Newfoundland and Labrador Hansard — Statements by Ministers — 28 April 1999 (44th General Assembly, 1st Session, Vol. XLIV No. 13)
1999-04-28
Newfoundland and Labrador — Debates (Hansard)
April 28, 1999 HOUSE OF ASSEMBLY PROCEEDINGS Vol. XLIV No. 13
The House met at 2:00 p.m.
MR. SPEAKER (Snow): Order, please!
Statements by Ministers
MR. SPEAKER: The hon. the Premier.
PREMIER TOBIN: Thank you very much, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
PREMIER TOBIN: Mr. Speaker, I am pleased to rise
today to welcome back to Cabinet, to government, the hon. Beaton Tulk, Minister of
Development and Rural Renewal and Government House Leader.
SOME HON. MEMBERS: Hear, hear!
PREMIER TOBIN: Mr. Speaker, as the House will know,
on December 2, 1998, Minister Tulk resigned his Cabinet post because of allegations by Mr.
John Woodrow. On the same day, the RCMP began an investigation and the Commissioner of
Members' Interests also commence an investigation into this matter.
On March 18, 1999, the RCMP concluded their
investigation stating that there was no criminal wrongdoing. Yesterday, Mr. Robert
Jenkins, the Commissioner of Members' Interests completed his investigation and presented
me with his report which also found these allegations to be groundless.
Mr. Speaker, I have since spoken with Mr. Jenkins
directly who has assured me that he is confident there was no wrongdoing on the part of
Minister Tulk or any member of his staff. The matter is concluded, and with consent, if I
have consent, I will table the Commissioner's report before the House immediately upon
completing this statement.
Let me say that I am extremely pleased that Minister
Tulk is back in Cabinet. He and his family have been through an extremely difficult time
because of these investigations, because of these unsubstantiated allegations. As I have
said before, the process of a public investigation, while difficult, is sometimes a
necessary burden for members of this House to bear. I want to reflect that Mr. Tulk has
carried this burden with dignity and with grace over a five-month period of time.
In tabling the report, I would invite hon. members to of
course review it, and I would invite hon. members to be in touch if they require further
comment or clarification directly with the Commissioners of Members' Interests. He is
after all an officer of this House and reports to the House. As such I am pleased to table
this report today and to welcome an hon. colleague back to this Assembly and back to his
full duties as a member of the government and a Minister of the Crown.
Mr. Speaker, I table the report today.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Leader of the Opposition.
MR. E. BYRNE: Let me join with the Premier in saying
to the Member for Bonavista North, the Minister of Development and Rural Renewal, welcome
back to the duties which he voluntarily himself left. We all remember that time in the
Legislature. It was a difficult time. When any member of the Legislature is brought up
under such scrutiny made by allegations, then it impacts, directly and indirectly, all of
us to some degree.
I recall during that time, and shortly after, being
asked publicly: Why didn't you go after Mr. Tulk in a more definitive way? My answer at
that time, and it was the answer that we maintained as an Opposition, was that what we
were after was a process that was transparent, that would look at these allegations in an
arm's-length independent way to make the conclusions in an arm's-length independent way. I
am pleased that was the position that not only myself and my caucus took but, but it was
one that I think reflected generally the approach that should be taken in any matters that
may arise like this in the future.
I want to say that while just receiving the report I
flipped directly to the findings of the Commissioner. If I may quote, just to take a
moment by leave, because I know it has not been a long statement, he says:
"Accordingly, in the absence of any evidence to the
contrary and upon the basis [of] the evidence as presented to me, it is my considered
opinion that in terms of the relevant conflict of interest provisions of
Part II of the
House of Assembly Act, neither Mr. Beaton Tulk, nor any member of his political staff nor
any other person in a position of responsible political authority in relation to this file
did or caused anything improper to be done in relation to the licencing of the
Newfoundland & Labrador Paralegal Training Institute. I find any accusation made
against Mr. Tulk or his staff members to be groundless and without any basis in fact or
law."
While I may have disagreed with the process the Premier
decided upon, I am satisfied, and my caucus is satisfied, certainly that this event is
behind a member of the House. While I would have chosen another process, in terms of a
judicial inquiry, I do find that with the report and the findings of the Commissioner of
Members' Interests the process has been served.
I say to the member you have my personal well wishes in
terms of you back in the Cabinet and carrying out your duties on behalf of the government.
I look forward to the debate that will ensue again with you in your capacity as Minister
of Development and Rural Renewal.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Signal
Hill-Quidi Vidi.
MR. HARRIS: Thank you, Mr. Speaker.
I would like to as well join with the Premier and the
Leader of the Official Opposition in welcoming a minister back from out in the cold, I
guess, and in recognizing that we have in the Commissioner of Members' Interests, and in
that process, an impartial officer of the House who is charged with the responsibility of
administering the legislation. I think this is probably the first time that legislation
has been tested in this way and that the Commissioner has being used to conduct such an
investigation.
I do also offer my sympathy, I guess is the proper word,
for the cloud which the Member for Bonavista North has had to endure through a number of
months, and also through a provincial election, as I mentioned the last time this issue
came up on March 18.
I, too, wish to acknowledge that the process has worked
and has provided us, provided the public, with this kind of assurance that it needs that
the member's position has not been in conflict and that the proper decorum and actions of
public officials has been followed.
I welcome him back to his position in the Cabinet, and
we will be partisan from here on in. I think it is worth noting that from the time the
investigation started it is not been raised as a partisan issue, either during the
election or since the thing came forward. I think that it is important to note. We have
all respected the process and we respect the conclusions that both the RCMP and the
Commissioner of Members' Interests have reached.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Government House Leader.
MR. TULK: Mr. Speaker, if I could, let me first of
all do as I did I think when the RCMP report was brought in. If I could have leave.
Let me just say that, first of all, I want to thank the
people of Bonavista North who, through an election, as I said at that time, took the word
of one Beaton Tulk over the allegations that were on the public airwaves of this Province
that indicated that indeed there had been some wrongdoing on behalf of their member. I
want to thank them for their support in that election.
I also want to recognize that in this partisan
atmosphere that we live in it would have been very easy, I guess, for the Leader of the
Opposition and the Leader of the NDP to raise this issue to heights that they chose not
to, because I believe they recognized that what we were doing was the right and proper
thing for all of us, and that I had taken maybe the right course of action. I do want to
thank them for their nonpartisan attitude to this and I want to thank them for their
welcome back. I realize that will end probably in about two or three minutes when we
become partisan foes in this Legislature again.
I want to thank the caucus of the Liberal Party and
especially the Premier of this Province, for having the faith in me that I had not
committed any of the allegations that were made against me and keeping the Cabinet
position open for me. I think it is fairly safe to say, that is maybe a first in this
Province as well.
I want to, if I could, thank my family, especially my
wife, who is in the gallery -
SOME HON. MEMBERS: Hear, hear!
MR. TULK: - for the support over the past five
months. I look forward to getting on with this, getting past it, and getting into the next
five minutes.
Thank you very much, Mr. Speaker.
MR. SPEAKER: The hon. the Premier.
PREMIER TOBIN: Mr. Speaker, there is a very clever
headline in The Telegram today saying, "There's no beatin' Tulk". You can
see he stands here, six-foot-something, and is back and ready to participate.
I want to rise as well today - and this is the first
opportunity I have had a chance to do so - to pay tribute, on behalf of the people of
Newfoundland and Labrador, to the late Wallace Pike, who passed away on April 18, at the
age of 99. Mr. Pike was the last of Newfoundland and Labrador's World War I veterans
living in this Province.
Wallace Pike spent much of his time overseas as a
stretcher-bearer, risking his own life during the war to help the wounded. He represented
what would later become a Canadian tradition in times of conflict - that of humanitarian
aide and lifesaver. Mr. Pike fought to allow each of us to be free, to stand in this House
today and to openly discuss the issues of the day, and for that, to him and to his entire
generation, those who served in the First World War and indeed those who served in the
Second World War, the Korean conflict, and those who serve today as peacekeepers, we must
be thankful.
Mr. Speaker, the passing of Wallace Pike signals the end
of an era in Newfoundland and Labrador's history. Our first-hand knowledge of World War I
has been greatly diminished.
Mr. Pike leaves a large family to remember his life:
nine children, thirty grandchildren, fifty great-grandchildren, and six great-great
grandchildren. Mr. Pike was predeceased by his wife, Minnie, and one child.
We would like to extend our sympathy, and indeed our
appreciation, our celebration of this man's life and that of his generation, to Mr. Pike's
family in this time of mourning.
Thank you, Mr. Speaker.
MR. SPEAKER: The hon. the Leader of the Opposition.
MR. E. BYRNE: Thank you, Mr. Speaker.
Obviously, as Leader of the Opposition and on behalf of
our party and the caucus in the Opposition, we want to be associated with the remarks of
the Premier on behalf of government.
Obviously, Mr. Pike's life reflects a time in our
history and it speaks of the role that people in this Province played in overseas conflict
and what became known as the Great War. It also, I guess, makes us reflect upon what we,
in terms of our provincial character and at that time our national character, the
commitment that we made both physically and with the loss of many sons and daughters
during that time.
Mr. Pike's life is a testament, I think, to the grit of
the Newfoundland psyche, the Newfoundland character, and the grit and determination that
he brought to his post-war activities in life through his involvement with The Salvation
Army.
We, on this side of the House, wish to be associated
with those remarks in passing on our condolences to his remaining family in the spirit of
honouring today, in this House, a great Newfoundlander.
Thank you, Mr. Speaker.
MR. SPEAKER: The hon. the Member for Signal
Hill-Quidi Vidi.
MR. HARRIS: Thank you, Mr. Speaker.
I would like to join with the Premier and the Leader of
the Opposition in expressing our sympathy to the members of Mr. Pike's family and also,
through him, to recognize the contribution of all Newfoundlanders who fought the number of
wars in this century.
It is worth noting that Mr. Pike was probably born in
1900 and, as we approach the end of the century, it is important to recognize that
throughout this century this Province has had many people who have fought, and many who
lost their lives, preserving the ideals which we believe in to create the kind of society
that we want to have.
Mr. Pike was amongst those recognized by the Government
of France with the Legion of Honour very recently. I am sure we were all very proud of him
and all of our veterans, especially going back to the First World War, on that occasion,
and I think it is fitting that we recognize it here today.
MR. SPEAKER: The hon. the Minister of Environment
and Labour.
SOME HON. MEMBERS: Hear, hear!
MR. LANGDON: Thank you, Mr. Speaker.
Today is a National Day of Mourning in Canada. It is a
day set aside to remember those workers who have paid the ultimate price on the job.
Today, April 28, Canadians everywhere are paying tribute to workers who have been injured,
became ill, or who have died as a result of industrial disease or workplace related
accidents.
An Annual Wreath Laying Ceremony was held at 12:00 noon
today in memory of the Newfoundlanders and Labradorians who have lost their lives on the
job. In keeping with this occasion, flags on Confederation Hill are being flown at half
mast today.
Mr. Speaker, injuries, illnesses and fatalities in the
workplace are a disturbing reality for people across Canada and in Newfoundland and
Labrador. We have all heard it said that accidents will happen; however, I have always
maintained a belief that accidents can be prevented. Today, it is important for each and
every one of us to reflect on that thought and consider what we can do to ensure our
workplaces are safe.
Mr. Speaker, government, employers and employees must
work together to reduce the number of workplace accidents but, more than that, we must
work together to create an accident and illness free workplace everywhere in this
Province. This may sound like an impossible goal, but I believe it is achievable if there
is a concerted and enthusiastic effort by all parties.
