Mr. Speaker, first of all, we are talking extreme examples in saying that somebody will pay $10,000 a month in insurance. The second thing, Mr. Speaker, is, yes, somebody could get their company insurance to pay for it or the government insurance to pay for it under our program. At the end of the day, there is individual responsibility to that. Thank you, Mr. Speaker.
Debates of May 12th, 2010
This is page numbers 4807 - 4828 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 107-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions
Question 107-16(5): Proposed Changes To Supplementary Health Benefits Program
Oral Questions
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions
May 11th, 2010

Kevin A. Menicoche Nahendeh
Thank you, Mr. Speaker. I would like to follow up on my Member’s statement when I was speaking about the John Tsetso Memorial Library in Fort Simpson and I would also like to ask a question to the Minister of Education, Culture and Employment.
I was very pleased that he did have an opportunity to view the facilities in Fort Simpson and he saw the state and condition of the library, which is now a resource centre, and also in meeting with the leadership they have indicated that they would like to move forward, they would like to do something to the library, get it repaired or get a new one built for Fort Simpson. I’d like to ask the Minister at this time what plans has the department been looking at since his visit to Fort Simpson last month, Mr. Speaker. Thank you.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions

The Speaker Paul Delorey
The honourable Minister of Education, Culture and Employment, Jackson Lafferty.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions

Jackson Lafferty Monfwi
Mahsi, Mr. Speaker. Since our last visit to Simpson, looking at the library and the situation it’s in and that the books are stored away, I did instruct my departmental staff to visit the community and look at those options that were put forward by the Dehcho Education Council back in March 2010. They’ve identified four different options and we were waiting for the community to come back to provide us with the options. Now we have those options and my department is going to the community to meet with -- I believe the MLA is arranging that meeting -- the superintendents and the board as well. Mahsi.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions

Kevin A. Menicoche Nahendeh
Thank you very much. I’m very pleased that departmental staff, especially from libraries, will attend a meeting in Fort Simpson. That’s something that we’re looking at. Knowing business planning as I do, I’m hoping that the meeting that will occur at the end of this month will have enough impact to urge the Minister of Education, Culture and Employment to be getting some financial resources in the business planning for our next fiscal year. Thank you.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions

Jackson Lafferty Monfwi
These are the discussions we’ll definitely need to have, along with other capital projects that are in the system. But this will lead to our general discussion about the community library. It has been in the works for quite some time now. The discussion has been brought to this level as well. Mr. Speaker, I’m sure the Member will be addressing that issue, as well, as we move forward discussing the capital plans within Education, Culture and Employment. So, Mr. Speaker, yes, we will be discussing this topic along with other capital projects as we move forward. Mahsi.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions

Kevin A. Menicoche Nahendeh
Once the meeting is completed, is the Minister prepared to provide some advanced funding to start some work on the pre-planning, looking at building size, et cetera, even towards costing out a Class D estimate of a project of this nature? Thank you.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions

Jackson Lafferty Monfwi
We haven’t identified funding for that particular initiative, but we want to see what comes out of this meeting that we’re going to be having with the departmental staff and the Dehcho board as well, and also the superintendent that’s involved. We need to have a planning process coming out of that so we can involve that into our capital planning process. So I can’t really say that we will commit funds at this time, but that should be a part of the working document that will be put toward us as a department from the DEC. Mahsi.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions

Kevin A. Menicoche Nahendeh
Thank you very much, Mr. Speaker. It is hopeful that as a result of this meeting at the end of the month, that the community will pick one of the four options and want to begin moving forward with it. So I’m asking the Minister, can he look at his resources and see if he can assist the community of Fort Simpson in moving forward with whichever plan they choose at that time? It will be very helpful as we work towards the business planning this coming fall. Thank you.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions

Jackson Lafferty Monfwi
Yes, I would commit to the Member that we’ll provide departmental staff to work closely with the DEC, and also the Member, as we move forward developing a package plan for the capital planning and whatever we need at the development stages. So we’ll provide those resources that we possibly can to provide an action plan. Mahsi.
Question 108-16(5): John Tsetso Memorial Library In Fort Simpson
Oral Questions
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions

Bob Bromley Weledeh
Thank you, Mr. Speaker. My questions today are for the Minister of Health and Social Services. The Minister reported on statistics yesterday, in response to oral questions, that outlined some really horrible wait times for diagnostic and specialist medical services. She did report that our volume of services has gone up. I’m happy to see that, but that still leaves too many people waiting. She made a reference to our wait times being the same as down south. Again, I want to discourage in this, as well as in the supp health question, trying to be the same as the rest of Canada. We expect better. So what are we doing
now to reduce these backlogs to zero? Thank you, Mr. Speaker.
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions
Range Lake

