Newfoundland and Labrador Hansard — Statements by Ministers — 24 November 1992 (41st General Assembly, 4th Session, Vol. XLI No. 70)
1992-11-24
Newfoundland and Labrador — Debates (Hansard)
November
24, 1992
HOUSE OF ASSEMBLY PROCEEDINGS
Vol. XLI No. 70
The House met at 2:00 p.m.
MR. SPEAKER (Lush): Order, please!
Statements by Ministers
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: Mr. Speaker, I apologise to the Leader of
the Opposition and the members of the Opposition generally. I didn't have time
to prepare a statement as I only just arrived back in the city at 1:30. I wanted
to report to the House generally on the discussions I held yesterday with the
Prime Minister because I think they're matters of importance to this House.
We discussed in the main the economic and employment
situation in the Province, discussed it in historical terms, and looked at the
current situation in the context of the historical situation in the Province. We
also looked at it in the context of the impact of the existing recession on the
unemployment figures, and also the impact prior to the cod fishery moratorium
and the impact subsequent to the cod fishery moratorium, and the figures are
quite striking.
We discussed the need to address the issue from two
particular points of view, meeting the short-term needs and problems of both the
fishery and non-fishery sector. For the most part the short-term needs of those
involved in the fishery are being met by the federal compensation program. I
expressed the appreciation of the people of the Province to the Prime Minister
for the federal government's contribution in this regard. We also discussed it
in terms of the need to address the longer term restructuring problems of the
economy generally, and the changes that will need to be made in order to meet
the changing circumstances in the fishery.
We also discussed in substantial detail the approach of the
two governments to dealing with these problems, in particular in the context of
the provincial Strategic Economic Plan, and compared that with the approach
taken by the federal government in their Prosperity Initiative. The similarities
between the two approaches, Mr. Speaker, are quite striking. We also pointed out
to the Prime Minister that of the fifty-four specific proposals in the
Prosperity Initiative, thirty-six of them would require action by the provinces
in order to implement.
I also discussed with him the benefits to the federal
government of an improvement in the economy in this Province. For every dollar
of direct revenue the provincial government would get as a result of economic
improvement in the Province, the federal government would get at least four to
five dollars directly. If you took into account the increased unemployment
insurance contributions and the reduced unemployment insurance payments, it's up
to about ten to one in terms of the relative benefits to the two governments. So
both the Prime Minister and Mr. Crosbie I think saw very clearly the importance
of the two governments working together to achieve this kind of economic
improvement.
The solution, we agreed, is joint action, but we have to bear
in mind that there are limitations both on the federal and provincial
governments in terms of the funding that's available to implement any joint
action. So we discussed the way to deal with that.
Members will remember that when the Strategic Economic Plan
was announced it was indicated that it would require about $384 million over the
next five years to fully implement. We discussed the ways in which that might be
achieved with the Prime Minister and Mr. Crosbie and we agreed that for the most
part that funding is available under the existing cooperation agreements. The
funding already committed by the two governments under those existing
cooperation agreements can largely carry out the full implementation of the
plan. As well you have to take into account the large sums that CEIC spends in
the province, and when you put all of that into context its clear that within
the existing funding plans a great deal of this economic improvement can be
carried out. We put forward, or I put forward, to the Prime Minister a specific
proposal as to how to deal with it. He is going to consider that proposal and
get back to me after the federal minister of finance makes his statement on the
financial state of the country to the House on December 2.
We also discussed joint management in the fishery and for the
first time I feel that we got a full hearing on the issue, with both Mr. Crosbie
and the Prime Minister present. I am satisfied there is no insurmountable
federal objection as far as the Prime Minister is concerned, and it remains now
for me to work with Mr. Crosbie and the Prime Minister to achieve an acceptable
approach to joint management. We put forward to the Prime Minister at his
request a specific suggestion as to how it can be achieved, that also will be
discussed further with him in the near future.
We discussed the national transportation policy and
initiative that they are proposing to take and again we put forward a specific
proposal. Particularly with reference to involvement with the Trans-Labrador
Highway and the completion of a complete circle around the gulf of St. Lawrence,
and I had the impression the Prime Minister was in fact quite intrigued by that
proposal.
We discussed as well other matters, I do not want to deal
with them in any detail. We discussed at great length the existing national and
provincial financial situation. The financial situation in the nation as a whole
is not alone caused by the fact that there is a massive federal deficit owed
each year for the last decade or so and that that has accumulated a massive
debt. As well as the federal government involvement there, all of the provinces,
or most of the provinces have been having significant deficits and this as well
has piled up a great deal of debt and more and more of that debt is held outside
of Canada. There is great concern, both at the national and provincial level, as
to our ability to manage that debt properly in the future. So there has to be a
continuation of restraint over the next period of time. We agreed on that and I
expect we will hear more fully the federal position on the issue when the
statement is made on December 2.
I talked to him about continuation of aboriginal land
negotiations in the context of also discussing some level of self-government as
we had proposed discussing with the Labrador Inuit prior to the resent
constitutional talks. The Prime Minister has assured me that he has no
objections to the province continuing along those lines. There would, of course,
not be any constitutional change involved, it would be negotiation directly. I
talked, as well, about other matters of great importance to the Province, the
existing state of affairs as far as Hibernia is concerned - we discussed that at
some length. I also discussed the Canadian Airlines situation. I don't know
whether a release has been made this morning or not - it was suggested that
there would be - but I think one is due shortly that will spell out the federal
government's position and we will know more fully when I have heard that.
Mr. Speaker, again, I apologise to members that I have not
had a prepared copy of it but there just has not been time, and I thought the
House would want to hear this report as quickly as possible.
Thank you, Mr. Speaker.
MR. SPEAKER: The hon. the Opposition House Leader and
Member for Grand Bank.
MR. MATTHEWS: Thank you very much, Mr. Speaker. We would
have preferred to have a written statement, as well, but we realize that with
the Premier's late arrival in the Province that was probably not humanly or
physically possible.
I just want to react and say that the Leader of the
Opposition is on his way to the West Coast; that is why he is not here today.
But I guess it was incumbent upon the Premier to go to Ottawa to meet the Prime
Minister and talk about the economic and employment problems and the situation
we find ourselves in, in the Province, particularly in an historical context.
I want to say to the Premier, with all the talk about
strategic economic plans and the prosperity initiative with the Federal
Government, I hope that soon we will see some action. Because all this talk, all
these studies, and all these brochures and pamphlets are not doing much to help
the economy of the people of Newfoundland and Labrador. The people it is helping
are those who compile it and those who print it. And, Mr. Speaker, I think it
would be fair to say, with what is going on in the Province over the last number
of weeks, that we are on the verge of becoming unglued economically in
Newfoundland and Labrador.
It is very, very serious, and going up with cap in hand to
the Prime Minister is not going to resolve it. I hope the federal government is
sympathetic, I hope they do take some initiatives in the next short while, to
help stimulate the economy of Newfoundland and Labrador and, indeed, the country
in general, but we need some action from the Premier and his government, as
well, Mr. Speaker. It is just not good enough to make a visit to Ottawa now, and
as the situation worsens in this Province, finger pointing will begin once more
and blame will be shifted to other people.
There should be joint action, certainly. We call for joint
action. We support the government in asking for joint action. But the Premier
referred to the statement that will come down soon from the Federal Government,
the federal financial statement, and from all indications, Mr. Speaker, that is
going to be just as bleak as, or bleaker than the minibudget that we are
expecting the Premier's government to deliver in the next few days. So I don't
know what help the federal financial statement is going to be to people
throughout this country, because if you look at it realistically, the Federal
Government is in a worst financial situation than the Province. When one looks
at the percentage on the dollar that goes to retiring debt, the federal
situation is worse than the financial situation in Newfoundland and Labrador. So
really, what help we can expect from the Federal Government, I am not sure, but
I do hope that they certainly can take some action that will help this Province
and help the people of Newfoundland and Labrador.
Joint management in the fishery - I really hope we will see
developments in that area. Doubtless, if there is one area where we need
improvements, it is fisheries management; but I can't let it go unnoticed, Mr.
Speaker, I say that I think we have wasted a couple of good years. We could have
had some fisheries initiatives if it had been high enough on the priority list
of this Premier and this government - I say that very sincerely.
I think we missed a golden opportunity, two years ago, to
place fisheries management on the national agenda, and we failed to do that. I
think there is one person in this Province, in this country, that has to take
responsibility for that, and that is the Premier of Newfoundland and Labrador. I
think it is a little too late.
The national transportation policy, particularly with the
Trans-Labrador Highway: Just a couple of weeks ago we saw the Member for Eagle
River bring a resolution to the floor on Private Members' Day. We knew what that
was all about when it happened. The Premier has verified that. We knew that
would be on the discussion agenda for the Premier and the Prime Minister. We are
not surprised. We supported the member's resolution then, and we sincerely hope,
again, the Federal Government will take action, that we will see some work in
that area, that it will materialize and we will see the beginning of
construction.
So, without copy of a written statement, Mr. Speaker, I just
want to emphasize to the Premier and his government that we really need to see
action from this government. The people of the Province are getting in a pretty
testy mood, as we have seen over the last forty-eight hours or so; and unless
this government takes action to deal with the economy, and to try to settle down
the unions and so on, I think we are in for some pretty turbulent times over the
next few weeks in this Province. I call upon the Premier to take action to try
to address it, and try to get the economy of this Province moving - take some
initiative of your own. Don't always go looking for someone else to do the job
for you.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for St. John's East, on
a point of order.
MR. HARRIS: I ask leave to address the statement of the
Premier.
MR. SPEAKER: Does the hon. member have leave of the
House?
SOME HON. MEMBERS: Agreed.
MR. SPEAKER: The hon. member may proceed.
The hon. the Member for St. John's East.
MR. HARRIS: Thank you, Mr. Speaker.
It is with great regret that we have to see the Premier
return from Ottawa on this trip empty-handed, as it were, and without really any
consoling news for the people of this Province.
The Statement of the Premier today, Mr. Speaker -
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
MR. HARRIS: Mr. Speaker, do I have the floor?
MR. SPEAKER: Order, please!
MR. HARRIS: The statement contains no consoling news for
the people of this Province. What the Premier is talking about in terms of both
the short and long term provides no extraordinary measures, which is what is
needed right now for the short term, and even the long term.
The proposals seem to include the renegotiating of existing
federal/provincial agreements, and no new money from federal sources, from our
co-operative partners in Confederation, Mr. Speaker. I find it very
disconcerting to hear that, despite the fact that even in the best of times, Mr.
Speaker, this Province is way behind national standards in terms of employment,
in term of job opportunities and educational opportunities for our people, there
is no acknowledgement in the Premier's statement that the system in place in
this country is not working, Mr. Speaker. We cannot continue to rely totally on
the private sector to resolve our problems. There must be joint federal and
provincial massive intervention into the Newfoundland economy to bring about
some changes that are necessary. Until we hear that, Mr. Speaker, I regret to
say that we will be hearing more doom and gloom from this government.
I take no real consolation, Mr. Speaker, in the talk of joint
management of the fisheries. The way the Province has been handling its side of
the fisheries issue in the last number of months leads me to believe that what
we will have is joint mismanagement, Mr. Speaker, not joint management.
Thank you, Mr. Speaker.
Oral Questions
MR. SPEAKER: The hon. the Opposition House Leader.
MR. MATTHEWS: Thank you very much, Mr. Speaker.
I have a question for the Minister of Fisheries. The
International Fund for Animal Welfare has undertaken a substantial, significant
large advertising campaign - I see the Member for Port de Grave holding up - Mr.
Speaker, a substantial advertising campaign.