Mr. Speaker, today I ask all Newfoundlanders and
Labradorians to take time to remember those who have lost their lives, those who have been
injured or became ill, in workplace related accidents. Take time today to reflect on the
importance on safety in the workplace, and make it an integral part of your everyday
activities.
Thank you, Mr. Speaker.
MR. SPEAKER: The hon. the Member for St. John's
South.
MR. T. OSBORNE: Thank you, Mr. Speaker.
I join with the minister in his comments today. Illness
and fatalities in the workplace are disturbing - not to diminish the seriousness of some
of the larger tragedies that we see. If there was a bus accident where there were twenty
people injured, it would be national news. Yet there are more than that, on a daily basis
across the country, injured in the workplace and we never hear of it.
My grandmother always said: An once of prevention is
worth a pound of cure - and I agree. I agree with the minister in his comments that we
have to be more vigilant in ensuring workplace safety in this Province. We are now
embarking on a new industry, an oil industry, and it is really not that new. We saw
tragedies such as the Ocean Ranger many years ago. We are embarking on a new industry in
this Province.
MR. SPEAKER: Order, please!
The hon. member's time is up.
SOME HON. MEMBERS: By leave.
MR. SPEAKER: By leave.
MR. T. OSBORNE: We are embarking on a new industry
in this Province, the oil industry. We are getting into mining, such as Voisey's Bay, in a
major way. It is important that this Province help educate people in the workplace to
ensure that injuries and fatalities in the workplace are limited.
Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Labrador West.
MR. COLLINS: Thank you, Mr. Speaker.
I would like to rise and make a few comments on the very
important day for workers in this country. I would like to just talk a bit about how this
came about, and the personal tragedies that we have had in this Province over the years.
I can recall, in February of 1977, in the mining
industry in Labrador West, we had three fatalities in nine days. Following those three
fatalities, with nobody knowing who was going to be next, the Steelworkers Union went on a
two-week wildcat strike that saw thirteen people sent to jail and others fired.
MR. SPEAKER: Order, please!
The hon. member's time is up.
SOME HON. MEMBERS: By leave.
MR. SPEAKER: By leave.
MR. COLLINS: I would like to say that also in this
Province, the longest strike in Canadian history over the single issue of health and
safety was staged by the Steelworkers Union in Baie Verte in 1978.
I think it is important to remember as well that nobody
gave workers the right to safe workplaces. Workers paid the ultimate price for that. They
died for it and they fought for it by going on strike and taking other actions that were
necessary to get the recognition that occupational health and safety deserved.
We also saw a four-month strike in 1978 in Labrador
City, where health and safety was one of the key issues. As a matter of fact, I am proud
to say as a steelworker that the right to refuse, and the occupation health and safety
legislation in this Province, was taken almost word for word out of the collective
agreement that followed that strike at the Iron Ore Company.
While I was president of the Steelworkers Union in
Labrador City, I was faced with having to go to three different families and tell them
that their loved ones would not be coming home. We had three fatalities there during the
time that I was president of the local union.
Today it is about more than people being killed, because
there is something else happening in the workplace that is of equal importance and it is
not always obvious - the number of people who die each year from industrial disease. A lot
of times that takes a while to happen because there is a latency period associated with
the chemicals that we are exposed to, the dust that we are exposed to, and many times it
is fifteen or twenty years later, when a person has finished his work life, that they
actually get sick and eventually die from these diseases. I think that is where a lot of
our energies have to be focused in the future as well. Workers have to have a greater say
on the workplace floor on issues relating to occupational health and safety.
I agree with the minister; we can achieve a workplace
that will be free from accidents and disease, and I believe that this government has a
leading role to play in making that happen.
Thank you.
MR. SPEAKER: The hon. the Minister of Fisheries and
Aquaculture.
SOME HON. MEMBERS: Hear, hear!
MR. EFFORD: Mr. Speaker, as hon. members know,
government decided last year to assist the financially troubled S.C.B. Fisheries in Bay
d'Espoir. S.C.B. has been involved in finfish aquaculture since the mid-eighties, and the
focus prior to government's latest involvement was on research and development. However,
all participants recognized the need to focus all future efforts on commercialization of
the industry in Bay d'Espoir.
Recognizing that there was a fear that the operation
would have probably gone out of business, and a possible loss of 200 jobs in the area,
government decided to make available a $6.4 million working capital loan guarantee in 1998
to help S.C.B. Fisheries deal with some of the problems they were facing in this new and
challenging industry.
Government invested this money because Bay d'Espoir is a
leader in the aquaculture industry in our Province, and we have confidence in the growth
of this new sector. There are many challenges, Mr. Speaker, in the ongoing development of
the aquaculture industry, but we believe it has considerable potential and can offer
economic diversification opportunities.
One of the problems at S.C.B. resulted from the types of
strains of fish they were allowed to use that were not commercially competitive to the
strains of fish being used in other parts of the world. The inferior strains of fish that
they were using, as a result of DFO regulations, was one of the major reasons for the poor
financial performance of the aquaculture industry.
Meanwhile, hon. members, if you can recall, we have been
lobbying very hard and pressuring the federal government to allow us to bring in a better
strain of fish. We are happy to report, and inform the hon. members, that we have now been
given permission to import all female diploid steelhead trout, which are more commercially
viable. This recent decision by the federal government will now place S.C.B. Fisheries in
a more competitive position. Our efforts paid off, and this is good news for S.C.B.
Fisheries and other aquaculture operations in Bay d'Espoir.
Mr. Speaker, in 1998, when government assisted in the
management of the facility and provided financial assistance to commercialize S.C.B., I
made it very clear to everyone involved that it would be the last of taxpayers' money
going into the operation. Government believed that this final investment would help the
company better position itself for potential investment by the private sector. The S.C.B.
operation is a major force behind the development of finfish aquaculture in the Bay
d'Espoir area and we believe very strongly that it has a brighter future. Since our
involvement we have achieved the following favourable results:
Plan worked out with Shur-Gain - feed supplier to S.C.B.
- whereby it has received satisfactory conclusion to its $3.4 million outstanding feed
credit to S.C.B.; completion of an independent detailed operational review of the company;
site operating costs reduced to address the seasonality of the business; plant processing
facility organized and upgraded which resulted in increased productivity, improved
quality, and lower production costs; refocused the hatchery operation to deal with quality
and not quantity, and as a result we have larger, healthier fish going into grow-out cages
which will equate to less mortalities and improve the costs of the marine sites.
By lobbying D.F.O., we received approval to import
diploid all female steelhead eggs. By using these improved strains we will see improved
feed conversion ratios, which equates to lower costs to grow the fish.
In
summary, the aquaculture industry in Bay d'Espoir
will be placed in a competitive position with other producers. In short, they now have a
brighter future.
The time has come, Mr. Speaker, for government not to
have any further financial involvement in the S.C.B. operation, and this has been done
effective March 15, 1999. We have ended all of our financial and managerial involvement in
the operation; however, release of the Province's security will be subject to S.C.B.
Fisheries Limited first having in place a new general manager, a new investor, and
submission of a viable business plan for the continued operations that is acceptable to
government.
We believe, as a result of our investment, we have put
the company in a more favourable, stable position to move ahead and to continue to play a
major role in the future development of the aquaculture industry in Bay d'Espoir and in
Newfoundland and Labrador.
I reiterate that government is committed to the
aquaculture industry and will continue to provide research and development funding to
support this sector. We will continue to work with the industry in this area with the
objective of building a self-sustaining aquaculture industry in Newfoundland and Labrador.
Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Bonavista
South.
SOME HON. MEMBERS: Hear, hear!
MR. FITZGERALD: Thank you, Mr. Speaker.
I say to the minister, $20 million is an awful lot of
money. When the minister talks about the S.C.B. Fisheries being able to deal with some of
the problems, he is not even saying that $20 million solved the problems as they presently
exist. We are talking about taxpayers' dollars.
Back in December, I think, of 1998, the minister stood
in his place and talked about bringing forward $6.4 million. At that particular time his
voice was loud and clear; he was going to have his ADM down there and he was going to
resolve the management problems. I would like to ask the minister if there are any new
managers being put in place in this particular facility.
The people I have talked to - S.C.B Fisheries is less
attractive now than it was back in December. My understanding was that at that particular
time it was going through a stage, that there were two or three months when the fish would
not have to be fed. From what I understand, the present owners, since that time, have gone
forward and culled the fish that was there. The minister should know the meaning of that
word very well.
SOME HON. MEMBERS: Hear, hear!
MR. FITZGERALD: I understand that the present owners
have gone forward and culled the fish there and sold it and, because of that, the investor
that was interested in taking over S.C.B Fisheries is not nearly as interested now as it
was then.
I say to the minister that we are paying over $100,000 a
job. As important as the 200 jobs are at S.C.B Fisheries down in Bay d'Espoir, somewhere
down the road we have to look at the amount of taxpayers' dollars that have gone into this
operation. It is about time we put managers in place and people in place to run this as a
business and not to be continually coming back and getting handouts from the Minister of
Fisheries and Aquaculture.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Signal
Hill-Quidi Vidi.
MR. HARRIS: Thank you, Mr. Speaker.
In reading through this statement, it is pretty obvious
the minister is claiming credit for certain improvements at S.C.B Fisheries. I agree that
improvements have been made in the management and operations in the last number of months,
but if you look at his statement here you would conclude that the $6.4 million loan
guarantee has somehow been paid off or taken over by somebody else. I do not know if the
minister can clarify that, but that doesn't seem to me to be what really happened here.
When he says we have ended our financial and managerial involvement, and yet we have a
$6.4 million loan guarantee still in place, that sounds like a pretty substantial
liability of public money, to me.
We know that there are still considerable problems there
in the biology, in the escape of fish there, that is potentially causing serious problems
to other species and also to the salmon in the area. We also know there are other
problems, but in the whole area of fisheries aquaculture, this minister, this department,
has really failed to do something about the loss of our cod hatchery and our cod
technology that is now being developed in Nova Scotia.
MR. SPEAKER: Order, please!
The hon. member's time is up.
MR. HARRIS: - in Nova Scotia and in Maine, with the
talent and the information that was developed here. We (inaudible) here.
MR. SULLIVAN: A point of order, Mr. Speaker.
MR. SPEAKER: Order, please!
On a point of order, the hon. the Opposition House
Leader.
MR. SULLIVAN: Mr. Speaker, today being Private
Members' Day, and the clock being at 2:30 p.m., I would ask, with leave of the House, to
allow the Order Paper - Notices of Motion and that - to continue after Question Period,
prior to moving at 3:00 p.m. into the private member's resolution.
MR. SPEAKER: Order, please!
MR. SULLIVAN: We need to read a Notice of Motion
into the record. I will give the Government House Leader a copy of that.
MR. TULK: Mr. Speaker, if I could, just let me say
to the hon. gentleman that I would have no problem with that even at 3:00 p.m. If he wants
to read his resolution -
MR. SULLIVAN: I was going to do it at 3:00 p.m. but
will ask for it on a point of order now, because at 3:00 p.m. -
MR. TULK: We do not need to go through the whole
orders of procedure.
MR. SULLIVAN: No, that is (inaudible).
MR. SPEAKER: The Chair understands then that at 3:00
p.m. we will call Notices of Motion and then move into Orders of the Day.
AN HON. MEMBER: (Inaudible).
MR. SPEAKER: Yes, at 3:00 p.m.
Oral Questions
MR. SPEAKER: The hon. the Leader of the
Opposition.
SOME HON. MEMBERS: Hear, hear!
