Thank you, Mr. Speaker. Mr. Speaker, almost every week since I hit the campaign trail in 2023, I have heard from frontline workers that our healthcare system is crumbling from the weight of inaction. I want to share one of those stories today that left me with a profound sense of urgency.
Last weekend, I received an email from a physician who had spent seven hours in the emergency room, not as an attending doctor but as a patient. Their child was suffering from a laceration and there was only one doctor on shift, leading to treatment delays in an already overworked and overwhelmed emergency department. It took another hour, eight in total, to care for this child for what should have been a three-hour triage if the ER had been properly staffed.
I am grateful that this physician's child was able to receive treatment and is doing well. I'm also grateful for the doctors, nurses, and other staff at the emergency department who work tirelessly, sometimes without compensation, to ensure the doors stay open and Northerners receive treatment. But this incident is an all-too common experience for Northerners, and this physician is one of those practicing medicine in the Northwest Territories; 60 percent of whom are thinking about leaving due to the lack of attention to the systemic failures in health care.
I am proud to represent the Range Lake riding that is home to a great many healthcare workers. Doctors, nurses, nurse practitioners, physiotherapist, lab technicians; you name it, we've got it in Range Lake, and what we've got is a whole lot of healthcare professionals who are fed up with their working conditions.
This motion calls for concrete and constructive action. It is not just complaining. It is consistent with many of the points my friends from Yellowknife Centre, Tu Nedhe-Wiilideh, and I raised publicly, but also changed to reflect the feedback we received from many, many healthcare workers since its release. I have personally heard from RNs, NPs, doctors, from patients, and policymakers. We've updated and clarified their concerns with this motion, but what's clear, Mr. Speaker, is that no one is happy about the state of health care in the Northwest Territories.
Well, maybe one person. The Minister responsible has said, quote, "there's no place better to get sick in Canada than the NWT", and this is exactly we have brought this motion forward. The message being sent by patients and practitioners is simply not getting through loudly enough to those charged with managing our healthcare apparatus. We've tried for over a year to raise the alarm on health care through Members' statements, oral questions, written questions, motions, and even a Private Member's bill, but the response has been steady as she goes.
Yes, we have a public administrator with a personal work plan to do some work fixing health care. On paper, it looks good, like a great move, but without a clear action plan, with defined and costed measures, it's little more than a gesture of accountability for a system careening off the fiscal and operational cliff.
Mr. Speaker, we've had discussions with our Cabinet colleagues in the past over how to address matters of urgent crisis. Typically, when we think of that, we think of floods, fire, homelessness, things that require urgent attention from more than one side of this House. We are calling for that in this motion, to establish a working group composed of Members of the Executive Council and Regular Members of Cabinet, and the Regular Members working together in a working group to oversee the primary health care reforms of health and system sustainabilities that are going on, not to dictate those policies but to work together in collaboration to ensure that frontline is being heard. Because, again, I will repeat that time and time again, until their voices are heard and until we start to see changes that they are asking for, that their voices are not being heard. And I don't know if it's because they're being limited by their ability to speak up publicly because they work -- because their employer doesn't want them talking to MLAs or speaking publicly. That's all too common and something that happens in the Northwest Territories. But they are brave and brave in bringing these concerns forward, in bringing their working conditions forward, in asking for change, undaunted by the political pressures for them to stay silent, keep their heads down and work, again I might add, often for no compensation, because these healthcare workers, these doctors, these nurses, these allied healthcare workers, they have deep compassion for the residents of the Northwest Territories.
We heard the stories that they're willing to put aside their vacation time, to not take overtime, in order to keep these healthcare services going. And for that, I do thank them. But that shouldn't be the way it is. That's a recipe for disaster. It's a recipe for burnout, for low morale, and for only exacerbating the problems we have.
Wages are stagnant. We hear that time and time again. When negotiations are reached or when new contracts are reached in other jurisdictions, we hear about it almost immediately, have you seen what they got in Alberta? That's the most recent one I can think of, which is a very generous deal. Why aren't we getting that here? Why aren't we even talking about that here? And the position that -- and what we do hear is that we need to find ways to spend less on health care because it's unsustainable. That is true, that we have an unsustainable healthcare arrangement, but not supporting our staff with improved compensation and benefits is not going to help that sustainability. Sustainability can't just be measured in fiscal terms; it has to be measured in the quality of health care that's provided. And as I said earlier today, if we can't provide the health care that Canadians -- Northerners and Canadians expect to have, we might lose all our funding all together because we're not compliant with the Canada Health Act.
Mr. Speaker, many of these considerations we brought forward as well aren't coming from us. I mean, all the concerns aren't coming from us obviously; they're coming from the frontline. But there's specific things in here that have been asked.
