health Act. Thank you.