MR. E. BYRNE: Thank you, Mr. Speaker.
My question today is for the Premier. The last day the
House was open is marked on our calendars as the day government legislated a collective
agreement on the very nurses with whom this government and this Premier promised to sit
down face to face and negotiate with. In the four weeks since then the crisis in the
health care system has not gone away, evidenced by the statements of the executive
director or head of the St. John's Health Care Corporation, and in light of the comments
made by the executive director of the Western Health Care Corporation today.
Casual nurses are still leaving. The issues of
casualization have not been addressed adequately. Workload issues are still, today, the
same as they were four weeks ago, as they were six months ago, and that the legislative
imposition of an agreement, the heavy hand of this Legislature, has not solved those
problems.
Premier, when will you make good on the commitments that
you have made on behalf of the people of the Province and start doing something to address
the crisis in the health care system and the crises that are facing health care workers
generally, and specifically health care workers with respect to nurses in this Province?
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MS J.M. AYLWARD: We have as of yesterday put out a
request for the three parties involved - the employers of the employees of the
Newfoundland and Labrador Nurses' Union, the Newfoundland and Labrador Nurses' Union
members and their executive and ourselves - to come together and try to find a solution to
the outstanding issues surrounding, particularly, nursing retention, recruitment and other
work-life issues. Mr. Speaker, we have not formally heard back from the nurses' union, but
I know we will be having discussions this evening with the employers around this very same
issue.
MR. SPEAKER: A supplementary, the hon. the Leader of
the Opposition.
MR. E. BYRNE: Mr. Speaker, what a pathetic response
by a Minister of Health to put out an invitation to sit down and deal with the issues.
Will the minister acknowledge the issue itself, and that
the issues surrounding recruitment and retention are clear, and what is required is not an
invitation to sit down and talk about it but what is required is immediate action that
addresses the fundamental problems surrounding caseloads, surrounding recruitment and
retention and surrounding workload? Won't the minister admit that what is required is not
an invitation to the nurses of this Province but that what is required is action that
addresses the fundamental concerns faced by nurses and the health care system in this
Province?
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
The first part of the action is to offer an invitation
for all of the parties to come together. There is absolutely no intention on our part not
to move forward in a way that is required. However, we first offered the invitation for
all of the parties to come together and sit down to try to resolve those issues.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the Leader of
the Opposition.
MR. E. BYRNE: The minister certainly did not follow
that approach when she stood in her place as the Minister of Health and in a public
relations exercise try to court public opinion by announcing more nurses into the system
that grossly did not serve to deal with the fundamental issues that were debated at much
length in this House.
Let me ask the minister this. Nurses in the Western
Health Care Corporation yesterday talked about taking job action. It is obvious to all of
us what that means. It is fair to say that the Western Health Care Corporation is a
glaring example of health care mismanagement at a time at the Western Health Care
Corporation. The minister allowed the Corporation to go years without filing the proper
accounts. It went a year without a CEO. The Atkinson group sent in to clean up the mess
was delayed for months because they could not get their hands on the most basic
information about the expenditure of tens of millions of public dollars.
Government has had this report in their hands since the
fall of 1998. When does the government plan on releasing the Atkinson report so the public
can see the extent of damage? Or are you too ashamed, Minister, of what the report reveals
to let us all see it and let the light of day and the light of transparency shine on
exactly what is taking place within our health care institutions in this Province?
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
We have moved forward with a number of initiatives,
particularly in the western area, over the last six to eight months. We know that, in
addition to the Atkinson report we have also done our own financial review of all the
boards across the Province, and we incorporated the results of the financial review for
Western with the Atkinson report. Many of those initiatives have already been acted upon:
for example, the senior management, the financial reporting system.
While I know the members opposite would like to
eliminate the boards and start again, we believe the boards have done a good job. We
believe that what is needed to be done is certainly a strengthening of the accountability
framework. This government has been working for a very long time, in fact over the last
nine months, putting in place an accountability framework which we will be discussing and
consulting with the boards over the coming months to deal with these issues.
Mr. Speaker, in fairness and in reality, a number of the
issues that have been identified by our own review as well as the Atkinson review have
been incorporated by the new executive team and by the overall region. We will continue to
move forward from there.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the Leader of
the Opposition.
MR. E. BYRNE: Mr. Speaker, nobody, only Cabinet,
would know what is contained in the Atkinson report because they have only seen it
themselves. They will not make it public.
The minister stands in the House to leave the impression
that many of the recommendations contained in the Atkinson report have been implemented.
Madam Minister, the only way for the public to get a true understanding of if your
statement is correct and the trust in the approach that you have used, which is not
working publicly any more, is for you to release the report.
I will ask the question again. When will you on behalf
of government, or when will the Premier, one of you, stand up and table the Atkinson
report for all of us to see? That document does not belong to you. It belongs to the
public of this Province and they have a right to know what is contained within the covers.
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
As I just mentioned, we did a financial review of the
whole Province, not just in the western region. One of the components of the Atkinson
report, with our own financial review that we used in preparation for the Budget, was that
we had to assimilate both of the reports and look at what was brought forward. Because as
you know, there has been total financial line-by-line review done for the first time in
many of our boards, and it was based on that information that we moved forward with our
Budget announcement.
As to the release of that report, that would be brought
before Cabinet. It would be looked at now in the context of what was done and what still
needs to be done. That decision has not been made.
MR. SPEAKER: A supplementary, the hon. the Leader of
the Opposition.
MR. E. BYRNE: Mr. Speaker, I am not going to leave
this issue. I will ask the minister again. Cabinet must have dealt with this issue. You
have had the report that was given to you in October 1998. It was presented to the
government.
Surely you are not telling the people of this Province
that you have had such a detailed report in your hands as Minister and you have not
brought what was contained in that report before Cabinet? Is that what the minister is
saying? If she is not, then she should stand in her place and tell us when she is going to
release that report for all of us to see what the recommendations are.
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
What I have said is that we have factored in the
information we obtained from the Atkinson report. We put that in line with our own
financial review which we did of all of our boards right across the Province, and we used
that information.
We in no way have prevented the western region - in
fact, many of the recommendations that we are acting upon are very obvious and have been
dealt with very clearly with the Western Health Care Board, particulary around the
financial accountability, around the new management, and around identifying the services
that will be offered, particularly as it relates to the construction of new facilities in
that region, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the Leader of
the Opposition.
MR. E. BYRNE: Mr. Speaker, that is shameful. The
first time a financial review was conducted on the Western Health Care Corporation it was
done by the Auditor General. The first time that any agency, whether the Department of
Health or an agency of this House, it was the Public Accounts Committee, of which at the
time I was Chair. It held a review on the Western Health Care Board, and at that time
officials from the Department of Health indicated that it was the political decision not
to conduct financial reviews on the health care boards of the day to give them time to get
their management in place.
Minister, I ask you again: Why will you not release the
Atkinson report so we all can see what the recommendations contain? Is it so damning on
the management of your government with respect to health care? Is that why you will not
release the report so all the recommendations can be seen?
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
We have not impeded any of the boards from moving
forward in doing what needed to be done as a result of financial review, either from our
own financial review or from that, in the western region specifically, on the Atkinson
report.
What we have said in our own deliberations, with the
Budget particularly, is that we have moved forward with the new management structure that
is out there, with the financial accountability, with the introduction of a new
computerized system to monitor the financial component of that particular board. So, Mr.
Speaker, we are not prohibiting the board from moving forward in any way on this
particular issue.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the Leader of
the Opposition.
MR. E. BYRNE: Minister, when will you stop playing
games and start doing your duty? How many more nurses will we lose? How many more patients
will have their medical treatments cancelled? How many more beds will close and hospital
facilities remain under-utilized because you and your Cabinet refuse to give health care
the number one priority it deserves? How dare you ask nurses, Minister, to cooperate in
finding a solution when all the tools are in your hand to find the solutions. When will
you act, and act now, to address the issues that the public has debated, and that we have
debated so thoroughly in this House?
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Mr. Speaker, I have never at any
point said that we would never act on what needed to be acted upon with respect to health
care. What I have done - and I have made it very clear over the last couple of days - is I
have offered an invitation to the nurses' union and to the employers to work with us on
this issue, because the employers run the health care system and the nurses, particularly,
are a very important component of that system.
So I am not saying that we will not act, but I will say
that we have offered the invitation, that there are a number of outstanding issues. There
are a number of outstanding issues that were left at the table. While this is not meant in
any way to be a round of negotiations, it is meant to provide an opportunity to move
forward in addressing some of the outstanding issues, particularly as they relate to
retention and recruitment.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the Leader of
the Opposition.
MR. E. BYRNE: How much debate must take place? How
much must occur? The Minister of Health, as the minister responsible for government's
policies with respect to health care, who used the legislative hammer to impose an
agreement prior to the House closing, is now offering an olive branch with nothing
attached to it. That is what it amounts to, an open invitation. The reality is, Minister -
MR. SPEAKER: Order, please!
The hon. member is on a supplementary. I ask him to get
to his question.
MR. E. BYRNE: Thank you, Mr. Speaker.
Minister, when will you do what is correct? When will
you come to an understanding that realizes that what is in the best interest of nurses in
this Province is also in the best interest of health care in this Province?
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Mr. Speaker, I don't know if I am
misreading what the Leader opposite is saying. Are you saying that we should not talk?
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
The hon. the Minister of Health and Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
I am wondering if I am in any way hearing that the
Leader of the Opposition is suggesting that we should not consult and should not meet if
those parties are interested in doing so. I never mentioned the word debate. I mentioned
the word meeting with them, consulting with them and moving forward. I never said at any
point we would not act. What I have said is that we have gone forward and invited two of
the three players involved to come and sit with us and deal with some of the outstanding
issues. Now, I never said debate and I never said negotiate. I have invited them. I have
not said that we would not act. However, the invitation is there. There are outstanding
issues and we will be moving forward to try to address those.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Opposition House Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
My questions today are to the Minister of Health and
Community Services. We have heard comments recently from the President of Treasury Board,
we heard them from the Minister herself, we heard them from the Premier, all calling for
cooperation from nurses. Nurses, Minister, cooperated prior to the strike, during the
strike, and after the strike.
Everybody is aware that the permanent solution to this
is to hire more permanent nurses. You do not need a health care forum to tell you. You had
one two years ago and you did not fix the problem. That was one of the first tasks you
had, to put out the fires during a federal election, when health care was the main issue.
Other provinces are smart enough to realize that we are
in dire need of more nurses. Mike Harris is hiring over 10,000. Roy Romanow had the
integrity and the courage to admit they had failed. The window of opportunity, Minister,
is quickly closing. What we want now is action on the issue, not more talk. Won't you
admit that if you do not start doing something now, that window of opportunity will
quickly close and there will be no nurses available to do the job then?
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Mr. Speaker, I do believe that by
offering, first of all, an opportunity to come to the table to start discussing these
issues... I have said it many times -
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
MS J.M. AYLWARD: Mr. Speaker, if I may have an
opportunity to answer.
We have offered the invitation for all of the parties to
come to the table to begin to deal with this issue. The member opposite talked about
Ontario hiring 10,000 nurses. I ask the member opposite: How many thousands of nurses did
they take out of the system? How many thousands of nurses did Alberta take out of the
system? Whether people want to accept it or not, these are not my statistics.
The Canadian Institute of Health Information has stated
- it is a national body - Newfoundland has the third best ratio of registered nurses to
the general public.
SOME HON. MEMBERS: Hear, hear!