I wonder if the Minister of Fisheries could inform the people
whether or not the Provincial Government, particularly his Department of
Fisheries, is going to undertake any kind of a campaign to counter the
information that is being distributed and the campaign of the International Fund
for Animal Welfare? Will the Province be doing anything to counter that?
MR. SPEAKER: The hon. the Minister of Fisheries.
MR. CARTER: Mr. Speaker, at the moment we have no such
plans. The ads that appeared in the Globe and Mail today, the two full-page ads,
I suppose, is the sort of thing we can expect. I understand that the group in
question are now on the threshold of embarking on a fund-raising exercise, and I
suppose that is the way they have to go about doing it. Naturally, the
information contained therein is, to some extent, inaccurate. I suppose, to most
Newfoundlanders it is almost sickening to see that sort of thing happen. Quite
frankly, I don't think there is too much we can do about it. If they want to
spend their money buying expensive ads in The Globe and Mail, there's nothing we
can do to stop them.
MR. SPEAKER: The hon. the Opposition House Leader.
MR. MATTHEWS: Mr. Speaker, I think it's incumbent upon
the provincial government - the minister has alluded to misrepresentations that
are in the advertising by the IFAW. Who else would you expect to take up the
campaign to correct this misinformation if it's not the government representing
the people of Newfoundland and Labrador, I say to the minister?
SOME HON. MEMBERS: Hear, hear!
MR. MATTHEWS: So having said that, will the minister
reconsider, and will government reconsider, at least putting out the facts on
what we know? There is scientific information available on seals and diet, upon
codfish and diet. So doesn't the minister think that it's incumbent on him, as
the Minister of Fisheries for Newfoundland and Labrador, to correct the
misinformation that IFAW is providing to not only people of Canada, but people
of the world?
MR. SPEAKER: The hon. the Minister of Fisheries.
MR. CARTER: Mr. Speaker, to do that might have the
opposite affect, in that it would just create the kind of head-on collision that
would benefit the animal rights people and would just give them more publicity.
I don't think we should do that.
MR. SPEAKER: The hon. the Opposition House Leader.
MR. MATTHEWS: Supplementary, Mr. Speaker. Does the
Minister of Fisheries believe that the seal population is having a negative
impact upon our cod stocks? Does he believe that the seal population is having a
negative impact upon the cod stocks, whether by eating cod directly or by eating
parts of the food chain that cod would normally eat? Either way, does the
minister think that the seal herds are impacting negatively on our cod stocks?
MR. SPEAKER: The hon. the Minister of Fisheries.
MR. CARTER: Mr. Speaker, the question hardly deserves an
answer but I will answer it. Of course I believe it's having an impact, and
we've been saying that both through the national news media and through the
local news media, as late as last Friday in Ottawa when we met with the Minister
of Fisheries, Mr. Speaker, and the other provincial ministers. The matter was
raised and I had something to say on it and again repeated what we've been
saying all along, that the seal population has had a very detrimental affect on
the cod stocks. So I don't know what more we can say or where else we can say
it. It's been said many, many times, both in Ottawa, in the national press, in
the international press, and of course in the local press.
MR. SPEAKER: A supplementary, the hon. the Opposition
House Leader.
MR. MATTHEWS: Mr. Speaker, I think this is a very serious
situation. It's been proven that seals either eat cod or they eat caplin, or
shrimp, or other species that cod consumes. So either way, if it's not eating
cod directly and destroying the cod stocks, it's taking care of the food chain
so that there's less cod. Let me ask a supplementary to the Premier, let me ask
the Premier: Will the Premier give serious consideration to his government
undertaking an advertising campaign across Canada and the world to counter the
misinformation and misrepresentation that the International Fund for Animal
Welfare is promoting?
I don't think there's too many people will question that the
seal population has to be controlled. I believe the Premier is on record as
saying that a number of times, that the seal population has to be controlled.
Will the Government of Newfoundland and Labrador undertake a campaign of that
nature to try and help if nothing else Newfoundlanders and Labradorians who
depend so greatly upon our cod resources?
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: Mr. Speaker, I saw the photograph and the
advertisement in The Globe and Mail yesterday. I saw it again this morning.
That's part of the fraudulent campaign that the International Fund for Animal
Welfare has been carrying on now for fifteen years, that I'm aware of. It's the
means of their raising money. Money must be getting a bit tight so out comes the
advertising and in will come the dollars again. They've been doing that year
after year for the last fifteen years.
Now anybody who looks at that photograph and that
advertisement in The Globe and Mail today will know that that in itself is a
fraud. It's a concocted photograph. The fishermen who fished seals didn't kill
them with baseball bats. They killed them with hakapiks, is it, they're called?
The clubs.
AN HON. MEMBER: Gaffs.
PREMIER WELLS: Yes. Gaffs. They didn't go out swinging
baseball bats. Somebody posed for that picture and now it's presented as the
normal way of doing things. It's part of the fraud they've been perpetrating on
the public of North America and Europe for years to raise the funds that they've
raised to keep them going.
I remember Brian Davies, the president of the International
Fund for Animal Welfare, another part of his fraud, when he was convicted in
court in Bonne Bay and sentenced to two weeks in jail; he appealed to the
district court. They arrived at the district court on the morning the appeal was
to be heard, only to find that the IFAW had already released publicly, all over
North America, a statement saying that Mr. Davies' conviction had been confirmed
and he was led away to jail between two scarlet coated Mounted Policemen - an
absolute fraud. It never occurred, and it was printed even before the matter
went to court. That is part of their fraudulent ways. Everybody knows and
understands that.
Mr. Speaker, we will have to give some consideration as to
whether or not it is necessary for this Province to spend a significant sum of
money. Those kinds of advertisements in the Globe and Mail are not inexpensive.
They cost large sums of money, and we do not have the kind of sums of money we
can just throw at the publishers of the Globe and Mail or any other major
newspaper. We will have to give some consideration to what is necessary to cope
with this kind of continued fraudulent campaign to try and stir up action
against reasonable and rational and sensible natural management of the seal
herds, which everybody in their right mind would agree is sensible if we are to
protect the full resources of the sea.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Humber East.
MS. VERGE: Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MS. VERGE: My questions are for the Premier.
Does the Premier realize that the gypsum plant in Corner
Brook - the only manufacturer of gypsum wallboard and polybead in the Province -
has been closed since last Spring, and has operated for only two weeks this
year? Why has the Premier been so passive and quiet during the prolonged
shutdown of the plant? Can the Premier today give any hope to people that the
gypsum plant will reopen?
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: Yes, Mr. Speaker, I have been aware of
every single day that the plant has been closed. I have met with the union
representatives. I have met with representatives of Lundrigan's. I have met with
representatives of the group that has put forward a proposal to provide for the
reopening of it. Government has agreed to provide guarantees for loans to enable
the purchase of the assets from the receiver to enable it to be reopened. Most
of the details have been worked out.
Now I have been away for the last few days so I know, right
up until the time that I left, there were further meetings and discussions in
progress, even until the day that I left. I do not know that it is finalized or
that it has been finalized. I will attempt to find out today where the matter
stands, and if the hon. member wants to, I will bring the information back to
the House tomorrow.
MR. SPEAKER: The hon. the Member for Humber East.
MS. VERGE: Thank you, Mr. Speaker.
I would like the Premier to tell the House when he expects
the gypsum plant to operate again; and does the Premier realize that the longer
the plant is shut, the harder it will be to regain markets?
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: Yes, Mr. Speaker, I am well aware of that,
and that is one of the matters that have been discussed. I cannot say when I
expect it to operate again, because the government is not going to operate it.
It is only going to operate if somebody in the private sector purchases the
assets and continues its operation.
Mr. Speaker, the government has worked diligently over the
last number of months to try and work together with the people who are
interested in putting forward this proposal, to cause it to be done. I am
hopeful that it will come into fruition very soon, but again I will undertake to
get the specifics as to where matters stand right at this moment, and report
back to the House tomorrow.
MR. SPEAKER: The hon. the Member for Humber East, a
supplementary.
MS. VERGE: Thank you, Mr. Speaker.
Can it ever be true, I ask the Premier, that during the past
months while the gypsum plant has been closed, and the total economy of the
Province has been in free-fall, that for his extravagant office renovations he
imported designer wallpaper from Spain?
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: Mr. Speaker, it cannot be true, and no
matter how many times the members of the opposition ask and suggest it, without
a modicum of intellectual honesty amongst all of them who are putting it
forward, it does not make it true.
MR. SPEAKER: The hon. the Member for Humber East, a
supplementary.
MS. VERGE: Thank you, Mr. Speaker.
Is it ever possible, I ask the Premier, that the wall
covering recently brought to the Premier's office, and then stored on the fourth
floor, awaiting the ongoing stripping out of 1985 pine ceilings and other
expensive fixtures, was imported from the very nation that has been most guilty
of raping the cod stocks outside our 200-mile limit?
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: Mr. Speaker, I suppose it is possible that
Mr. Armstrong brought it back from the moon, it is theoretically possible. You
could ask any question and say is it possible? Theoretically, anything in this
world is possible, yes. Is it probable? I certainly do not think so. Do I have
any knowledge of it - I certainly would not have anything to do with it, whether
or not somebody else did, I don't know, but again, I will undertake to find out,
Mr. Speaker.
MR. SPEAKER: The hon. the Member for Harbour Main.
MR. DOYLE: Thank you, Mr. Speaker.
I have a question for the Minister of Health.
The minister was recently at an Aids conference or at an Aids
forum and he told participants there that between 30 to 50 per cent of all
medical procedures performed by doctors were unnecessary. Now, is the minister
convinced that these stats are true for this Province, the Province of
Newfoundland and Labrador, and where is he getting that information?
MR. SPEAKER: The hon. the Minister of Health.
DR. KITCHEN: Thank you, Mr. Speaker.
As usual the member is misrepresenting something that
occurred at a conference he did not attend. What I did say was that the Minister
of Health in Ontario was throwing around these figures. At the same time I
quoted with some approval, not necessarily the exact figures but the notion that
there were medical procedures which doctors realize are unnecessary and that
medical practise is changing and some surgical procedures which were performed
years ago are no longer performed or very rarely performed. Like everyone used
to get their tonsils out years ago, they do not do them anymore, or very rarely,
and things of that nature. It is estimated by many people, including the medical
association, that sometimes things are done that are not necessary and fairly
frequently.
There is a committee set up, a peer review committee, to look
at medical practise to see that unnecessary procedures are not carried out, so
it is a serious question. It is not done deliberately, it is just done through -
I do not know what the cause of it is but it is a serious concern to people, to
health people generally in Canada and elsewhere that there are procedures
carried out that are not appropriate. Not only that, but they are very costly,
they are extremely costly and that is the point that was being made.
Thank you, Mr. Speaker.
MR. SPEAKER: The hon. the Member for Harbour Main, on a
supplementary.
MR. DOYLE: Well, I take what the minister said was that
in procedures in Newfoundland between 30 and 50 per cent of these are being
performed unnecessarily, with the exception, as the minister mentioned of
tonsils. I guess tonsillectomies would be the right term, with the exception of
that, can the minister tell us what kinds of procedures being performed by the
doctors are being considered by the minister to be unnecessary?
MR. SPEAKER: The hon. the Minister of Health.
DR. KITCHEN: Mr. Speaker, the minister is not going to
practise medicine, I do not have a license so I am not going to practise
medicine, but I am responsible for health care in this Province as far as the
government is concerned, and one of the matters that is seriously considered
across Canada are these medical procedures which may not be necessary. In fact I
have held a number of discussions with people in the medical profession and
bodies representing people who are concerned about that. I do not want to go
into details now, I prefer not to, but one of the ways of improving the health
care system, getting better value for the dollars we spend is to look carefully
at the procedures that are in place and to concentrate on those that are
productive and to put less emphasis on those that are unproductive.
