This is page numbers 4757 - 4780 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

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Range Lake

Sandy Lee

Sandy Lee Minister of Health and Social Services

Mr. Speaker, I don’t understand why the Member thinks that he can’t put input into this process. Exactly what is the problem he has with the substance? What is it about the program as proposed that he doesn’t agree with or support?

Mr. Speaker, public meetings started this Monday. We are going to continue to have public meetings. In preparation for those public meetings and public consultations, we posted a conversation document a month ago. We are in the middle of the debate. Mr. Speaker, I would like to hear from the Member what in substance does he have a problem with. Thank you.

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Mr. Speaker, it is nice that they are asking us questions for a change. Technically, I can’t say what I have wrong with the substance, because in order to make a fair and accurate assessment of whether this program that they are proposing is a right one, we need options to consider. We need alternatives to consider. Research should have been done on this. When we did the motion, Mr. Speaker, the motion included a discussion around the department going out and meeting with the potentially affected stakeholders to get that information, get those options and they were going to research it. The Minister said they would talk to the stakeholders and get that information. They should be coming back to us with all of that information. What the result might be is this might be the best program, but without all of these alternatives we will never know and never be able to make the decision that this is the best. I want that information. The Minister said she was going to give it. Why didn’t she provide us with that information that she said she was going to provide? It is simple. Thank you, Mr. Speaker.

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Range Lake

Sandy Lee

Sandy Lee Minister of Health and Social Services

Mr. Speaker, the direction of the House and the result of the last discussions were that people wanted to know more about who were using this program, how the income threshold would impact the residents who were covered and who would not be covered anymore. At that time we suffered from not having enough detailed information about exactly who was served by this program.

Mr. Speaker, as I stated already, there hasn’t been, I don’t think, a more thorough analysis of a program like we have presented as a result of doing this research for the last number of months and we are putting the information out there. But we understand that people may need more information to have a better discussion and we are willing to provide the information. So, Mr. Speaker, if the Member has more information he needs, I’d be happy to do everything I can to provide it. Thank you.

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

The Minister seems to remember the parts of the motion and the debate

that support her case. What she’s not talking about here is that we are also asking for alternatives and options. I don’t see alternatives and options. Yes, they’ve done a lot of research, I’ve got to tell you. The product they are providing to us now has way more research. It’s a lot of research, it’s good information, it explains a lot to defend the model that they want to put forward. Where are the alternatives? Where are the options? Those options would have come from the stakeholders that she promised that she would consult with if they’d actually had consultations over a year ago. They didn’t. So I guess I’m going to ask: why didn’t the Minister ask -- and we all know she’s going to say they did -- but why didn’t the Minister not have the consultations that she said she was going to have to obtain these alternatives and options, the information that would help us make informed, reasonable and rational decisions in the best interest of the people? Thank you, Mr. Speaker.

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Range Lake

Sandy Lee

Sandy Lee Minister of Health and Social Services

The fact is there is a lot of information to make informed, rational, logical decisions about where we should go with this program on behalf of all the people who need our attention with this program. Mr. Speaker, I know the Member is referring to the public working group. In fact, they asked for more information about the program. Exactly who does it serve? What is the background of the people that access this program? What would it mean in many different ways? So they asked for more detailed information before they put any input in, so we presented that information to the group and the group responded to the material we presented. Thank you.

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

Thank you, Ms. Lee. Final, short supplementary, Mr. Abernethy.

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Speaker. Once again no references to alternatives and options, the thing that is important to make a healthy, rational and reasonable decision. Since I can’t get an answer there, I’m going to ask a different question.

In my Member’s statement from the quote that I read, the individual said the process that we’re going through now does not allow the GNWT to change its policy to accommodate the discussions and recommendations arrived at as a result of these consultations with the affected people and stakeholders prior to the stated implementation date. We’ve said since she announced the start date of this new policy, it’s not enough time to consider some alternatives and make changes. Sounds like they’ve already got their plan decided to implement what they want. Why can’t we push the date back a little bit so we have an opportunity to put in some of these alternatives or at least consider them reasonably? Thank you, Mr. Speaker.