MS J.M. AYLWARD: Mr. Speaker, these are not my
numbers, these are not cooked numbers from government, these are national statistics. We
do recognize and we do admit that there is a national shortage of nurses as well as a
national shortage of other health professionals that we also need to try to deal with, but
we are willing to try to address outstanding issues around retention and recruitment. We
have offered an invitation. We hope we will hear positively in a formal way. If we don't,
we will move forward to do the best we can. We take our responsibility seriously and will
do what we have to do.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the
Opposition House Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
In the past decade we have seen 1,000 beds close in this
Province and nurses laid off. Nurses have been laid off and they have left this Province.
They have been without a job as you continuously close hospital beds, and it is occurring
at a more rapid pace than ever. Minister, under your Administration it is happening; it is
worse.
Nurses, just today, in the Coronary Care Unit at the
Health Sciences Centre, were informed they cannot take annual leave - nurses overworked,
underpaid, dealing with the stresses of a job, who were awaiting a badly needed vacation
with their family. Minister, there is a crisis going on, in case you do not know.
MR. SPEAKER: Order, please!
The hon. member is on a supplementary, I ask him to get
to his question.
MR. SULLIVAN: Now tell us: What are you going to do
about it?
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
Every single jurisdiction across this country have
closed hospital beds because they are providing more ambulatory care. Contrary to what the
member opposite believes, we have changed the practices over the last decade. We have
changed from higher in-patient services to higher out-patient services. We have moved - as
one example - going from seven days as an in-patient for a hernia repair to doing it on an
out-patient basis. That is just one example, not to mention changing the number of days
required for obstetrics and other post-op care.
Mr. Speaker, we are not decreasing beds in this Province
as a result of some new strategy. It is a strategy that has been implemented right across
the country because of new techniques and surgeries. That is how the system is working.
We recognize there is a national shortage, and we also
recognize that we have to do something about it. That is why we are going to move forward.
As to what we will do, our first preference is to deal with the other two parties - or at
least deal with one of the two, hopefully with the nurses' union as well as our employers
- and move forward. Once we come to those decisions, we will announce them.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the
Opposition House Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
An announcement will come when it is too late; it is
going to happen.
Heart surgery has doubled in the last four years. The
waiting list has doubled. Surgery cancelled last week - there are no nurses to care for
the patient after the surgery. We have seen the entire Coronary Care Unit of five beds
shut down over a week ago at the Grace hospital. A call from the Health Sciences Centre,
with three coronary patients, and we could not take them. They called a day prior. A
person went through angioplasty - no bed to put them in, in the Grace - and they could not
take them back because there were no nurses to come in and go to work -
MR. SPEAKER: Order, please!
The hon. member is on a supplementary. I ask him to get
to his question.
MR. SULLIVAN: Minister, health care is falling down
around our ears in this Province. I want to ask you: Do you consider what is happening
here appropriate care for our sick? If you do, what are you going to do about it?
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
We have not at any point said that we do not recognize
that there is a national nursing shortage. Being part of a nation, we recognize that is
inherent as well in our Province. We are very willing to try to deal with those issues as
best we can.
With respect to the surgeries as well, the member
opposite knows that we are experiencing shortages in a whole number of areas - nurses
particularly, and also with respect to cardiovascular surgery -
AN HON. MEMBER: (Inaudible).
MS J.M. AYLWARD: If I may have an opportunity to
answer, Mr. Speaker.
MR. SPEAKER: Order, please!
MS J.M. AYLWARD: Thank you, Mr. Speaker.
In addition to the shortages that we are experiencing
with nurses we are also experiencing, particularly as it relates to cardiovascular
surgery, shortages in the cardiac profusionists.
Mr. Speaker, we do realize that we have a lot of areas
that we need to work with. We have had and continue to have shortages with our medical
practitioners and our specialists, and we are continuing to try to deal with those. We
also have shortages with OTs and PTs and speech therapists. We know that, and we continue
to try to deal with those.
That is why, in the longer term, we are putting forward
our health human resources planning committee to try to deal with it in the long term. In
the meantime, we are trying to deal with the other issues on a more urgent short-term
basis.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Harbour
Main-Whitbourne.
MR. HEDDERSON: Mr. Speaker, my questions today are
for the Minister of Education.
Since the mid-eighties, this Province's education system
has seen a serious decline first of all in students, which in turn has seen a serious
decline in the number of schools and in the number of teachers. Each spring, every spring,
it appears to be the same story: teacher cutbacks, which stand for program cutbacks.
Enough is enough. School administrators have had, for
too many years, to adjust to long-term cutbacks in programs - restructure programs. They
have been in a juggling act just about every spring. This spring has been no different.
I ask the minister: How can this government continue to
expect high quality education for our young people when you still are going to slash up to
182 teaching positions this year?
MR. SPEAKER: The hon. the Minister of Education.
SOME HON. MEMBERS: Hear, hear!
MS FOOTE: Mr. Speaker, the formula that has been
used for allocating teachers throughout this Province has been existent since the early
1980s. So it is not this Administration or the past Administration that in fact put in
place the formula. Having said that -
AN HON. MEMBER: (Inaudible).
MR. SPEAKER: Order, please!
MS FOOTE: Maybe the leader would like for me to
answer the question?
AN HON. MEMBER: (Inaudible).
MS FOOTE: Do you want an answer?
As the member acknowledged, we have had a severe decline
in our student enrolment. Obviously, if you have at one point 170,000 students in the
system and that goes down to today where we have 97,000, that will impact on the number of
teachers that are needed in the system. If not, there is something wrong with our system
if we keep teachers when there is no need to have them in the system.
Mr. Speaker, we recognize that maybe we need to have a
look at the formula. In fact, for the past two years we have not applied the formula. So
while the hon. member opposite talks about slashing 182 teachers from the system, if we
had applied the formula that exists - and formulas exist in every province in this country
- if we had applied the formula over 400 teachers would have been removed. We chose not to
do that, so if you look at the student population and you apply their formula we would
have had 400 fewer teachers in the system. We chose not to do that. We chose to reinvest
$11.5 million back into the system when we did not have to do that, but as a responsible
government, Mr. Speaker, that is what we chose to do.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the Member
for Harbour Main-Whitbourne.
MR. HEDDERSON: Mr. Speaker, despite the minister's
contention this government has placed this education system in crisis. It is serious. I
keep repeating that this system is in crisis. Regardless of reducing or adding, we want to
look at what is happening to the programming.
I've received numerous calls from around this Province
from parents who at this present moment are more than angry at the slash of 182 teachers
because they realize that they are down to bare bones as a result of the cuts, as a result
of the decrease in the number of teachers in this system since the mid-1980s. Regardless
of the number of students, you have to have a -
MR. SPEAKER: Order, please!
The hon. member is on a supplementary. I ask him to get
to his question.
MR. HEDDERSON: - level of programming, and this is
what is in serious peril. Again, I ask the minister: Is she going to address the crisis?
The allocation formula is outdated. She realizes it, we realize it. Is it going to be
addressed, or is it going to be just put off until next year and again have our children
suffer through program cuts?
MR. SPEAKER: The hon. the Minister of Education.
MS FOOTE: Mr. Speaker, it is amazing how the hon.
member opposite can refer to a crisis in the education system when the high school
graduation rates have increased 30 per cent over the last ten years and now stand at 82
per cent in this Province.
SOME HON. MEMBERS: Hear, hear!
MS FOOTE: One of the highest, Mr. Speaker, in the
country, by the way. There is no crisis in the education system. What we have out there
today maybe is a crisis in terms of the declining student enrolment, something we
certainly would like to see changed. As a government we certainly would like to be able to
put more teachers back into the system, and would if our numbers warrant it.
We are concerned. We want to ensure that we have a
top-notch quality education program in this system and throughout this Province. We are
working at that. We are working with all of the school boards throughout the system.
We have undertaken to meet with each of the education
directors throughout the system, each of the boards - there are ten of them - to try and
determine in fact, if there are some concerns out there, what the genesis of those
concerns are. If we have boards out there saying: Because of the cutback in the number of
teachers we are going to have to cut back on the programs that are being offered, that is
a concern for us as a government. Because we want to ensure we have the best quality
program.
SOME HON. MEMBERS: Hear, hear!
MS FOOTE: We are going out meeting with each of the
education directors at each of the school boards to find out what their concerns are, and
if they have concerns we want them to show us how they are originating, where they are
coming from and how we can best deal with them.
It is one thing for boards and others to stand and tell
us there is a problem; it is another for us to have a chance to consult with them and find
out the genesis of that problem, and that is exactly what we are going to do. We are going
to meet with them and find out what the cause of the problem is.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A supplementary, the hon. the Member
for Harbour Main-Whitbourne.
MR. HEDDERSON: Mr. Speaker, again I am having
difficulty getting across to the minister that yes, there is a crisis out there. I think
you should go out and talk to more than just the boards. Let me just read from two
students from Lester Pearson Memorial High School.
MR. SPEAKER: Order, please!
The hon. member is on a supplementary. I ask him to get
to his question.
MR. HEDDERSON: As a result of the cuts made over the
last five years the number of courses offered have dropped from seventy-four to fifty.
This is a small school, this is a rural school. What are you going to do, Minister, again
to address the problem of students who have to suffer -
MR. SPEAKER: Order, please.
I ask the hon. member to get to his question.
MR. HEDDERSON: I am getting to it, yes, Mr. Speaker.
Again, the question is that we have schools in the Province even as I speak that are down
to bare bones programming and basic programming. The cuts that have been brought about as
a result of the Budget this year will bring that program to a level where these students
will not -
MR. TULK: Point of order, Mr. Speaker.
MR. SPEAKER: Order, please!
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
On a point of order, the hon. the Government House
Leader.
MR. TULK: On a point of order, Mr. Speaker.
We are pretty lenient on this side, but I have to say to
the hon. gentleman that it is 3:00 p.m., that it took him two minutes to ask a
supplementary. It is 3:01 p.m. and I think we are one minute past the deadline for Private
Members' Day.
MR. SPEAKER: Order, please!
Question Period has ended.
We are now going to go to Notices of Motion, I think, by
agreement.
Notices of Motion
MR. SPEAKER: The hon. the Opposition House
Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
I ask leave to introduce the following private member's
resolution:
WHEREAS the St. John's Health Care Corporation recently
announced the closing of acute care beds due to a nursing shortage; and
WHEREAS there is an overall predicted nursing shortage
nationally; and
WHEREAS the reliance on casual nurses in this Province
has been excessive; and
WHEREAS remuneration for nurses is the lowest in the
country; and
WHEREAS the overall workload for nurses has been
excessive; and
WHEREAS these are symptoms of the failure of the
Department of Health to properly ensure an adequate supply of nurses to fulfil its
responsibilities to provide a proper functioning acute care system;
THEREFORE
BE IT RESOLVED that this hon. House call upon
the government to take the steps of improving nursing remuneration, nursing working
conditions and staffing levels, to ensure the proper functioning of the health care
system.
Mr. Speaker, I also ask leave, in light of this
resolution, to withdraw Motion 4 in today's Order Paper, since I had a previous private
member's resolution on the Order Paper.
MR. SPEAKER: The hon. the Government House Leader.
MR. TULK: We have no objection to the hon. gentleman
withdrawing the resolution and putting the new motion that he has on the Order Paper
because the first one is outdated. To keep the records of the House straight, I wonder if
he would put it in the form of a motion, to ask for leave to rescind the resolution and
read the previous resolution on the Order Paper so that it is straight in the record? So
that we can pass it and get it on the (inaudible).
MR. SPEAKER: The hon. the Opposition House Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
Before I sat down I asked for leave to withdraw Motion
4, which was that resolution.
