British Columbia Hansard — THURSDAY, MAY 9, 2002 (37th Parliament, 3rd Session) (20020509pm-Hansard-v7n10)
20020509pm-Hansard-v7n10
British Columbia — Debates (Hansard)
2002 Legislative Session: 3rd Session, 37th Parliament
HANSARD
The following electronic version is for informational purposes
only.
The printed version remains the official version.
Official Report of
DEBATES OF THE LEGISLATIVE ASSEMBLY
(Hansard)
THURSDAY, MAY 9, 2002
Afternoon Sitting
Volume 7, Number 10
CONTENTS
Routine
Proceedings
Page
Introductions by Members
Introduction and First Reading of Bills
Environmental Assessment Act (Bill 38)
Hon. S. Hagen
Advanced Education Statutes Amendment Act, 2002 (Bill 50)
Hon. G. Collins
Public Safety and Solicitor General Statutes Amendment Act, 2002 (Bill 51)
Hon. R. Coleman
The Hunting and Fishing Heritage Act (Bill M204)
B. Bennett
Statements (Standing Order 25 B )
Actions against Liberal MLAs
B. Lekstrom
Health care in Mission
R. Hawes
Opportunities for B.C. youth
K. Manhas
Introductions by Members
Oral Questions
Negotiations with physicians
J. MacPhail
Hon. C. Hansen
Preventative health care services for children
J. Kwan
Hon. C. Hansen
Government support for farmers and agriculture industry
B. Lekstrom
Hon. J. van Dongen
Government support for forest industry
R. Visser
Hon. S. Hagen
Committee of the Whole House
Employment and Assistance for Persons with Disabilities Act (Bill 27)
(continued)
J. MacPhail
Hon. M. Coell
J. Kwan
S. Orr
Third Reading of Bills
Legal Services Society Act (Bill 45)
Royal Assent to Bills
McLeod Lake Indian Band Treaty No. 8 Adhesion and Settlement Agreement Amendment Act, 2002 (Bill 10)
Degree Authorization Act (Bill 15)
Interjurisdictional Support Orders Act (Bill 23)
Securities Amendment Act, 2002 (Bill 29)
Trustee Investment Statutes Amendment Act, 2002 (Bill 30)
Environment Management Amendment Act, 2002 (Bill 31)
Waste Management Amendment Act, 2002 (Bill 32)
Deregulation Statutes Amendment Act (No. 2), 2002 (Bill 35)
Energy and Mines Statutes Amendment Act, 2002 (Bill 36)
Food Safety Act (Bill 37)
Legal Services Society Act (Bill 45)
[ Page 3333 ]
THURSDAY, MAY 9, 2002
The House
met at 2:04 p.m.
Introductions by Members
Hon. S.
Hagen: It's a great honour and privilege today to introduce some guests here
from Thailand, from the beautiful city of Suphanburi, which is certainly one of
the more beautiful cities in that country. These are all folks who are here
visiting the city of Courtenay, my hometown, because they are sister cities. I'm
not going to read all the names, but I've passed the list on to Hansard. They
are accompanied by city of Courtenay staff Mickie Donley, Dennis Henderson and
Raegan Spence. Would the House please assist me in making them welcome.
[1405]
Hon. J.
Reid: It's my pleasure to introduce in the House today my mother, Peggy
Kubin, and my aunt and her husband, Joan and Norman Sagerson from Chicago. I'd
ask the House to make them warmly welcome.
Nuraney: I have great pleasure in introducing a friend of many years, who is
also the vice-president of the Insurance Bureau of Canada, Lindsay Olson. She is
with us today, and I would like the House to make her welcome.
Hayer: I am very pleased to introduce a group of 70 grade 5 students from
William F. Davidson Elementary in my constituency of Surrey-Tynehead, led by
their respected teachers Mrs. Buckham, Mrs. Fowler, Mrs. Takhar and Mrs.
Guilmont-Smith. Among them is my nephew, Shaun Bains. They will be visiting the
Legislature tomorrow morning.
Will the
House please make them most welcome.
S. Orr:
I would like to introduce in the House today nine very, very special people who
are not only special people, but they're my very good friends. I do have
friends. These people are people that work in my constituency office and
volunteer in my constituency office. These people make my life incredibly easy,
and I cannot thank them enough, as none of us can thank our volunteers enough.
They are Gill Wall, Catherine Campbell, Bev Mallett, Trish Fougner, Doris
McLennan, Diane Patterson, Jane Simmons, Trisha Gerard and Vikki Simmons.
Would this
House please make them all welcome.
Bennett: I'd like to introduce two constituents from the East Kootenay, Faye
and Steve Street, who are ranchers. They own Mountain Meadow Ranch in the East
Kootenay. They're up there somewhere.
They're
down here doing what they're always doing, which is advocating for the ranching
industry here in this province — two of the hardest-working people I know and
great, great people. Would you all help me make them welcome.
Chong: I'm pleased to introduce today a constituent of mine, Mary McSevenry.
She is in the gallery with relatives visiting from Argyllshire, Scotland. Mr.
and Mrs. Tommy McCoban and Mr. and Mrs. Robert McSevenry have travelled across
Canada by train, making various stops along the way. While in western Canada
they will be travelling around British Columbia, visiting other relatives and
enjoying our very wonderful attractions and scenery.
Would the
House please make them all very welcome.
Mayencourt: It's my pleasure to introduce some individuals visiting here
from Masset, British Columbia, on the Queen Charlotte Islands. We have Mr. D.
Cyr from Tahayghen Elementary School, and he is joined by 22 smiling people from
the grade 7 class at that school. Please make them welcome.
Introduction and
First Reading of Bills
ENVIRONMENTAL ASSESSMENT ACT
Hon. S.
Hagen presented a message from Her Honour the Lieutenant-Governor: a bill
intituled Environmental Assessment Act.
Hon. S.
Hagen: I move that the bill be introduced and read a first time now.
Motion
approved.
Hon. S.
Hagen: It gives me a great deal of pleasure to introduce this bill today,
one that initiates a much-needed and prudent reform of British Columbia's
environmental assessment process. This bill puts in place a more streamlined and
flexible process for conducting environmental assessments of major projects in
the province.
[1410]
I'm pleased
to say this bill supports the government's goals for a thriving economy based on
sustainable economic development of our natural resources. Importantly, this
legislation improves the environmental assessment process without compromising
high environmental standards and ensures that communities throughout the
province can benefit from sustainably developed projects.
British
Columbians have raised concerns about the inflexibility of the current
one-size-fits-all process and the amount of time taken to complete reviews and
make decisions under the current Environmental Assessment Act. This government
has listened. Under this bill, it will be possible to better tailor assessment
procedures to the circumstances and issues presented by each project. At the
same time, the bill will continue to
[ Page 3334 ]
ensure that meaningful consultation with the public and first nations is
provided for and that key issues are fully addressed.
The neutral
environmental assessment office will have an increased role to play in oversight
functions and ensuring the act is implemented in a timely and responsible
fashion.
I move that
the bill be placed on the orders for the day for second reading at the next
sitting of the House after today.
Bill 38
introduced, read a first time and ordered to be placed on orders of the day for
second reading at the next sitting of the House after today.
ADVANCED EDUCATION STATUTES
AMENDMENT ACT, 2002
Hon. G.
Collins presented a message from Her Honour the Lieutenant-Governor: a bill
intituled Advanced Education Statutes Amendment Act, 2002.
Hon. G.
Collins: I move that Bill 50 be introduced and read a first time now.
Motion
approved.
Hon. G.
Collins: On behalf of my colleague the Minister of Advanced Education, I'm
introducing today Bill 50.
Bill 50
amends the Engineers and Geoscientists Act to authorize the Association of
Professional Engineers and Geoscientists of British Columbia to make bylaws
requiring that the members of the association carry both primary and secondary
liability insurance. In addition, the amendments will authorize the association
to establish insurance fees and other fees, either by bylaw or under the
authority of a bylaw. These amendments will enable the association to
participate in a national secondary liability insurance program established by
the Canadian Council of Professional Engineers. The amendments will also enable
the association to make bylaws establishing the circumstances under which its
members are required to hold primary liability insurance.
As well,
this bill amends the Technical University of British Columbia Act so that the
government can appoint a transition administrator to wind up the Technical
University of British Columbia. The amendments will also provide for transfer of
the university's assets and liabilities and for repeal of the Technical
University of British Columbia Act.
After
extensively reviewing a number of business plans from Tech B.C. and seven
proposals from other institutions, government decided previously to have Simon
Fraser University assume responsibility for students and assets of Tech B.C. and
its operation at Surrey Place Mall. The decision not to proceed with the
Technical University of British Columbia was made at an open cabinet meeting on
February 7 of this year. This legislation will implement that decision. SFU will
continue to offer Tech B.C. programs and eventually integrate these with a Simon
Fraser University degree program.
Interjections.
Hon. G.
Collins: Our Surrey members, Mr. Speaker.
Not only
will SFU accommodate current Tech B.C. students, but they'll expand to 800 FTEs
at the university's present location in the city of Surrey. This is great news
not only for the students and staff at Tech B.C. but also for the growing
community of Surrey.
I move that
the bill be placed on orders of the day for second reading at the next sitting
of the House after today.
Bill 50
introduced, read a first time and ordered to be placed on orders of the day for
second reading at the next sitting of the House after today.
PUBLIC SAFETY AND SOLICITOR GENERAL
STATUTES AMENDMENT ACT, 2002
Hon. R.
Coleman presented a message from Her Honour the Lieutenant-Governor: a bill
intituled Public Safety and Solicitor General Statutes Amendment Act, 2002
Hon. R.
Coleman: I move that Bill 51 be read a first time now.
Motion
approved.
Hon. R.
Coleman: I am pleased to introduce Bill 51. This bill amends the Crime
Victim Assistance Act, the Criminal Records Review Act and the Motion Picture
Act.
The new
crime victim assistance program will come into force this summer. It transfers
programs and services for victims of crime from the Workers Compensation Board
to the Ministry of Public Safety and Solicitor General.
[1415]
The new
crime victim assistance program provides several new benefits to victims of
crime. The amendments specify which benefits will be available for which
category of applicant. The changes also streamline the administration of the new
program.
The
criminal records review program protects children by requiring anyone who is
employed, licensed or funded by the government and who works with children and
who has unsupervised access to children through their work to get a
criminal-record check. The program is funded entirely by government and costs
$1.2 million each year to administer. Amendments to the Criminal Records Review
Act will ensure that the program is sustainable by creating a cost-recovery fee
to be paid by the individual or employer requesting the check. This fee will be
in line with fees currently charged by police departments. The registrar of the
[ Page 3335 ]
criminal-records review program will have the discretion to waive the fee
when appropriate.
Another
change will streamline the adjudication process and eliminate the appeal panel.
This panel is not necessary, because since the program started in 1996, there
have only been nine appeals.
Changes to
the Motion Picture Act will ensure more efficient use of resources by allowing
the province to adopt ratings for films, videos and new media from other
jurisdictions rather than requiring the film classification office to
independently review each of these media, as is currently the case. The
amendments will also eliminate the Motion Picture Appeal Board, which reviews
classification decisions. Fewer than ten decisions are appealed each year.
I move that
the bill be placed on orders of the day for second reading at the next sitting
of the House after today.
Bill 51
introduced, read a first time and ordered to be placed on orders of the day for
second reading at the next sitting of the House after today.
THE HUNTING AND FISHING
HERITAGE ACT
B. Bennett
presented a bill intituled The Hunting and Fishing Heritage Act.
Bennett: I move the bill be introduced and read a first time now.
Motion
approved.
Bennett: This is a very simple bill, but it's important to thousands of
British Columbians. This bill acknowledges the legitimacy of hunting and fishing
that is done in accordance with the law and recognizes that hunters and anglers
play an indispensable role in the wise management of fish and wildlife in this
beautiful province.
