This is page numbers 241 - 262 of the Hansard for the 17th Assembly, 2nd 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 work.

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Recognition of Visitors in the Gallery (Reversion)
Recognition of Visitors in the Gallery (Reversion)

The Speaker

The Speaker Jackie Jacobson

Members, I’d like to recognize some special visitors in the gallery here today. We have 10 young men and women who are visiting us for a few days from the Ontario Legislature Internship Program. They are here to observe consensus government at work. So we all may want to be on our best behaviour today.

---Laughter

I’d like to recognize Mr. Evan Akriotis, Patrick DeRochie, Belinda Ellsworth, Lauren Hanna, Humera Jabir, Sylvia Kim, Diego Ortiz, Sylvia Pena,

Craig Ruttan, Monika Wyrzykowska. Thank you. Welcome.

I’d like to welcome Mr. Ed Jeske. It’s always good to have you in the House. Thank you for being here today.

I’d like to welcome all the visitors in the public gallery today. Thank you for taking an interest in our proceedings. Thank you.

Item 7, oral questions. Member for Sahtu, Mr. Yakeleya.

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Speaker. I spoke about the devolution earlier this afternoon and I talked about the impacts and probably some of the thoughts in the Northwest Territories. I want to ask the Premier in terms of this devolution deal here, that we have some communities out there, some Aboriginal governments that feel there should be stronger, more meaningful participation in this process. Basically what I’ve been told by some of my people is that the federal government has basically set the time and set the stage for the negotiations in saying the federal government was dictating the process: your team, my team, that’s it. That’s not good enough for the Aboriginal governments. Can the Premier help me understand how the Aboriginal governments can have more participation?

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Yakeleya. Honourable Premier, Mr. McLeod.

Bob McLeod

Bob McLeod Premier

Thank you, Mr. Speaker. I guess as part of this process that we’ve undertaken, as the Member may recall, when we all got together as Caucus and set the priorities for the 17th Assembly, one of the priorities was to conclude

devolution negotiations and we are in the process of attempting to do so. Thank you.

Norman Yakeleya

Norman Yakeleya Sahtu

I actually have a copy right here, and the Premier was right on the priorities. We also have a goal for a strong and independent North built on partnership, and if we don’t have those types of partnerships, how can we build a strong and independent North? We only have a few of the partners on board.

I want to ask the Premier, when they’re looking at the Devolution Agreement, is the Premier and this government going to look at a referendum where people will have a chance to say this is a good deal or not a deal we should be signing?

Bob McLeod

Bob McLeod Premier

I don’t think one predicates the other. We’ve been working very hard for the past three months to establish better working relationships. Most of the Aboriginal governments

that we’ve met, six out of seven have been very supportive, indicating they want to continue to develop a working relationship.

On the Devolution Agreement, we’re inviting all parties to participate and we’re making sure we keep them apprised of all of the progress or of any discussions that happen.

Norman Yakeleya

Norman Yakeleya Sahtu

The Aboriginal governments want to have meaningful input at the negotiation table, rather than just being told this is what’s happening, this is how you can participate. Hence, we got the issue of the Gwich’in taking the territorial government to court. I’m not too sure how far we can have discussions on that, but that’s how our relationship has deteriorated with one of the Aboriginal governments that represent a number of communities such as the Gwich’in Tribal Council.

What costs, as the Legislative Assembly, are we willing to pay to put this deal to bed and say that’s it, this is the deal and this is how it’s going to be done? What are the costs to us?

Bob McLeod

Bob McLeod Premier

I guess I’ll answer in a different perspective. The cost to us is it’s costing us $165,000 a day. Over the past five years we’ve seen $300 million flowing to the Government of Canada never to return. So we have a standing invitation to all of the Aboriginal governments to participate if they see fit to do so.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Premier. Final, short supplementary, Mr. Yakeleya.

Norman Yakeleya

Norman Yakeleya Sahtu

Mr. Speaker, money comes and money goes. Look at the relationship at a moral cost to us on a government-to-government relationship. Are we willing to pay that cost for some short-term gains for long-term damages?

It’s a heavy cost to this government here. We could use the money, but how bad are we willing to not mend some broken hearts between us and the Gwich’in Tribal Council? That cost is more important to me, so that’s what I want to ask the Premier: What will he do, what can this government do? When it comes to a final agreement, do people in the Northwest Territories have a say in saying yes, this is a good deal? Will we have a referendum?

Bob McLeod

Bob McLeod Premier

We’ve been reaching out to all the Aboriginal governments and looking for comments on all of the major issues; devolution is one part of it. We have a basis for our relationship with all Aboriginal governments through land claim agreements and through self-government agreements, and we will continue to pursue those avenues.

As far as devolution, this is something we’ll continue to seek the support of Aboriginal governments and we will continue to provide all of

the information that is available on devolution on a go-forward basis. Thank you, Mr. Speaker.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. McLeod. The Member for Inuvik Boot Lake, Mr. Moses.

Alfred Moses

Alfred Moses Inuvik Boot Lake

Thank you, Mr. Speaker. Just in reference to my Member’s statement earlier, all the good work that the government has been doing in terms of dealing with our Aboriginal governments. I’d like to follow up with raising a concern that’s been brought forth to our Minister of Health in regard to the lack of doctor services, long services from doctors in the community of Inuvik. The Minister stated at our Beaufort-Delta leadership meetings that it is the number one priority to get doctors in the region, and that was on January 10th ,

I believe, he made that comment. I’d just like to ask the Minister what has his department done since making those strong comments in addressing this issue for the shortfall of services in the Beaufort-Delta Health Authority. Thank you, Mr. Speaker.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Moses. A question for the Minister of Health and Social Services, Mr. Beaulieu.

