This is page numbers 6139 – 6174 of the Hansard for the 17th 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 review.

Topics

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Speaker. Since the Minister made his initial set of questions in 2013, we have hired a clinical advisor within the Department of Health and Social Services who is helping us to determine or quantify some of these results and questions in these areas. I just want to be clear to the Member, in some complex areas, medical diagnoses, some patients clearly would like to get a second opinion from another doctor. Doctors will respect a patient’s request, reasonable request, for a second opinion from a physician of the patient’s choice. This is consistent or is straight from the Canadian Medical Association Code of Ethics, paragraph 26.

NWT residents can also ask the doctor who’s given the original diagnoses for the name of another expert, someone with whom he or she is not actually associated with where the patient can go and get a second opinion.

I would just like to throw something out there for residents of the Northwest Territories, and that’s not to be worried about offending your doctor. They won’t be offended. They understand their obligations and they understand the importance of a second opinion, so please don’t be worried about offending the practitioners.

The cost of the visit itself for a second opinion is an insured service paid for by Health and Social Services. So the visit itself is covered. However, if a doctor for the second opinion is not located in the patient’s home community, the medical travel costs would not be covered or would, rather, be the responsibility of the patient itself. Depending on the outcome of that second opinion, some of the travel costs may be eligible for reimbursement. Thank you, Mr. Speaker.

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

I would like to thank the Minister for that very comprehensive response to a second medical opinion. They’ve done a lot of work and I agree that residents shouldn’t be afraid to offend any medical practitioner or physician in seeking a second medical opinion. He did mention something and I was going to ask a question in terms of the

lack of physicians in the Northwest Territories in some of the regions and the medical costs. He understands the situation we are in, where some of the regions don’t have physicians and we have locums who continue to come through.

Would he be looking at reviewing that medical travel for someone who needs a second medical opinion? I know Members on this side have all heard our constituents who have gone to the hospital and been given Tylenol or something and told to go back home and not to worry about it. Would the Minister look at reviewing that medical cost for people who need that second medical opinion? Thank you, Mr. Speaker.

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

As I indicated, depending on the outcomes of a second medical opinion, if an individual did have to travel to get that second medical opinion, we would be willing to explore covering some of the costs. I do hear the Member and I have heard other individuals express concern in this particular area. I can confirm that this topic is part of the medical travel modernization. This is a topic we are looking at as we modernize medical travel here in the Northwest Territories. Thank you, Mr. Speaker.

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

Some of our highest rates of health risks and health incidents are in the Northwest Territories and fall into the area of people who live in poverty, who live on income assistance and housing, who can’t afford to go to Yellowknife or Edmonton to get that second medical opinion. Some of them are even afraid to go to the hospital and will take their word as trust.

I’m asking the Minister if he would be willing to look at paying costs up front for individuals to have the right to go get the specialized medical diagnoses in areas that might provide those such as Edmonton, who I know we have contracts with. Will the Minister be looking at doing that? Thank you, Mr. Speaker.

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

As I’ve already indicated, our policy doesn’t currently do that, but we are willing to reimburse if a second opinion is determined to be necessary upon completion of the second opinion. I have already indicated it is part of the medical travel modernization and this is something we’re looking at. We need to make sure we are detailed on this assessment because not everyone needs a second medical opinion and we want to be careful about how far we put ourselves out there financially. Thank you, Mr. Speaker.

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

The Speaker

The Speaker Jackie Jacobson

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

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

Thank you, Mr. Speaker. I mentioned in my Member’s statement, a person’s health and life is at stake when we go this route. I don’t think putting ourselves at a financial risk should be the indicator for seeking a second

medical opinion. The policy in itself is a barrier for this second medical opinion. He mentioned, and he is going to say again when I ask again, that I’ve stated that it’s in our policy that we will reimburse upon return.

I am asking the Minister if he would look at reviewing that policy so we don’t reimburse upon return, but be able to support someone to go seek that second medical opinion. Thank you, Mr. Speaker.

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

The Member is right; I’m going to say exactly the same thing again. We are doing medical travel modernization and we are including this as one of the areas that we are hoping to address, or intend to address for that program. Right now our policy is such that it allows us to do reimbursements where a second opinion is justified. But it could be that people may choose to go out for second opinions if they know their trip is going to be paid for when they don’t actually need a second opinion. So we need to be cautious. We can’t just say we’ll pay for everybody that wants to go anywhere for a second opinion. We encourage people to use the system that is at hand. We encourage people to work with their doctors and continue through normal processes.

But at the same time, if somebody is frustrated with the treatment they’re receiving or not convinced that the treatment they’re receiving is appropriate, I strongly encourage them to go to the quality assurance individuals and staff within each of the authorities. These quality assurance individuals can do a review of the situation, which actually allows us to get good feedback so that we can continually improve the system. So there are other mechanisms where people can express their frustrations. Thank you.