AN HON. MEMBER: (Inaudible).
MR. SULLIVAN: Yes. Mr. Speaker, I ask leave to
withdraw Motion 4 on today's Order Paper.
MR. SPEAKER: Does the hon. member have leave?
AN HON. MEMBER: If it is on the Order Paper you do
not have to read it in, do you? It is there.
MR. SULLIVAN: It is a long one but I can read it.
Motion 4 on the Order Paper:
"WHEREAS the government has failed to reach a
tentative agreement with the nurses of the Province and, as a result, the nurses' strike,
which commenced on March 24, 1999, continues; and
"WHEREAS talks between government and nurses have
broken off; and
"WHEREAS the reduction in the nursing workforce
associated with the unresolved labour dispute has diminished operations at the Province's
health care institutions and deprived people of access to certain medical procedures; and
"WHEREAS the government, by its own admission,
cannot assure Newfoundlanders and Labradorians that their health care system will be able
to respond adequately to their health care needs if this labour dispute continues
unresolved;
"THEREFORE
BE IT RESOLVED that this Honourable
House call upon the government to submit the dispute to binding arbitration as provided
for in the Public Service Collective Bargaining Act."
MR. SPEAKER: The hon. the Government House Leader.
MR. TULK: Mr. Speaker, I don't know about the third
party in the House but we certainly have no objection. I would second the motion that the
hon. gentleman withdraw resolution four as he just read it in the Order Paper.
MR. SPEAKER: The hon. the Member for Signal
Hill-Quidi Vidi.
MR. HARRIS: Yes, Your Honour, the third party in the
House has no objection either.
MR. SPEAKER: The motion before the House is that
Motion 4 be now rescinded.
All those in favour, `aye'.
SOME HON. MEMBERS: Aye!
MR. SPEAKER: Against.
Carried.
The hon. the Opposition House Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
For the Table I have some copies of that resolution.
I thank the House for cooperating in allowing the
resolution to come forward because -
MR. SPEAKER: Order, please!
The hon. member is now introducing a resolution. Which
resolution are we speaking on now?
MR. SULLIVAN: Are we still on Notices of Motion now,
I want to ask, Mr. Speaker?
MR. SPEAKER: We called Notices of Motion but the
hon. member gave notice. As he is aware, a Notice of Motion must be twenty-four hours.
AN HON. MEMBER: (Inaudible).
MR. SPEAKER: So the hon. member has leave?
MR. SULLIVAN: Mr. Speaker, I requested leave and I
think that is what the hon. Government House Leader -
AN HON. MEMBER: (Inaudible).
MR. SPEAKER: Okay, the Chair did not understand
that.
The Chair understands that the House is giving leave to
the hon. member to debate this private member's resolution that he just introduced.
Private Members' Day
MR. SPEAKER: The hon. the Opposition House
Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
It is certainly my pleasure to have an opportunity today
to debate a resolution of major significance, I might add, here in our Province. It is a
very serious issue.
This very type of action we are talking about here can
prevent what we have seen happen to the Province's doctors, because a stitch in time saves
nine. If you move quickly to correct a problem, you will not be faced with a bigger one
down the road.
We have seen a similar thing happen with doctors, the
discrepancy was so great. The Memorandum of Understanding with doctors, with the
Newfoundland and Labrador Medical Association, did not even, with 22 per cent or 23 per
cent in many areas, solve the doctor shortage, and we are still getting an exodus of
doctors out of this Province. We let it go too long, the situation was too severe, and we
are going to find the same situation with nurses.
We only need to be normal individuals. Just think about
it: Nova Scotia pays 29 per cent more; Prince Edward Island's contract, which expired
March 1, pays 17 per cent more. They are down here recruiting in this very Province. They
are down recruiting from our north, a new territory in the north, paying people in the
vicinity of $55,000 to $60,000 range, giving assistance. They are providing assistance and
accommodations, and providing a northern allowance on top of that salary, I might add.
I spoke just two days ago with a group of nurses who
were here in St. John's. They were at a social gathering, with a nurse who was leaving the
next morning to catch a flight down to the United States, and I spoke with some of them.
They said: We are getting together because our friend is leaving tomorrow morning.
We saw incidents on the news. They are telling examples
of the problem we have, and we have to fix it. We are going to have a problem.
One hundred and twenty-five new nurses in the system -
the minister stood here and announced in the House, right in the midst of a strike - is
not the solution to solving the nursing crisis here in this Province. The solution is
hiring more permanent nurses.
The nurses have worked so much - they have been called
in on overtime - it is causing an increase in sick leave in our system because they are
stressed out and they are overworked. It is causing problems. The casualization - they do
not know from day to day, from minute to minute, if they are going to get a call. You
cannot run a major health care system, acute care institutions in this Province, on
casualization. We allowed it to get out of hand.
I raised this issue about four years ago in this House.
I raised it four years ago on casualization, and talked about what the problem is going to
lead to. It is on the record of Hansard somewhere around four years ago; it could be five,
who knows? We addressed what could be - an impending crisis is coming here in the system.
We have a major concern, a major problem. If we do not
address it - the government, during the election campaign, seemed to be aware of it. They
were aware of it in the election campaign, very much so. I have some of the quotes here
from the Premier in their election campaign. He talked about all this new money we are
going to get, a big chunk of money from the federal government, this big $40 million. You
know what that turned out to be? - $4.4 million. That was the difference.
In Canada Health and Social Transfers, I say to the
Minister of Mines and Energy, based on the document that the Minister of Finance, his
colleague, tabled in this House, there is $4.4 million extra under the Canada Health and
Social Transfers. That is what we got. We did not get $40 million extra; we got $4.4
million extra. Either we got sold a bill of goods, whatever it is, that is what we got
under the Canada Health and Social Transfers.
That is what your document - you are a member of Cabinet
- a document which you provided to this House, and I assume this is accurate. If it is
not, you will have to stand and defend it in the estimates, in discussion on the Budget
here in this House. I am going from your figures of $4.4 million, one-tenth of what we
were told we were going to get.
He said he now understands and realizes. He now has the
money to improve the Province's health care system. That is what he said. He has the money
to improve it. He told us everywhere he has gone - I think he even thanked nurses in the
campaign, for raising the issues out there in the public and doing such a good job. That
is right. He said: The Minister of Health is a nurse, the deputy minister is a nurse,
every night he goes home to a nurse.
He tells the nurses they can trust him to handle their
concerns over cutbacks to health care. That was the story back on February 8. I do not
know why February 9 changed it. Since that, we are hearing it all over. The western part
of this Province now are indicating that they are going to (inaudible). They cannot take
it any more. The people here in this Province cannot take it any more.
I spoke to people the weekend before last - anybody who
has friends sick there - up at the Grace Hospital. There were five people in the Intensive
Care Unit - there are six beds, and five coronary care beds - there are eleven beds in
total, and they did not have enough nurses to care for those who were there. One needed
two nurses. He was so sick, he had need of two nurses. They tried to get a nurse to come
in. Eventually they got one to come in at twelve o'clock. Another patient came in - to
make it six - at 10:00 p.m. There was another nurse came in, and they had two deal with
one. On top of what they were doing, they did not have the right ratio of care that is
required for the health of the individual. They were monitoring two by telemetry,
monitoring two that were hooked up to monitors down on the floor of the hospital. They got
a call from the Health Science: We have three coronary care patients we want to put in
there. Five empty beds, we cannot take them.
There was a fresh angioplasty, someone had just had an
angioplasty done. We have nobody to go in there - five empty beds. We cannot shut down the
Coronary Care Unit. A Coronary Care Unit in the capital city of the Province had to shut
it down because we cannot get nurses. The minister knows full well that when you train
critical care nurses in casualization, when they took permanent jobs in other areas, they
jumped at this chance.
The same corporation now, and the same Minister of
Health overseeing her appointed boards, because that is what they are... She talked about
appointed boards. We said: Scrap the boards. Look at your own memos inside that said you
were going to do the same thing. In this election campaign and prior, you were going to do
the same thing. You were going to make the CEO's report to the Department of Health. Do
not deny it. I would like to hear the minister respond to that one - the very same thing.
When someone does that, to me, it sounds like a hypocrite. That is what it sounds like.
AN HON. MEMBER: (Inaudible).
MR. SULLIVAN: It sounds like it; I did not say it
is.
AN HON. MEMBER: (Inaudible).
MR. SULLIVAN: Okay, it does. I withdraw it, if it
makes the Government House Leader happy. I withdraw it.
When you say something that the Opposition are going to
do that you were going to do the same thing, and you go out in the public and say it. We
know, I know, and you know very well, you are going to do the same thing. It is
ridiculous. It is the games you are playing. That is what it is; it is a game. It is a
spin game they are playing out in the public. That is all it is. It is not a genuine
concern to address the issue. There is one solution. You either stand up and admit you
have failed, like Roy Romanow - say we failed to address it - instead of hiding behind it,
and say there is one solution to it. The solution for it - Do we want to fix it? That is
number one. Are we committed to fixing the problem? If we are committed to fixing the
problem, there is a solution, Minister, and you do not need a health forum, you do not
need to get together with the nurses' union, you do not need to get together with anybody.
You have been told.
Two years ago you called a forum in at Littledale, got
an appointed minister, they replaced the minister. The more I think about this, the more I
realize what we need now is a change, a shuffle in there now in the Department of Health,
to put some credibility back so people in this Province can come in, sit down, discuss and
negotiate.
Yes, the minister is smiling. Maybe she feels her time
is coming - she is going to get that little shuffle out of there now and her colleague
gets shuffle back in there - because I am not sure whether she has lost the confidence of
the people to address the health care issues in this Province. I really, sincerely feel
you have lost the ability to function as Minister of Health, to address our concerns. I am
genuinely serious about that. That is no game, I can tell you.
I do not know how you can go about it. I think
(inaudible) a lame duck minister in this Province who has turned her back on concerns in
this Province, who has not done what is needed to be done.
I will get on to a few other things that are very
important. She talks about what we have done: We have shorter procedures, we have more day
surgery. Sure we have, but we have 1,000 less beds, we have hundreds less nurses, we have
layoffs, we have staff gone everywhere, beds closed, people not getting called in,
casualizations working more than full hours. All of these problems are symptomatic of a
system that is sick. Yes, there is sickness in our system, in our society, but there is a
sickness in the delivery of health care, there is a sickness in the administration of
health care, and we are not getting a very properly delivered system.
Maclean's magazine said that 40 per cent of dollars
are wasted - health care, over $70 billion in this country a year, 40 per cent of that -
almost $30 billion goes right down the toilet, flush it out the toilet.
I am seeing it everywhere, Minister. I am seeing it in
program-based delivery where you spend half of your day, or 30 per cent of your day, in
meetings and discussions and so on. It is ideal in a society with unlimited resources. The
program-based system works with unlimited resources, but we do not have unlimited
resources in this Province and we cannot waste our time when we could be giving front-line
service.
People going home in the evening cannot get their work
done because they are sitting around on discussions on issues to run a program that you
say conceptually works in theory. It has not worked in practice because the resources have
not been there to give the numbers to make the program work. That is wrong. Scratch it,
get rid of it. Scrap it, I would say, throw it out - inefficiencies. Why should we need a
bed utilization coordinator, all of these new positions? Because you have mismanaged the
system to put us in a position where you have to flip a coin now and see who is the worst.
I spoke to the family of a man who was in intensive
care. He was supposed to be monitored for two days. They came in and said: You are going
to have to go back to a floor; somebody else needs your bed worse. Two days later, that
man died in his wife's arms down on a hospital floor, when he should have been monitored
there. Yes, they are real cases, and I have dozens of them. I can tell you of horror
stories that I am hearing because they have been putting the medical people in such a
position that they have to decide who is the worst, which one is worse.