I move that
the bill be placed on orders of the day for second reading at the next sitting
of the House after today.
Bill M204
introduced, read a first time and ordered to be placed on orders of the day for
second reading at the next sitting of the House after today.
Statements
(Standing Order 25
b) ACTIONS AGAINST LIBERAL MLAS
Lekstrom: In recent weeks there's been a dangerous escalation of the protest
that has no place in our democratic system. For over 15 years I was on and
worked with the executive of the Telecommunications Workers Union, Local 34, in
my area. I fought hard at the bargaining table, and I walked the picket line,
and I participated in many protests, which certainly is one of my rights. Never
once did I consider attempting to thwart the democratic process through the
aggressive and increasingly invasive tactics condoned and encouraged today.
particular, there are several recent examples that trouble me greatly: an early
morning protest at the private home of an MLA, the forceful occupation of an
MLA's office, a protest rally held at the private home of our Premier, and the
unconscionable actions of six HEU members on a recent commercial flight and
their appalling behaviour towards our Premier in the airport.
As a former
union official I'm furious at the extent to which all of these tactics are
tolerated, if not condoned, by some union leaders. Through their inflammatory
rhetoric and undemocratic tactics, they are drowning out constructive dialogue
in our province. In my books any union leader or political leader that condones
these tactics or, worse, fails to condemn them is not much of a leader in my
eyes.
HEALTH CARE IN MISSION
Hawes: Mission Memorial Hospital and its dedicated health care providers
have given excellent service to the Mission citizens for many, many years. In
the wave of much-needed change sweeping across health care in British Columbia,
Mission Memorial Hospital cannot exist as an island, untouched. Health care
providers in the community have asked me to bring political pressure to bear on
the government to stop the change. The government has, however, agreed with the
British Columbia Medical Association, who have strongly stated that political
interference in the day-to-day operation of health care has made long-term
planning impossible. They state that politicians should back away from
manipulating the management of the health care system. The government has agreed
with this.
[1420]
I now wish
to encourage Mission's health care providers, its mayor Abe Neufeld, his council
and others to continue showing great leadership by developing the progressive
and innovative proposal we have discussed in the past. This proposal would
create new clinically, medically and fiscally sound and innovative services for
the whole region and would see services we in Mission feel are essential
preserved in the Mission Memorial Hospital.
I urge the
Fraser health authority to encourage this type of innovation and to work
collaboratively and cooperatively with health care providers in an atmosphere of
respect and consultation. This will be critical to building an integrated and
responsive system that works for all of us. I would further urge the ministers
of Health Services and Health Planning to ensure that there is a venue in the
Fraser health authority — and, for that matter, in all health authorities —
where the clinical and medical views of health providers will be consulted, and
innovative proposals will not just be listened to but will also be encouraged
and actually heard in a spirit of collaboration.
[ Page 3336 ]
OPPORTUNITIES FOR B.C. YOUTH
Manhas: This week we mark B.C. Youth Week, a celebration of the efforts,
energies and positive contributions of youth around the province and a
recognition of the important role that youth play in their communities
year-round.
We all know
that young people play an extremely important role in the sustainability and
future success of a community. But according to Statistics Canada, from 1996 to
2001, 45,510 British Columbians under 45 left the province. As a young person
myself, I nearly left the province in those years. The last government left B.C.
in such a staggering state that many young people looked at better opportunities
elsewhere.
Alberta, on
the other hand, seems to have gotten it right in attracting young people.
Alberta managed to attract 126,565 people under 45 from other Canadian provinces
during that same period.
I'm tired
of seeing young people feel like they have to pick up and move, to leave B.C.,
in order to build a positive future for themselves. That is changing, and there
is no doubt that this government's initiatives to increase viability of business
and to attract trade and investment to B.C. will provide more opportunities for
everyone in the province.
The
Ministry of Skills Development and Labour and the Ministry of Competition,
Science and Enterprise are charged with developing a youth strategy. It is
important that we remember how important youth are to the success of this
province. We've got to keep young people in B.C. We need to ensure that B.C.
youth want to stay in this province, because opportunities exist for them to
build a bright future here in B.C.
We need to
move forward with an articulated youth strategy and continued measures to
address youth unemployment. We also need to attract more young people to come to
B.C. We'll do that if young people start finding that they have the
opportunities they need to succeed here in B.C. We need to create an attractive
and exciting place for young people to stay in and move to, to build and create
opportunities for their and our future.
Introductions by Members
Hon. R.
Neufeld: I ask leave to make an introduction.
Leave
granted.
Hon. R.
Neufeld: I appreciate it.
Further to
the member for Port Coquitlam–Burke Mountain, Jeff Morrison has joined us in
the gallery today. He is an energy policy expert who moved here from Calgary
after tax reductions were introduced by the Minister of Finance. This young man
is joined today by his mother, Lily, visiting from Ontario. Would the House
please make them welcome.
Oral Questions
NEGOTIATIONS WITH PHYSICIANS
MacPhail: Today we see once again that the doctors' dispute has degenerated
into name-calling, and there are no new talks scheduled. The doctors and the
government can't even agree on the most basic of facts.
I wonder
why the government has decided to do away with the binding arbitration mechanism
that would be so important in these circumstances and why, without one,
disagreements degenerate…
Interjection.
Mr.
Speaker: Order, please.
MacPhail: …into disputes that put patients at risk.
To the
Minister of Health Services: at the beginning of today, another day of this
dispute, will he now admit that it was a mistake to get rid of binding
arbitration, and will he agree to a new binding arbitration process to end this
dispute?
[1425]
Hon. C.
Hansen: The previous government two years ago, as the member well knows, put
in place a binding arbitration process that had very specific terms of reference
attached to it to protect the interests of taxpayers in British Columbia. Those
terms of reference included a provision that the financial circumstances of the
province had to be taken into consideration and that the operational and
management needs of the health authorities had to be taken into consideration.
In the
arbitration process those two issues were not adequately dealt with by the
arbitrator. The binding arbitration process did not work. It did not serve the
purpose it was intended to serve. When the memorandum of understanding was
signed with the B.C. Medical Association six weeks ago, the Premier made it
clear that binding arbitration was not on the table, and the president of the
B.C. Medical Association acknowledged that at the time. She has acknowledged it
on several occasions since.
Quite
frankly, I think it's inappropriate for physicians in British Columbia to be
denying care to their patients throughout this province when in reality what
should be taking place is negotiations at a negotiating table. We are more than
willing to resume those negotiations this afternoon, tomorrow or whenever
possible so that we can put patient interests first and allow these other issues
to be solved where they need to be solved — at a negotiating table.
Mr.
Speaker: The Leader of the Opposition has a supplementary question.
MacPhail: It's disappointing that the Minister of Health Services continues
the name-calling. The government is saying…
[ Page 3337 ]
Interjections.
Mr.
Speaker: Order, please.
MacPhail: …that the doctors are asking for more money, and the doctors are
saying that the minister isn't telling the truth. The government says the Canada
Health Act does not require binding arbitration. The doctors say it does. Both
sides are engaged in spin operations to present to the public their point of
view. This is no way to handle a dispute that has the potential to threaten
lives.
At the very
least British Columbians deserve an independent assessment of the facts. So if
the minister won't agree to binding arbitration, will he at least agree to an
independent third party to sort out, at least, who is right and who is wrong on
the facts as both sides present them so that British Columbians can tell who is
actually telling the truth?
Hon. C.
Hansen: We have a very good group of individuals who are negotiating on
behalf of government, and the BCMA has a very good group that are negotiating on
their behalf. These are issues that need to be sorted out at the negotiating
table. Good progress was being made up to 2 o'clock in the morning last
Saturday, when the BCMA walked away from negotiations. There was good progress
being made.
The issues
can be resolved at the table. Everyone's agreed that there's a $392 million cap
to resolve all of the issues around physician compensation. The place to resolve
those is at a negotiating table, not by compromising the health care of British
Columbians, which is what physicians are doing.
Mr.
Speaker: The Leader of the Opposition has a further supplementary.
MacPhail: You know, Mr. Speaker, today I heard a commentator suggest that
the BCMA and this Minister of Health Services weren't even at the same table,
let alone on the same planet. The tit-for-tat spin operations being employed by
the government and the doctors are offensive to people in need of care. All
British Columbians want is a government to keep its promise to deliver health
care when and where people need it.
independent third party will help get to the bottom of the mess, and it'll
provide British Columbians with the information that they want and, more
importantly, that they deserve. Will the minister today stand up, set individual
interests aside and call for an independent third party so that patients aren't
caught in the crosshairs of this ridiculous spin war?
Hon. C.
Hansen: We have made it very clear right from day one that we want to put in
place an independent third-party process to provide for a dispute settlement
mechanism. Both parties have that objective. We've put a proposal on the table.
We've asked the BCMA to comment on that. We've asked them to sit down, and
mutually we will come up with that independent process.
[1430]
It is not
up to me to impose a third-party process on the BCMA. It is up to us, the BCMA
and the government to sit down together to work out a third-party, independent
dispute settlement mechanism that will work for everybody involved. We should
not be doing the dispute on the backs of patients in British Columbia. It should
be done at the negotiating table.
PREVENTATIVE HEALTH CARE
SERVICES FOR CHILDREN
J. Kwan:
The government is allowing the Vancouver coastal health authority to cut
back and outright abolish a number of extremely important programs aimed at
children. Immunization programs, speech pathology programs and vision screening
for children are all on the chopping block. These services are especially
important to kids that come from poor, transient families, many of whom live in
my constituency.
To the
Minister of Children and Family Development: will he tell the House today
whether or not he supports cutting these preventative health programs? Will he
tell us whether or not he asked his ministry for an assessment of the impacts
these cuts will have on children's health?
Hon. C.
Hansen: The Vancouver coastal health authority is looking at how to better
deliver programs within the financial envelope they have, as are all the health
authorities throughout the province. In the cases of each of the three programs
that the member just mentioned, they are reorganizing the way those programs are
delivered, but the programs themselves are not being diminished. Access to those
programs is not being diminished. They are being reorganized. They're going to
be done in a more cost-effective way. I congratulate the health authorities for
looking at more cost-effective ways of delivering the kind of programs we need.
Mr.
Speaker: The member for Vancouver–Mount Pleasant has a supplementary
question.
J. Kwan:
This government has new
definitions for words around protection. Cutting
programs does not mean protection. Cutting programs does not mean
reorganization. The Minister of Children and Family Development's job is to
protect B.C.'s most vulnerable citizens, but his government is preparing to
spend millions of dollars on glitzy TV ads. Early intervention programs for
children in Vancouver are disappearing. He doesn't have a clue how that impacts
children's health.
Will the
minister at least, then, have the courage to stand up for the convictions that
he had when he was in opposition and condemn his government for cutting programs
that protect B.C.'s most vulnerable children from disease and illness?
[ Page 3338 ]
Hon. C.
Hansen: What we inherited when we took over as government was a health care
system that was not working.
Interjections.
Mr.
Speaker: Order, please. Order.
Hon. C.
Hansen: Whether it was programs for children or whether it was health care
programs generally in the province, the status quo was not acceptable.
Fundamental change was essential.
Interjections.
Mr.
Speaker: Order, please.
Hon. C.
Hansen: We have now undertaken the challenge of reorganizing the way health
care can be delivered so that we can deliver better programs, we can continue
programs, and we can continue to give the service that individuals need, whether
they're children or anybody else, but do it in the most cost-effective and
responsible way possible.
GOVERNMENT SUPPORT FOR FARMERS
AND AGRICULTURE INDUSTRY
Lekstrom: My question is to the Minister of Agriculture, Food and Fisheries.
Agriculture has played an important role in the communities that I represent for
over the last 100 years. This makes the minister's recent attendance at the
federal-provincial agriculture meeting in Ottawa all the more important to my
constituents.