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Range Lake

Sandy Lee

Sandy Lee Minister of Health and Social Services

The constituent that he mentioned, I have the copy of that e-mail too. That

e-mail was written before we had all the details that we posted on the website just yesterday. That participant was part of the stakeholders group which did not have all of the income data and who would benefit or not. This is an evolving process, Mr. Speaker. The public hearings started today. That’s an opportunity for people to give us feedback into what we are presenting.

Mr. Speaker, the Member keeps saying where are the alternatives. I’d be happy to hear from him about what alternatives that he wants us to consider, because I believe the information we have gives a really good point for discussion. Thank you

Question 90-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

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

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

David Ramsay

David Ramsay Kam Lake

Thank you, Mr. Speaker. Mr. Speaker, I, too, would like to follow up on some of my colleagues’ questions who have been questioning the Minister of Health and Social Services to the proposed changes to supplementary health. The interesting thing for me, I was at the briefing on Tuesday and the information provided was good information, but again, Mr. Speaker, with all the trouble that was caused last year, about a year ago, just over a year ago and the issue is back before us again, I don’t understand why it took that long to get that level of detailed information in front of the Standing Committee on Social Programs. That information, Mr. Speaker, should have been there a long time ago.

Mrs. Groenewegen was asking questions about what research the Department of Health and Social Services has done on the impact of these changes, what impact this proposed change would have on seniors here in our Territory and how many of them would actually pack their bags and leave the Northwest Territories as a direct result of these proposed changes to supplementary health benefits. Many of our residents are approaching retirement age as well and I’m not interested in grandfathering anybody. I think people who have paid taxes and raised families here in the Northwest Territories deserve and have every right to the same benefits that people enjoy today. I’d like to ask the Minister that question: what research was done?

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

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

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Speaker. I know that question has come up: has the department looked at what impact this will have in

terms of people wanting to leave. I have two direct answers to that. One is that we have no reason to believe that anything we are doing here would encourage anybody to leave the North because our program is as good, if not better, than what’s available anywhere else. So our supp health benefits are still a robust one and the fact is all across the country, except for Nunavut, all extended health benefits are income tested. Not only are they income tested, some of them are means tested, which means they look at more than just the income. In some places it’s asset tested, which we are not proposing to do at all. In Nova Scotia and Newfoundland and other jurisdictions, their income threshold is less than $25,000 gross. We’re talking about a program that you still have access to even if you make $200,000 a year. So we have no reason to believe that anybody would leave.

Now, why can’t you come up with a dollar? That’s the same question as if somebody could tell me if I’m going to get sick tomorrow. I do not know what my health care cost is going to be to my government because we cannot project people’s health expenses. To ask that, the Member has to know that’s an impossible thing to answer.

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

David Ramsay

David Ramsay Kam Lake

The Minister knows full well, she’s the chair of the Strategic Initiatives Committee on the Cost of Living. She knows full well that it’s not a fair comparison to compare the cost of living here in the Northwest Territories to that of southern jurisdictions where, I might add, many people choose to retire in the South. Somebody has to protect the social fabric of our communities and keep families together and keep seniors in the North. I’d like to again ask the Minister how come a survey hasn’t been conducted with the seniors in the Northwest Territories to ask them if proposed changes to the Supplementary Health Benefits Program would result in them leaving the Northwest Territories. Like I said, when they leave, that affects the social fabric of our communities. We need to keep families together.

I really think the Minister has to address that concern and the $22,000 that the government gets in transfer payments for every person we have on the ground here in the Northwest Territories. That would be gone with them as well.

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Sandy Lee

Sandy Lee Range Lake

Obviously I disagree with the Member’s position on that. The fact is the cost of living issue for everyone in the North is important to this government. It’s also important that we continue to provide a robust Extended Health Benefits Program to our residents. What we are trying to do is to expand the coverage to those who do not have it right now, who are experiencing cost of living issues, as well as anybody else. So we are proposing an income as a criterion to consider and we are open to listen to our residents through this

public hearing process about what they think of this and what other information they would like us to consider. We are open to listen to our residents through this public hearing process about what they think of this and what other information they would like us to consider.

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

Thank you, Ms. Lee. The time for question period has expired; however, I will allow the Member a supplementary question. Mr. Ramsay.