You are telling us that urgent emergency surgeries are
getting done. That is what the minister said. In other words, the heart surgery that was
cancelled last week because there was no nurse, that was not urgent or it was not an
emergency. That person who had waited for several months, that is not important. When we
have a list gone from 120 - when I first became health critic I checked 110 to 115 people,
I think, on the list. It is up in the mid-two hundreds now. It is getting worse, Minister
- empty beds.
First there was a problem - anaesthetist - you had to
cancel it, there was no space. We put in space. Then it was profusionists, and now it is
nurses.
Look, you are trying to tackle one little fire at a time
and go on to the next fire. You do not look at the whole picture. You have lost your
ability to be able to function in a setting and plan properly in health care. You have
lost it. The department has lost it. Your credibility is gone, I can tell you, in the
Department of Health in terms of delivering health care.
You have a report that you said four times was going to
be available, an Atkinson report, and you cannot even deliver it because the report is so
damning of the system here, and your responsibility of that board you appointed being
accountable to you. You have lost the link of accountability in your appointed boards.
Then, the audacity to say we are going to scrap them and
run them out of St. John's, the Premier said, when at the same time you were planning to
do the same thing yourself. Imagine, if that is not what - what is it? I am not allowed to
use the word hypocrite. I wish I could. I probably would but I cannot, and I respect that.
It is wrong, I say to the minister. We have major
problems and they are getting worse by the day. As each nurse - and, I can tell the
minister, it is not just in the nursing area. We are seeing it with other allied health
professions. We are seeing it with other professional people. We are seeing it with
doctors, too, because the measures that were put in did not address it.
You expect nurses looking for cooperation - now, what a
scam. Treasury Board first, then the Minister of Health, then the Premier: We are looking
for cooperation from nurses. What do you want cooperation from nurses for? You have that;
you had that all along. What did you do? Legislate then back to work. Then you got up in
the House and said: We will put 125 new nurses in now. Then you come back and say: We have
to go back and talk to them, how to solve it, and make your announcements whenever you
feel like it.
More political manipulation. The situation is becoming
sickening by the day, what is going on, a feeble attempt to give the public the impression
and trying to shift the burden of guilt. I think I saw it printed in nice little letters
in The Telegram , trying to shift the burden of guilt from themselves on to the
nurses.
I can tell you, it did not work. You failed dismally
because of it, and you had better wake up and realize that there are issues that have to
be dealt with in this Province. You cannot pay lip service in an election campaign.
February 6, 1999, three days before the election, the
Premier - I can see him now - I have been convinced, putting aside other issues, that the
staffing issue needs to be addressed and is one that I intend to intervene on personally.
That is what he said. Here is what he said: You can't
have stressed out people working double shifts, being called back on short notice, burnt
out, running and operating within the system. What does it do?
MR. SPEAKER: Order, please!
The hon. member's time is up.
MR. SULLIVAN: Thank you, Mr. Speaker.
You cannot have that going on in the system, I say to
the minister. I will get a chance to speak again.
MR. SPEAKER: The hon. the Government House Leader.
MR. TULK: (Inaudible) the Leader of the NDP, just
now, and the Opposition House Leader, about putting a motion on the makeup of the
committees that have been referred to, the Estimates Committees. I would like to ask leave
to put that motion now very quickly, the naming of the Estimates Committees, that I gave
you just now, without taking away from anybody's time.
Mr. Speaker, I give notice and by leave move that the
following heads of expenditure be referred to the Government Services Committee: Finance;
Works Services and Transportation; Government Services and Lands; Municipal and Provincial
Affairs; the Newfoundland and Labrador Housing Corporation; the Public Service Commission.
Be it that the following heads of expenditure be
referred to the Social Services Committee: Human Resources and Employment; Education;
Health and Community Services; Environment and Labour; Justice.
That the following heads of expenditure be referred to
the Resource Committee: Fisheries and Aquaculture; Forest Resources and Agrifoods;
Tourism, Culture and Recreation; Industry, Trade and Technology; Mines and Energy;
Development and Rural Renewal.
I move that the referrals of the heads of expenditure to
the Estimates Committee become effective on May 3, 1999.
MR. SPEAKER: All those in favour of the motion?
Against?
Carried.
The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MS J.M. AYLWARD: Thank you, Mr. Speaker.
I move an amendment to the resolution that is seconded
by the Member for Bonavista North.
The resolution to be amended by: (
A) Striking out the
first recital clause, (
B) Striking out the third, fourth, fifth and sixth recital clauses,
and by substituting the following:
"Whereas it is recognized that an adequate supply
of nurses is necessary to provide a functioning Health Care System;" and
(
C) Striking out the Resolution Clause and by
substituting the following:
"THEREFORE
BE IT RESOLVED that the Honourable House
call upon the Government, employers represented by the Newfoundland & Labrador Health
& Community Services Association, and the Nurses represented by the Newfoundland &
Labrador Nurses Union to immediately take collective action to address Nursing Human
Resources issues, including recruitment and retention."
The resolution will now read:
WHEREAS there is an overall predicted nursing shortage
nationally; and
WHEREAS it is recognized that an adequate supply of
nurses is necessary to provide proper functioning health care system;
"THEREFORE
BE IT RESOLVED that the Honourable House
call upon the Government, employers represented by the Newfoundland and Labrador Health
& Community Services Association, and the Nurses represented by the Newfoundland &
Labrador Nurses Union to immediately take collective action to address nursing human
resources issues, including recruitment and retention."
MR. SULLIVAN: On a point of order, Mr. Speaker.
MR. SPEAKER: Order, please!
On a point of order, the hon. the Opposition House
Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
I contend that it is not in order. It destroys our
resolution calling on this government. We are not calling on the nurses' union that are
not empowered to do it, or the Health Care Corporation is not in power. The power is with
government. It destroys the intent of the resolution and I ask, Mr. Speaker, that you rule
it out of order.
MR. SPEAKER: Order, please!
I have not seen the amendment yet.
The hon. the Government House Leader.
MR. TULK: Mr. Speaker, let me say to you that the
hon. gentleman is wrong. The intent of this resolution is obviously to address the health
care issues in the Province, and in particular -
AN HON. MEMBER: (Inaudible).
MR. TULK: Just a minute now, I listened to you.
- and in particular as they relate to nursing care in
this Province and our hospital situation in general.
The intent of the resolution is not destroyed. It might
be a different method of doing it. It is not as politicized, I say to the hon. gentleman,
as his resolution was. It is more, in a cooperative manner, trying to solve the problems
in the health care system; but the intent of the resolution is still there and I would ask
Your Honour to make a ruling that indeed it is in order.
MR. SPEAKER: Order, please!
We will recess for a few minutes to consider the
amendments, and come back.
Recess
MR. SPEAKER (Oldford): Order, please!
The Chair took some time to consider the amendment.
Based on our Standing Order 36, and '567 on page 175 of Beauchesne relative to amendments,
the Chair rules the amendment to be in order.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Minister of Health and
Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
We have put forward this amendment to try to begin the
process of bringing the parties together to identify ways of addressing the outstanding
issues; as we see them, mostly focused around retention and recruitment. We know that
there is a national nursing shortage, and again this Province is experiencing its
component of nursing shortages, being a part of that national shortage. We also know that
with the announcement of creating 125 new positions, and with the conversion of casual to
permanent of 200 positions, we know that this is for us a very good beginning to try to
address some of those issues.
We know and we believe that it has been consistent in
the system that about an appropriate number of casuals would be 15 per cent in the system.
With the introduction of the new positions and the conversions we believe we will have
between 18 per cent and 20 per cent casualization in the Province. It is certainly well on
its way to trying to address the issues. Now, in some areas of our Province the
casualization is much higher than others and I think we have to work very hard to try to
address those issues.
We believe the 15 per cent level of casualization in the
Province will be necessary for a number of reasons. One, because for many employers they
need to have at least a 15 per cent flexibility, even though over the last number of years
it is has been quite a bit higher. There has been a constant movement forward across the
country to reduce the percentage of casualization. So with our current rate between 18 per
cent and 20 per cent we believe we are certainly in the decline towards a more appropriate
level at 15 per cent.
We also know that in some events while the majority of
nurses would prefer to have permanent status there will always be some nurses, perhaps
very few in nature, but there will always be some who do require casual status and want
casual status because of some of the flexibility it accords. While a permanent position
does give pro-ration of benefits, particularly if it is part-time with full benefits if
permanent full-time, some nurses would choose to work on a casual capacity. In the
previous agreement that was one of the reasons why paying casuals in lieu of benefits
became an issue, and that is why the current rate now is 20 per cent for casuals over and
above their salary in lieu of the benefits they do not get as a permanent employee of the
system.
In terms of our commitment to health care, I know in
this Province we will always have challenges for a whole number of reasons but I was
really glad to hear the House Leader say and admit that there is not an endless pot of
money in this Province. I think that is a first, because I think it is a really good
indication that he does recognize that there is not an endless pot of money in this
Province and, in fact, that we have to make some very difficult choices, although we have
chosen to spend well over one-third of our total Budget on health care. In this last
budget year we announced $40 million to retire the debt; in addition to the $10 million we
announced last year, another $15 million.
I think that is a very important indication based on our
ability of our commitment. Do we still need to do more? Yes, there is no doubt about it,
we do have a lot more that we need to do. I think our commitment of putting over one-third
of our budget into Health and Community Services is a very important point, as we say that
health care is our number one priority, particularly as it relates to our budgetary
requirements.
I also have to say something about the boards. The
member opposite did mention about our health care boards. I know he mentions them quite
frequently, and about how they are appointed and they are this and they are that. I know
how he does not support them. I will say in terms of his comments about me -
MR. SULLIVAN: A point of order, Mr. Speaker.
MR. SPEAKER (Smith): A point of order, the hon. the
Opposition House Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
The Minister of Health and Community Services said I do
not support the health care boards. I've never indicated I do not support health care
boards. Let me be emphatic. I have never made that point. I have respect for people on and
running those health care boards, I might add.
What I take offence to are boards appointed by the
minister when the minister does not ensure accountability to them. That is my problem.
MR. SPEAKER: Order, please!
There is no point of order.
The hon. the Minister of Health and Community Services.
MS J.M. AYLWARD: Thank you, Mr. Speaker.
I guess it is a point of
interpretation. When you say
you want to eliminate the current structure, the board structure, it would lead one to
conclude that that party in particular does not support the board structure. That was
during their election campaign.
I think it is important to note, because we are talking
about consistency and speaking out of both sides of your mouth and making all those sorts
of insinuations. I have to say - and it is important to point out - we have been
consistent in our support for the boards. We are not like the members opposite who first
said elect them, then said eliminate them, and then said replace them all. There is a
little bit of inconsistency over there.
I think it is important to have it on the record because
that is a very key and important point and is very much integral to how the system works
in this particular Province. Because we do have an appointed board structure that we in
this government support very much. We will continue to work with them to try to continue
to enhance our health care system.
I would like to say, as well, that I think it is
important for the record that while these statistics I referred to are not our own
provincial statistics, they are national statistics from the Canadian Institute of Health
Information, a national body that looks at ratios and other sorts of statistics. They have
placed Newfoundland as the third best province in its ratio to the public, to the RNs. I
think that is an important point.