Can the
Minister of Agriculture, Food and Fisheries please update us on what was
discussed at that meeting?
Hon. J.
van Dongen: Since last June the federal government, along with the
provincial and territorial governments, has been involved in negotiating a new
agriculture policy framework. Our goal is to develop a new policy that will
foster a profitable farming industry in Canada — one that will be a world
leader in food safety, environmental sustainability and innovation. We also want
to ensure that the new agreement includes a strong risk-management component
and, in particular, a crop insurance policy that will help farmers deal with
adverse, unforeseen weather conditions. We have a lot of work to do on this new
policy, but we expect to have it in place before April 1, 2003.
Mr.
Speaker: The member for Peace River South has a supplementary question.
[1435]
Lekstrom: In my riding we're having an extremely late spring this year. The
deadline for planting canola and other crops and having them insured under the
crop insurance program is rapidly approaching. Can the Minister of Agriculture,
Food and Fisheries tell us what he is doing to assist the farmers who will
likely not be able to seed prior to the May 10 deadline?
Hon. J.
van Dongen: In the Peace River the farmers are certainly facing some adverse
weather conditions that are delaying planting, and in the last two weeks we have
been reviewing the eligibility deadlines for farmers to plant crops and still be
eligible for crop insurance.
We have
extended some of the dates, and I'll just mention them quickly here for the
members. The canola seeding deadline has been extended from May 10 to May 20.
The oat seeding deadline has been moved from May 20 to May 25. The hard red
spring wheat deadline has been moved from May 20 to May 25.
We've
discussed all of these changes with the producers, and the B.C. Grain Producers
Association supports these changes.
GOVERNMENT SUPPORT
FOR FOREST INDUSTRY
Visser: The resource sector is the cornerstone of B.C.'s economy and allows
us to provide many important public services. At the same time, balancing wealth
generation with environmental stewardship is the only way to make sure that they
are available for future generations.
Can the
Minister of Sustainable Resource Management tell us what this government is
doing to ensure the balanced management of our forests?
Hon. S.
Hagen: Today is a great day for British Columbia. I'm pleased to tell the
House and all British Columbians that the Premier and the Minister of Forests
are in Prince George today to mark an important milestone for the forest sector.
Today the five-billionth tree will be planted in British Columbia —
five-billionth.
We are
planting more than 200 million seedlings every year. By the year 2007 we will
plant the six-billionth tree in the province. This is a tremendous testimony to
the commitment that we have to the future of our forest sector.
Mr.
Speaker: The member for North Island has a supplementary question.
Visser: The current state of our forest industry has many British Columbians
concerned about the economy. Despite that, we still recognize the continued need
for reforestation and the important role this plays in sustaining the industry
into the future.
Will the
Minister of Sustainable Resource Management outline what other steps are being
taken by this government to promote a sustainable forest industry?
Hon. S.
Hagen: This government has undertaken a very ambitious agenda to promote a
sustainable forest industry in this province. We want to build the forest
[ Page 3339 ]
industry back from the doldrums that it's been in for the last ten years.
We are
dedicating $20 million this year to forest research and a further $6 million for
tree improvement. We have launched a public review of our results-based code,
which the member, I know, is very well aware of as he chairs the committee
that's going to go around the province to get public input on this very valuable
process.
We will be
moving forward with consultations on the….
Interjections.
Mr.
Speaker: Order, please. Order.
Hon. S.
Hagen: Mr. Speaker, I'm really getting tired of getting interrupted.
Interjections.
Mr.
Speaker: Order, please.
Please
proceed.
Hon. S.
Hagen: It's too bad that some members have to be rude.
We will be
moving forward with consultations on the working forest initiative very, very
quickly. We look forward to the public input that's going to come back from
British Columbians on this very important issue.
Lastly,
with our commitment to tax and regulatory improvements, we are confident that
the forest industry will once again provide working families in this province
with good paycheques.
[End of question period.]
Interjections.
Mr.
Speaker: Order, please. Order, please, hon. members. Order.
[1440]
Orders of the Day
Hon. G.
Collins: I understand members are getting tired as we near the end of the
session. Despite that, I would like to call, yet again, continuing debate on
Bill 27 in committee stage.
Committee of the Whole House
EMPLOYMENT AND ASSISTANCE
FOR PERSONS WITH DISABILITIES ACT
(continued)
The House
in Committee of the Whole (Section
B) on Bill 27; J. Weisbeck in the chair.
The
committee met at 2:42 p.m.
section
2 as amended (continued) .
MacPhail: Before we broke for lunch, my colleague from Vancouver–Mount
Pleasant was exploring the concept of the new definition of what constitutes a
disability under this new act. It is our premise, completely unrefuted to date
by the minister, that the government is trying to limit the people who qualify
for disability benefits in this province.
Because the
act has changed the words so dramatically, all we can do is rely on the minister
telling us what conditions need to be present in a person with a disability in
order to have him or her qualify. There is no other way of determining this, so
we will continue reading the…. They're not cases; they're diagnoses. They are
existing conditions that could apply to anyone, to any member of our family or
our friends. They're existing conditions that are not a case-by-case basis but a
diagnosis.
Does the
diagnosis of arthritis qualify for disability?
[1445]
Hon. M.
Coell: The member may recall that through BC Benefits, it was not on the
basis of diagnosis that an individual would qualify, and it won't be under Bill
27 either.
MacPhail: No, I don't recall that. Perhaps the minister could expand upon
that.
Hon. M.
Coell: Under BC Benefits you had to show that you had a severe mental or
physical impairment. It was not on diagnosis.
MacPhail: Yes, and often the indication of that impairment was a diagnosis,
so it's unusual for the minister to somehow suggest that diagnosis is
irrelevant. Is the minister suggesting diagnosis is irrelevant?
Hon. M.
Coell: It's a factor.
MacPhail: Yes, so we will continue. The minister may be sensing what kind of
purpose does this serve while people are being judged by the new rules as we
speak and are preparing. People in this world are out there. They're now
eligible for disability benefits, and they're wondering, with a great deal of
angst, about what it is they have to prove in order to get them either benefit
that they now are eligible for.
I must tell
the minister that this information has come in. These questions have come in
since my colleague last night was so ably raising so many of these issues.
People were calling in and asking for these questions to be put because they had
no comfort from the debate they watched last night when my colleague from Mount
Pleasant was raising a series of very, very important questions.
Bipolar
disorder.
Hon. M.
Coell: Both Bills 26 and 27 require that anyone seeking the designation as a
person with a dis-
[ Page 3340 ]
ability meets two tests. BC Benefits also states that an individual must have
a severe mental or physical impairment. This carries forward in this bill. I
don't think I can be any clearer for you.
MacPhail: Well, in fact, the diagnoses that I'm reading off to the minister
now qualify. They were approved. They're not individual cases, but the diagnosis
represents a diagnosis upon which the person qualified. These are questions that
are coming in. So it would be appropriate, then, for the minister to say:
"Yes, that does qualify you."
Blood
clots, epilepsy, anxiety, depression.
Hon. M.
Coell: We had a thorough discussion this morning on that.
[1450]
MacPhail: You know, I actually believe that this is one minister in this
government who wants to communicate as much information as he possibly can in a
forthright manner. Now is the time to do it.
discussed earlier on about the way ordinary British Columbians can actually seek
input into this government's decisions. The Income Assistance Advisory Council
had been cancelled, repealed. The minister said he meets regularly. He wouldn't
give any details on meetings that he'd had, but he does say he'd meet regularly.
People
listen to the words of this minister and are calling in and want information.
Does a diagnosis of breast cancer qualify?
The
Chair: Shall
section 2 as amended pass?
MacPhail: Cerebral palsy — does that qualify?
The
Chair: Shall
section 2 as amended pass?
MacPhail: I find it shocking, actually, when the minister knows why these
questions are being asked and he could alleviate people's concerns out there
and, instead, what he's done is contributed to the state of anxiety.
There have
been a couple of MLAs — good on them for raising particular situations —
only a couple, but thank you for that…. Certainly, the minister was more than
willing to respond to individual situations that other MLAs raised. I guess it
was because they weren't from the member for Vancouver–Mount Pleasant or me
that he agreed to respond.
Now he sits
there, and all the people can hope for, who are now eligible and rely on that
disability benefit…. All he does is sit there and say nothing — absolutely
nothing.
In fact, I
guess I'll have to add this particular minister to my list of those whom I'm
disappointed in — that he would play favourites and politics and refuse to
give information to people who are directly affected by this.
In a recent
meeting with the deputy minister and the B.C. Coalition of People with
Disabilities, the deputy minister stated that the new definition as outlined in
Bill 27,
section 2, is intended to cull out specific types of cases or medical
conditions that are seen as the key unjustified cost pressures that flow from
the current definition under the Disability Benefits Program Act. Perhaps the
minister could list the key unjustified cost pressures, the types of cases or
medical conditions that come under that guise.
Hon. M.
Coell: I would seek clarification. I'm not quite sure what the member is
referring to.
MacPhail: I'll read it again. In a meeting between the deputy minister and
the B.C. Coalition of People with Disabilities, the deputy minister stated that
the new definition as outlined in Bill 27,
section 2, is intended to cull out
specific types of cases or medical conditions that are seen as the key
unjustified cost pressures that flow from the definition under the Disability
Benefits Program Act that this government is now changing. What are those types
of cases or medical conditions that are seen as key unjustified cost pressures?
Hon. M.
Coell: I understand from my deputy that she has been misquoted and that she
did not say that.
J. Kwan:
We'll double-check this information and whether or not we have misquoted the
deputy minister, because it was provided to us by the B.C. Coalition of People
with Disabilities.
[1455]
Let me ask
the minister this question on the medical conditions in this new definition
under Bill 27. People who have soft tissue injuries, chronic back pain,
fibromyalgia, chronic fatigue syndrome, some forms of arthritis and depression
— will they still qualify for income assistance under Bill 27?
Hon. M.
Coell: Again, it depends on an individual's circumstances and the degree or
severity as stated by a medical practitioner.
J. Kwan:
The reason why I read out this list of medical conditions is because it is
believed by the community, as an example, that these are some of the conditions
the ministry will be looking to get rid of for qualification under Bill 27.
Formerly, under the old act, people were qualified for disability 2 with these
conditions. The list I have here states that very clearly. There are hundreds of
different kinds of medical conditions for which individuals qualify for
disability 2 under the former act. Unless the minister can provide assurances
otherwise, with the change under Bill 27 it is believed that these conditions
will no longer qualify individuals to receive income assistance under Bill 27.
In fact,
from yesterday's debate…. There were people who were watching this debate. I
have a case here that was sent to me by e-mail. Here's what the e-mail
[ Page 3341 ]
reads. I'll just read part of it. This individual has a brain injury and has
tried working and wants to be retrained, but even when she has worked here and
there, she's not able to make enough money to get above disability level. People
with dementia won't be able to answer accurately if their disability affects
their daily life or not. In this case, will this person be qualified?
Well, her
experience is such that her husband and herself were forced to separate so that
they could get benefits of some form for her disability. When he works, he makes
about $867 a month, at $8.50 an hour. Of course, with that calculation, they
didn't get support from the ministry. Without the support, they were unable to
pay their hydro, and now they're being evicted. They couldn't pay their full
rent, and they couldn't even cover food, their basic need. They are right now,
at this moment, at the dollar-breaking point, and of course, the husband is
being penalized for trying to work. The couple is contemplating that perhaps
they need to split up in order to survive. Maybe the minister can tell this
couple: people with dementia, who won't be able to answer accurately if their
disability affects their daily life — would they be able to collect income
assistance under Bill 27?
Hon. M.
Coell: The member is actually talking about a situation under the BC
Benefits Act, which her government introduced.