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

David Ramsay

David Ramsay Kam Lake

Thank you, Mr. Speaker. We have to have some type of competitive advantage here in the Northwest Territories to maintain our population base, especially for senior citizens. I’d like to ask the Minister if she can explain to me how she feels that this proposed change to supplementary health is fair when it is a redistribution. She talks about it herself. She says there are going to be winners. Who are the losers?

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Sandy Lee

Sandy Lee Range Lake

Under this proposal, if you go to the information that we have on the website, you would have to make $400,000 net income, that’s line 236 in federal income tax, you would have to make $400,000 before you have to pay 100 percent of glasses, $1,000 dental benefits, and 100 percent of your prescription drugs. You would have to make $150,000 before you start making some contribution. That is being competitive. I would challenge any other government in the land who would pay for thousand dollar dental fees and glasses without a means test when you’re making $200,000-plus.

The Member should support this proposal where we are going to provide access to children and working families right now who do not have that. I would argue that somebody making $70,000 a year could benefit from a $1,000 dental benefit for each of their children before somebody who’s making $200,000 to $400,000 that they get dental benefits just because they’re of a certain age. I do believe that it’s really important for the seniors out there to know that their benefits will be covered. There are no losers here because we are just asking people who can afford to pay to start contributing.

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

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

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

David Ramsay

David Ramsay Kam Lake

Thank you, Mr. Speaker. As a government we’re spending hundreds of thousands of dollars by the Minister of Industry, Tourism and Investment, and I thank him for the initiatives that the government’s started on trying to attract and retain people here in the Northwest Territories. The government knows how important it is to have people stay here in the Northwest Territories. Like I said earlier, it’s $22,000 per person.

I’d like to ask the Minister again, I didn’t really hear it, she said there are no losers. When there are winners there are losers. Can the Minister stand up

in this House today and tell the people of the Northwest Territories who is going to lose under her proposed initiative?

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

Sandy Lee

Sandy Lee Range Lake

As the Member for Hay River South and many here know, we know that we have a very good health care program in the Northwest Territories. I honestly don’t believe that somebody... Mr. Speaker, making a public decision and doing the right thing you have to look at things as a total package. We have 2,000 people who will benefit by having access to these programs. Remember, I think people should know, even for other seniors programs like the rental subsidy or fuel subsidy, the day care subsidy, a lot of other government programs are income tested. This is not the first program that would try to do that. Really it is a very fair and objective way to do it.

Question 91-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions

The Speaker

The Speaker Paul Delorey

Thank you, Ms. Lee. Item 9, written questions. Item 10, returns to written questions. Mr. Clerk.

Written Question 4-16(5): Physiotherapy And Occupational Therapy
Returns to Written Questions

Tim Mercer Clerk Of The House

Mr. Speaker, I have a return to written question asked by Mr. Hawkins on March 4, 2010, regarding physiotherapy (PT) and occupational therapy (OT).

PT and OT services are provided to community clients through inpatient, travel and outpatient services. The Stanton Territorial Health Authority (STHA) is responsible for providing services through travelling clinics to the Tlicho, Deh Cho and Yellowknife health and social services authorities. The Beaufort-Delta Health and Social Services Authority (BDHSSA) is likewise responsible for the Beaufort-Delta and Sahtu communities. The Hay River and Fort Smith health and social services authorities each offer PT/OT services through their respective hospitals. Service to communities is also provided through PT/OT outpatient clinics within Stanton Territorial Hospital (STH).

Later today, at the appropriate time, I will table the following:

a list of visits to communities by the authorities in the 2008-2009 fiscal year;

a list of attendances to the outpatient clinic at STH by community for the same time frame; and

a list detailing the number of people on a

waitlist for PT/OT services as of January 1, 2010.

Rehabilitation services are not an insured service under the Canada Health Act. PT/OT services are listed by a variety of factors that include: staffing

shortages; difficulties coordinating schedules with community health centres; the frequency of missed appointments; weather delays and cancellations for staff travel; budget restrictions; and the amount of time taken for preparation and follow-up for clients. Where applicable, third-party insurers, such as the Workers’ Safety and Compensation Commission or the federal government’s Non-Insured Health Benefits, also dictate the frequency and type of services and/or equipment available.

STHA has an agreement in place with Nunavut. Between April 1, 2007, and August 2009, STHA billed Nunavut $146,000 for PT/OT services, of which there is still $34,881 outstanding. Thank you, Mr. Speaker.