The NWT Medical Association give a very eye-opening presentation to the Standing Committee on Social Development about the conditions at the emergency room. If it was not for that, I would wager we wouldn't have seen the immediate response from the public administrator to issue new locum contracts and start working with the doctors to build something that can actually keep the lights on and keep patients going through the doors. There's still challenges there, and one, because there's no transparency around these measures. We haven't seen the terms of the -- of what these locums are being offered. We haven't seen the full details of the financial compensation. And as a result, there's still people -- I hear anecdotally the public administrator telling Members or telling the committee that, personally, he's talking about lots of doctors and they're very excited about this opportunity, but when you talk to healthcare professionals they say we don't know what's going on, and we can't tell our colleagues in other jurisdictions about the great opportunity because we just don't know what it is. Which is why we're calling for transparency on this. It's an expenditure of public funds, and it's important that we know what these new measures are.
It's also important for the full-time staff here because that's a media story and a release that came out almost immediately after that contract was announced was a doctor, a practicing doctor, a northern doctor, saying we need benefits too. You know, and that doctor was taking mat leave at the time and took issue with comments that were made that doctors on mat leave were causing some of these gaps. And doctors shouldn't be told that they can't take mat leave or their mat leave is inconvenient to the system. They knew these doctors were having babies. Why wasn't there a plan? You know, and instead we're still making excuses - well, COVID screwed everything up and it's been so long since we've had solid health care because that was such a traumatic event. Well, that was in the rearview mirror. Yes, we acknowledge it; we all lived through it. And doctors and nurses did -- and healthcare workers, all healthcare workers, worked tirelessly to keep our communities safe at a time of global pandemic. But they too want to move on from that and see a different regime take hold that actually, you know, puts -- restores their faith in their own system, in their own workplaces.
Mr. Speaker, the other measures -- I mean, a lot of these measures are simply financial because that's what we're being told. You know, we keep trying to find ways -- creative ways to improve things without spending any money. And that's just not -- that's not practical. We need to spend more on healthcare workers, period. And I'm not a negotiator for the government, but I am a Member of this Assembly, and that is what I am hearing, so I'm transmitting that message loud and clear. Because if we don't, they're going to look elsewhere or they're going to look to private agencies which are rapidly resulting in more and more privatization of our health care in Canada. Other provinces are taking steps to change that. We have still -- we still want to maintain the use of agency nurses in case of emergency. But the problem is that's how it starts. That's how it started in Ontario. It was to keep ERs open, and then it was to keep other departments open. Now it's a routine part of their system, and they spend millions and millions of dollars on private agencies that are taking money away from publicly-funded health care and workers, unionized workers, who are working for their communities.
Mr. Speaker, this plan, we heard loud and clear from Members on this side of the House in particular, that they didn't want to take the option fully away because -- and we've heard from workers as well that the healthcare system is in such poor shape that if we ban agency nurses tomorrow, it would be a disaster. So we're not calling for that. We're calling for a three-year plan to phase out agency nurses and to, you know, take as much privatization out of nursing work as we can, to level the playing field for our own staff to show them that they are trusted and they are valued. But to do that, we need to approve professional development opportunities and compensation. If we don't start to invest in the nurses we have in the Northwest Territories, they will leave.
Yesterday -- 0and we saw that in the gallery, we saw the message, you'll miss us when we're gone. And that is a very chilling statement if you really let it sit with you. Imagine a system with no nurses. It cannot function.
Mr. Speaker, staff-to-patient ratios is an emerging area of health care reform that we're seeing in other jurisdictions as well. There are plenty of healthcare systems we can look at to draw on, but it's a much-needed thing because that's how you ensure that you're not overloading and overburdening your staff by having the appropriate staffing on hand. Now, you need to hire those staff to have the ratios in the first place otherwise you are setting yourself up for failure but, again, this all comes back to the fundamentals which is pay, compensation, benefits, make it easier and more lucrative to be a nurse in the Northwest Territories so we can start stealing nurses from other jurisdictions. Let's be the best we can be in Canada.
So many people have come to the North to make -- to build a better life because of the opportunities here were second to none, and we've let that competitive edge slip away as our cost of living continues to rise and we play catch-up with the rest of Canada. Cost of living is lower down south, and our wages are not keeping pace with that. You could take a wage hit and still save money by living in a cheaper jurisdiction, or you can go to an agency nurse, still work in the Northwest Territories in an emergency, and make exponentially greater than your peers who you're working with as a staff nurse only months before. These are stories we're hearing, Mr. Speaker. These are not hypotheticals. And that's what we want to stop. That's sustainability. It's not just about cutting costs. It's about keeping staff in place and keeping services in place.
