This is page numbers 5431 - 5456 of the Hansard for the 16th Assembly, 5th 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.

Topics

Sandy Lee

Sandy Lee Range Lake

The Member is right when he says that medical travel is an essential part of delivering health care in the North, and this is why we fought for and got, and we have a federal Minister who understands the importance of medical travel in the North and all across the North. That’s part of our additional funding we got under THSSI. What we need to do on the medical travel is that we use the money wisely so that anybody who needs medical travel gets to their medical care. So part of what we’re doing is using technology to make sure that we have the money available to those who really need to get medical travel -- and often they need medical escorts -- where we can use technology and local staff by supporting them where they are we get the diagnosis at home. Thank you, Mr. Speaker.

The Speaker

The Speaker Paul Delorey

Thank you, Ms. Lee. Your final, short supplementary, Mr. Krutko.

David Krutko

David Krutko Mackenzie Delta

Thank you, Mr. Speaker. In regard to the Minister’s comments, a lot of times in the House, I think sometimes we lose the perspective of the territorial health care delivery system we have in the North. A lot of the time the focus is on the Yellowknife delivery system. I think that we have to ensure that the people outside of Yellowknife are being taken care of and that we are ensuring that their issues are being dealt with. So I’d like to ask the Minister, at some point can you make a statement in this House clearly identifying the delivery service that your department provides to the Northwest Territories as a health care provider. Thank you.

Sandy Lee

Sandy Lee Range Lake

We do have a dichotomy of our residents going down to the Primary Care Centre and they’re concerned that they have to wait for half an hour on the phone for an appointment, whereas in many of our communities we have people who have to wait for days and if they miss a doctor’s appointment, it’s weeks.

So, Mr. Speaker, when Action Canada, the research tank, was up here, when they looked at the fact that we are delivering health care to 40,000 people in 33 communities over a land mass that’s four times bigger than France, he just said that is a challenge. Medical travel, medical technology and efficiency, we need to find those so that we do as much as possible to provide equitable health care service delivery all across the Territories. I will undertake to make a statement on that in the House, as per the Member’s suggestion. Thank you.

The Speaker

The Speaker Paul Delorey

Thank you, Ms. Lee. The honourable Member for Sahtu, Mr. Yakeleya.

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Speaker. I wanted to ask the Minister of Health and Social Services how much it costs her department to provide the supplementary health benefits to residents in the North.

The Speaker

The Speaker Paul Delorey

Thank you, Mr. Yakeleya. The honourable Minister responsible for Health and Social Services, Ms. Lee.

Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Speaker. I believe I’ll have to get back to the Member on that. I believe it’s about $8 million, but we often ask for about $3 million for supp health.

Norman Yakeleya

Norman Yakeleya Sahtu

I’ll look forward to the Minister’s answer in terms of an exact figure. If it’s around seven or eight million, I want to ask the Minister about the supplementary health benefits that we do provide for our people in the North. What’s the percentage of increase every year of this special program?

Sandy Lee

Sandy Lee Range Lake

I believe the incremental increase for that budget has been somewhere between 6 to 8 percent over the last number of years. Thank you.

Norman Yakeleya

Norman Yakeleya Sahtu

Okay, so that looks like we’ve got a couple of million every year to support this program and to support the benefits of this program for people in the North. I want to ask the Minister about the sustainability of this program on a yearly basis in regard to some of the needs in the smaller communities and some of the basic access to health care. It seems like we’re going through crunching time. How much can we sustain and

continue on with this program? Can the Minister answer that?

Sandy Lee

Sandy Lee Range Lake

Thank you. Sustainability is a question on all health care programs, including the Supp Health Benefits Program, and this is why I believe that the recommendations made by the Supp Health Benefits Joint Working Group is timely, because it’s tasked us to find ways to encourage people to get third-party insurance.

Mr. Speaker, as I have stated many a time in the House, this is one of the few government programs where some people can get the assistance elsewhere, and we need to encourage that. So a part of our work is to encourage employers to offer health care benefits and then individuals to take on private insurance where they can, also to extend retirement health care benefits when they retire. So there are many parts to the instructions we got from the Joint Working Group and this is why we need to do that in the name of sustainability going forward. Thank you.

The Speaker

The Speaker Paul Delorey

Thank you, Ms. Lee. Your final, short supplementary, Mr. Yakeleya.

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Speaker. Can the Minister advise this House as to the type of dollars that they will be required to provide to the lower income families without any health coverage? The department surely must have done some assessment as to what it’s going to cost this government to provide coverage for the people that don’t have coverage as we speak today.

Sandy Lee

Sandy Lee Range Lake

The working poor and the excluded coverage that the Member is talking about, we are talking about those who don’t have dental or vision care coverage, because they would get health care and drug coverage and such from the regular health care coverage we have. At this time we could only guess how many numbers there are. We believe there are about 2,000 people in the Territories without employer coverage that gives them dental and vision care. We cover $1,000 for seniors for dental and $250 for glasses every two years. So that’s the cost we’d be looking at if we were to cover them immediately.

The Speaker

The Speaker Paul Delorey

Thank you, Ms. Lee. The honourable Member for Nahendeh, Mr. Menicoche.

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

Thank you very much, Mr. Speaker. I’d like to ask the Minister of Transportation some questions. The department has lots of contracts out there and I just wanted to ask him a little bit about the holdback policy for contractors. Typically how is it run and what’s the percentage, Mr. Speaker? Thank you.

The Speaker

The Speaker Paul Delorey

Thank you, Mr. Menicoche. The honourable Minister responsible for Transportation, Mr. Michael McLeod.

Michael McLeod

Michael McLeod Deh Cho

Mr. Speaker, the policy to hold back a percentage of the contract is something that’s right across the government in all our contract practices. That’s to ensure that we have a product that’s free of deficiencies prior to releasing all funds. Thank you.

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

There’s probably different ways it’s written up, but typically at what point are the holdbacks released? Thank you.

Michael McLeod

Michael McLeod Deh Cho

The holdbacks are usually released upon the deficiencies being dealt with. Thank you.

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

The reason I’m raising it, I’ve got a business in my riding that ran into an issue with the holdback. I think the issue was that there were circumstances beyond their control and that led them to not cleaning up a site. I’m trying not to get into too many specifics, Mr. Speaker, but if there’s something beyond their control, will the department consider special circumstances with regard to that? Thank you.

Michael McLeod

Michael McLeod Deh Cho

We do take into consideration if there is an issue that has been unforeseen or an issue that comes about that is beyond our control. However, that has to be raised by the proponent and brought to our attention, and the rationale has to be drafted accordingly. Thank you.

The Speaker

The Speaker Paul Delorey

Thank you, Mr. McLeod. Your final supplementary, Mr. Menicoche.

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

Thank you very much, Mr. Speaker. I’m glad to hear that answer that they will consider mitigating circumstances, and I will follow up with the Minister on the specifics of what I was talking about. Just one more question on the holdbacks. How soon are they typically released? Thank you.