Sandy Lee

Unless the Member has information that I’m not aware of, there is no jurisdiction in Canada that has a universal coverage for supplementary health benefits. In fact, programs like home care services, which the NWT provides as a core service universally, is not included as supplementary health coverage. There is no jurisdiction in Canada that covers 100 percent for anybody who is over 60. There is no...It’s a supplementary health benefit, is what it is. It is supplementary. It’s extra. It’s not part of the Health Care Plan. So universality does not apply here.

We do have a more generous program...

Yes, we will be talking to all stakeholders, not just the seniors. I was just using that as an example. I say yes to the follow-up questions that the Member asked.

Mr. Speaker, Members have been provided with information on the consultation that took place between 2003 and 2007. I agree with the Member, I know how to agree to agree, and agree to disagree. I understand that Members feel those consultations were not the way they should have been. That’s not to say the consultations didn’t take place, because there was lots of discussions with the NGOs and seniors’ groups about how to change the Supplementary Health Benefits Program. Going forward, as I have stated in my Minister’s statement, in answer to Ms. Bisaro’s question and to other Members and to...

Thank you, Mr. Speaker. Since the announcement of this policy, I happened to have travelled to Fort Simpson, Inuvik, Sachs Harbour, Paulatuk, Ulukhaktok, and I have to say, when I explained that the changes are meant to expand the program so that we include a group of people that are excluded, people agree with that. When we say the senior cut-off is $55,000 net, and for most people that is a really good income on a retirement, because that means you have to make about $75,000 to $80,000. The gaps that we have found are that we need to revisit the income threshold itself, whether it’s too low...

As I have already stated in my public statements, the income test threshold has been revealed to be too low; that a vast majority of our non-seniors are making a much higher income than that threshold. So we expect that if we were to implement the programs the way they’re outlined, we may be excluding about 5 percent of top earning seniors from the basic Supplementary Health Benefits Program. But we have introduced the Catastrophic Drug Cost Program as a safety net so that nobody in the North will have to pay more than 5 percent of their net income for the Catastrophic Drug Cost Program.

Mr. Speaker, it’s general knowledge that these program changes were consulted on, discussed, debated in this House and outside this House between 2003 and 2007. The policies were changed in September of 2007. I do not have all of the calculations on what came about to achieving that. I have been responsible for implementing those, but the policy objective was not a cost-cutting measure and it is not necessary to make sure that we stay within whatever is budgeted under the Supplementary Health Program. So it is wrong to say we are making these changes on the backs of the seniors. That is not...

It appears that in Simpson the Deh Cho Health Authority is in close touch with the Stanton authority. The community health rep or even the maintenance person, whoever has a vehicle, will go and meet whoever is arriving. That is the process right now. I will review that to see if we can tighten that up any further.

Yes. Right now the policy or the process is that the local taxi company is advised. They would like to get the call by 4 o’clock the day before for anybody coming. I understand it does work most of the time, but once in a while the passengers might arrive at the airport and not find anybody there, and they’ll have to call the number that’s indicated at the airport.

I’m happy to advise the Member that in fact the Department of Health and Social Services is one of the few departments that actually reduced their top management. We reduced the positions at headquarters by 13 per cent in the last round. We went from two ADMs to one ADM, and we have reduced a director position by one. That went unnoticed, but we did all of that in the last six months.

The second thing. While I support — and I do…. There’s no question that a midwifery program is the way to go in the future, but there has not been any evidence to suggest that it is replacing some regular medical...

I don’t think we need to demonstrate that this program is useful. I don’t think we need to have any more discussions on that.

We need way more than $100,000 to create the second position. A midwife position comes with a need for about three more positions, so it’s about a four PY idea.

About the THAF funding. We do not have any extra room in that funding. This midwife position at Yellowknife health is currently being funded under THAF. As the Member knows very well, THAF funding will expire in ’09–10. We do need to look at how we are funding these positions. This is a valuable position, but it’s...