Return To Written Question 5-16(5): Water And Sewer Infrastructure Funding
Returns to Written Questions

Tim Mercer Clerk Of The House

Mr. Speaker, I have a return to written question asked by Ms. Bisaro on March 4, 2010, on water and sewer infrastructure funding.

Specifically, the Member asked for a summary of emergency funds available from the GNWT to assist residents with costs related to an extensive infrastructure failure, and information on the redistribution of GNWT water and sewer funding to NWT communities, including funds for the City of Yellowknife for future fiscal years 2011-2012 through 2014-2015.

Municipal and Community Affairs does not offer emergency funding to residents. The department provides annual funding to community governments for infrastructure repair and replacement through the Community Public Infrastructure Funding Policy. Community governments may also utilize federal infrastructure allocations, such as gas tax funding, to replace water and sewer infrastructure on lands owned by the municipal government.

Funding is available to community governments under the department’s Extraordinary Funding Policy which provides assistance for events beyond what a reasonable and prudent community government would plan for. Such funding will only be considered in situations where assistance is required to maintain a minimum level of community government services or to address regulatory requirements on an emergency basis.

The department is not aware of any other GNWT emergency funding that may be available to help residents respond to infrastructure failures on privately held lands.

The Member asked for information on the redistribution of GNWT water and sewer funding to NWT communities, including funds for the City of Yellowknife, for future fiscal years 2011-2012 through 2014-2015. The department has not undertaken a redistribution of water and sewer

funding. Later, at the appropriate time, I will table an excerpt from MACA Update 2009 that shows the projected community-by-community distribution of water and sewer funding for the 2010-2011 and 2011-2012 fiscal years.

Funding currently provided to communities through MACA’s Water and Sewer Funding Policy is limited to the ongoing operations and maintenance of providing water and sewer services. As the Member is aware, Yellowknife does not receive water and sewer funding because the city has a sufficient volume of users to raise adequate revenues to cover the cost of operating its water and sewer program. Other community governments in the NWT do not have a sufficient population base to raise the revenue required to fully cover the operational costs of providing water and sewer services to residents. The funding provided by MACA is to provide for the gap between what community governments can raise through own-source revenue and the cost of water and sewer operations.

All NWT communities receive community public infrastructure funding which may be used to address the capital replacement costs associated with water and sewer systems. Annually, the City of Yellowknife receives $2.2 million in capital infrastructure funding from the GNWT.

The department is committed to working with the City of Yellowknife to explore all available funding sources that may help Northland Trailer Park address their infrastructure deficiencies. Thank you, Mr. Speaker.

Return To Written Question 6-16(5): Implementation Of A Residential School Aftermath Advisor
Returns to Written Questions

Tim Mercer Clerk Of The House

Mr. Speaker, I have a return to written question asked by Mr. Yakeleya on March 4, 2010, regarding the implementation of a residential school aftermath advisor.

Mr. Yakeleya asked for an explanation as to why the government has not established the position of a residential school aftermath advisor and what such a full-time position, if it played a role similar to the special advisor to the Minister responsible for the Status of Women position, would cost.

Mr. Speaker, the GNWT remains confident that rather than receiving advice from a single staff advisor, the GNWT’s best option for contribution to this important work is through the NWT Interagency Residential Schools Committee where representatives from both levels of government, NWT aboriginal communities and committed individuals work together on behalf of residential school survivors. Senior staff from several GNWT departments participate through the interagency committee and the GNWT is very interested in any

proposals the committee might offer with regard to how the GNWT’s policies and services could better address issues relating to the impact of the residential school system on northern people, as well as any particular concerns the committee may have with the delivery of GNWT programs as they relate to the committee’s mandate.

With regard to the second part of Mr. Yakeleya question, the special advisor to the Minister responsible for the Status of Women position is rated at pay grid 6 with a salary range of $95,006 to $136,734. Thank you, Mr. Speaker.

Return To Written Question 6-16(5): Implementation Of A Residential School Aftermath Advisor
Returns to Written Questions

The Speaker

The Speaker Paul Delorey

Thank you, Mr. Clerk. Item 11, replies to opening address. Item 12, petitions. Item 13, reports of committees on the review of bills. Item 14, tabling of documents. The honourable Minister responsible for Health and Social Services, Ms. Lee.