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Mr. Speaker. Since our Beaufort-Delta meeting I’ve had many meetings, many strategic meetings with the Department of Health and Social Services. I also met with the Joint Leadership Council, which are the public administrators and the chairpersons of each of the health and social services authorities, and we’ve particularly talked about this issue several times and also several times at that meeting. Thank you.

Alfred Moses

Alfred Moses Inuvik Boot Lake

Previous to some of the questions that I’ve asked in the past, we’ve done a lot of talking. We know what the issues are; we need to put action to these issues that have been there for a long time. Since 1994, Yellowknife recruiting staff have not done a successful job in putting a long service doctor in Inuvik. That needs to be taken care of and it needs to be taken care of with this government. One of the main things that possibly can be not having these doctors in Inuvik are the incentives for doctors to live out of Yellowknife but do locum services in Inuvik. Can I ask the Minister how can he change that policy where there are incentives for doctors to work up in Inuvik and non-incentives for doctors to live out of Yellowknife and only do locum in Inuvik?

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Our first priority is to have doctors in the regions for easy access for the patients. We need doctors to be in the regions, and Inuvik is one of the regions and has nine positions. Of the nine positions, only 0.8 positions are filled in

Inuvik. There have been attempts, there have been websites put out in an attempt to recruit, but as I said, in the Beaufort-Delta we are prepared to work with the community of Inuvik, whether it be the municipality or Beaufort-Delta leadership in order to attract doctors to Inuvik as a first priority. Thank you.

Alfred Moses

Alfred Moses Inuvik Boot Lake

I’d like to thank the Minister of Health for letting us all know that we’re failing in getting staff up into the Beaufort-Delta region. The health authority, 0.8 of nine is not acceptable and I think that needs to change. Even if we had one or two positions filled, that would lead to a lot of success in our region.

Right now the Beaufort-Delta Health Authority is in a big deficit and it’s been accumulating over the years and I believe that the main reason behind that are these incentives that we’re giving locums to come into our region to only work for a short period of time. I’d like to ask for a strong commitment and action plan from the Minister today that this will be addressed and that we can have an action plan before our next session in May. Thank you.

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you. I agree. The department has spent a lot of money on locums and at this point that has been the solution, that the locums are coming from the South to address the doctor needs, the physician needs in the Beaufort-Delta. As the Member indicated, only one doctor that works about six and a half hours a day is employed and lives in Inuvik and our attempt is to bring doctors to Inuvik. It’s very difficult to bring one or two doctors into a community. It is a lot easier to bring a fifth, sixth and seventh doctor. So we’re trying to develop a strategy that will bring many doctors in that will attract other doctors, as doctors like to work with doctors. Thank you.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Beaulieu. Final, short supplementary, Mr. Moses.

Alfred Moses

Alfred Moses Inuvik Boot Lake

Thank you, Mr. Speaker. Bringing in more locums just adds to the problem of a lack of quality care, a lack of continued services to our patients that need that trust in their doctors, and that’s not being met when we start bringing more people down from the communities. The incentives, bringing more locums from down south just adds to the lack of services that we’ll get in Inuvik. It’s just more incentives for locums to come from down south, get paid more money than if they were living in Inuvik. So that also needs to change. I ask the Minister if he’d be willing to commit to revising or looking at that policy on incentives for locums and getting a long-term doctor in Inuvik. Thank you.

Tom Beaulieu

Tom Beaulieu Tu Nedhe

The Department of Health and Social Services is currently working with the Department of Human Resources on a new Physician Recruitment Strategy. The strategy is to bring the doctors into the community. That is the number one priority. We are still using locums from

the South. A plan B could be to bring the doctors from Yellowknife and then the doctors from here would work in the Beaufort-Delta and have more continuity, but we’re still trying to work on the strategy to bring doctors into Inuvik and the other regional centres that don’t have doctors.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Beaulieu. The Member for Hay River South, Mrs. Groenewegen.

Jane Groenewegen

Jane Groenewegen Hay River South

Thank you. I’m just anxious to dive in on this topic of locums and resident physicians, but that’s not my question today. My question is to the Minister of Health and Social Services.

We have excessive and rising costs in delivering health and social services programs to the residents of the Northwest Territories. Over a number of years I have raised this concern: If I’m a resident of Hay River and I’m having surgery at Stanton Territorial Hospital on Monday morning, I must have the pre-op work done on Friday, which means that someone has to come here on Friday, get their pre-op lab work done and then go for their surgery on Monday morning. This has been a long-standing problem and issue. If the person comes over here at their own expense because they’re self-employed or don’t have insurance coverage, they have a choice. They can either fly up Friday and fly home and incur that cost, or they can come up and stay for the weekend and incur that cost, because we all know there’s no place to stay for patients from other communities when they come to Yellowknife, unless you can get into the Vital Abel Boarding Home, and that is limited.

So here’s my question: We have a lab in our hospital in Hay River that does blood work for everything else. Why can’t we streamline the system so that when someone needs blood work and lab work done to ensure they’re ready for surgery on Monday, why can’t that be done in Hay River and those results communicated somehow to Stanton so that we can avoid these problems? It’s ongoing, it continues, it costs us money, it costs our patients money. What are we going to do about it? Thank you.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mrs. Groenewegen. Minister of Health and Social Services, Mr. Beaulieu.