[1500]
J. Kwan:
No. This was e-mailed to me yesterday, on the 8th. Effective April 1, the
changes the minister brought in through the interim regulations are impacting
this couple. I know the minister would like to say, "It was the previous
government; it was the BC Benefits Act," and so on and so forth, but the
reality is that the changes being brought in are from this government, from this
minister. Even though the act has not passed through this House, even though the
regulations are not set, the minister said that effective April 1, changes were
going to be taking place. They're impacting people's lives as we speak. The
minister advised me of that when we did estimates. When we were doing estimates,
he said: "Effective April 1 changes are going to take place." Now
e-mails are coming in, and people are being impacted. The minister would like to
say it was the previous government. But you know what? It won't wash. It wasn't
the previous government's regulations. It is this government's regulations. It
is this government's bill that is causing these problems for people who are
faced with disability challenges.
Hon. M.
Coell: I would correct the member. There have been no changes as of April 1
for persons with a disability.
J. Kwan:
Let me try another tack, because the minister is obviously not answering the
questions, creating even more anxiety in the broader community.
When the
opposition was in the House, we rose during second reading and raised these
questions with the minister. Then every Liberal MLA was shouting and pounding
their desks, heckling my colleague and me, suggesting that we were somehow
fearmongering, scaremongering and so on. Well, this is the time, in third
reading debate, for the minister to give concrete answers — answers for people
who are sending e-mails by the droves for us to ask these questions of the
minister on whether or not they would be qualified and whether or not they'll be
cut off as a result of changes in Bill 27.
In fact, in
a moment I am going to find the e-mail from a person that's just e-mailed me.
She's being cut off disability, and she did receive a letter from the minister
telling her to go get a job. The minister yesterday said he did not send out
such information to anybody. In fact, after hearing that debate, individuals in
the broader community sent in such a letter which the minister did send to them,
and then subsequent to that, about how they were being cut off. I will find that
information in just one moment.
I want to
go back to the question here around these medical conditions. The minister likes
to flip and flop. He wants to say: "On the one hand, these are individual
cases, so we can't deal with them." Then when we say: "Okay. These are
medical conditions that I'm highlighting. Will the minister confirm that these
medical conditions will qualify people to receive income assistance?" Then
the minister says: "Well, gee, it's not up to me. It's up to the
practitioner." Well, the practitioners have already decided on the basis of
these medical conditions for people to receive disability 2, under the previous
act. We already have that information. We already have the medical practitioners
who have spoken on that issue. It is now up to the minister to advise what his
intention is for this act and the change he's now bringing forward under Bill
Last night,
when we were talking about the issues relating to HIV and AIDS, I asked the
minister whether or not there was a qualifier attached to it if someone's been
diagnosed with HIV/AIDS. The minister said something about fatigue being another
qualifying factor. I want to ask the minister, then: on the issue around
fatigue, would that mean that soft-tissue injuries, fibromyalgia, chronic
fatigue, cyclical manic fatigue disabilities — and that's the person who
e-mailed me; she has this fatigue disability — MS, Parkinson's and a host of
other disabilities qualify under this act?
Hon. M.
Coell: It will depend on the individual circumstances and severity.
J. Kwan:
The circumstances and severity are such that they now qualify for disability 2
under the former act, which required the individual to show….
"…as a direct result of a severe mental or physical
impairment, requires extensive assistance or supervision in order to perform
daily living tasks within a reasonable time frame, or requires unusual and
continuous monthly expenditures for transportation or for special diets or
for other unusual but essential and continuous needs, and who has
confirmation from a medical practitioner that
[ Page 3342 ]
the impairment referred to in paragraph (b)" — which
I just read out —"exists and is likely to continue for at least 2
years or is likely to continue for at least one year and is likely to
recur."
Under those
conditions physicians have determined the individual is qualified for disability
[1505]
The
minister yesterday tried to say that there are no substantive changes here under
this act that we're debating right now, under this section. He tried to say:
"Don't worry; be happy. Those people who need to qualify will
qualify." Well, the people who need to qualify did qualify under the old
act.
I now want
to know: where the minister says, "Don't worry; be happy. They will
qualify," would those people under this new act…? Will he confirm in the
House right now that those people, who did qualify under disability 2 with these
medical conditions, will continue to receive that assistance?
Hon. M.
Coell: I may have already said this, but some of the questions are quite
repetitive.
The
ministry will not be requiring all DB-2 clients to reapply. For example, the
ministry is working with the Ministry of Health Services, mental health
division, and the Ministry of Children and Family Development to identify
clients with mental health disorders who are receiving treatment and those who
are developmentally delayed and living in group homes. These clients will
clearly meet the new criteria, so they will not need to reapply. They will be
advised that a review of their designation has indicated that they meet the new
criteria for continuous assistance.
Similarly,
the ministry is reviewing all client files to determine the extent of
information already available. If there is sufficient information on a client's
file to determine eligibility based on the criteria, their designation will be
confirmed.
J. Kwan:
You know what? The minister can read that list as many times as he wants to, but
he's not answering the question. He's not answering the question that's being
posed to him. Will these individuals, who now qualify for disability 2 under the
previous act with these medical conditions, qualify under this new act? I don't
think it's that complicated. Does the minister not know what his intent is with
his respect to this act?
Hon. M.
Coell: As I've said before, it will depend on the severity and individual
circumstances. I have a commitment to persons with disabilities. I know that
this legislation and the continuous assistance will provide the support for
safety and security.
J. Kwan:
The minister said yesterday that the changes that are being brought about in
this act will not substantively affect people in terms of their eligibility. In
fact, it wasn't just my colleague from Vancouver-Hastings and I who asked these
questions. The member for Vancouver-Langara stood up and asked the question. He
rose up and said: "It is not clear under this act in terms of who would
qualify and who wouldn't qualify." In fact, the member for Langara had a
wonderful suggestion, and that is for the minister to stand down
section 2.
I rose up
and said that we would be happy to stand down
section 2 and work with the member
for Vancouver-Langara and the minister and the community to make sure that it is
clear that individuals who ought to qualify and should be receiving support from
government would continue to do so.
The
minister then got up and said: "No need to do that. It is very clear in
terms of who qualifies and who doesn't." Well now, it is not clear to me at
all who qualifies and who doesn't. I want to get into the specifics by asking
the minister. If he says the intent is the same as the previous act, and there
are no substantive changes in that regard, then it ought to follow that the
people who were assessed by medical practitioners on the severity of their
illness, on the severity and the impact of their disability and who qualified
for disability 2 under the previous act, ought to qualify now, today, under this
new act.
All the
minister has to do is confirm with the list that I have received from the B.C.
Coalition of People with Disabilities, which lists all the medical conditions,
that the people who have already been assessed will continue to receive support
from government under this act and that new people who come forward with the
same medical conditions, too, will receive support.
[1510]
If the
minister can do that, then I have no more questions. I have no more question on
section 2. If the minister is not able to do that and keeps on saying that he
doesn't know and that it's somebody else's responsibility to decide, then we
have a problem. We have a problem in this
section of the bill, because it is
unclear and the minister has not satisfactorily answered the questions to make
it clear for individuals in the community to understand who is qualified and who
is not qualified for disability assistance under Bill 27.
P. Wong:
I ask leave to make an introduction.
Leave
granted.
Introductions by Members
P. Wong:
I am pleased to introduce 56 students from St. Andrew's School in Vancouver.
These students are from grade 4 and grade 5 and are led by their teachers and
parents: Mr. Samson, Mrs. Riccardi and Mrs. Scali. Would the House please make
them welcome.
Debate Continued
Hon. M.
Coell: Just to answer the member's question, some individuals' medical
conditions change. They can in some cases improve. They can in some cases
deteriorate over a period of time. It's therefore not possible to make blanket
statements.
[ Page 3343 ]
J. Kwan:
I don't know what is possible for this minister. It seems that nothing is
possible. It seems that none of the questions that are being asked of the
minister, he can answer. It seems that he cannot give any assurance whatsoever
to allay the fears in the broader community. It seems that his answers are
contradictory in their nature. They first say: "Yes, they're
qualified." Then they say: "No, they're not qualified." Then
there are additional qualifiers attached to it around eligibility.
Let me just
review from yesterday's Hansard on the questions around HIV and AIDS. The
question was asked: can the minister please explain and give what assurance he
can to the individuals who have HIV and AIDS that they would qualify to receive
income assistance for disabilities under Bill 27? The minister's answer:
"Currently, under BC Benefits, HIV-positive do not qualify on the basis of
diagnosis, because they have to show either a severe mental or physical
impairment. That won't change."
Then I rose
up and challenged the minister on that, because I have been identified with
people with AIDS. They have come forward to say that they have been diagnosed
with HIV and AIDS, and while their disability is not 100 percent symptomatic,
because of disability they need extra resources for them to perform their daily
activities. It costs them extra to simply survive, and so on. They were and are
receiving disability 2.
I rose up
and asked the minister that question. Again, the minister's answer says: "I
think the easy answer is that if someone is diagnosed with HIV/AIDS, they will
qualify." This is a direct quote from Hansard last night.
Then
discussion went on for a little bit. I asked the minister the question for
further clarification. Then the minister changed. He goes on to say that
currently, under BC Benefits, they do not qualify on the basis of the diagnosis.
If they show that they have a severe mental or physical impairment because of
that diagnosis, then they would qualify. In the same breath, the minister has
changed his position around whether or not a person qualifies.
Then he
goes on to say: "A person with AIDS will need assistance for a range of
reasons. One of them could be, as I said before, fatigue. They will
qualify."
[1515]
Then,
following precisely on this statement made by the minister, calls and e-mails
started to come into our office. People wanted to know: if fatigue qualifies
them, then would another diagnosis, such as fibromyalgia, qualify the individual
for continuous benefits? The list is actually in an e-mail sent in by real
people out there, not stuff that I'm just making up. People just sent in and
said, "What about this condition? What about this condition?" on the
basis of what the minister said. Would the minister please answer the questions
for British Columbians?
Hon. M.
Coell: For clarification, fatigue was an example of one factor in
consideration for HIV/AIDS.
J. Kwan:
The minister says fatigue is one factor with HIV/AIDS. If you have HIV and AIDS
and you have fatigue, you would qualify, and you will meet the medical
assessment and the daily living test. That's what the minister said yesterday.
Then he went on to say: "Just to reiterate again, we fully expect that
someone diagnosed with HIV/AIDS will qualify." Then I asked the question:
are there any conditions attached to that? The minister did not get up to
dispute or to add any conditions to it. Then it just stopped with him saying
that someone diagnosed with HIV/AIDS will qualify.
Is the
minister now saying that if someone is diagnosed with HIV/AIDS and has fatigue,
then they would qualify? Like, how many conditions are attached to eligibility
for a particular illness that are currently now eligible to receive disability?
Hon. M.
Coell: I am not a medical practitioner, and those are decisions best left up
to medical practitioners.
J. Kwan:
Well, the minister would like to just pass it off to the medical practitioners.
I've already said this to the minister, and I hope he can hear me: the medical
practitioners have already confirmed the diagnosis. They have already confirmed
that these individuals should be on disability, and they are on disability right
now. They're on disability 2. The minister will not, however, confirm whether or
not, on that basis, where that confirmation has already been received, people
with these medical conditions will continue to receive disability. Why won't he?
What is he hiding?
Hon. M.
Coell: The person could have a mild diagnosis or an extreme diagnosis.
That's why it's left up to a medical practitioner.
J. Kwan:
How will medical practitioners know what is deemed to significantly restrict the
person's ability to perform daily living activities when in the act it is not at
all clear? In the former act it was clear, because anything that is deemed to be
beyond reasonableness would be deemed to be a significant restriction on an
individual's ability to perform daily living activities. Well, that's now gone,
so there's no guidance whatsoever for the medical practitioners. People will be
looking to the minister who has put forward this bill, who is sponsoring this
bill, for that clarity to understand what those intentions are. What is the
intention of government in this regard?
Hon. M.