The other point I want to say is about our commitment to
health care. This Province is one of the only provinces in the country that maintains the
ratio of skill mix - particulary in our long-term care sector and in our acute care sector
- of licensed practical nurses and RNs only. We are one of the few provinces in this
country, if not the only province in the country, that does not use untrained, unlicensed
workers in long-term care and acute care sectors. Again, I think that speaks to our
commitment to the quality of health care.
More specifically to this particular amended resolution
is that we do recognize that there are nursing shortages, particularly in some areas over
others. Not in all areas, but certainly in a large number of areas we are experiencing
difficulties. We also need to recognize that with the current structure of the collective
agreement, when we fill positions and make them permanent or create new positions they
come out of the casual pool of nurses. Because positions have to be posted and filled
internally before we can go outside the collective agreement and post them outside.
It is only normal to expect the casual pool to decrease
while we are filling permanent positions. I know there are other factors involved. It is
not just the filling of permanent positions, it is the fact that we are being heavily
recruited and it is the time of the year. In addition to that, it is the annual leave
period of time of the year.
We do support moving forward, addressing issues
particularly around recruitment and retention. We also know, Mr. Speaker, that we will
move forward to address issues. We have invited the parties to work with us. We hope that
they will come forward and meet with us on this issue. We at no time said we would not
act. We have offered them an opportunity to come and meet with us and to go through some
of the initiatives we would like to put forward, in conjunction with some of the
initiatives I hope the health care boards will put forward, and we can all together come
to the best resolution to begin to address the issue of retention and recruitment, in
addition to the other initiatives that we have put forward for our health care and our
commitment to making it and retaining it as a quality health care system.
Thank you, Mr. Speaker.
MR. SPEAKER: The hon. the Member for Conception Bay
South.
MR. FRENCH: Thank you, Mr. Speaker.
I would like to take a couple of minutes to respond to
what the minister has said. I will start off, Minister, by saying it is too bad you are
gone. I will start off by saying that it is too bad, when we talk about retention and
keeping nurses, that on the night that we legislated them back to work -
AN HON. MEMBER: Not we, them.
MR. FRENCH: On that side, when they legislated them
back to work, that the minister did not stand in her place and show some backbone and
intestinal fortitude, and vote the way that she spoke at one particular point in time when
she was the President of the nurses' union. I can only say my, how the times have changed.
My, what a Cabinet position can do for you. My oh my! How you can forget where you came
from and forget the people you worked with for a number of years.
It is too bad. It is very sad when we see the former
President of the nurses' union of Newfoundland and Labrador taking the stance that she has
taken to watch this amendment as I watched a year ago when I introduced a private member's
resolution for the personal care homes in this Province. To date, what an insult to those
people. What an insult to the nurses of Newfoundland and Labrador. What an insult to the
RNC of Newfoundland and Labrador who supported these nurses when they were on strike. What
an insult to see the Minister of Finance, the highest law maker in this Province, sit in
his seat and jeer the nurses who sat in the gallery. What an insult to those people. I sat
here and saw it with my own two eyes.
MR. GRIMES: Point of order, Mr. Speaker.
MR. SPEAKER: Order, please!
On a point of order, the hon. the Minister of Mines and
Energy.
MR. GRIMES: On a point of order, Mr. Speaker.
I think all of us know the rules in this House. We are
not allowed to tell lies in the Legislature. I believe that the suggestions now in terms
of what the hon. member is saying happened in this House - I sat here through this whole
debate and saw no such action. It is totally false, unlike when the member opposite gave a
rude gesture with his finger in a debate earlier before Christmas. I believe he should
retract and withdraw the statement because it is an absolute, downright lie, what the man
is saying.
MR. SULLIVAN: Point of order, Mr. Speaker.
MR. SPEAKER: On a point of order, the hon.
Opposition House Leader.
MR. SULLIVAN: Thank you, Mr. Speaker.
The Minister of Mines and Energy rose here and imputed
motives and almost directly said that the member here was lying. That is out of order, I
would say. It is imputing motives and the Minister of Mines and Energy's statement is out
of order.
MR. SPEAKER: To the point of order, the hon. the
Member for Signal Hill-Quidi Vidi.
MR. HARRIS: He did not impute motives, Mr. Speaker.
He said he was lying and that is unparliamentary. He has to withdraw it.
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
I ask the hon. member to take his seat, please.
AN HON. MEMBER: (Inaudible).
MR. SPEAKER: Are you speaking to the point of order?
MR. FRENCH: (Inaudible), Mr. Speaker.
MR. SPEAKER: The hon. the Member for Conception Bay
South.
MR. FRENCH: First of all I think the Minister of
Mines and Energy should withdraw his remark. I do not know what he saw but I know what I
saw. He talks about a gesture that went on here. We can all say that, to take the heat off
his former buddy who sat up here. That was no problem at all. This is the spin doctoring
that we have heard from this minister. The nurses saw it. They had very uncomplimentary
words for that particular minister. I sat here and watched the chief lawmaker of this
Province and the Minister of Finance go like that to people sitting in the gallery when
they were ejected.
MR. SPEAKER: Order, please!
MR. FRENCH: That is the truth, Mr. Speaker, that is
not a lie. I have no intentions of withdrawing that. None!
MR. SPEAKER: Order, please!
I would ask the hon. member to take his seat.
The Chair has heard enough on this issue, and the Chair
will take this matter under advisement and rule at a later date.
The Chair now recognizes the hon. Member for Conception
Bay South.
MR. FRENCH: Mr. Speaker, on a point of order. I
believe the Minister of Mines and Energy just referred to me as a liar, that I was lying
in this House, and I ask now that those remarks be withdrawn.
MR. GRIMES: To the point of order, Mr. Speaker.
MR. SPEAKER: To the point of order, the hon. the
Minister of Mines and Energy.
MR. GRIMES: Mr. Speaker, with respect to the rules
of the House I withdraw the statement and I wish he would do the same.
MR. SPEAKER: I thank the minister.
The hon. the Member for Conception Bay South.
MR. FRENCH: Thank you, Mr. Speaker.
I have no intention of withdrawing of what I said. It
happened. I will tell you one thing, I am as much a man as anybody on that side is. I am
as much a man as you are, partner.
AN HON. MEMBER: (Inaudible).
MR. SPEAKER: Order, please!
MR. FRENCH: I am as much a man as you are. I am as
much a man as anybody over there, Mr. Speaker, believe you me.
MR. SPEAKER: Order, please!
MR. FRENCH: Anyway, Mr. Speaker, I would like to
continue. When I see these things happening and I listen to the Minister of Mines and
Energy - I think he was up about ten times. Every time we would put up a speaker I
believe, again to see one man from the other side jumping up time after time when nobody
else over there would get up. The person they wanted to get up I do not believe would get
up. I do not believe that particular individual would get up.
I understood it was going to be a free vote. I would
certainly like to question the freedom of the vote. When we see these things happening and
we hear what we just heard, and we see the motion that changes the intent of this motion;
when we watch what is going on in health care in the Province of Newfoundland and
Labrador, when we talk about people who have been prepped and ready to go for heart
surgery seven, eight and nine times; when we have a doctor in the hospital who put out a
report and asked how many people in the Province of Newfoundland or how many people in his
area of the Province died while waiting on open heart surgery; when that doctor paid for
the ad himself and got seven replies, and asked in a meeting that I was in if there was
any member there from the House of Assembly who would stand up and ask that question;
well, the question was asked. The question certainly was not answered.
When we look at now nurses who are being recalled or
called back on overtime, when we look at paying people triple-and-a-half time, then I
believe it is time that somebody really took a good look and a hard look at exactly what
we are doing and where we are going.
To move this amendment I think is a shame. To look to
call the nurses of this Province after they legislated them back to work, I think it is a
insult to their intelligence and it is morally wrong.
AN HON. MEMBER: Are you going to vote against it?
MR. FRENCH: Definitely, without question. Vote
against that amendment? Sure. I am going to vote against the amendment just as much as you
had intended to vote against the motion, I say to the minister.
AN HON. MEMBER: (Inaudible).
MR. FRENCH: I think you are one face the nurses will
certainly remember after your conduct in the House while the particular piece of
legislation was going on. They will remember you.
AN HON. MEMBER: (Inaudible).
MR. FRENCH: You do not need to hope that. They will
remember you, believe you me.
AN HON. MEMBER: (Inaudible).
MR. FRENCH: Oh yes. I am sure, speaking from the old
sandbagger himself, it was really good what he did. As a matter of fact, the night that I
speak about when a heart surgeon in Corner Brook asked if there was a politician there who
would get up and ask the question, that member was there. I did not see him the next day
coming to his feet asking the question that Dr. Arthur Grebneff on the West Coast of this
Province wanted asked. You know -
AN HON. MEMBER: (Inaudible).
MR. FRENCH: Dr. Arthur Grebneff. You do not know the
man, I assume.
AN HON. MEMBER: (Inaudible).
MR. FRENCH: I see, very good. Again, Mr. Speaker,
the gentleman had his opportunity the night the legislation was passed. He certainly could
have risen in his place anytime throughout that day but it did not happen. I think that
this amendment is wrong and cannot and will not support it. I believe in the motion that
was put forward by my colleague, and that is the only thing I would certainly be willing
to support.
I thank you for your time, Mr. Speaker.
MR. SPEAKER: The hon. the President of Treasury
Board.
SOME HON. MEMBERS: Hear, hear!
MS THISTLE: Thank you, Mr. Speaker.
I am pleased to stand today to support my colleague the
Minister of Health in her amendment to the resolution. Today is a time for reflection.
This is the first time that this House has convened since the passing of Bill 3. I think I
will start off on reflecting the events of Bill 3.
Bringing forward Bill 3 was something that neither
myself nor this government took any pleasure in. It was legislation that was necessary,
necessary because we had heard from the Health and Community Services Association that
health care in this Province was undergoing a crisis. We knew how long it would take to
get it through the House of Assembly and we had to take the responsible position that we
did. As I said when I started off, neither myself nor this government took any joy in
bringing forward this legislation.
The benefits that occurred to nurses because of this
legislation are many. The contract agreement that was narrowly rejected last October
provided for a 7 per cent raise for nurses. When I was appointed to this position as
President of Treasury Board the first thing I did was look at our Province's finances.
When I did that I had the stark realization that it was almost ten years since any
government, previous to ours, had the ability to provide a raise for our public sector.
That says a lot. We had gone through a very harsh economic climate in this Province. We
had now reached a position where we were able to provide an increase for our public sector
workers.
I believe the 7 per cent increase we provided was fair.
Do I think we should have paid more? I would have to say that I myself, and all members of
this government, would have probably liked to pay more, but the reality is we were not
able to pay more. If you ask your friends and neighbours, no matter what district you are
from: Are you willing to pay more so nurses, as part of our public sector, can have more
in their pockets? Yes, everybody would love to pay more, but the truth is we are the
highest taxed province in all of Canada. None of us can afford to pay more taxes. Really,
what is the reality here when you cannot afford to pay more taxes? You only can do it one
other way, and that means cutting services. It also means cutting employees.
I am sure all of us seated in this House will remember
1996 when we as a government inherited a $300 million deficit. We were faced with the
problem of what to do. We had to bring in a massive downsizing program. If you speak to
any public sector employee within this Province they will tell you that before Christmas
each year was a troubling time because most of them did not know if they were going to
have their job after Christmas or not. That was considered to be getting ready for the
budget for March 31, the adjustment period.
You talk to any public sector employee here today and
they will tell you that for the first time in a long time they have a great measure of
comfort with this government because they have not gone through that pre-adjustment period
before Christmas in the past two years.