One of the serious things, Mr. Speaker, as everybody knows,
is often the misuse of medicines; the oversupply of medicines that many people
take. Many seniors, for instance, take four and five different kinds of pills. I
visit my constituents and sometimes I hear: I get me pills mixed-up, I got a
bottle of this and a bottle of that and a bottle of something else, and that is
true. The medical profession and pharmaceutical profession are very seriously
concerned about the over use of medications and that is another procedure that
we can discuss.
MR. SPEAKER: The hon. the Member for Harbour Main.
MR. DOYLE: Mr. Speaker, as the minister is aware, the
health care system of Newfoundland and labrador is about to be cut to the bone,
he has asked the people who deliver the health care system to come back with
cuts in the not too distant future, and in view of that, can the minister tell
us why, in his view, doctors here in this Province, where there is not a great
deal of money for health care, why would doctors be performing these unnecessary
procedures on their patients? Can the minister shed some light on it?
MR. SPEAKER: The hon. the Minister of Health.
DR. KITCHEN: Mr. Speaker, I can't speculate as to why.
Perhaps it is through habit or perhaps it is through not knowing the latest, but
I shouldn't be speculating. What I should be saying is that I am reflecting the
concerns of professionals in the medical profession and I am reflecting them to
the members of the House in answer to this question.
MR. SPEAKER: The hon. the Member for Fogo.
MR. WINSOR: Thank you, Mr. Speaker.
MR. DOYLE: A supplementary, Mr. Speaker.
MR. SPEAKER: Will the hon. Member for Fogo yield to the
hon. Member for Harbour Main?
MR. WINSOR: Yes.
MR. SPEAKER: The hon. the Member for Harbour Main, on a
supplementary.
MR. DOYLE: A supplementary to the minister: The
minister's statement leaves the inference of either malpractice or incompetence
on the part of the medical profession. Is that what he intended to do, to lay a
basis for justifying further cuts to the health care system?
MR. SPEAKER: The hon. the Minister of Health.
DR. KITCHEN: No, Mr. Speaker. I have great confidence in
the medical profession and the health care professionals.
As I mentioned recently in the House, I visited just about
every hospital in the Province. I haven't been to the hospital in Churchill
Falls yet but, apart from that, I have been in every hospital, I have been in
virtually every nursing home except three, and many personal care homes. I have
seen the type of care that people are giving, the health care professionals,
physicians, nurses, nurses aids, the people who work in the kitchens and the
people who sweep the floors. I can assure members opposite and, in fact, all the
people of Newfoundland, that we have extremely good, dedicated people in the
health care system.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Fogo.
MR. WINSOR: Thank you, Mr. Speaker.
I have a question for the Minister of Municipal and
Provincial Affairs. Since yesterday, when the minister made his statements with
respect to uniform tax rates for utility companies, a number of municipalities
in this Province have raised serious concerns about how they will be affected.
Surely before the minister implemented such a program, he had consultations with
numerous municipalities. Can the minister tell us how much revenue is presently
collected under the system in place now, how much will be collected by a flat
rate, and will he generally tell us what communities are going to benefit and
which ones will be harmed as a result?
MR. SPEAKER: The hon. the Minister of Municipal and
Provincial Affairs.
MR. HOGAN: No, Mr. Speaker, there is no way, time nor
paper that would permit me this evening to enumerate all the municipalities that
would lose or benefit. But there are great variances in the losses and gains,
mainly because there was a terrifically high rate applied to the assessments
that were rendered onto some of the equipment and materials of the utility
companies. After twenty-five or thirty years of pondering between the Federation
of Municipalities and the Province, something had to be done to make the playing
field a little more level than it was, and that is what this legislation
attempts to do.
MR. SPEAKER: The hon. the Member for Fogo, on a
supplementary.
MR. WINSOR: Thank you, Mr. Speaker.
Surely the minister is not suggesting that this change took
place without input from municipalities as to the effect it would have.
Let me ask the minister this then: There is also a 2.5 per
cent tax now on unincorporated municipalities in the Province. Can the minister
tell us how many communities will be taxed - he should know that - and how much
revenue will accrue to the Province as a result of this one, because this is a
massive tax grab for the Province as well.
MR. SPEAKER: The hon. the Minister of Municipal and
Provincial Affairs.
MR. HOGAN: No, Mr. Speaker, I am not aware of any tax
grab by the Province. We have asked for the figures for 1992, of what the exact
payout by the utility companies will be. In 1991, for example, I could tell the
House that Newfoundland Tel, for example, was paying $4.5 million in taxes. It
is estimated with the 2.5 that the taxes would amount to $4.8 million.
Newfoundland Power's taxes would increase drastically from $4.6 million in 1991
dollars to $7.1 million in 1991 dollars. That is to the incorporated
municipalities.
MR. SPEAKER: The hon. the Member for Fogo.
MR. WINSOR: Thank you, Mr. Speaker.
Since the municipalities are getting less and there is more
revenue, then the bulk of it must go to the Province. Mr. Speaker, since local
service districts perform a similar role as councils, yet they have no powers to
impose taxes, why doesn't the minister allow the unincorporated municipalities
or towns to be recipients of the taxes collected instead of having the revenues
go to the Province? Why doesn't he give it to the local service districts as
well?
MR. SPEAKER: The hon. the Minister of Municipal and
Provincial Affairs.
MR. HOGAN: The minister is not giving anything to
anybody, Mr. Speaker. The minister is just introducing legislation that has been
discussed for, as I say, over twenty-five years now, thirty years, probably.
Between all municipalities, the federation, and the Province. From year to year,
almost month to month, positions have been changed on that. As all hon. members
know across the way, they struggled with it for years, and it was something that
had to be done sooner or later and it happened to fall on this particular watch.
The non-incorporated communities in the Province don't have
the mechanism in place. I've taken under advertisement his facetious and
sarcastic remark with reference to the local service districts. If there's a
means of these local service districts accruing any benefits from this type of
taxation I'm sure the Province will do everything in its power to endeavour to
see that it's done.
MR. SPEAKER: The hon. the Member for Fogo.
MR. WINSOR: Thank you, Mr. Speaker. Final supplementary.
Since the minister's statement yesterday didn't allow for a phase-in of the
revised tax structure with MOGs steadily declining and debt charges increasing,
some municipalities have been informed this morning that they're going to lose
as much as $60,000 to $70,000 off the present revenues for their 1993 budget.
Let me ask the minister: how does he expect municipalities to be able to balance
their budgets in light of declining revenues from government and now declining
revenues from utility companies?
MR. SPEAKER: The hon. the Minister of Municipal and
Provincial Affairs.
MR. HOGAN: Municipalities for years, Mr. Speaker, have
always managed to survive. I don't say that in any facetious context. If they
cannot meet the obligation of balancing their budget they will come and discuss
it with us and negotiate it with us as they've usually done, working together to
overcome this temporary set-back for some, and a gift for others, that I'm sure
that working together we can overcome any difficulties that might be
encountered.
MR. SPEAKER: The hon. the Member for Torngat Mountains.
MR. WARREN: Thank you, Mr. Speaker. My question was going
to be to the Minister responsible for wildlife. However, in his absence I would
like to ask the question to the former minister responsible for wildlife, the
Minister of Environment. Would the minister advise this House if any changes
have taken place with respect to regulations concerning Sunday hunting while she
was the minister responsible for wildlife?
MR. SPEAKER: The hon. the Minister of Industry, Trade and
Technology.
MR. FUREY: Mr. Speaker, I apologise. The Minister of
Tourism and Culture, who's responsible for wildlife, had to leave to catch a
flight for a ministerial conference. I'll certainly take the question under
advisement and report back to the House.
MR. SPEAKER: The hon. the Member for Torngat Mountains.
MR. WARREN: Mr. Speaker, I asked the question to the
Minister of Environment. When she was minister responsible for wildlife were
there any changes in her department pertaining to Sunday hunting?
MR. ROBERTS: Point of order, Mr. Speaker.
MR. SPEAKER: The hon. the Government House Leader.
MR. ROBERTS: Mr. Speaker, I don't have the Beauchesne
citation but I can look it up if need be. A minister may not be asked, it's
quite clear, for matters which occurred during the time when he or she may have
been a minister of the Crown. One may be asked only in respect to the matters
for which one is currently responsible. It would be out of order, for example,
for me to ask the hon. gentleman from Torngat Mountains why he authorised the
expenditure of $125,000 on a washroom for himself when he was Minister of
Labrador Affairs.
MR. SPEAKER: Order, please!
To the point of order, the normal procedure is, if the
minister is not here, to ask the minister who is acting in that position. The
most appropriate authority I can quote now is Beauchesne, 406: "A question may
not be asked of a Member who is no longer a Minister, seeking information with
regard to transactions during that person's term of office." I also concur with
the Government House Leader - and I'll look for the quote - that it is not
appropriate to ask questions of a minister regarding their previous portfolio.
The hon. the Member for Torngat Mountains.
MR. WARREN: Thank you very much, Mr. Speaker. I would
like to ask the question to the Premier. Can the Premier advise if there have
been any changes in the regulations pertaining to Sunday hunting in the last two
years? Have there been any changes made by his government pertaining to Sunday
hunting in the last two years?
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: My recollection, Mr. Speaker, is that that
matter did come up a short time ago but I don't have adequate recollection to
state confidently what it might or might not be. So I'd rather take the question
under advisement. I'll bring the information back to the House, or the Minister
of Industry, Trade and Technology will.
MR. SPEAKER: A supplementary, the hon. the Member for
Torngat Mountains.
MR. WARREN: Thank you very much, Mr. Speaker. I would
like to ask the Premier: in the hunting guide of 1990-1991 it says it is
unlawful to hunt any game on Sunday. In the hunting guide of 1992-93, it says:
it is unlawful to hunt any game on Sunday with a fire arm. Well, I ask the
Primer, does that mean now, that those hunters who are successful in obtaining a
licence to hunt game with bow and arrow are allowed to hunt on Sunday.
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: Mr. Speaker, I feel the answer is still
the same. I do not have sufficient recollection of all the detail that Cabinet
has done over the last year or two to be able to spit that answer back at the
member with confidence that I am giving him accurate information. I still say,
either I or the Minister of Industry, Trade and Technology will take the matter
under advisement and we will report back to the House tomorrow.
MR. SPEAKER: The hon. the member for St. John's East.
MR. HARRIS: Mr. Speaker, my question is to the Premier
and relates to the recent ruling by the International Labour Organization, one
of the most prestigious international bodies in the world, composed of the
and union representatives. The International Labour Organization has said, Mr.
Speaker, in the ruling on the Newfoundland Government's actions, that the 1991
Public Sector Compensation Restraint Act went beyond normally acceptable limits
that might be placed temporarily on collective bargaining and further stated
that such restrictions can only in the long term prejudice and destabilize the
labour relations climate. Is the Premier, Mr. Speaker, man enough to acknowledge
the criticism and will he tell the House and admit that in fact his government
went to far with that restraint legislation.
MR. SPEAKER: The hon. the Premier.
PREMIER WELLS: The honourable member conveniently
overlooked a significant number of factors that one has to take into account.
That international labour organization, making that comment about the
of dealing with a severe financial situation - it is sort of like my saying, I
disagree with the way the Russian government is handling a certain matter. Well
I may disagree with it, I might do it differently if I were there, but it is
easy for me to disagree with it because I do not have responsibility to deal
with the factual circumstances that they do. So it is great for this heady well
paid group in Vienna somewhere or Geneva wherever they are, to sit and make
great pronouncements about what is right and fair and proper and so on, to be
done in Canada or in Newfoundland or Ontario or Nova Scotia or New Brunswick,
when they have absolutely no responsibility for anything except the preservation
of their own positions. It is easy for them to make those kinds of
condemnations. They do not have to find the tax money to pay it, they do not
have to decide what hospital or education services to cut out in order to pay
it.