Coell: The medical practitioner will use an assessment tool. The tool is
under development by the ministry in conjunction with the Ministry of Health
Planning and the Ministry of Health Services to assist in the development.
J. Kwan:
That gives no information whatsoever to the public now, the people who are
waiting and who are trying to understand what the ramifications are with respect
to this bill. It gives them zero assurance whatsoever.
[ Page 3344 ]
[1520]
I received
another fax from another individual, who wants to know from the minister:
"How will people with diabetes qualify — learning disabilities? Who says
that a person who does not need assistance with daily living will qualify for
disabilities? What in the act says that they will qualify?" Then the letter
goes on to say: "Unfortunately, in this field, lawyers go by written stuff,
not the minister's statements." Then the person wants the minister to give
examples, to give clarity on understanding "directly and
significantly" in the act under this section, which refers to:
"…directly and significantly restricts the person's ability to perform
daily living activities…." The person wants to know, actually, what the
budget is for people who are diagnosed with disabilities. What is the maximum
rate which the person would be able to receive?
Hon. M.
Coell: I'm not sure what the member means by rate.
J. Kwan:
The rate means the dollars, the dollar amount which the person would be able to
receive. I know that in the act later on it does talk about the rates. If the
minister wants to skip that answer, maybe the minister can answer the previous
questions. Let me just reiterate what the questions are. How will people with
diabetes qualify? Learning disabilities…. What in writing says that people who
do not need assistance with daily living will qualify for disability benefits?
What in the act says that they will qualify? Let me stop there.
Hon. M.
Coell: As I've stated a number of times, and I'll clarify the definition for
you again, the definition creates a three-step test: (1) is there a severe
mental or physical impairment, (2) will the impairment last two years, and
(3) does the impairment directly restrict the person's ability to perform daily
living activities?
J. Kwan:
Quite frankly, the minister hadn't answered this person's question either. I'll
send her Hansard on the minister's response.
Let me ask
the minister this question. Senior members of the Ministry of Human Resources
have informed the community that the continuous assistance classification will
include a category known as "multiple persistent barriers" and that
there will a reduction in income for those who fall into this category. Could
the minister please confirm whether or not there will be such a category and
please define this category in terms of eligibility criteria? How does it differ
from the other categories?
Hon. M.
Coell: That category will be under Bill 26.
J. Kwan:
That category is under Bill 26. Bill 26 is for people with regular income
assistance, not continuous assistance. I want to say again, and I want the
minister to be very clear on this…. Senior members of the Ministry of Human
Resources have informed the community that continuous assistance classification
will include a category known as multiple persistent barriers and that there
will be a reduction in income for those who fall into this category. Continuous
assistance is not under Bill 26. It is under Bill 27.
[1525]
Hon. M.
Coell: The definition of persistent multiple barriers is in Bill 26. It also
has the ability to provide continuous assistance. Both bills actually have
continuous assistance.
J. Kwan:
Actually, I remember we canvassed these questions in estimates as well, and we
talked about people with what are called multiple persistent barriers. I used
examples of people with perhaps substance misuse and mental illness, amongst
other issues. The minister assured me that those individuals would qualify for
the continuous categories.
Continuous
categories. As far as I can see, in both of these acts, the continuous only fall
under Bill 27. Continuous means that the person would need ongoing assistance.
Then I also
asked the minister: if the person can find work but find that they are not able
to sustain their job, and they are either fired or let go because of their
illness, what would happen in that instance? The minister replied that there
would be a thing called rapid reinstatement. That's what people with a
continuous disability would qualify for.
Here we
have a situation that's being asked exactly of that. A person faced with
multiple persistent barriers ought to qualify for continuous assistance for
disability under Bill 27. The minister just said no, they would not qualify for
it under Bill 27 but rather would qualify under Bill 26. That is a direct
contradiction not only to the information given to the community groups by the
deputy minister but to what the minister said during estimates.
Hon. M.
Coell: Persons with persistent multiple barriers to employment are not
expected to be able to achieve independence through employment. They will get
continuous assistance under Bill 26.
J. Kwan:
The minister has just changed his position. He's changed his position to say
that those people who are faced with persistent multiple barriers are not
qualified for disability benefits under Bill 27. That means that when they
qualify under Bill 26, after two years, if they are not able to sustain a job,
even if they have persistent multiple barriers, they will be cut off. That's
what Bill 26 says. People with persistent multiple barriers are not considered
individuals with disabilities. Is that what the minister is saying?
Hon. M.
Coell: People with persistent multiple barriers are exempt from time limits.
J. Kwan:
The people with persistent multiple barriers are exempt from time limits. Are
those who qualify for disabilities then not under Bill 27?
[ Page 3345 ]
Hon. M.
Coell: No. Persistent multiple barriers will be under Bill 26.
[1530]
J. Kwan:
The minister, during estimates, used a number of examples of people with
persistent multiple barriers. He used examples of people with physical
disabilities, HIV and AIDS, mental illness and fetal alcohol syndrome, amongst
others. The minister had said that in those instances where people are unable to
keep a job because of their illness, there would be a thing called rapid
reinstatement.
Then he
went on to say that those who have these conditions — multiple barriers —
would be put back on income assistance immediately and that they wouldn't have
to go through a three-week pre-employment training. Then he went on to add that
people on continuous assistance would be able to earn up to $300 a month. As I
understand, the only people who can earn up to $300 a month are those
individuals who qualify under Bill 27. It appears that there is a discrepancy.
Maybe things have changed between then, when the estimates process was in place,
and now, and the minister has had time to re-evaluate the situation.
Is he now
saying, for the record, that those with multiple persistent barriers would be
qualified for income assistance and would not be subject to a time limitation
and that if they lose employment as a result of their disability, their illness
— whatever barrier it is that they're faced with — they would receive rapid
reinstatement? That, in the minister's view, is continuous assistance under Bill
26, not Bill 27.
Hon. M.
Coell: That's essentially correct.
J. Kwan:
I just want to put this on record. This is something that I want to advocate
for the people that I fear are going to be cut off because of the time
limitations. I want to say very clearly to the minister that by his confirmation
today, I will be developing a fact sheet, if you will, on this issue and sending
it out to the broader community for every individual who ought to qualify so
that they can bring this piece of paper to the welfare office and not receive
any hassle and threats of being cut off. I want that on the record, to be very
clear about it.
When
individuals come back with problems, it is the word of the minister that I'm
taking at this point. I will now let go of this issue in terms of questions to
the minister relating to people with persistent multiple barriers. It is the
minister's word that will ensure that these individuals are qualified. I want to
thank the minister for that commitment.
Hon. M.
Coell: I need to clarify for the member that it is based on an assessment.
MacPhail: I'm sorry, Mr. Speaker. I have to give my colleague a break here,
because she is reaching a conclusion where she has got the minister to finally
land on a definition and reiterates the minister's own words. Then the minister
clarifies by standing up and saying: "No, no, that's based on an
assessment." An assessment of what? If the person is not eligible for
income assistance under Bill 27 for people with disabilities, what are we
assessing in terms of multiple barriers?
[1535]
Hon. M.
Coell: It will be based on an employability assessment. Essentially, the
category is for those people who do not have a disability but have social
barriers or other barriers that prevent them from seeking work.
MacPhail: Yes. Well, in a different kind of government that understands
barriers and how they create disabilities, I think the previous government
classified that as a disability 1. Is that correct?
Hon. M.
Coell: It is different than disability 1, and we're actually back debating
Bill 26 at this point. It will allow people with invisible barriers, who were
not able to get DB-1, to be identified and to receive continuous assistance.
MacPhail: All right. I appreciate the minister's comments about us being
back debating Bill 26, but the reason why we're raising these issues right now
is that by the ministry serving notice to pretty much everybody who's on income
assistance — and we still heard from people last night who are on disability
and were very much in the dark about their future as well — there are many
people who are trying to figure out exactly how their lives will change.
I take it
from the minister's comments, then — and I have to confess that I'm not nearly
as well informed as my colleague from Vancouver–Mount Pleasant — that there
will be a category under Bill 27 that's disability 1 and disability 2. How many
categories are there?
Hon. M.
Coell: Under Bill 27 there is one category: persons with a disability.
MacPhail: That's why, I guess, the person that my colleague read out said:
"How much are we earning?" There will be an opportunity for us to
explore this later on, but as I understand it, this Liberal government has
removed, then, the category of disability 1. Is that correct?
Hon. M.
Coell: We've changed the category under Bill 26 to persons with persistent
multiple barriers.
MacPhail: Okay. So the assessment….
Hon. M.
Coell: I just want to clarify that. It's not DB-1. We have a new category,
which is persons with persistent multiple barriers.
MacPhail: Well, I guess that's where everybody's confusion is coming in now.
What a previous government recognized in, I would say, a fairly compassionate
way — that people are disabled by their multiple
[ Page 3346 ]
and persistent barriers — this government just looks at as an employment
issue. Is there a special adjustment for people with multiple and persistent
barriers? Is there a category of assistance that's different from those without
multiple and persistent barriers?
Hon. M.
Coell: As I say, we're still in Bill 26. If the members would like to carry
on, we're obviously going to get another chance to deal with Bill 26.
[1540]
Just for
clarification, the barriers in persons with persistent multiple barriers will
include things like poor work history and poor education that make it difficult
for someone to seek work — that aren't in the DB-1. They will have enhanced
medical and other supports and also the $300 earning exemption.
J. Kwan:
That $300 earning exemption applies to people who qualify under Bill 27 — the
continuous category, not for the people who are faced with persistent barriers?
Hon. M.
Coell: People with persistent multiple barriers will also have that $300
earning exemption.
J. Kwan:
We will then canvass this issue some more when we deal with Bill 26. This was
brought up under Bill 27 because it was believed and understood by the
community, through not only my estimates process with the minister in the
questions and answers but also through the process of discussions with the
deputy minister and community groups…. They were led to believe that those
individuals who are faced with persistent multiple barriers would qualify for
continuous income assistance under Bill 27. Clearly, that information was wrong
both in the replies from the minister in the estimates process as well as in the
meeting that took place with the deputy and the B.C. Coalition of People with
Disabilities.
At this
time I'd like to move an amendment. In all of the discussions we've had so far,
I have received zero comfort from the minister for people with disabilities
around who qualifies and who doesn't. It causes me grave concern.
Reviewing
yesterday's discussion, the minister advised that the individuals who are
qualified now don't have a lot to worry about because everything is essentially
staying the same. At that time it was suggested that
section 2 be stood down and
for the minister to come forward with wording that will rectify this problem not
only for the opposition members but also for government members. Particularly, I
want to give credit to the member for Vancouver-Langara for raising these
issues.
I would now
like to table an amendment to this
section of the bill. The amendment is as
follows:
[Section 2 is amended by adding the text highlighted by
underline and deleting the text highlighted by strikethrough:
(1) In this section:"assistive device"
means a device designed to enable a person to perform a daily living
activity that, because of a severe mental or physical impairment, the person
is unable to perform;
"daily living activity" has the
prescribed meaning;
"health professional" means a person who
is authorized under an enactment to practice the profession of
(
a) a medical practitioner,
(
b) a registered psychologist,
(
c) a registered nurse or
registered psychiatric nurse,
(
d) an occupational therapist,
(
e) a physical therapist, or
(
f) a social worker.
(2) The minister may designate a person who has
reached 19 years of age as a person with disabilities for the purposes of
this Act if the minister is satisfied that the person has a severe mental or
physical impairment that
(
a) in the opinion of a medical
practitioner is likely to continue for at least 2 years, and
(
b) in the opinion of a health
professional
(
i) directly and significantly restricts the person's ability to perform daily
living activities either
(
A) continuously, or
(
B) periodically for extended periods, and
(ii) as
a result of those restrictions, the person requires help to perform those
activities.