We also spoke to the medical association about physician license sharing. This is something that's been raised in this House before, and it's an important piece of the puzzle. In the Atlantic provinces they have a physician license sharing program that allows doctors to move between the different Maritime provinces. Why don't we have something similar with Nunavut and the Yukon? We have very similar challenges - geographic, resourcing, logistical. Having doctors who understand those challenges means it's a lot harder to start from zero when you come into work in the Northwest Territories. We also work very closely with Alberta, notwithstanding some of their repugnant policies that are preventing gender affirming care and other things that vulnerable minorities in our society look to their governments to support and aren't being done there. But notwithstanding that, we still have their -- we still share much with their -- much connected tissue with their healthcare system. So let's find a way to do that.
It's done elsewhere. There's no reason we can't. The Minister says she's going to go talk to the health Minister. I hope that's part of the conversation. And when I look to the federal engagement strategy, you know, we were told loud and clear by our own doctors that the North should be the ones prioritizing pan-physician license sharing. It will benefit us the most, and it needs a champion at the FPT table. This is a beautiful opportunity for our Premier who has made engagements with other provinces, territories, and the world a centerpiece of his premiership. Bring this on too. Start talking about how to get more -- about how to share more credentials with other -- and not just doctors, but in this case doctors, but in other specials -- hard to recruit specialists and specialized professions that we need in the Northwest Territories. Start making those deals. Sign them. Publicize them. Have a signing ceremony, a photo op. It would be it would be fantastic because Northerners would know we're working for them.
And, you know, fundamentally -- and sorry, and I will add the role of paramedics is important as well. They're currently unregulated in the Northwest Territories and many of them, once they get through the initial application process to work, they have credentials from other jurisdictions that don't need to be renewed here, and I have full confidence in the many hardworking paramedics, you know, particularly firefighters in our community of Yellowknife, but the many hardworking paramedics that do great work in the Northwest Territories. But to not have a regulatory oversight of people who are practicing medicine is a problem, and this is a gap that I know the Minister's aware of, but we need to fill it and use it to support especially care in smaller communities where the resources are much -- are stretched far thinner. Paramedics can make a huge difference. And I think in your riding took, Mr. Speaker, paramedics could make a huge difference.
So if we actually modernize auxiliary care in medical centres, and we also regulate paramedics, we can find more ways to move forward on solving some of these challenges. But we need bigger thinking, and right now we just don't know what's -- what the thinking is, which is why finally this calls for an action plan.
When I talk to people -- and I'm on the receiving end of this sometimes too, and it's fair. You know, I've met with nurses in my riding only last week who said you haven't done anything for us, what are you doing. You know, you're our MLA, why haven't you spoken about this? And I thought I had been doing that. But not well enough if the message isn't getting through.
So, you know, if we're having trouble communicating that to nurses, doctors, healthcare professionals, patients out there, when we have one of the biggest forums in the Northwest Territories, I can tell you the public administrator's work is not well understood. We need to do a better job, and that's why we need an action plan. Perfect is the enemy of good, and right now we just need a good action plan. We don't need to have everything figured out, but we need some concrete things.
You know, nurses have pointed me to what they're doing -- what Premier Houston is doing in Nova Scotia. He releases routine action plans. Some actions work, sometimes they don't. But he keeps at it. And because there are frequent -- these frequent action plans and actions that are coming out of the government, people really feel that things are starting to move. So take the work you're doing, take first, start with these points, because I also -- I do believe some of this work's already ongoing. I do. And we've heard that some of it's ongoing. So clarify that it's ongoing with an action plan. Throw in everything else you're working on, give the public some hope that things are going to get better and they're going to get better soon. And it's into the going to take ten years. Maybe it's going to take ten years to get to perfect. But give us one year to get to better. Give us two years to get to even better. And three or four years to get to good. And so on and so forth. But if we continue to do nothing but say we're trying, trust us, give us time, public's -- you're out of time. The public's fed up. Nurses and doctors are fed up. And if they feel that inaction is the order of the day, they're not going to stick around to find out what happens when everything does truly implode. The threat of a closure of the ER because of these challenges should be a wake-up call for everyone who's serious about health care in this territory, and it should spur action, and it has spurred action, but it should spur even greater action to take immediate, clear, transparent, measured, costed, time-bound action that the public can see, that the public can hold government to account on, and that's actually going to make a difference. Because that's what we're here for. We're here to solve the problem of health care.
So if the Minister can present a plan, I will absolutely -- that's a good plan, that's a solid plan that meets those criteria of being time-bound, costed, clear, transparent, concise, that speaks to the needs we're hearing from frontline workers, I will be more than happy to fully endorse it, fully endorse it. And support her as she brings the plan forward and works on completing every single action. So I call on her to -- and the government to follow through with this motion, bring forward that plan, and help make a difference in health care, because people need it. Northerners, healthy, sick, it doesn't matter; people need this plan. They need action today. And once again, I will fully endorse and support it if it meets the needs of our frontline workers, of Northerners, across all of our diverse communities. But let's get something done today. Let's get the ball rolling with a clear commitment and start to take real action on health care. Thank you, Mr. Speaker.