Now Mr. Speaker, the government took the proper approach, the
government took the proper approach, we went to the unions and said look let us
sit down and negotiate an alternative way of dealing with these difficult
circumstances - they turned their backs on us. The great leadership of the
unions in this Province, turned their backs on their members and walked out and
refused to deal with it on a proper basis. We would have sat and negotiated and
discussed it with them. They turned their backs on it and walked away. Mr.
Speaker, the government of this Province is responsible, not alone to the
members of NAPE or CUPE or other organizations representing employees or people
paid from the public purse. The government of this Province is responsible to
the entire population to see that everybody is fairly treated and that is
exactly what we intend to do. In particular, Mr. Speaker, we are not responsible
to the International Labour Organization in Geneva.
MR. SPEAKER: Question period has expired.
The Chair would now like to read the appropriate quotation
from Beauchesne re the point of order raised by the Government House Leader, and
it is page 120, clause 409, section (6) which says: "A question must be within
the administrative competence of the Government. The Minister to whom the
question is directed is responsible to the House for his or her present Ministry
and not for any decisions taken in a previous portfolio."
Notices of Motion
MR. SPEAKER: The hon. the Member for Port de Grave.
MR. EFFORD: Thank you, Mr. Speaker.
I give notice that I will on tomorrow ask leave to introduce
the following motion:
WHEREAS the huge seal population is having a devastating
effect on the fish stocks off the coast of Newfoundland and Labrador; and
WHEREAS the seal harvest has been a legitimate and profitable
part of our heritage as a people of this Province; and
WHEREAS the concerns of animal rights extremists should not
be put before the concerns of the people of Newfoundland and Labrador;
BE IT THEREFORE RESOLVED that this House of Assembly go on
record and condemn the falsehoods being spread by these animal right extremists
and that the House of Assembly support the resumption of an environmentally
sustainable seal harvest off the coast of this Province.
SOME HON. MEMBERS: Hear, hear!
Orders of the Day
MR. ROBERTS: Motions 1 and 2, please, Sir.
MR. SPEAKER: Motions 1 and 2.
Motion, the hon. the Minister of Mines and Energy to
introduce a bill entitled, "An Act To Amend The Mineral Act," carried. (Bill No.
58).
Motion, the hon, the Minister of Justice to introduce a bill
entitled, "An Act To Amend The Leaseholds In St. John's Act," carried. (Bill No.
57).
On motion, the following bills read a first time, ordered
read a second time on tomorrow:
A bill, "An Act To Amend The Mineral Act," (Bill No. 58)
A bill, "An Act To Amend The Leaseholds In St. John's Act,"
(Bill No. 57)
MR. ROBERTS: Mr. Speaker, as we indicated at the
adjournment last evening, we shall ask Your Honour to call Bill No. 38, which I
think is Order No. 12, that is, the adjourned debate on the Medical Act, and
then we will carry on, assuming we finish with Orders 17 and 18 which stand, in
fact, in the name of the former Minister of Health, but I assume the correction
will be made and they will stand in the name of my colleague, the Minister of
Health. After that, I have a long menu which I will share with my friend for
Grand Bank, assuming we get on with it.
Thank you, Sir.
MR. SPEAKER: The hon. the Member for Humber East.
MS. VERGE: Thank you, Mr. Speaker.
Yesterday afternoon, I adjourned the debate on the bill to
amend the Department of Health Act, not the Medical Act, I say to the Minister
of Justice.
Mr. Speaker, potentially, this is an extremely important
Legislative measure - potentially. However, the bill does not adequately speak
its philosophy, its objectives, its purpose, or lay out the constitution of the
regional community health corporations which it authorizes the Cabinet to
create.
This simple bill, so terse, simply empowers the Cabinet
meeting in private any time at all to establish regional community health
corporations, to describe the boundaries, appoint all the members, lay out a
mandate to do everything other than provide hospital services, but, Mr. Speaker,
what does that mean? Does that mean the Cabinet could establish community
regional health boards to have lotteries?
Mr. Speaker, last spring, the minister's predecessor, the
current Minister of Education, announced the government's intention to establish
five regional community health boards and to have each of the boards carry out
five basic functions. These functions, he described in a circular diagram. I
have a copy of the diagram. In five overlapping circles, there were mapped out
five headings of responsibilities, all extremely important functions: Health
promotion; health protection; continuing care; alcohol and drug dependency; - I
hasten to add, prevention was underneath that - and mental health. Are these the
purposes for which the corporations, that the Cabinet is being empowered to
create by this legislation, would be established? If that is so, Mr. Speaker,
why aren't those purposes set out in the bill? Why doesn't this bill set out a
philosophy for the creation of regional community health boards? Why doesn't the
bill enumerate some of the objectives the government is hoping to achieve
through the establishment of the regional community health boards?
Now, I realize objectives change over time, but surely it is
possible, in legislative language, to describe in general terms what the
government has in mind. There could be a catchall phrase which would give the
Cabinet in the future the flexibility to add to the responsibilities of regional
community health boards. Why don't we have some sense of direction in the
legislation? Why are we, in the House of Assembly, being expected to give a
blank cheque to the Cabinet? Legislation passed by this House of Assembly over
the years has created corporations with a variety of public functions. Hospital
corporations are established under legislation, community colleges are
established under legislation, and in those cases there is a statement of
purpose.
I would ask the minister, when he rises to conclude this
debate on the principles of the bill, to address this question of the omission
from the legislation of the basic philosophy of the fundamental objectives for
which the regional community health boards are to be created. Are the five
functions in the minister's predecessor's circular diagram the main objectives
the government has in mind, or are there other objectives? Why aren't objectives
laid out in the legislation? Why are we, the legislators, not giving the Cabinet
some basic parameters within which they must act in creating regional community
health boards? Next, Mr. Speaker, why doesn't the legislation specify the number
of regional community health boards the Cabinet may create, and why doesn't the
bill map out the boundaries of each of the regional boards?
Last spring, the Social Services Estimates Committee of this
House, in examining the proposed budget of the Department of Health, had the
opportunity of questioning the minister's predecessor and the executive of the
boards. At that time the departmental officials indicated five regional boards
would be set up; that the western regional board would be in place by this fall
- by the fall of 1992.
I will quote from the proceedings of the estimates committee,
for the benefit of the current minister. Mr. Speaker, I am now quoting: We
started this process in January. With the consultation that is required, it will
take over the next year before we have the boards established. At this stage it
appears that our plans are still on
schedule to have the first board in place in
Western Newfoundland in the fall, before the end of 1992, and as quickly as
possible thereafter, the boards in Central Newfoundland, then St. John's and
then Eastern. So, if we would, for the moment, consider that Northern is under
the Grenfell Association, although there has to be some reorganization there as
well, on the Island part of the Province there will be four community health
boards with regional representation on these boards.
Mr. Speaker, is that still the government's intention? If it
is, why is it not specified in the bill? Why does the bill not say that the
Cabinet is being authorized to appoint five regional community health boards -
one for Labrador; one for Western Newfoundland; one for Central Newfoundland;
one for Eastern Newfoundland, and one for the St. John's area? If that is the
government's plan, why is it not specified in the legislation? If the government
have a different intention now, why is that not stated in the bill?
Mr. Speaker, how many boards? What are the boundaries? Where
is the headquarters to be for each of these regional boards? St. John's will be
the headquarters for the St. John's regional board. What about the headquarters
for the Labrador board; for the Western board; for the Central; for Eastern
Newfoundland?
Mr. Speaker, the composition of the boards is completely
open-ended.
MR. FUREY: A point of order, Mr. Speaker.
MR. SPEAKER: The hon. the Minister of Industry, Trade and
Technology, on a point of order.
MR. FUREY: Mr. Speaker, I apologize to the member for
interrupting, but I have to leave for some meetings and I undertook to get an
answer to a question that the Member for Torngat Mountains raised. Do you mind
if I give that answer?
MR. SPEAKER: It is entirely up to the minister if the
member wants to yield on that.
The hon. the Member for Humber East.
MS. VERGE: Mr. Speaker, I would be glad to yield to the
minister as long as I can have the time he takes away from me at the end of my
speaking time.
MR. SPEAKER: I am sure that is okay.
The hon. the Minister of Industry, Trade and Technology.
MR. FUREY: I can understand, Mr. Speaker, your calling
the member a minister. She is looking very ministerial there today.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: Order, please!
MR. FUREY: The first question was: Are there any changes
to Sunday hunting in the last two years? The answer is, no. In fact, there are
no changes in the last three years.
The second question was: Are there any changes to the bow and
arrow regulations with respect to Sunday hunting? The bow and arrow hunting is
regarded the same as a firearm, and therefore there is no use on Sundays.
MR. SPEAKER: The hon. the Member for Humber East.
MS. VERGE: Thank you, Mr. Speaker.
As I was saying, this bill - this simple, short, terse bill
which gives a blank cheque to the Cabinet - is open-ended on the question of the
composition of the boards. It is all left up to the Cabinet. The Cabinet can
decide what the boards are supposed to do; how many; what boundaries; what
headquarters. The Cabinet may appoint the members; decide how many members.
Presumably the Cabinet may appoint the Chairperson.
Mr. Speaker, legislation should give parameters to the
Cabinet. Why does this bill not specify the number of members, or the maximum
number of members the Cabinet may appoint? And why does the bill not allow for
the election of members of regional community health boards? If these boards are
to be community agencies, as the title suggests, surely the community being
served should choose the members.
Mr. Speaker, as this administration has cut funding for
health care, for education, for other vital services, it has very selectively
replaced members of Crown corporations and agencies, who were doing a good job
and who were accountable to the people, with political cronies, with Liberal
supporters who don't make a peep when ongoing funding reductions are taking
place.
Mr. Speaker, as I said at the beginning, this bill has the
potential to be a very important and good legislative measure. It has that
potential. But this is the mere skeleton and we need to put some flesh on the
bones. It is not good enough to leave it up to the Cabinet - especially not this
Cabinet - meeting in secret to decide whether or not boards are set up, what
jobs they will be expected to do, what areas they will be required to serve,
where their bases will be located, how many members will be appointed, which
people will be appointed and who will chair the boards.
All we have here is a measure empowering the Cabinet to set
up corporations to do everything other than provide hospital services. Well, the
possibilities are endless. We have the government now heavily into the lottery
business through the Atlantic Lottery Corporation. That has been one of the
Province's few growth industries, lotteries and undertaking, I say to the
Minister of Health - lotteries and the funeral business.
AN HON. MEMBER: Smuggling.
MS. VERGE: Smuggling, one of my colleagues says. We don't
have very many growth industries these days. In recent years, hospitals, to pay
for basic hospital services, have had to get into the lottery business, have had
to get into the community fund-raising business. Is that one of the purposes the
minister has in mind for these regional community health boards?
Mr. Speaker, in conclusion, I would call on the minister to
go back to the drawing board and return to the House with a proper legislative
measure setting out a coherent philosophy for creating community health boards,
specifying objectives, enumerating aims for improving people's health, for
promoting healthy lifestyles, for preventing illness, for providing
non-institutional care where that is more effective than hospital or nursing
home care, embracing democratic principles by providing for public election of
community health care boards. And then we will talk about it, Mr. Speaker.