(3) For the purposes of subsection (2),
(
a) a person who has a severe
mental impairment includes a person with a mental disorder, and
(
b) a person requires help in
relation to a daily living activity if, in order to perform it, the person
requires
(
i) an
assistive device, or
(ii) the
significant help or supervision of another person.
(4) The minister may rescind a designation under
subsection (2).
In this Act:
"person with disabilities" means a person who
at the time this
section comes into force was a handicapped person under the
Disability Benefits Program Act or a person
(
a) who is 18 years of age or older
(
b) who, as a direct result of a
severe mental or physical impairment,
(
i) requires
extensive assistance or supervision in order to perform daily living tasks
within a reasonable time, or
(ii) requires
unusual and continuous monthly expenditures for transportation or for
special diets or for other unusual but essential and continuous needs, and
(
c) who has confirmation from a
medical practitioner that the impairment referred to in paragraph (
b) exists
and
(
i) is likely
to continue for least two years, or
(ii) is
likely to continue for at least one year and is likely to recur. ]
On the
amendment.
J. Kwan:
I'm moving this amendment because this definition that was formerly in place
under the old BC Benefits Act states clearly who ought to be qualified and who
ought not to be qualified. It sets out the parameters on reasonableness in
determining what significantly restricts the person's ability to perform daily
living activities. It sets out clearly, with a test of rea-
[ Page 3347 ]
sonableness, the reasonableness of the amount of time for a person to perform
these daily living activities.
[1545]
It further
provides for the option for individuals who could overcome the challenges that
they face to perform daily living activities…. However, by overcoming these
challenges they have other issues that they're faced with, issues that would
require them to have additional resources to survive — whether it be
additional resources for the purposes of transportation, for special diets or
for any matter that is required and needed for the individual. That provision is
there under this amendment, and it allows for that broad understanding for
qualification and requirement for qualification for people with disabilities.
Given that
the minister has said that it is not an issue around trying to cut people off
disability under Bill 27 and given that the minister said last night that there
are no substantive changes with respect to this act and what was formerly in
place under the BC Benefits Act, then the minister ought to have no trouble
whatsoever adopting and accepting this amendment.
MacPhail: I think this amendment tabled by the member for Vancouver–Mount
Pleasant goes a long way to resolving a lot of the concerns expressed by pretty
much everyone who has spoken to date on
section 2. I think it resolves a lot of
the concerns and still allows the minister to proceed in a way that matches the
rest of the legislation under Bill 27.
Here's the
reason why it is so crucial that this government once and for all puts to rest
the concerns and the level of anxiety amongst people who are currently
collecting a disability 2 pension. The definition in this grandfathers —
basically grandparents — people now who are already eligible for disability
benefits.
Let me read
this letter. It's to the Minister of State for Mental Health, and it's from a
mental health worker in the Vancouver coastal health authority. It was received
just moments ago. It was sent yesterday to the Minister of State for Mental
Health.
"Dear [Sir]:
am a community mental health case manager in Vancouver with an MSW degree
and 12 years experience in community and hospital mental health. I was
heartened last year by your appointment and new role and hopeful that it
signalled better treatment for the mentally ill in British Columbia.
am now writing with grave concerns about recently announced changes to
disability benefits by the Ministry of Human Resources. I foresee terrible
impact these changes will bring to the health and lives of our clients. I
have seen a letter co-written by yourself with the Minister of Human
Resources and was not reassured nor convinced you fully understand the
ramifications.
"Fully
75 percent of my caseload of 56 seriously mentally ill clients receive
disability benefits level 2. Mental health workers have responsibly assisted
their clients to apply for this pension and seen the tremendous benefit of
secure, adequate support on their mental health and in their lives
generally. The freedom from welfare stigma has been as important as the
extra benefits which allow for decent housing in safe areas, transportation,
participation in rehabilitation programs and dietary supplements.
"As
you know, the changes in the proposed legislation focus on changing the
definition of disability and on employment for the disabled. Your point that
mental illness is now recognized in the legislation is well taken. However,
I point out also that the emphasis in definition on the need for daily
supervision would disallow virtually all of our clients, who are encouraged
to be as independent as possible. And of course, although cursed by
hallucinations, delusions, paranoia, depression and difficulty organizing
and thinking clearly, our clients are able-bodied and not requiring such
supervision.
[1550]
"Regarding
the emphasis in the new act on employment for the disabled, you must be
aware that mental health clinics all over the province already assist their
clients to function as productively as possible. We all know how important
this is toward maintaining wellness. We have a wide variety of programs
designed to this end, which recognize the specific difficulties faced by the
mentally ill in finding work. To shift the responsibility for assessing
capability for employment to Ministry of Human Resources staff is very poor
policy, destined to disaster. To require mental health staff to reapply on
behalf of our clients would be wasteful and time-consuming.
"This
week already" — as an aside, Mr. Chair, the letter was written May 8,
2002 — "I have responded to six different clients' anxieties about
their financial future. They have brought clippings from newspapers
outlining changes. They are full of fear and anxiety about the uncertainty.
I have even seen guilt in folks who haven't been able to work for many
years. Of my 56 clients, only four are regularly employed, and two of those
are off frequently due to poor stress tolerance. The vast majority have
never worked in competitive employment in their lives. It seems to me both
more humane and more cost-effective to leave these people alone, with decent
support and no pressure to seek to work or justify themselves to welfare
reviews.
have one client who was recently inexplicably turned down for DB-2,
disability benefits 2, who has $85 per month to exist on after his rent is
paid. We are working hard to gain his trust, despite his paranoid thinking,
and trying to avert his moving to the downtown east side, the only place in
the city with rents in the range of welfare rates. Of course, our clients
who do gravitate to that dangerous part of town end up living short, often
addicted and painful lives.
"We
must do better, [Minister of State for Mental Health], for them and for us
all."
As I read
this letter from an expert who works with these people every day, the member for
Vancouver-Burrard says: "Oh, what, are they watching the Legislature
parliamentary channel?" Completely dismissing in an unbelievable way the
expertise….
Interjection.
The
Chair: Member, order, please.
Proceed.
MacPhail: Mr. Chair, I just read a letter from a community mental health
worker with 12 years' experience and a graduate degree, and the member for
[ Page 3348 ]
Vancouver-Burrard says that he doesn't understand what's going on.
Mayencourt: I clearly understand what's going on.
MacPhail: The member for Vancouver-Burrard says this expert doesn't
understand what's going on. I was reading the concerns raised by the mental
health worker, and the member for Vancouver-Burrard says this person doesn't
understand what's going on.
Interjection.
MacPhail: It is unbelievable that that member, whose constituents are
directly and negatively affected by these changes, sits there blindly heckling
and somehow suggesting that these concerns are not legitimate.
The fact
that the member sits there and breaks promises that he made to people in his own
community to raise exactly these issues is outrageous. His contribution from his
silent seat, his cheap shots to an expert in the field….
Mayencourt: Point of order.
The
Chair: Member for Vancouver-Burrard.
Mayencourt: The member for Vancouver-Hastings has made an allegation that I
have broken a promise to my community. I would ask that she please withdraw
that. That's not correct.
MacPhail: That's not unparliamentary.
Mayencourt: I would ask that she withdraw that comment because it is not
true.
The
Chair: Member, the comment is not unparliamentary.
Mayencourt: I will apologize to the Chair for that.
[1555]
MacPhail: Mr. Chair, my colleague and I are standing here in the Legislature
as…. Perhaps it's fair to know that the public can't see the things that are
coming in here. These are not situations that my colleague and I have made up.
These are people who are unable to have their voices heard in any other fashion
to date. That may change, Mr. Chair. Rightfully, that may change. Some members
have had the courage to get up and put their concerns on record.
The
community of people with HIV/AIDS have asked that their concerns be raised and
thought that their concerns were going to be raised by the member for
Vancouver-Burrard. In fact, the questions have had to be put in careful detail
by my colleague the member for Vancouver–Mount Pleasant, who is working
closely to ensure that accurate information is distributed. My colleague gets
the answers and distributes the very words of the Minister of Human Resources.
That's her job. Unfortunately….
The
Chair: Member, perhaps we could get back to the debate on the amendment.
Interjection.
MacPhail: It's not her job.
Yes, Mr.
Chair, exactly. This is right on point. The very concerns that are being raised
here are addressed by the amendment that my colleague has put forward. The very
concerns that are being addressed by this 12-year, unbelievably dedicated and
expert specialist. When the letter came in, I hadn't had a chance to read it
before I stood up and read it into the record, yet it is so on point to
supporting this amendment. It's but one of dozens of missives that have come in.
All the
minister has to do is accept this amendment to the definition, and it won't
affect one commitment that he's made here — not one commitment that the
minister has made here. If what the minister has put on record and if the
minister has been sincere, without any misleading…. If the minister has been
truthful in describing how his….
The
Chair: Member, member. I think….
MacPhail: Sorry, Mr. Chair. My apologies.
As the
minister has been truthful, we accept, in his description of his intent, then
this amendment meets the test of actually putting the words properly to what the
minister's commitment in debate has been so far.
The one
example is what I just read, where it is the test now…. As the minister has
said, the test will be a functional test. The mental health worker says it is a
functional test that we strive for, for people with mental illness. Yet they are
still mentally ill. They still, as he said, have hallucinations; they have
delusions; they suffer from paranoia, depression and have difficulty organizing
and thinking clearly. Yet they are functional. That is but one example of why
this amendment merely does the work that the minister says he's committed to
achieving.
The
Chair: The Minister of Human Resources, speaking to the amendment.
Hon. M.
Coell: I think it's very unfortunate that there has been misinformation in
the media and that it has caused this stress.
I can
respond by saying that we are committed to people with mental health disorders
and that I am confident that these people will find the safety and security they
need in these two acts.
[1600]
The
Chair: The member for Vancouver–Mount Pleasant, speaking to the amendment.
[ Page 3349 ]
J. Kwan:
Given that the member for Vancouver-Burrard has not risen to ask any questions
during this debate on Bill 27, I have a list of questions that I have received
from community members from the member for Vancouver-Burrard's area. They have a
lot of concerns in this area, and they all pertain to the amendment that I have
tabled. The amendment that I have tabled speaks directly to the issues that they
are concerned about, and they have asked for the minister to make sure that
those issues are indeed protected under the new definition of disability in Bill
Let me just
read this into the record. Here are the concerns that were asked about by the
Pacific AIDS Network to the member for Vancouver-Burrard to raise these matters
in the House, which he has not to date. The concerns are as follows:
"Unusual and continuous costs have been removed from the definition. The
current definition provides that applicants can qualify for disability status if
they can demonstrate that they have need of assistance or have
disability-related costs. Why has this been removed, and how will the new act
address this issue?"
The
amendment puts this back into the act so that it will address this particular
issue that's been raised by the Pacific AIDS Network that the member for
Vancouver-Burrard was supposed to ask the minister, which he has not.
The cost
criterion has now been removed. The amount of money a person may need to spend
in the care and management of his or her disability has no bearing on the
application for disability benefits. This will affect, for example, people who
may not need assistance but who have ongoing costs related to their disability.
The amendment puts back the previous requirement to allow for an option for
consideration for disability, and that is extra expenditures related to
disability.
To qualify
for disability benefits, applicants will have to be directly and significantly
restricted in the ability to perform daily living activities. Daily living
activities will be defined in the new regulations. Will PWAs be required to show
that they need help with specific activities? What is the difference between
significant assistance and extensive assistance? This wording change signals
that there may be criteria more restrictive than are currently in place. Can you
explain the rationale behind this change? This change, as we see it, would
disqualify many PWAs from qualifying for disability benefits. Have we misread
the bill's intent, or will the regulations address this concern? The minister
has not answered these questions appropriately or satisfactorily to allay the
fears that now lie in the hearts of PWAs.
To that
end, the amendment addresses exactly that point: that the fear this government
has caused — the member for Vancouver-Burrard has refused to raise these
questions on behalf of his own constituents — is now going to be addressed
through the amendment.