They now can go out and make plans. They can make plans
to buy homes, to buy cars, go travelling, do things with their family, improve their
houses, do whatever they need to do, because they have some stability in their lives to go
out and make these financial decisions.
I want to tell you the benefits that we have brought in
to nurses - the 7 per cent increase that will be paid over a thirty-nine month period,
retroactive to a year ago April 1. The in-charge pay premium for nurses who are either
team leaders or nurses in charge, that will increase twenty cents an hour, from sixty-five
to eighty-cents. Casual nurses will also receive an increase in their in lieu of benefit
pay. This will increase that amount only from 14 per cent to 20 per cent of their salary.
So that is significant, along with their 7 per cent.
AN HON. MEMBER: (Inaudible).
MS THISTLE: Yes.
Do you know that over the next three years the cost of
these compensation measures will be $27.9 million? We are talking about new nursing
positions, 125 brand new permanent nursing positions, but you cannot forget the 200
casuals because they are 200 new nursing positions.
AN HON. MEMBER: No.
MS THISTLE: Yes. When they are classified as
permanent, they are permanent and they are new. You can put any name you wish on them, but
they are new.
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
MS THISTLE: Do you know something, Mr. Speaker? This
is the largest single increase in the number of permanent nursing positions in our
Province's history. That says a lot. On top of that, government is willing to work with
nurses to look at the twelve-hours shifts. That may be one of the ways to reduce stress.
Now, I am going to tell you that nurses are a very, very
important part of our health care sector. I could not help - all the while during this
controversy, I held onto a letter from a constituent of mine from Grand Falls-Windsor who
works in the health care sector. When I read this letter, it told me about all of the
other people in the health care sector that are resource people and accommodate and work
with nurses and make sure that the whole health care sector works. One single group in not
an island onto themselves; they all need each other.
This person went on to tell me how - she used an example
like: Ms Smith was experiencing chest pains and had her family doctor refer her for X-ray
and blood work. The first thing she did was go into a word processing equipment operator
to register all of that stuff. It was a snowy day when she arrived at the hospital, so
what happened then? The maintenance department sanded the sidewalks, and when she entered
the hospital a utility worker mopped the water from the melted snow off the floor. Then
she asked the receptionist at the front desk where she should register. Then another
person, the registration clerk, entered all the data that Ms Smith needed to have her
tests completed.
When she had her blood work done, the laboratory aid
collected Ms Smith's blood. That was delivered to the materials and management department
and it was paid for by the financial services department.
She needed a urine sample. Therefore, the washroom that
she went in was cleaned by a domestic worker. She needed to have something to eat before
she went home, so she went to the cafeteria. From that cafeteria she was able to order a
menu created by who? Dietitians. Prepared by who? Cooks. Who served that? Food service
workers.
After lunch, she went to the diagnostic imaging
department for an X-ray. Her papers were processed by a clerk. Then, she put on a gown
that was washed and folded by a laundry worker. She had her X-ray done by an X-ray
technologist. The films are processed in a machine that was serviced by a biomed
technician. The X-ray was read by a radiologist and typed by a typist.
Now, she was not finished. She went on to the
respiratory department for an ECG and a stress test. An ECG technician performed the test
and a technologist did the stress test.
Is the message getting across? What I am saying is that
no one profession in the health care system works alone. Not one group works alone. Every
group is an integral part of our health care system, and there are dozens of professions
that cross over these lines in the hospital system.
When we look at the fact that we are looking at a
possible nurses' shortage, you know something, that is not a local problem. It is not a
local problem to St. John's; nor is it a local problem to Grand Falls-Windsor or Harbour
Breton or Baie Verte. It is not a provincial problem. It is a national problem. I would
even think it is an international problem.
What we are saying is this is a difficult time for
nurses. There is no question. You do not go through an event leading up to legislation,
and since legislation, without feeling anger, resentment, bitterness, and all the emotions
that go with that event. We, as a government, understand that. What we are saying at this
time is maybe a cooling off period is necessary. In saying so, we are still offering an
opportunity for dialogue. Whatever happens to this whole entire issue, the fact of the
matter is that government has to work with nurses. The employer, the health care
association, they have to work with nurses. We all have to work together. It may not be
today, it may not be tomorrow, but none of us can separate ourselves for an extended
period of time.
We, as a government, had to take our responsibility
seriously and we did that. We, as a government, were asked to take the matter into control
and we did that. What is important on this today is the fact that legislation, Bill 3, is
behind us. It was totally unique. It was totally unique to this situation. The nurses'
disagreement that could not be settled, that was the situation.
Bill 3 in no way affects any future contracts that
nurses will enter into with government, and it does not affect any other contract that
will come forward to government in the collective bargaining range. It was entirely unique
to this nurses' situation and will have no bearing on future contracts. We did what we
felt was necessary and responsible at the time, based on our ability to pay nurses and
other public sector workers.
We had a situation where we needed to take control of
the looming crisis that was within our health care system. That is now behind us. It is
almost one month behind us, but what is ahead of us is the fact that we need to foster a
new relationship with nurses. As the President of Treasury Board, I am willing and ready
to talk to nurses again.
Nurses that are seated in the gallery today, you are
shaking your heads. All of us know, when there is a dispute of any sort it is only so long
that we can stay apart. We all need to come together whenever the time is right. I do not
know when the time will be right. Whenever the time is right, we need to come together and
work on the issues that are facing nurses which today are workload, retention, recruitment
and all the issues, other than money. It is unfortunate but we cannot dwell on what was
done almost thirty days ago. We have to move forward and rekindle a new relationship -
MR. SPEAKER: Order, please!
The hon. member's time is up.
MS THISTLE: - to improve the health care system of
this Province. If you look at what this government pledged to health care -
MR. SPEAKER: Does the hon. member have leave?
AN HON. MEMBER: No leave!
MS THISTLE: No leave? Okay.
Thank you, Mr. Speaker.
MR. SPEAKER: Leave is denied.
The hon. the Member for Waterford Valley.
MR. H. HODDER: Thank you, Mr. Speaker.
I have to rise. I did not intend to rise today, because
my colleagues were intending to bring forward a resolution which made such good common
sense that we thought there would be only a speaker from this side of the House and one
speaker from the government side of the House, and that we would have unanimous approval
for the resolution put forward for the Member for Ferryland, because it made such good
common sense.
What that resolution basically said was they would call
upon the government to do what was right, to be fair to nurses, and to go and take unto
itself the powers they have, by virtue of being the majority in the House, to take steps
to improve nurses' remuneration, to do what the public of this Province has said should be
done, and to improve working conditions and staffing levels to ensure the proper
functioning of the health care system.
I say to the government, what other responsibilities do
you have? When the government moved to alter the resolution, what they altered was what we
have asked them to do. We on this side said to the government: Would you take steps to
improve nursing remuneration? Obviously since the government has changed the resolution,
put forward their thing: No, we will not do that. We said: Take steps to improve nurses'
working conditions. Because they changed the resolution, they are simply saying: No, we do
not want to do that.
MR. TULK: Point of order, Mr. Speaker.
MR. SPEAKER: Order, please!
On a point of order, the hon. the Government House
Leader.
MR. TULK: Mr. Speaker, I think the hon. gentleman is
supposed to be speaking to an amendment. The resolution has been amended and he is
standing up obviously with the old resolution in his hands, speaking to the resolution as
opposed to the amendment. We are speaking to an amendment resolution and not the one
(inaudible). Perhaps the hon. gentlemen might like to be a bit relevant.
MR. SPEAKER: Order, please!
There is no point of order.
The hon. the Member for Waterford Valley.
MR. H. HODDER: Mr. Speaker, that point of order is
about as relevant as most other things that come from the Government House Leader. The
point of order itself is totally irrelevant. What it does show, though, is the contempt
the government has for any resolution that is designed to improve health care and the
nursing situation in this Province. It shows the contempt the government has for nurses.
It shows that they do not want to address the real issues. The real issues were what was
contained in the member's resolution when he put it forward today in good faith.
As a matter of fact, when we were having a discussion in
our caucus we felt that this resolution made such good common sense that the government
would say: Here is a good positive resolution. We will vote for it because we want to
improve the nursing remuneration, we want to improve nurses' working conditions and we
want to improve the nurses staffing levels so that we can ensure that the health care
system functions properly.
We were surprised to come in and find that the
government, in their very first speaker, had the minister stand up and offer an amendment
to that resolution. We here call upon the government to solve government's created
problems.
It was not the boards of health in this Province that
created the problem that is causing the crisis in health care. It was not the nurses'
union that created the problems. The problem was created by the government when the
government decided they would not abide by the current law in this Province. The current
law says, under the Public Service Collective Bargaining Act, that you could have binding
arbitration to resolve those differences. The government said: No, we are going to be the
bully, we are going to browbeat, we are going to intimidate, we are going to frustrate the
system, we are going to put at risk the integrity of the entire health care system, but we
will do it.
Then the minister gets up today, the President of
Treasury Board, and she quotes a lengthy letter from one of her constituents. I would ask
her to stand in her place tomorrow and read a letter from another constituent of hers
which wasn't nearly as complimentary as the one she just quoted a few minutes ago. Perhaps
on tomorrow when I get a chance I will bring that letter down to the House and I will read
another letter that went to the minister from a Ms Noseworthy, who is a constituent of the
hon. the President of Treasury Board.
What we have here today is certainly a case of where we
have, again, confrontation versus cooperation. The nurses who have been slapped in the
face, they have been browbeat, they have been bullied, they have been stamped on,
everything that you can do to a profession this government has done to nurses. Now, after
they slapped them in the face, after they have gone and said: That is it, we are going to
do what we want with your collective agreement, we are going to destroy it, we are going
to say to you that if you do not agree with what we want we will change the law to make it
the law of the Province to impose a collective agreement, we will not give you the
provisions of the Public Service Collective Bargaining Act, but what we will do is create
Bill 3. Then, after we have an Easter break and all that kind of thing, now the Minister
of Health comes back and says: Would you please forget about all of that?
What the minister has to realize is that that is not the
way the world operates. The nurses of this Province are not about to enter into a cuddling
session with the Minister of Health, the President of Treasury Board, or any members of
the Liberal Party. They have good reason not to because they have been treated so
unfairly.
Then the minister stands in her place and says she is
going to convert 200 casual positions into full-time positions. Then she says they are new
positions. Not only that but then she quotes Budget dollars which will have the effect of
saying: That is all new money. We happen to know the issue in casualization is not in the
total hours worked, it is the fact of the unpredictability of the hours. In fact, the
total remuneration for the 200 full-time positions, in contrast to the money that was paid
before for the 200 casual positions, the total amount of money is not that much different,
but the minister claims that is all new money now. Certainly, the issue of double counting
here in terms of financial analysis is certainly a very real issue. Nobody is being fooled
by the minister's comments in that regard.
The Premier of this Province made commitments to nurses.
He told them he would look after them. They feel betrayed. They feel they have been trod
upon. They feel that what is happening here is certainly not fair to them.
I watched television a few days ago and it was on NTV, I
think it was. They showed a young nurse leaving Newfoundland. She was at the airport, and
as she was putting her luggage into the conveyor system she started to cry. She did not
want to leave Newfoundland and Labrador.
We have knowledge now of some of the leading health care
professionals that are leaving this Province because they know that the working
environment in this Province is not fair, is not conducive to good professionalism. We
know as well that this government has to face the reality. People are not going to stay.
Not only that, but they do not have to stay. If you are offered a full-time job in Nova
Scotia where you are going to get $10,000 more, then you are on the boat and you are on
your way. Mr. Speaker, if you are offered a full-time job in the Northern Terri