The minister, I think, has some good ideas about redirecting
our health care system and putting more emphasis on disease prevention, but I am
afraid this is not an acceptable instrument to translate those ideas into
action. So, Mr. Speaker, the minister should go back to the drawing board.
Thank you, Mr. Speaker.
MR. SPEAKER: The hon. the Member for Fogo.
MR. WINSOR: Thank you, Mr. Speaker.
As my colleague said, this Bill on the surface does not seem
to be having much implications for delivery of health care in the Province, but
once we get into a thorough examination of what goes on in this Bill, as she
just said, it is just a skeleton for a much larger bill. It is all-encompassing
for the Province. It is going to result, according to the estimates committee,
which the previous minister, and I am well aware that the minister, or present
minister, was Minister of Finance then, it was a previous minister who started
this process, when he was going to combine health promotion, health protection,
continuing care, and a couple of others - alcohol and drug dependency, and
mental health - into the one board, Mr. Speaker.
It is a bit bothersome to know that Cabinet is going to have
the ultimate power in who appoints these boards. I recall quite well just
recently a local hospital committee had made recommendations to the district
hospital board for the appointment of a particular individual, and everyone in
the area had approved it. The particular member was very well thought of. Once
it reached the Cabinet level it was turned down. It was turned down because -
the only reason that we could find locally was because of the person's past
political allegiance. He was turned down because of the political stripe -
AN HON. MEMBER: (Inaudible).
MR. WINSOR: Mr. Speaker, the Member for Windsor - Buchans
can sit down and hold on. He can get up later.
It was turned down because -
AN HON. MEMBER: (Inaudible).
MR. WINSOR: No, no, this was on a hospital board, where
Cabinet had the authority to appoint him to a regional hospital board. He was
turned down.
Mr. Speaker, can you restrain the Member for Windsor -
Buchans? He cannot contain himself today.
Mr. Speaker, the area that is being addressed in this one,
particularly as it relates to nursing homes and those types of homes in the
Province, because as this Province continues to have an aging population it is
becoming increasingly more important that we have a sound system of delivery of
health care, particularly to seniors.
Mr. Speaker, the minister is obviously aware, and we have
seen some shifts taking place in the hospital system, in the -
MR. SPEAKER: Order, please!
The Chair does not try to hear conversations, or try and hear
every comment that is made, but when the Chair hears comments - particularly
comments that are unparliamentary - the Chair must make it a point to bring it
to the attention of the House.
The Chair cannot say for certain, but the Chair thought he
heard the word 'lies'. Hon. members know that is unparliamentary, and all
members, on either side of the House, are supposed to be engaged in the truth.
I would ask hon. members, please, to refrain from repeating
unparliamentary remarks because they are provocative, and not only provocative,
they are not expressions that should be used in the House.
So I would ask hon. members, please, to observe the rules of
the House. The Chair's job is to enforce them. The job of members is to follow
the rules.
Thank you.
MR. WINSOR: Thank you, Mr. Speaker.
Yes, that was a good ruling, Mr. Speaker, it was the Minister
of Forestry and Agriculture. If he wants to get up and address remarks, he can,
but otherwise he should refrain from the utterances he is making.
As I was saying, one of the areas that this Bill is going to
cover is that of nursing homes, as they are called in the Province. If you will
bear with me for one minute minister, Mr. Speaker, I am sure that I read the
minister's remarks yesterday. Here they are: "In the meantime, that is what this
amendment to the Department of Health Act is about to do. We are going to
establish regional community health boards. The purpose of that is so we can
have single point of entry into nursing homes...." Now that's what the minister
said. That's what I just said.
AN HON. MEMBER: (Inaudible).
MR. WINSOR: No he didn't, Mr. Speaker, it's under this
board that they're going, Mr. Speaker. In fact that's already been in place in
certain areas of the Province. I know that the Gander district hospital board
which in the past has administered nursing homes around the loop and in a number
of areas - the Bonnews Lodge, for example, and I think the one in Lewisporte and
the one in Gander. They already have this in place. A single point entry.
It seems to be working relatively well. Seems to be. The
question of if you can make that much bigger and have it to be an effective one,
there's some question about that. What this Bill should have done is go into
great detail as to exactly how it intends to implement. There are going to be
concerns about appointments given to Cabinet. The way that this Cabinet has
already interfered with a due process out in central Newfoundland with the
hiring of a principal for the community college leaves one to wonder how
appointments will come.
AN HON. MEMBER: (Inaudible).
MR. WINSOR: Mr. Speaker, certainly a major concern. What
I would like to see the minister do - and it doesn't address it in this Bill, we
don't know where they're fitting into it - the issue of personal care homes in
the Province. How are they affected? Are they now going to fall under the
control - I'll ask the minister this and perhaps he'll address it in debate
later. Personal care homes, will they fall under this board as well, where you
in some cases subsidized and paid for by the taxpayer? Will these people also
have there a single point entry to be a criterion? Or will they remain as they
are presently run? Are they to be included? Does the minister know?
SOME HON. MEMBERS: (Inaudible).
MR. WINSOR: If personal care homes are going to be
included in this, or is it just for ones that are paid for and run by the
department itself? How about personal care homes? Because if they're being
addressed then there's no mention of it made in this particular piece of
legislation, of whether personal care homes are going to be included.
Mr. Speaker, I particularly like the single point entry. I
think it's been wrong the way people have been able to get into nursing homes in
this Province as a result of knowing someone in a home and to get in on the
basis of that. That's been wrong and should change. We should also have a look
at who goes into these homes. All too often they have in the past, and still
continue to have, relatively healthy individuals going into nursing homes, where
it should be reserved for more chronic care patients. The single point entry
should resolve some of these problems. I object to the Cabinet having the power.
I think these boards could be elected as school boards or other boards are, and
give more input into the communities that are mostly affected.
Thank you, Mr. Speaker.
MR. SPEAKER: The hon. the Member for Kilbride.
MR. R. AYLWARD: Thank you very much, Mr. Speaker. I'd
just like to have a few general comments on this Bill, Bill 38, which gives the
government power I guess to appoint regional health boards, I guess they're
called.
AN HON. MEMBER: "Establish," is the word.
MR. R. AYLWARD: Establish, yes. Establish regional health
boards. Now they were given power four or five years ago to establish regional
councils - or what was that bill we did years ago that Eric Gullage had?
MR. WOODFORD: Regional services boards.
MR. R. AYLWARD: - to establish regional services boards.
Mr. Speaker, I never heard tell of them after. I don't know. There was all kinds
of reasoning why we should do it at the time. The whole purpose of it was a way
that we could abolish the Metro Board without - the government imposed a
regional services councils legislation on the Province just to get rid of the
Metro Board, which was using a shotgun to kill a sparrow, Mr. Speaker. There was
no need of it.
Now we're going to in this House of Assembly give this same
government power to establish regional health boards. Now to tell you the truth,
from reading what the minister said here I really don't know if this is good or
bad. Because the minister didn't give us any explanation, any valid reasoning
that I could find out, as to why we want to do this. If there was some kind of
an explanation from the minister, which there usually is when a bill is being
introduced, to give me the rationale of why the department or why the government
would like to do this, well maybe I could agree with it. Maybe I could support
this legislation.
I hope when the minister is closing the debate maybe he can
convince me on this side that this will be a good thing for the health care
system of our Province. Certainly it's what we're all trying to do here. We are
all trying to get over the devastation that the former Minister of Health gave
to the health system when he downgraded and deteriorated the health system in
this Province so much that he had to call the administrator of St. Clare's
Hospital so he could jump the line of the many people who are waiting in the
lines. He improved the health care system, there's no doubt about that. He
improved it for one person in this Province, he improved it for himself, because
he didn't have to deal with the problems. He just phoned up the administrator
and jumped the line and went in and got whatever blood tests or whatever x-rays
he was supposed to get. He saved $30 million by doing that.
If everyone in the Province could do that, had the same power
that the minister had, they wouldn't mind what cuts you made to the health care
system either. If all the people in this Province could phone up an
administrator of a hospital or an administrator of a senior citizens home to get
their parent in, or phone up some cancer specialist when they need some
treatment. Even though in this House of Assembly a letter was read out by some
doctors in this Province that the cancer clinics around the Province are in
trouble or in jeopardy of closing. Well, Mr. Speaker, if you were the former
Minister of Health - I know for a fact this minister wouldn't do it - I just
know from him being himself that he would not do that. If he has to go for a
visit for medical reasons he'll line up the same as I did and the same as anyone
else did.
I was there a little while ago. I was in for - supposed to
get that whatever you call that light put down your stomach, to see if it
was.... They were going to put it up first to see if there was anything up
there. They found it was empty up there. It was empty when it went up by
mistake. They were going to put it down inside me. Anyway, I went and made an
appointment - unlike the former Minister of Health. It was at St. Clare's
Hospital too. I do know the administrator there from a long way back, and I
could have phoned, I suppose, if I'd wanted to. I went and my doctor's secretary
made the appointment to have this procedure done.
So I requested an early appointment for 8:45 a.m., I guess,
was the earliest one I could get. So I went to St. Clare's Hospital. This is
about four months ago, now. I went into St. Clare's Hospital to have this
procedure done and signed up for whatever time - 8:45 a.m. when I got there -
and I waited and waited. Now I expect if you make an appointment to do
something, if there is an appointment - I didn't care. I wanted an early
appointment. But if the appointment had been made for 12:00 p.m. or 4:00 p.m.
that was the time I was going to show up. That was the time you would expect -
within reason - that you'd get whatever treatment. Unless there was an
emergency.
Now when I got there - I was there till 10:45 a.m. The
procedure was done for an upset stomach obviously, to see what was wrong with
it. An ulcer most likely.
SOME HON. MEMBERS: (Inaudible).
MR. R. AYLWARD: Listen to the devastation that this
government is doing to our Province, Mr. Speaker, it's giving me ulcers just
looking across the floor and seeing the arrogance, and watching ministers
setting up appointment and skipping the line when nobody else can. It's giving
me an ulcer because I'm worried about it.
Anyway, I made the appointment for 8:45 a.m. and I went and I
waited and waited. I spoke to some of the other, probably twenty-five people who
were there, by - the appointment was for 8:45 a.m. By 9:30 a.m. there were about
twenty people, and by 10:00 a.m., Mr. Speaker, another four or five there,
because there were fifteen minute appointments; by 10:30 there were another
three or four, from as far away as Grand Falls, a couple of them. There were
people there at 11:30 a.m. - when I couldn't stay any longer, and left because I
had other things to do - who had appointments at 7:30, 7:45, 8:00, 8:15, 8:30,
and 8:45 a.m., when I was supposed to get mine.
Now, there were people going in and out there. Obviously,
they were sicker than the rest of us. I don't know why they were being taken
ahead of those who had been waiting there. They must have been emergencies, I
suppose; that was all I could assume. There were half-a-dozen people who went
through while I was waiting there for about two hours. The problem that I went
in there to have checked out, the procedure, which the minister says might have
been of the 60 per cent of procedures that were not necessary, I don't know -
the doctor told me I should do this. If he had given me medication to stop the
pain, that was all I wanted. I didn't care if it was cured. As long as I can put
up with it and do my work, that's all I want to do. But, Mr. Speaker, there were
people still in that waiting room when I left at 11:30 a.m., who had
appointments for 7:30 or 8:00 a.m.
Now, there is a problem with organization when something like
that happens. I suppose I could have gone through if I had wanted to, but that
was the problem that the former minister missed when he skipped the line. That
is the problem he ignored completely when he cut $30 million from our health
care system. It affects the people who have to wait in lineups, it doesn't
affect the people who can phone up administrators and jump the line whenever
they want to.