"Performing
tasks within a reasonable period of time" has been removed. This change
indicates that the ministry will not consider the length of time that it takes
an individual to perform tasks unaided. PWAs who struggle to remain self-reliant
despite the difficulty and length of time it takes to perform daily tasks may
not qualify. Again, have we misread the bill's intent, or will the regulations
address this concern?
Just so
there will be no confusion, once again, the amendment addresses this issue. It
puts back the issue around "reasonable period of time to perform daily
tasks" so that there is no confusion whatsoever around eligibility.
Questions
continue. Will PWAs currently in receipt of a monthly health allowance — that
is,
schedule C — continue to receive the full amount awarded them by the
minister or as the result of a tribunal or appeal decision? Will an individual
with HIV/AIDS be entitled to disability benefits based on their doctor's advice?
If so, will there be any changes in the criteria a doctor must consider when
recommending a patient is disabled and should be provided disability benefits?
Will a PWA be required by the ministry to see a doctor other than his or her own
for any reason? If so, to whom, and when will this apply?
Given that
Bill 27 has removed the designation of "permanent disability," can a
PWA receiving disability assistance reasonably expect that if they return to
work and become too ill to continue working after a period of time, they will be
entitled to disability assistance within a reasonable time frame? And would
there be interim assistance while the person is waiting for reinstatement to
disability assistance?
[1605]
What kind
of support programs are being contemplated to assist a PWA in preparing to
return to work and would be available to enable them to continue employment,
given the bill's emphasis on employment? Will the new bills and regulations
allow a PWA that has an income that is the same or slightly more than the
disability assistance levels — those on Canada Pension long-term disability in
a low-income job or with some other income — to receive medical services only?
Medical services only provide for some items of medical need, such as
wheelchairs, walkers, etc.
These are
the questions that have been asked by the Pacific AIDS Network for the member
for Vancouver-Burrard to raise with the minister. The member for
Vancouver-Burrard did not raise these issues during second reading. He did not
raise these issues during committee stage reading on precisely the definition
that changes eligibility.
The
amendment I've put forward addresses all of these concerns, and I'm asking the
minister, on behalf of this group: why wouldn't he support this amendment, when
all of these concerns and the fears that have been caused in the broader
community by this government's change on the eligibility criteria and the
definition of disability would be addressed?
[1610]
Amendment
negatived on the following division:
[ Page 3350 ]
YEAS — 2
MacPhail
Kwan
NAYS — 47
Falcon
Coell
Hogg
Halsey-Brandt
Hawkins
Hansen
J. Reid
Bruce
Santori
van Dongen
Barisoff
Masi
Lee
Thorpe
Hagen
Murray
Plant
Collins
Nebbeling
Stephens
Neufeld
Coleman
Chong
Jarvis
Anderson
Orr
Nuraney
Brenzinger
Long
Chutter
Bennett
Hayer
Krueger
Bray
Nijjar
Wong
Bloy
Cobb
K. Stewart
Visser
Brice
Sultan
Hamilton
Sahota
Hawes
Kerr
Manhas
Kerr
Manhas
J. Kwan:
I seek leave to make an introduction.
Leave
granted.
Introductions by Members
J. Kwan:
I just recognized that sitting in the gallery is Aaron Jasper. He is the
president of the Vancouver-Burrard Riding Association. Would the House please
make him welcome.
Debate Continued
J. Kwan:
I wonder if it's all right, before we pick up on
section 2, for us to take a
ten-minute break. I would like to attend to some biological needs, if I may.
The
Chair: We'll take a ten-minute recess and resume at 4:25.
The
committee recessed from 4:15 p.m. to 4:25 p.m.
[H. Long in the chair.]
section
2 as amended (continued) .
S. Orr: I've
listened, obviously, intensely to the debate. I have all the four previous
bills. I've had a few things clarified, but I would like to ask…. I'm trying
to get through all the debate and zero in and get a very clear picture.
Obviously, this is to do with my constituents, because that's the people I
represent. Yesterday I did hear from the minister very clearly that the daily
living activities were going to be defined in the regulations, so I've put that
to one side.
Where I
want to get comfort is here. I want to come at this as a small story. I have a
bipolar constituent. I want to work through this. My bipolar constituent has
been to see a registered psychiatric nurse. That registered psychiatric nurse
has told my constituent that in fact she or he is bipolar. We now have a
definition that he or she is bipolar. Her daily living activities, as with many
bipolar people, are extensive. It takes them quite a bit of time just to get
through the day — or to survive the day, I think, is more like it.
He or she
— this is actually a real constituent I'm quoting here; that's why I'm not
going to give whether it's male or female — doesn't need somebody to dress
them in the morning or anything like that. This person is just surviving. She
does need help going to the bank. I need to know where that person sits in this
section. I need to know how you define that person. And is that person covered
by disability?
Hon. M.
Coell: Without commenting on specifics, because I don't know the specifics
of the case, you outlined a number of things. I suspect that it would be
probable that those conditions that you've indicated in the client would achieve
the designation of a person with a disability, but it's hard for me to comment
on the case, because I don't know the specifics of it.
S. Orr: I
realize you can't speak on specifics. I actually do understand that, but it
would seem to me that generally, if a person has a bipolar condition, under this
definition if they needed help to go to the bank because that's part of their
daily activity, they would be covered. Again, I don't want to make this
specific.
Hon. M.
Coell: I think I may have touched on this yesterday, but if you look at the
qualifications under "daily living activities," there would be things
like medication management, personal care — whether it be bathing, dressing,
cooking, preparing meals — banking, finances, shopping, transportation,
mobility inside and outside the house, basic housework. Those would all be daily
living activities that would be taken into consideration.
[1630]
S. Orr: This
is good for me. Again, I'm trying to make it clear for me, because there's so
much debate going on. This is good. This tells me that what your definition
of…. When it comes to a daily living activity, the ability to perform a daily
living activity can be a very small thing like a trip to the bank. Or, as you
said, maybe somebody helps them write their cheques or whatever. It's not a
performance all day. Can I ask for clarity on that?
Hon. M.
Coell: Yes, I think you're correct.
MacPhail: While my colleague is catching her breath, I want to explore
another issue around the
[ Page 3351 ]
definition that's causing some concern. As the minister may know, in the
previous definition of disability under the Disability Benefits Program Act, it
said: "…person with disabilities means a person who at the time this
section comes into force was a handicapped person under the Guaranteed Available
Income for Need Act" — in other words, we grandfathered people —
"or a person who requires unusual and continuous monthly expenditures for
transportation or for special diets or for other unusual but essential and
continuous needs." That's been removed. That is not in the new definition
of what would define or put parameters around who has a disability.
Here's a
letter. There are several groups that are fairly concerned about this, but the
minister did receive a letter from the Voice of the Cerebral Palsied of Greater
Vancouver. The letter to the Minister of Human Resources was dated April 22 of
this year. I just quote from it:
"By
eliminating unusual and continuous costs from the definition, people who are
disabled will either be pushed deeper into poverty or be forced to forgo
spending money needed for the care and management of their disability. Their
quality of life will be adversely affected as their health deteriorates. The
health care system will also be strained as people are hospitalized due to
poor health."
I'm just wondering if the minister could address…. These aren't the
concerns of fearmongering; these are people advocating on behalf of those who
have cerebral palsy.
Hon. M.
Coell: The persons designated as persons with a disability will receive the
higher rate.
MacPhail: Sorry. The higher rate for what? My apologies.
Hon. M.
Coell: Persons with a disability receive a higher rate than people on income
assistance as it is now. People on income assistance have $510; people with a
disability have $786.
MacPhail: Maybe the minister misunderstood my point. The point is about
whether people qualify for the higher rate or not. I understand that once they
qualify they get the higher rate, but this new act under the Liberal government
removes the parameter that would define a person as disabled and, therefore,
eligible for the higher rate.
One of the
determining factors under the old definition was whether the person required
unusual and continuous monthly expenditures for transportation or for special
diets or for other unusual but essential and continuous needs. That used to be
part of the definition and is no longer.
[1635]
The reason
that used to be part of the definition is because one can be functional and
still disabled. The daily living tasks that the minister recounted as, perhaps,
defining to the member for Victoria-Hillside are able to be done by hundreds of
thousands of people, but some of those people can do those and are disabled.
This was a way, after numerous months of consultation with people who have
disabilities, of clearly indicating who needed extra help to level the playing
field when they had a disability — if they required unusual or continuous
monthly expenditures for transportation. I know the minister may say that's
perhaps covered off under "assistive device." Well, the people that
advocate for people with cerebral palsy don't think it does. Or there's a
special diet — I'll get to that in a moment — or other unusual but essential
and continuous needs.
Those
parameters of defining, in a very real way, what constitutes a disability are
gone now. The Voice of the Cerebral Palsied of Greater Vancouver suggest that
"by eliminating unusual and continuous costs from the definition, people
who are disabled will either be pushed deeper into poverty or be forced to forgo
spending money needed for the care and management of their disability."
Perhaps the minister could explain, then, to the Voice of the Cerebral Palsied
why that parameter in the definition was removed.
Hon. M.
Coell: The member canvassed that issue of higher medical costs yesterday,
and I stated that I believe we now have a more progressive definition,
consistent with human rights law. I think if the member goes back to yesterday's
Hansard and reads it, she'll find her answer in it.
MacPhail: That was in a question to the minister. There's no question about
it — except that the Voice of the Cerebral Palsied don't accept that answer.
Has the minister met with the Voice of the Cerebral Palsied?
Hon. M.
Coell: I don't recall that they asked to meet with me.
MacPhail: Well, they wrote you a letter. I just wondered whether…. I'm
reading from the letter they wrote asking these questions. There certainly was a
series of questions. Let me read another part of the letter, then. This is what
they assert. "By removing the one-year-and-likely-to-recur duration test
from the definition, people with cyclical disabilities will be cut from
benefits." That's what the Voice of the Cerebral Palsied of Greater
Vancouver are saying.
I would
assume that people with cerebral palsy believe they are subject to a negative
judgment of the nature of their illness based on the fact that the
one-year-and-likely-to-recur duration test is gone. That was why my colleague
was trying to find out what sort of diagnoses still remain, in any way, to meet
this test.
People with
cerebral palsy are ever hopeful that there will be a cure or a move to
remission. Unfortunately, there hasn't been. It is cyclical. There are good
days, good months and, on the odd occasion, good years, but the disease is with
them as they were born. What reassurance does the minister have for people with
cerebral palsy?
[ Page 3352 ]
Hon. M.
Coell: I think the member knows as well as I that cerebral palsy is a
permanent condition and that a one- or two-year test would not apply. I believe
you would find that the designation of a person with a disability would be
appropriate under Bill 27.
[1640]
MacPhail: Could the minister point to where, please?
Hon. M.
Coell: Under the definition in
section 2, which I've gone over probably a
hundred times.
MacPhail: Well, the Voice of the Cerebral Palsied have read the definition,
and they're comparing the old definition to the new definition. They don't seek
that comfort that the minister tries to give by just reasserting the definition.
Under the old definition, it said that one was classified as disabled if the
impairment is likely to continue for at least one year and is likely to recur.
That's the definition of cerebral palsy. Many, many people with cerebral palsy
are functional and would be able to perform the daily living tasks that the
minister seems to think is the reason upon which he will judge all disabilities,
so there isn't comfort in the current definition for people with cerebral palsy.
I can
actually appreciate the minister's frustration, but perhaps the frustration
should be examined on what its source is. Is it that the definition is weak and
doesn't properly capture people with disabilities?
Hon. M.
Coell: I believe this definition will protect those people who need the
designation of a person with a disability. We've looked at a number of ways of
looking at the issue, and I think I have answered the member's question to the
best of my ability.
MacPhail: Well, then, I am feeling less hopeful about this process.