Sandy Lee Minister of Health and Social Services
Thank you, Mr. Speaker. The point of saying that our rates of wait time is similar to the rest of Canada, that is just showing the challenge that all jurisdictions in Canada face, and to stay similar to the rest of Canada, actually we are making really good effort on the part of all the people who are delivering those services at Stanton.
Mr. Speaker, to give the Member more information, the CEO of Stanton and other CEOs actually, because we’re working at a territorial plan together, and all of the medical directors in each health authority, Doctor Corkal at Stanton and Doctor Claude and Doctor DeClerc, all the medical directors in charge have been working for months together with the department, to come up with a plan to reduce wait times. As I indicated to the Member earlier, I am planning on announcing that soon, when we have it in place. But, Mr. Speaker, we are working to reduce the wait time.
Lastly, it’s important for people to know that our physicians examine the people on the list constantly and if there are any emergencies or urgent cases, they are dealt with accordingly. Thank you.
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions

Bob Bromley Weledeh
Thank you. Last fall the Minister announced the launch of the new website, the recruitment and retention website, hopefully to overcome some of these chronic problems of staffing our professional and specialist vacancies. So I’m wondering what monitoring is being done, what the results are. Can the Minister tell me what progress is being made as a result of that and whatever other efforts the department is taking to decrease our vacancies in our medical staff and specialists? Thank you.
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions
Range Lake

Sandy Lee Minister of Health and Social Services
Thank you. I could follow up on that, Mr. Speaker, and give him the latest information coming out of that website. I think what’s important to note is reducing wait times for some of these procedures doesn’t necessarily have to do with the vacancy, because for those procedures, we have our staff in there. If there is nobody permanent there, we have locums in place. What we are trying to do is we need to have a team of specialists, whether surgeons, internal medicine specialists, nurses, supporting staff, they need the space to make sure that they do the job they need to do as quickly as possible, and that’s the team approach that we are working on. Thank you.
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions

Bob Bromley Weledeh
Thank you. The Minister had mentioned the wait times and wait time standards, per se. We don’t have such standards. That seems odd to me and a slippery slope. If we don’t have
standards, of course we’re going to continue to allow those to slip and slide without correcting them, and obviously they need correcting. So I’m hoping the Minister will actually put those standards in place so we can prevent that.
I’ve repeatedly asked the Minister to say whether analysis is being completed on the increased cost of administering a co-payment system, and this information has never been supplied. I’ve spoken about, in my statement earlier today, the four in a row fumbles and rebounds of my constituent’s prescription cost claims to Inuvik, which could be a prophecy of what lies ahead. I’ll ask again, has the Minister completed analysis of what the increased administrative costs will be? And since she has not met with the Pharmaceutical Association and others, how can she know what key burdens this will place on our front-line providers who have a bottom line to meet? Thank you.
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions
Range Lake

Sandy Lee Minister of Health and Social Services
Mr. Speaker, the plan is that once a decision is made as to the implementation of this policy, we will be going for RFP to find a service provider such as Blue Cross or any other insurance companies. They are equipped and trained and set up to deliver a program like this. They do that for our other existing GNWT program, as well as the GNWT employee program. Thank you, Mr. Speaker.
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions

Bob Bromley Weledeh
Thank you, Mr. Speaker. I will speak more on what those costs were and, of course, the lack of progress we’ll be able to make on reducing our costs, given the complexity of what the Minister is currently proposing. Mr. Speaker, I’d like to have from my last question, how are we encouraging Metis and non-aboriginal residents to get and maintain third-party supplementary health insurance? It’s a pretty straightforward question and I don’t think it was answered when my colleagues asked that question. If we don’t currently have the answer to this, which I assume to be the case, not having received an answer to a repeated question. And that may just be a fact: we don’t know what the answer is. Do we intend to fill this gap, given its potential to again negate any hope of achieving cost reductions with the current plan? How are we going to encourage third-party insurance? What mechanisms are we putting in place for Metis and non-aboriginal? Thank you.
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions
Range Lake

Sandy Lee Minister of Health and Social Services
Thank you, Mr. Speaker. In all of the, I believe, written material that’s been on the website, the presentations made in public meetings about supplementary health benefits, we have stated that NWT residents receive supplementary health benefits in various ways by all kinds of different third-party insurance. NIHB is a third-party insurance. MHB is a third-party insurance. Employer health insurance is a third-party insurance. People who have private insurance, that
is a third-party insurance. And supplementary health is trying to address these people who don’t fall into any of that, who don’t have any of those. That is who we are trying to help. So that’s what we mean when we are saying third party. Third party includes NIHB, MHB and employee insurance. Thank you.
Question 109-16(5): Quality Of Current Health Care Services
Oral Questions
Question 110-16(5): Projected GNWT Revenues
Oral Questions

David Ramsay Kam Lake
Thank you, Mr. Speaker. Mr. Speaker, my questions today get back to my Member’s statement and that is the financial well-being of our Territory going forward. Mr. Speaker, the numbers are out there. They don’t lie and all you have to do is look around. You know, investment in our Territory was down 24 percent last year and a net job loss of 900 jobs last year. At one point in time we actually lost 7 percent of all jobs in the Territory during 2009, a net loss of 500 people from the Territory, and a decline in our gross domestic product, which would lead me to believe that, Mr. Speaker, our revenues going forward are in tremendous peril. I’d like to ask the Finance Minister what do our future projections for revenue look like. Thank you.