Now, I don't know if he wants to get into Grade X or XI to
finish off his education - I don't know how much education he has. He's going to
skip the line again and go back to high school when he gets kicked out of here
next time, maybe, when he is no longer Minister of Education. There isn't much
damage he can do by skipping lines in the Department of Education. The damage he
is going to do now in the Department of Education is to create every possible
obstacle he can to prevent our young people from getting an education.
From obstructing health care and completely devastating the
health care system of this Province, now he has gone to the education system.
Two of the most important services a government can provide - I suppose,
providing reasonable transportation for everyone is an important service, too -
but two of the services that people really need: you need good care when you're
sick, and not everyone gets sick all the time, thankfully, but you always need a
good education. And every day that passes, you need a better education, not only
young people, but middle-aged people and people who have to change careers,
people who are going to get flung out of their jobs next week when the
government brings down its minibudget. They need training, they need education,
they need help to change careers. This is happening not only in Newfoundland,
people are changing careers all over the world. I realise that.
But how can we do it without a basic education in this
Province? - when students go for student loans and find that everyone there who
could help them were laid off or got their layoff notices last week? - when they
go for student loans and find that the Province is gypping them - every time
they go for their loan portion, which is the federal responsibility, federal
guarantee, they are being gypped on the grant portion by the Province, by the
provincial Minister of Education?
How do you get an education in this Province when both your
parents can't find a job and you can't find a summer job to save up some money,
if you can't get in there somehow on student loans? It was by way of student
loans, Mr. Speaker, that a lot of Newfoundlanders got through. I got through the
College of Trades and Technology, on student loans. I went for three years. It
was only supposed to be a two-year course, it took me three years. I'm slower
than most.
But I did go through there on student loans. It took effort,
and it took effort to pay it back when I got out. But I was grateful for the
opportunity to be able to go there, and to be able to access this money. It
wasn't a large amount of money but I was grateful to be able to access it fairly
easily at the time compared to now, and finance my own way. The reason it took
me three years - I was in technical college one year, which was all paid for by
my parents. They said I was going to this place, but I hadn't made up my mind
where I was going. I went in there for four or five months and I did very
poorly.
AN HON. MEMBER: Why?
MR. R. AYLWARD: Because I didn't try, I didn't work hard.
It was my fault - I had it handed to me on a silver platter. When I went back
the second time and had to finance my own way, knowing who was going to be
paying the bills - it was very selfish of me the first time not to realize this,
I know, but it happens to people. But Mr. Speaker, when you realize you are
paying your own way, well, then you work. I worked at least a bit harder and I
successfully got through it.
Mr. Speaker, what is happening here - maybe these regional
health care boards will benefit the health care system, hopefully they will. We
need something to improve it. The last minister having finished with our system,
we need improvements. We need more money, too. Money is hard to come by in every
department, but we need more money.
I hope that these new health care boards - if the minister
will tell us of what benefit they are going to be. Will they create just another
level of administration, another level of bureaucracy? Now, if that is what they
are going to create, well, Mr. Speaker, you won't get my support for that.
That would be only another expense, doing nothing for the
person who needs health care. If that is another bunch of board members put in
by Cabinet, a bunch of - as it should be, fairly competent, really competent
people on them, no doubt. We don't know, when Cabinet makes its recommendations,
who is going to be on the board, but there is a way to solve that. If the boards
are to be good - and hopefully, they will be good - there is a way to get people
on them who will represent the regions they are supposed to represent, local
people who will know the needs of the region and can work on behalf of that
regional health board to improve the health care system.
Now, there is a way to do that, and I thought it was a very,
very good suggestion that came from the Member for Menihek. I think it was
yesterday, in debate, that he suggested we should elect the members of this
regional service board. Now, we elect the municipal councils in our Province, we
elect our school boards, we elect the Members of the House of Assembly, the good
and the bad.
AN HON. MEMBER: (Inaudible).
MR. R. AYLWARD: No, that is probably not a great
recommendation but we do, that is the system we are in. But, when the minister
is speaking, would he suggest why these regional health boards could not be
elected? That would be an improvement, a step forward, allowing people on these
regional boards to come from the region, people with an interest in the health
care of that region. Certainly, if you are going to have regional health boards,
you need on them people from each region.
The health needs in Labrador, as I found in northern Labrador
when I was travelling that area, are much different from the health needs in St.
John's. There is a vast difference. They have reasonable health care up there,
but certainly not as good as it is here. But they have different needs in
Rigolet and Nain, Postville and all of those communities, from those we have
here in St. John's or Mount Pearl or Outer Cove or Torbay.
So that is why we should have people from the region, if we
have a regional board for Labrador or parts of Labrador, however it is going to
work. And we should have them elected, so that we can ensure that, not only this
Cabinet, but Cabinets in the future, won't be putting their buddies on this
board, just for a place to put them, and they will keep their mouths shut so
that when you cut another $30 million out of the health system, they won't kick
up too much fuss about it. That is what happens sometimes in our political
system. It is unfortunate, but it has happened before and would probably happen
again. However, one way to avoid that is to have these regional health board
members elected from the regions.
When I was on the other side of the House, and brought this
up, there was the rationale - the bureaucracy would say, well, the government is
paying the biggest cost and therefore should have some say and should make some
appointments. Well, if a completely elected board were a bit too radical a move
for the government now, let us start off with half-and-half, and make an
amendment to this bill to provide that over the next five to seven years, we
replace half of the appointed people with elected people and, in that way, phase
out the appointed people. That would be a way to start the process and you would
have elected at least half of the people on these boards.
Now, the bill that we have before us, Mr. Speaker, doesn't
say when this is going to happen, it doesn't say how many boards are going to be
put in place, it doesn't say anything about how they are going to operate, yet,
we are asked to approve this bill when we have very little information to go on.
If we had some commitment from the minister, when closing the debate, that there
would be elected at least half of the people who are going to serve on these
boards, I think that would be a good idea. It certainly deserves consideration.
It is not mine, it is the suggestion of the Member for Menihek, and I think it
is a very good one.
The election process works for the school boards. If
government thinks it would be expensive to do this, well, we could tie it in
with the municipal elections, like the school board elections are now. It gets a
bit complicated, but I think that is mostly how it is done in the county system
in other provinces when they are electing different regional boards. They elect
their school boards, health boards, and municipal-regional boards all in the one
election.
We, in this Province, could arrange these elections at no
great extra cost. There would be no extra voters lists or poll captains,
returning officers and so on, by including them in the municipal elections.
I would like to support the Member for Menihek in his
suggestion that we could have elected regional boards - if the boards are
necessary. Still the question hasn't been answered whether it is necessary to
establish these boards in the first place. The only reason the minister gave,
one-point entry or something like that, he mentioned - I can't find the quote
now - one-point entry into the whole health care system. If you go into St.
Clare's Hospital and eventually it is found that you need to be in Escasoni, for
example, well, you just go right on through the same system. I assume that is
what it means, but I don't know. I don't understand what the one-point entry
system means because the minister didn't explain it very much.
Mr. Speaker, if this is all it is going to do, I don't know
that we need to set up a bureaucracy to do that. We could pass regulations now,
with whatever boards we have in place, to do that. That would not be a massive
change in policy. It is not a problem that couldn't be solved with the people we
have in place now to manage our hospital systems. So, if this is going to be
just another level of bureaucracy, I will not support it. I can't support
another level of bureaucracy because this Province is probably - and as has been
said over there several times, this Province is over-governed, as it is, now. We
spend a lot of money on administration, and for every cent we spend on
administering any of our programs, it is obviously that much less money we have
to get down to the people in the system who need the money.
So I hope this minister can, through this change, if he can
explain it to me, try to start getting our health care system back in place and
overcome some of the damage done to our system by the former minister, now the
Minister of Education, who pats himself on the back quite often, suggesting that
he has saved $30 million every year by the cuts he made. The 650 jobs that he
took out of the system, the 450-odd hospital beds that he closed permanently in
this Province, that was where he saved his $30 million. But still, because of
the way he operated in his department, because he could phone up the
administrator of a hospital and have his and his family's health needs looked
after by a phone call, he has missed the damage that he has done to the health
care system in this Province.
I have experienced it. I had to take my wife to hospital for
mammograms and experienced first-hand, what happens - another organizational
problem with that, too, by the way. When we went there, there were lineups for
the mammograms. The previous two or three months waiting time is a problem.
Because people are under such stress while waiting, that, in itself, will make
them sick, whether they get a good report after it is over or not but when I
went with my wife for her test, after we waited the two-and-a-half months, I
expected to walk into St. Clare's Hospital again and find line ups coming out
the door. We went in there at quarter-to-nine in the morning, not a soul there,
walked right in, had the procedure done in fifteen minutes walked out and still
nobody there when we left. Now there is a problem with that, but what happened
after that was even a bigger problem because up to the point of getting the
procedure done, you had two-and-a-half months of waiting and a lot of stress and
a lot of worry while you were waiting, but after the procedure was done, the
next day or the day after, that doctor left the province. So you could not get a
report out of the hospital.
No wonder there was nobody lined up there because the person
should not have been doing them anyway. When the family doctor went looking for
the report he could not find it. Then I expected you would have to have another
three month wait to get it done. Well, Mr. Speaker, someone in the system, or in
the computer's or whatever they do, as luck happened came up with the report.
Even though that doctor had left the province the report was available.
Now, Mr. Speaker, these are the types of problems that are
existing, that are the day to day problems that people find when they are sick,
when they visit our health care system, are not going to be helped by this
regional health care board. I do not know how this regional health care board
can get down to the root of the problem, it could be an organizational problem,
I am not sure what it is. It is probably a lack of staff, it is probably a lack
of resources, it is probably that the people who are there now have too much to
do and they just can't handle it. The technicians who operate the machines, the
X-ray machines, and technical machines in our hospitals are overworked and they
cannot keep up with the demand. The machinery cannot keep up with the demand
right now. In St. Clare's, I know there are a couple of machines there to do - I
do not know what you would call it now. When you swallow that stuff and they
take pictures of the coloured stuff going down in your stomach. Anyway, two of
the machines there were broken for a full week.
AN HON. MEMBER: Barium.
MR. R. AYLWARD: Yes the barium, the barium yes, the chalk
I call it. The two machines that were there the day I went there, were broken
down. Finally someone worked on one for an hour or so, this was before, this was
another eight months before that but the machines were not working, Mr. Speaker,
and these are problems - line ups coming out of your ears. The last Minister of
Health did not notice it because he had his own system. He could walk past all
of those people. I could see him now going in there with his long raglan on and
a pair of sunglasses and his hat down over his ears so nobody would see him.
Walking past a hundred or so people, and going in and getting his exam done and
then scooting out the back door as fast as he could. It was like when he landed
with the helicopters down in St. Lawrence, he was like, I forget what the Member
for Grand Bank called him at the time, he dropped in the helicopter and kicked
up that much dust, ran into the hospital, closed it down and then took off
again. Nobody knew, Mr. Speaker, he was there or he was not there, Mr. Speaker,
that was all he did.
Well, Mr. Speaker, I would like to continue this but I have
to leave now for a meeting with some members of the NTA which I believe all St.
John's members have been invited to. I hope we will all be getting at the School
for the Deaf which is in - I invite all of you to come to the District of
Kilbride, the School for the Deaf is in the District of Kilbride, and listen to
some of the concerns that the teachers of this Waterford Valley Branch of the
NTA will have to express at that time. I am sure that the Member for St. John's
South will be there. He never turned away, he never backed away from a fight in
his life. I am not sure about the cabinet ministers and if the member was not
invited I will make sure that that is brought up at the time when I get to the
meeting and it is to bad because I am sure you would be there. I hope the Member
for Waterford Kenmount is gone already. I hope other members from that side of
the House will be attending the meeting, Mr. Speaker, because I am sure it will
be a lively one. I know that the next Liberal, nominated Liberal candidate from
Kilbride will be at the meeting, Mr. Speaker, and he will earn his pay today,
Mr. Speaker. Thank you very much.