Question 790-17(5): Patient’s Right To Second Medical Opinion
Oral Questions

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Abernethy. Member for Deh Cho, Mr. Nadli.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

March 10th, 2015

Michael Nadli

Michael Nadli Deh Cho

Thank you, Mr. Speaker. Just following up on my Member’s statement in terms of recognizing the local employment opportunities for the tiny hamlet of Enterprise, recently the community was quite excited to experience the construction of the fire tower in the vicinity of their community.

Can the Minister of Environment and Natural Resources provide an update on the construction of the Enterprise fire tower? Mahsi.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Nadli. Minister of Environment and Natural Resources, Mr. Miltenberger.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

Michael Miltenberger

Michael Miltenberger Thebacha

I can, Mr. Speaker, and I’d be happy to make sure the

Member gets it as soon as I get that update for him. Thank you.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

Michael Nadli

Michael Nadli Deh Cho

This community receiving a fire tower wasn’t a random decision. I know ENR considers the geography and the location of these towers.

How was it determined that Enterprise would see a fire tower? Mahsi.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

Michael Miltenberger

Michael Miltenberger Thebacha

There was a range of vision, there was a need to replace, there was a discussion with the community looking for appropriate land, and then working through the logistics in terms of the actual project to get it built. Thank you.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

Michael Nadli

Michael Nadli Deh Cho

Just in terms of the experience of last fire season, which was fairly significant, the biggest on record, is there anything special that the Minister and his department will undertake to involve the community in terms of preparing for this fire season? For example, perhaps considering some strategic locations of communities for fire bases, or amassing, perhaps, a camp of personnel, ensuring that communities are involved and perhaps ensuring that communications are very clear in terms of involving communities. Mahsi.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

Michael Miltenberger

Michael Miltenberger Thebacha

ENR has been doing work all winter and is concluding that work in the coming months to work with the communities, work with stakeholders, getting feedback on last fire season, as well as going around, along with MACA, to look at communities getting fire smarted, getting ready with their emergency measures plans.

We’ve learned from last year. We’re going to be bringing our emergency firefighters on stream sooner, and we’re going to be standing ready, especially in light of the indicators that we’re now getting in regards to snowpack and those types of things, which look to be below normal at a time when we’re in the fourth year of the most severe drought. Thank you.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Miltenberger. Final, short supplementary, Mr. Nadli.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

Michael Nadli

Michael Nadli Deh Cho

Thank you, Mr. Speaker. I think the Minister just alluded to perhaps an indication of some environmental factors in terms of snowpack, in terms of trying to predict whether we’re going to have another dry season or not.

Can the Minister at least give an indication to the House in terms of his efforts or department’s efforts to try and forecast whether we’re going to have another drought season or not? Mahsi.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

Michael Miltenberger

Michael Miltenberger Thebacha

We’ve been looking at talking to the people we have on retainer, the meteorologists that take long-term forecasts. NTPC, in the next couple of weeks, is going to be doing testing of the snowpack in the Snare system just to check to see what they anticipate the runoff might be. Of course, we’re monitoring. With the

benefit of satellite imagery now, we’re monitoring the snowpack and we can tell, from everything I’ve heard, that what has fallen so far this year is less than a normal year. To have any positive effect, we need at least double the snow we currently have to date. Thank you.

Question 791-17(5): Enterprise Fire Tower
Oral Questions

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Miltenberger. Member for Sahtu, Mr. Yakeleya.

Question 792-17(5): Environmental Impact Of Mineral Development
Oral Questions

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Speaker. My questions are to the Minister of ENR. In my Member’s statement I talked about the mining industry impacts. Today I want to focus on the environment and the cleanup, and later on I’ll focus on the business opportunities and the potential opportunities and challenges to date.

I want to ask the Minister of Environment, has this government been working with the federal government in regards to the Bear Lake remediation cleanup of the mines that have been happening in that area? It’s been reported that 700,000 tonnes of waste was dumped into Bear Lake. Is the government working with the community of Deline on that cleanup?

Question 792-17(5): Environmental Impact Of Mineral Development
Oral Questions

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Yakeleya. Minister of Environment and Natural Resources, Mr. Miltenberger.

Question 792-17(5): Environmental Impact Of Mineral Development
Oral Questions

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. We are well aware of that. From what I recollect, that is one of the waste sites that the federal government has kept to be remediated. Thank you.

Question 792-17(5): Environmental Impact Of Mineral Development
Oral Questions

Norman Yakeleya

Norman Yakeleya Sahtu

Mining has been pretty active in the Sahtu, and I’d like to continue my question. In the Mackenzie Mountains across from Tulita, I think the Minister is aware that there’s a lake called Drum Lake where the Drum Lake Lodge is situated. In that area there is a small site that’s been abandoned by, reportedly, a Shell company there that needs to be cleaned up.

Has the Minister looked at this small site at the Drum Lake area?

Question 792-17(5): Environmental Impact Of Mineral Development
Oral Questions

Michael Miltenberger

Michael Miltenberger Thebacha

If my memory serves me correctly once again, I do recollect the Member sending me pictures of the site, which I sent to the department. We’re aware of the circumstance, but there’s been no active ability to put funds towards the cleanup at this point. Thank you.