All I'm
going to do, then, along with my colleague, is to read people's concerns into
the record. If that means the concerns are public and nothing beyond that, then
I don't know what else we can do.
These
concerns aren't from people who are ill informed or who lack knowledge in terms
of what it means to live with a disability. These aren't people who are
fearmongering, as the member for Vancouver-Burrard wants to challenge anyone. He
wants to label his own constituents as fearmongers. These are people who live
with these issues daily, and they're raising concerns. I would be just as happy
to raise the concern of the Voice of the Cerebral Palsied, receive an answer and
sit down.
Interjection.
MacPhail: They already have the legislation in front of them to which the
minister refers as being the saviour for them. It was on the basis of it that
they wrote their questions.
Well, I'll
carry on, then. There's an analysis provided by the executive director of the
Tiger's Eye Society. The executive director has a disability and presents
workshops for people with disabilities, helping them navigate the system, so she
comes forward with an expertise that's beyond mine. Here's what she writes:
"Presently,
under the existing disabilities act" — the one that's being repealed
— "one can qualify for being permanently disabled based on medical
costs related to their disability. At tribunal level we have always
interpreted this by guidelines given to us through offices that I believe
are originally from the Ministry of Health in Victoria. These costs can
include prescription medications; doctor-recommended herbs, vitamins and
minerals; bus pass or gas for a car getting to medical appointments, etc.
[1645]
"This
figure is a stand-alone qualifier at $200 per month ongoing or can be $100
per month or more if the need for personal assistance level is five to six
hours per week or greater.
"The
new Bill 27 eliminates any reference to costs of improving or maintaining
the best health possible for the permanently disabled person. Thus, people
with multiple sclerosis, for example, that can have drug costs of $1,700 a
month just to function and manage their condition will not be recognized
under the new bill as disabled."
Her
questions are: where will people be able to find support for the added medical
costs incurred because of a disability? Secondly, what will the Ministry of
Human Resources be doing to ensure that people are able to receive assistance in
paying for their medical needs?
Hon. M.
Coell: The simple answer to that is: the added medical costs will be
recognized in a higher rate as it is in the BC Benefits legislation.
MacPhail: Is the minister somehow suggesting…? Can he give comfort to this
woman who writes and say that she doesn't have a concern? Is that what he's
saying — that there is no change? She's outlined very clearly from an expert
point of view the way the system applied up until this legislation. Is the
minister saying that system continues?
Hon. M.
Coell: The rate will not change. I cannot comment on the conditions of
individuals.
MacPhail: It's not a matter of the rate changing. It used to be that the
medical costs associated with the disability contributed to being recognized as
eligible for the higher rate. What this expert is saying is: here's how they
used to determine medical costs associated with a disability. It was that if the
person with a disability demonstrated $200 a month ongoing extra costs or the
need for personal assistance of five to six hours per week and $100 a month in
extra ongoing costs, the health guidelines said those are medical costs that are
extraordinary, and then under the definition the person would qualify for
disability benefits 2.
[ Page 3353 ]
She is
saying that with the government now removing any sort of qualifier related to
medical costs resulting from the disability, there is now a potential that
people with these extraordinary costs may not be recognized as having a
disability that requires assistance. I'm sorry I didn't make that clear.
[1650]
Does that
change? The act has changed, and that qualification is gone now. But will the
system perhaps continue to apply in the same manner even without the legislated
guarantee?
Hon. M.
Coell: The new act, I believe, has the advantage that the individual does
not have to show proof of medical costs through receipts. Under the new
legislation the definition now recognizes that where assistance is needed for a
functional limitation, there will generally be associated costs. These are
recognized in the higher rate. As I've said, the definition under this new
legislation now focuses on functional limitations that restrict an individual's
ability to perform daily living activities.
Where
assistance is needed for a functional limitation, there will generally be
associated costs. By focusing on the functional limitations rather than medical
costs, the ministry is bringing the definition of disability more in line with
human rights case law. Moreover, no other Canadian jurisdiction uses costs as an
indicator of disability.
MacPhail: Yes, I know it was quite a breakthrough that people with
disabilities had in the 1990s in British Columbia, a huge breakthrough. You're
quite right. We did lead the country. I know there's lots of things that this
government likes to lead the country on — lowest taxes for the rich, the
fewest environmental protections, the biggest cuts to legal aid — but they
don't like to lead on the greatest support or the best recognition for people
with disabilities. That's true. This government doesn't like to lead on that.
Let me ask
this. You know what? We're finding it as frustrating as the minister is — the
lack of answers. When the minister met with a group of people — I think he
said when we were debating Bill 26 that he'd met with a group of people who were
advocates of people with disabilities — was he able to assure them that the
definition was fine? Are we just unaware that the minister has met with people
with disabilities and assuaged their concerns and that these issues no longer
apply? Is that what came out of that last meeting he had with them?
I'm
referring to a discussion that the minister had under Bill 26, when we were
talking about the Income Assistance Advisory Council. He used that as an
opportunity to say that he'd recently met with people with disabilities and that
some agreement had been reached or that it had been a fruitful meeting.
Hon. M.
Coell: I've met with many individuals and many groups and have had lots of
suggestions and ideas put forward, all of which are taken into consideration
when decisions are made.
MacPhail: Well, then I'm wondering why, as we debate this, we're being
flooded with situations of people who live with this every day not being
comforted. For those who sort of tune into a channel and wonder what all this
hoopla is about, you know, people with disabilities who require assistance from
the government get less than $1,000 a month. We're not fighting over big stakes
here. We're fighting over small stakes. In fact, a single person with a
disability gets around $800 per month.
[1655]
That's what
we're fighting about, and people with disabilities fought long and hard to have
their disability recognized, and they're about to learn whether this legislation
that's being introduced, which is a huge step backward, will allow them to
continue to have that $800 a month.
Here's a
person who has hepatitis C and has examined very carefully the new definition.
In fact, this was sent at lunchtime today. It's a person with a disability. This
person resides in the Victoria–Beacon Hill area. She is trying to apply the
functional test that she heard the minister describe.
Yes, she
can bathe herself. That's only because she can't get in and out of a tub, but
she does have a shower that still works. She can dress herself, but she can't
wash her floors or clean her toilet. She can't do her laundry regularly because
it's extremely painful, and she has to go to a laundromat; therefore, she has to
wait. She's been waiting six weeks for her illness to subside so that she can
tackle this job at a laundromat. She has skin disorders related to the hepatitis
C, and the lack of ability to wash her laundry is affecting her allergies. She
gets skin disorders and allergies. She has photosensitivity, and she has
exophthalmus related to her hepatitis C. She makes a note — it's not relevant
to this debate — that she has to pay for her eye exams now.
Here are
her extraordinary costs, all related to hepatitis C. She has skin and ocular
allergy medications that she has to purchase. She has to pay for her eye exams.
She has to buy rubbing alcohol, artificial tears, Murine and special powders to
clean her clothes because of her allergies. She has to purchase Gold Bond
powder, Lanacane, dry skin cream and bleach because of her skin disorders —
all related to her hepatitis C. It's quite confirmed that it's direct, and yet
she is worried that none of this will be taken into account — none of it,
absolutely none of it. I have to tell you, this woman was listening to the
debate, and she said she was extremely upset by the debate. I'll quote from the
woman who sent this in: "When I hear deliberate misleading statements, I
get extremely upset as I try to find these items, and they're not where the
minister says. I am incensed that people of this province are misled into
believing that these changes are for the better."
[1700]
I have to
tell you that this was a learning exercise for me. Even with my years of living
amongst people
[ Page 3354 ]
with disabilities and meeting over and over again with people with hepatitis
C, I was unaware of the way the disease debilitates certain people, and I was
unaware of the associated costs.
These
aren't prescription costs, as the minister may be aware, nor should they be.
They shouldn't be prescription costs, nor is anyone asking that they be. But
they are huge expenses. Now, this person suffering from hepatitis C believes
that these won't be taken into account. Is she right?
Hon. M.
Coell: I think earlier I gave a list of examples to the member. But
certainly those kinds of factors would be recognized as conditions that require
supervision — difficulty in bathing and laundry. It does not mean that the
individual has the actual help but because their condition would otherwise need
help…. On the basis of that, I think the person would fit the definition.
Again, this
individual would not receive a reduction in her rate but would continue to
receive the higher rate for a person with a disability under Bill 27.
MacPhail: Yes, I think this woman actually heard the minister say that, and
then she searched for where she could bring something to demonstrate that she
qualified. It was clear before, under the act, that she had unusual and
continuous monthly expenditures, but it's not clear anymore.
Was that
reading from a regulation — that the minister just did?
Hon. M.
Coell: No.
MacPhail: It's not in the act, and it's not a regulation. I guess what this
woman is asking for when she says here: "When I hear deliberate misleading
statements I get extremely upset as I try to find these items and they're not
where the minister says…." There she is, trying to find out exactly how
it works for her. There's no regulation.
Isn't that
interesting? If we hadn't asked these questions, would that statement by the
minister even be on record?
Yet people
from the Liberals accuse us of standing up and fearmongering. No regulations. No
legislation. Thank God, we're asking the questions so at least that statement
can be put on the record.
Yet then we
make the point, because this woman…. It's good that the minister says you
don't have to qualify for home care because even with her disabilities, she's
been cut off home care — had her home care cut. It's good that you can need
home care, but even though you don't get it, you can still use that as a
qualification.
I have a
couple more items to complete here, and then my colleague will ask some
questions.
There have
been some concerns, particularly around the issue of people with mental illness
raising these issues. Previously, people with disabilities had to show that
their disability existed for two years continuously or that it was likely to
continue for one year and then recur. That's the definition that's been
repealed.
[1705]
Under this
proposed legislation the definition of disability requires that the disability
will continue for at least two years and that it either remains continuously or
periodically for extended periods. To me, that's a tightening of the eligibility
requirements, and I am informed that individuals with neurological disabilities
such as multiple sclerosis, as well as people — and I started off with saying
people with mental illness, but not all of these are mental illnesses — with
cyclical disabilities, such as rapid-cycling bipolar disorder, depression or
anxiety disorders, will not qualify or will have to experience months and months
of illness before they're proven to be disabled. What does the minister say to
that?
Hon. M.
Coell: This government is committed to people with mental health disorders.
I am confident that these people will have safety and security not only in these
acts but in other programs that this government is putting forward. Persons with
a mental disorder are specifically included in subsection (3)(a).
MacPhail: Yeah, I understand that. Maybe this is the first time I'm hearing
it. Does that mean that a person under (3)(a), "a person who has a severe
mental impairment includes a person with a mental disorder," doesn't have
to meet the tests under (2)?
Hon. M.
Coell: No, that's not correct.
MacPhail: I guess those are the kind of statements that upset people with
disabilities, when somehow that's offered up as reason why these issues aren't
legitimate.
We're
talking about how one qualifies. One still has to qualify. It says that in the
opinion of a medical practitioner, the impairment is likely to continue for at
least two years. We've already had a letter from a mental health worker about
the cyclical nature of mental illness and the fact that part of the therapy is
to demonstrate ongoing, continuous, functional lifestyle. Yet there will be a
challenge, perhaps, that they will have to live with that for two years before
they can qualify.
The
Minister of Human Resources has stated over and over again that the vast
majority of people on disability benefits 2 will "roll over" onto
continuous assistance. We don't know what number or percentage corresponds to
"vast." We have to acknowledge that the optimism of the minister is
welcome, but if that's the case, what is the reason for severely restricting the
definition or bringing such substantial change to the definition if nothing, in
the minister's mind, is going to change? Is it about people down the road
qualifying?
[1710]
Hon. M.
Coell: A clarification. When the new act comes into force later this year,
all existing disability benefits 2 clients will be transferred to the new act
and
[ Page 3355 ]
designated as persons with a disability. While some clients will b