MR. SPEAKER: The hon. the Member for St. John's East
Extern.
MR. PARSONS: Thank you Mr. Speaker.
AN HON. MEMBER: Hear, Hear!
MR. PARSONS: Mr. Speaker, I would like to have a few
words on the amendment to the Department of Health Act. Mr. Speaker, there is
only one very very short amendment but there are so many implications and so
much involved in our health care system, especially today, Mr. Speaker, that I
hope when the minister rises in his place he can explain some of the
ramifications of that amendment. I see here a whole bunch of zeros, all tied in
with each other. The only explanation I can see, even in the general areas -
there are five areas, five boards to be established, one overlapping the other.
Perhaps, Mr. Speaker, it is a good idea. I know that the idea of a board system
has been ongoing for a number of years. The idea had been presented to
governments - I suppose, even before the time of this government - that regional
boards should be established to perhaps give the people of the Province a better
perspective as it pertains to health care, what they are eligible for and so on.
However, in the amendment it is not spelled out and I, for one, just wonder what
is going to happen within the framework of those regional boards.
On the surface the amendment seems simple enough but, when we
speak about five boards in all different areas of the Province of Newfoundland
and Labrador, then we wonder whether it be done on a population basis or
geography. Certainly what it says on that paper, that one overlaps the other,
the Great Northern Peninsula perhaps will overlap into Labrador or whatever,
what is the reasoning for it?
If it is a better system, if it will deliver health care
services to the people in a better manner, then I don't think anyone is going to
object to that. Because I think health care is very, very important, and those
boards would certainly be representative of local people, hopefully, and they
perhaps would have a better knowledge of what is happening in that particular
region, compared to now with responsibility lying with the Department of Health.
I know for years, Mr. Speaker, my wife was involved with the
Department of Health, and they were responsible always to the regional director
who, in turn, was responsible to the Department of Health. In fact, they sort of
had their own department within a department. I know that for years the
suggestion was certainly out there, that this change be made and they be
answerable to some sort of a health board.
The other thing, Mr. Speaker, that I look at, and I am always
fearful of - not only with the government of the day or a government ten years
down the road, but I don't think that Cabinet should be allowed to control the
powers of the board.
MR. HOGAN: (Inaudible)?
MR. PARSONS: I will explain later to the hon. Member for
Placentia what I am talking about.
I think, then, you are looking for trouble. I think the
minister will, perhaps, readily agree as well, that our past performances and
our past experiences show that appointed boards are not the order of the day and
were never, Mr. Speaker. They were always abused -
AN HON. MEMBER: How do you know that?
MR. PARSONS: Let me tell the hon. the Member for St.
John's South, I was a member of the Roman Catholic School Board for several
years by appointment of the Lieutenant-Governor. Then it changed and they were
elected in our area. I ran at the time and had no problem being elected. In
fact, I ran twice for the St. John's School Board and was elected on both
occasions. I found that you had a different perspective yourself when you were
elected rather than appointed. I also found that you weren't subjected to the
hierarchy. They were the people who appointed you, sort of, and now you were
elected by the people out there; and the people out there are the same as we are
in the House of Assembly. Those are the people we have a responsibility to, and
those are the people who sometimes dictate as to how we should act, and what we
should do on their behalf.
Mr. Speaker, they will dictate to the boards even in terms of
their budgets and in terms of their staff. Again, I am not pointing any fingers.
What I am saying is that it could happen in any government, and we all know, as
politicians, that it sometimes happens that you have political persuasion,
political implications, and I do not think that is good for any health board or
within any health system.
You know, one place in the gospel it says: The Lord giveth
and the Lord taketh away. In the same instance, in this amendment, the Cabinet
can give it and the Cabinet can take it away - at its own whim. I think that is
a dangerous precedent, and I think it is certainly precedent setting.
Also, Mr. Speaker, I wonder at the fairness of it. I wonder
can we expect the same rationale as it pertains to services down on the northern
peninsula, Labrador, and other rural areas? I am not sure of where the five
areas are. I know St. John's is one; centre is another, and perhaps west is
another; eastern and Labrador. Can we look the people in the eye and say: Yes,
the same services are going to be available to each one of the boards? What
about the monetary side of it? Will the boards be funded on a per capita basis,
or will they get block funding because of the geographics of it? These are
things that I would like to know.
Again, I have no complaint with the boards if they are going
to be a plus for the people of the Province, and there is nothing wrong, really,
with the fundamental idea of boards and representation from the regions. I find
nothing wrong with that, but this Bill is to make community health a better way
to go to help the citizens of the Province, and I hope that when the minister
rises, he can explain to us what the conditions are, and set it out for us,
because again the amendment was very, very short, and really we do not know what
we speak of, because all we are saying is that we are going to have an amendment
to create those boards.
I wonder if it is possible for the minister to entertain the
idea that perhaps the directives, or the appointments, perhaps could come from
the Legislature? I know it is still coming from the government who would have
the greatest number, but at least it could be seen, or implied, that it was on a
fairer basis rather than by the Cabinet itself.
I have grave concern about the homes for the elderly. I know
that there are people telling me that there are people in the homes who perhaps
could be better situated in a homelike environment, and that might be true; but
there are a great number of people out there who cannot be facilitated in the
home, with service from the home. They need the services of these homes which
have almost the same services in respect to health care that hospitals have. I
think that we have to be very, very careful on how we choose.
Again, it might be the best idea that ever came about - to
have a lot of home care within a home situation - but again we have to be very,
very careful. These are elderly people. There are a great number of our
population now in those numbers. We have an aging population and I know that is
going to be the concern of government no matter which government is in, to
address the situation as it pertains to the needs of the elderly, especially the
needs of the elderly who have no one to look after them.
I was speaking to a doctor the other day and he brought to my
mind at least, some of the shocking things that are happening that a lot of us
don't ever see and hardly can realize is happening. He told me of an instance
where, an elderly lady was brought in to hospital and just left there. I said:
that is an isolated incident, and he said: no, it isn't. He said: on two
occasions, the previous week, two elderly ladies were brought in to the
hospital, one he said, really there was no reason for her to stay at the
hospital but he said she was left there with no one to take her and you know,
being human beings, Canadians and Newfoundlanders and whatever, there is no way
that you could take that lady and just throw her out of the hospital, it is
impossible, but those are situations.
But I think abandonment, I think that some way we have to try
to build up some sort of an establishment whereby those people can be
facilitated. I see down in Torbay, Mr. Speaker, and I know that everyone cannot
do this type of thing, but the Kinsmen in Torbay sponsored a home, the home is
made up - what do you call those homes with the apartments? It is a senior
citizens home and there are individual apartments in the homes. Now, granted you
in those units can look after themselves although elderly.
I was always an advocate of it, I always thought that this
must be the way. They pay their own way pretty well and the Kinsmen are the
responsible party but they live in dignity. Perhaps a day will come when they
will have to be hospitalized but I think in their frame of mind because they are
so happy in those units, that could prolong their stay, I really do. I think it
is in their subconscious: look, here we are with the best of living and they do
not want to be institutionalized, so in that sense, I say to the minister too,
that among us all here as legislators, perhaps we could come up with some way to
forward that idea, that perhaps we could have those service clubs, people who
volunteer like the Kinsmen or the Kiwanas or whomever and be responsible for
those homes. Again, we are all growing older, there are many of us here with
fathers and mothers who are elderly, not me, mine have since passed on, but
there are men and women here who have parents now who are looking at them and
wondering what is going to happen to them in the years to come, and I think that
is a thought that everyone has in his mind one day or the other, and I say not
only to this government but to my colleagues, there must be something out there,
we spend money in different ways but there must be something out there to
address the problem of the elderly.
It is not going to go away, it is increasing daily and being
in a small community, I can perhaps see it more readily than people in larger
centres, and again, we were involved in public health - I was not but my wife
was, and we say it readily because many were the times when I had to drive her
during the winter days and whatever because she had a big district and we could
see the needs then of the people.
There are lineups and as the minister knows there are great
numbers on the list for entrance into those homes which is done usually on a
'need' basis, sometimes taking into consideration that they have no one to look
after them, or their health needs are such that they cannot be addressed by home
care or whatever and I think that is the way it should go. But, why I brought it
up, Mr. Speaker, is that, I am afraid that perhaps if you look at it in the
political sense or if those boards were appointed by politicians, by me or
members on the other side or my own colleagues, I think perhaps there could be
some pressure exerted even to the admitting aspect of those homes, could be
interfered with politically and I think that would be bad. I do not think it
would be a fair system.
There is a lot to be said about elected representatives. We
deal here every day in the House with responsible people - responsible to the
people who elect them.
AN HON. MEMBER: Too many of us.
MR. PARSONS: Too many, Mr. Speaker, but at any rate those
people are elected. They are elected. They can stand on their own two feet and
say: I was not put in there because I was so-and-so, or something like this.
They were elected by the people to represent them - to act on their behalf.
AN HON. MEMBER: (Inaudible).
MR. PARSONS: Mr. Speaker, I say to the hon. Member for
Port de Grave that I am sure he agrees with me in saying that the members of
those boards - those regional hospital boards - perhaps would be better served
if they were elected.
I heard a good suggestion from a member here today, saying
that part of them - perhaps half of them - could be elected.
AN HON. MEMBER: (Inaudible) on the MHA's.
MR. PARSONS: Absolutely. That is absolute. There is no
doubt at all about it. There is no doubt at all about that.
AN HON. MEMBER: Are you willing to give up three of your
pensions?
MR. PARSONS: I am not even going to address the hon.
Member for Port de Grave. He thinks that pensions come like licences. He has a
driver's licence. He has a seal licence. He has a fisherman's licence. That is
not the way pensions are. Pensions are different altogether. Now get away from
that altogether.
I know that the hon. Member for Port de Grave supports me in
my saying, and suggesting to the House, that at least part of those boards be
elected. I do not think that is asking too much, and I think that government
would be then responding to the needs and to the wills of the people.
I was also going to say to the minister, and I said to his
predecessor in private at one time, I know that the Alcohol and Drug Dependency
Commission - the commission itself was disbanded and then went within or beneath
the umbrella of the Department of Health. I did speak to the minister in private
about it, because I had a couple of people who received help from that
dependency board, or dependency commission, and the minister assured me that all
that was being taken away was some of the administrative staff.
I want to ask the minister, when he rises in his place, would
he address the Alcohol and Drug Dependency Commission? How has it transpired? Is
it as good as what it was when it was on its own? I am sure now that this will
be under the umbrella of this board - the Alcohol and Drug Dependency Commission
will be one such establishment.
The only thing that I have to again question the minister
about, when we talk about governors, governments, even in homes, even on boards
- can we overgovern? We have governments - from the time we get up in the
morning we are governed by someone. If the children go to the university they
are governed by the laws of the university. If they go along the roads and drive
their cars they are governed by the laws of the roads. If they have to build a
house they are governed by the community council or the town council of which
they are a part. No matter what it is, they are governed by something, and here
are we, legislators, and we legislate, again in a governing way, over the
everyday citizens who look up to us to make the rules and regulations.
I say to the minister that we want to be careful too that we
do not overgovern; that we do not place too many people on those boards, because
from my perspective, and the experience that I have over the years, every time
that I saw a board being instituted, or a department being made up, it
escalated. It snowballed. It ended up by three people starting it off, and the
next thing that person, if he had any great initiative at all, had an empire
growing. He was then on the higher echelon, overseeing a great domain, which was
never meant to be in the first place. But those things happen in everyday life
and it is a sin.
Then we talk about health care in general. Well, there is a
lot needed in health care in general. I know, Mr. Speaker, that it is costly and
it has to be paid for, and I know there are only so many dollars. But again, Mr.
Speaker, we are going to have to be careful where we cut, especially with the
young and the elderly. The rest of us can look after ourselves, but for the
elderly and the young we have to be careful.
Mr. Speaker, I had to go in for an X ray myself about a month
ago. I went in to the Health Sciences and there was such a lineup there that I
went over to the girl and said: How long will I have to wait now for my time to
come up? She said: Three hours. So, Mr. Speaker, I went back to the office where
I had a bit of work to do, and after the three hours I went back to the Health
Sciences again. You know, it was very simple, I went on in and had the X ray
taken. What I looked at then, Mr. Speaker, I want to remind the minister, was
that there were a great number of people in the Health Sciences that day who
were from out of town, people who were dropped off by a taxi, and they had no
way of getting out of the hospital - elderly people again. Mr. Speaker, they had
to wait perhaps longer than I, four hours -
AN HON. MEMBER: (Inaudible).
MR. PARSONS: Mr. Speaker, I just explained to the Member
for St. John's South that I didn't mind. I came back to the office and did a bit
of work while I was waiting my three hours. But the people who come in from out
of town, from outlying area, there is no way they could leave. They had no
transportation, dropped off by bus. All I am saying to the minister is, you
know, there are cuts coming, but I hope to goodness that they won't impoverish
or make it any worse for that type of person.
Mr. Speaker, I also want to touch on the MRI machine that
came in. We know we heard so much about this piece of equipment and the
technology that it had and the people that it would serve, that for months and
months and months on end everywhere you looked you would see someone looking for
a donation, and rightly so. All Newfoundlanders - and they are known for it -
gave from their hearts. This MRI machine was brought in here and there was no
room for it in the building and, if there was room in the building, the
foundation of the building couldn't accept the weight. Now, I think there was
some sort of an explanation for it, but I am not sure what the explanation was.
The previous Minister of Health perhaps had an explanation for it, but I am not
sure if the new minister does or not. The MRI machine is still here and they are
now pouring the footings for an extension to the building.
I look at it and say: My goodness, you mean to tell me that
this machine came in here and we didn't have advanced notice, or the government
didn't have advanced notice, that the machine was coming, didn't have any
measurements or weight indications as to how heavy the machine was, the size of
the machine or whatever? Here is a machine that people rushed to donate to, to
help the citizens of the Province, still lying in there not doing an iota for
the people.
Mr. Speaker, I think it is a scandalous state of affairs. If
that machine, in operation, would only serve three people, if it only saved the
lives of a couple of people, then that machine is worthy of the cost and worthy
of all the problems that the people had in getting that MRI machine where it is
today. I say to the minister that he has to address it. The minister will have
to say to the people, he will have to tell this hon. House, what time he
believes this MRI machine can be put into operation.
Mr. Speaker -
AN HON. MEMBER: (Inaudible).
MR. PARSONS: I remind the hon. Member for St. John's
South that the people from this area, in particular, and Newfoundland in
general, when you go around asking for money they are the best there is. Yours
truly had the opportunity on two occasions, under very, very drastic conditions,
very, very sad situations, to head two drives to help some poor people who were
left homeless with a great number of deaths involved. At one place in time I was
on an open line show, asking for help for the people, and the next Monday I had
to go back to the open line show and tell the people to stop it, that we had
money enough. So that will tell you how good the people are in the area, and how
well they serve their fellow man, and they should be congratulated on it. Again,
with this MRI machine, they certainly contributed and that machine, as far as I
am concerned, should not be left over there now, not doing what it was supposed
to do. I think it is disgraceful, and I believe that it was poor management on
someone's part.
I heard it said that the machine itself was not what
originally had been ordered - I do not know - and that when the machine did come
in, it was much larger and of a much greater weight. Mr. Speaker, I find that
hard to believe. I find it hard that the government, who is responsible for
health services, and the Health Sciences Complex, would not have some sort of a
spec as to what they were expected to receive when the MRI machine arrived. It
is still over there, in the area, and they are only now putting down the
footings. How much more time is going to elapse before that building is actually
in place, and this machine will then be ready to service the people? I believe
the people are awfully quiet because, after donating from the bottoms of their
hearts, now we find that the machine is not in use.
Those are some points that I want to make to the minister. I
repeat myself, and I know it. I also want to say to the minister, for the second
time, that I hope that his government, the government of which he is part, and
the Minister responsible for Health, that they give some thought to those senior
citizens homes. The ones I am talking about are the individuals units,
apartments, and again I say to the minister that perhaps it might be the way to
go.
Our fathers and our mothers and ourselves, in fact, I am
getting up there now and I suppose I have to look forward to the day perhaps
when - you are not going to live forever - but I see those units as ideal
situations for the elderly. I hope that government will decide to place great
emphasis on, and bring to fruition some of those units in different parts of the
country.
There is one in Torbay. They are asking for an extension now,
by the way, asking for the funding from CMHC and knowing that they will get it,
because they are a responsible group. If you have a group like the Kiwanis, or
the Kinsmen, or the Knights of Columbus, or the Masonic, or those people who
will be responsible for the administration of those homes, then you do not
really have a problem. All the government has to do is bring it about. All the
government has to do is to initiate the plans, bring about the plans, for those
apartments.
I say to the minister, if you want to see one that is really
working, go down on Brown's Lane in Torbay. There is a beautiful complex down
there. I was up there only a couple of weeks ago to a birthday for a ninety year
old gentleman, and I must say, it was really nice to look at. There was so much
respect for each other there. There was a lot of camaraderie there, and again I
say to the minister, it might be a psychological adventure, as far as government
is concerned, to thing about it and say to themselves: Look, if we put those
people in these homes, the willingness to go to an institution will certainly be
deferred for a great number of months.
I ask the minister to address some of those suggestions when
he goes to close the debate.
Mr. Speaker, I thank you very much.
MR. SPEAKER: The hon. the Member for Humber Valley.
MR. WOODFORD: Thank you, Mr. Speaker.
I would like to make a few short comments pertaining to Bill
38. The bill is very brief, but then again I think it is - I do not know if it
is intentional or not, but to me it is sort of vague and there is not much - one
of the statements in
Section 1, Subsection (2): The Lieutenant-Governor in
Council may by order establish regional community health boards, which shall be
considered to be corporations, to direct the delivery of health care services,
other than hospital services, in the Province.
That particular section, Mr. Speaker, I would have to ask
some questions and get some answers pertaining to why the Lieutenant-Governor in
Council, if we are going to have boards around the Province - and that is
another thing, how many boards, there are no numbers here and I know it is
supposed to replace, I think there are four health care units if I am not
mistaken around the Province now, primarily four Department of Health units
around the Province so I suppose it would replace those and then they would
become community health boards. What the numbers would be, where they would be
established and I suppose another question I would have to ask the minister is,
what will they be responsible for, what powers will they have?
They will be appointed I suppose by the Lieutenant-Governor
in Council but as far as I am concerned, one of the reasons and one of the
concerns I have in this particular
section of the Bill, is that I have seen it
happen with two or three or three or four other bills that came to the floor in
the past couple of years, and the one that comes to mind primarily, is the Crown
Lands Act. In that particular act, it took out
section 7 subsection (2) in that
act and gave all the power to the Lieutenant-Governor in Council. This is
another bill, Mr. Speaker, that gives powers primarily to the
Lieutenant-Governor in Council. Now, I suppose the minister when he does get up
can explain; maybe there are all kinds of good reasons, maybe there are all
kinds of good intentions and I suppose I should reserve my judgement until the
minister answers some of the questions pertaining to the concerns that I have
and other members on this side of the House.
One of the concerns that I have is the areas that would
encompass those boards; what areas and how large an area they will be
responsible for and how will they be able to manage it, how will they be able to
do justification to it, because the one that comes to my mind, overall, is the
so-called assessment and placement under a so-called continuing care for seniors
and so on. That worries me because I know in my particular area, we have I
think, four different types of homes: one, Humber Valley Home is run by the -
really it comes under the jurisdiction or it came under the jurisdiction of
CMHC, whereby people in that particular home pay huge amounts of rent and in
fact, only for the intervention the last number of years, a lot of those people
would have had to leave and I suppose social services would have had to look
after them because any senior citizens homes in the province that are subsidized
by Newfoundland and Labrador Housing Corporation or by the Department of Health,
they only pay up to a maximum of 25 per cent of their income in that particular
home. In this particular home, the Humber Valley Homes financed and looked after
by CMHC, they had to pay the regular going rate, whatever that rate was and they
could not put groceries on the table. That is, I suppose a stark contrast to
NLHC which would be a maximum of 25 per cent, putting seniors in a very, very
uncomfortable situation.
Then we move along to a personal care home. Personal care
homes: we have that in the Deer Lake area too under the Deer Lake Manor whereby
they are subsidized, especially the one that comes under the twenty units,
twenty or less, they are subsidized by I suppose the Department of Health and
the Department of Social Services and so on to take in those particular seniors.
They have it half-decent, there is no question about that. They pass back $90 or
$110 out of their cheque when they get it at the end of the month and they have
something for a bit of pocket money. Then we move on to the Interfaith in Corner
Brook which is a subsidized unit and that is controlled by a local board and a
local board of directors I would say, that comes under the Interfaith Home in
Corner Brook.
But they make the decisions on who goes into that home from
all over the west coast, northern peninsula, or anywhere else. I've questioned
that in the past and I question it today. On the validity of some of the
applications that come before the board for the Inter Faith Home in Corner
Brook.
I've known we have a very serious problem in this Province
today, and it's going to get worse - our problems pertaining to seniors. People
are living longer, times are getting tougher, income is being eroded.
AN HON. MEMBER: (Inaudible).
MR. WOODFORD: Yes, I think they can get tougher. I really
do think they can get tougher. Especially for seniors and people who are
disabled. Primarily because they're on fixed incomes. If the money is not there
for a provincial government to control its deficit and to do the very basic
things; if the money is not there for the federal government to do the basic
necessities required of them to sustain seniors and other people who are less
fortunate than some others in society; than I suppose it's going to get worse.
Especially for those particular classes of people. They've got no one to turn
to. They've got no other income. I would say to the minister that under this
particular
section of the Act the reason - I asked the minister a very important
question. Why aren't there other clauses in the Act that state specifically what
those particular boards would be responsible for?
Usually in
an act it states what everything's responsible
for. (Inaudible) different parts of the act, whether it's one, two, three, four,
five or what. Then it's got subsections. In this particular Act it's very vague
and it looks to me like it's intentional. If it's intentional, my big question
would be: what is it for? There shouldn't be anything to hide. There should be
absolutely nothing to hide when you're looking after health care in the
Province. If it does come under the so-called circle design that the previous
minister put last year in the estimate committees there's nothing there to hide,
absolutely nothing. There's no argument with it - the health promotion, health
protection, mental health, continuing care, alcohol and drug dependency.
So the circle - unless now there could be another reason. I
think at that time that minister was going clockwise. Now I don't know if this
minister has it in his mind to go counterclockwise. That could be the reason why
there's nothing else in this particular Act. I don't know. I'm a little bit
leery about that particular -you can't change the circles unless you make
squares out of them, and then he's in real trouble.
Another thing I'd like to ask the minister. Under the alcohol
and drug dependency act - which I suppose would be incorporated all under this
Act, I would say - now if the minister when he does get up tell me that those
five particular headings are all going to come under that Act, the question is:
why isn't it in the Act? Why aren't t