LEGISLATIVE ASSEMBLY OF MANITOBA
Monday, May 9, 1994
The House
met at 1:30 p.m.
PRAYERS
ROUTINE PROCEEDINGS
PRESENTING PETITIONS
Thompson General Hospital Patient
Care
Mr. Steve
Ashton (Thompson): Mr.
Speaker, I beg to present the petition of Barbara McLeod, Maggie Hurtubise,
Linda Perchaluk and others requesting the Legislative Assembly to request the
government of Manitoba to consider reviewing the impact of reductions in
patient care at the Thompson General Hospital with a view towards restoring
current levels of patient care and, further, to ask the provincial government
to implement real health care reform based on full participation of patients,
health care providers and the public, respect for the principles of medicare
and an understanding of the particular needs of northern Manitoba.
TABLING OF REPORTS
Hon.
Harry Enns (Minister of Agriculture):
Mr. Speaker, I have the pleasure of presenting several annual
reports: the Annual Report 1992‑93
of the Department of Agriculture; the Annual Report 1992‑93 of Manitoba
Farm Mediation Board; and the Annual Report 1992‑93 of the Manitoba
Agricultural Credit Corporation.
Introduction of Guests
Mr.
Speaker: Prior to Oral Questions, may I
direct the attention of honourable members to the gallery, where we have with
us this afternoon from the Warren Collegiate sixty Grade 11 students under the
direction of Mr. Wiebe and Mr. Smith.
This school is located in the consistency of the honourable Minister of
Agriculture (Mr. Enns).
Also this afternoon, from the Children
of the Earth High School, we have eight Grade 9 students under the direction of
Ms. Jan Orvis‑Cook. This school is
located in the constituency of the honourable member for Point Douglas (Mr.
Hickes).
Also this afternoon, from Pinkham
School, we have twenty Grade 5 students under the direction of Ms. Siobhan
Faulkner. This school is located in the
consistency of the honourable member for Burrows (Mr. Martindale).
From the Sisler High School, we have
twenty Grade 11 students under the direction of Mr. Bill Harper. This school is located in the consistency of
the honourable member for Inkster (Mr. Lamoureux).
On behalf of all honourable members, I
would like to welcome you here this afternoon.
* (1335)
Speaker's Ruling
Mr.
Speaker: Prior to Oral Questions, I have
a ruling for the House.
After Prayers on May 3, 1994, the
honourable member for Thompson (Mr. Ashton) rose on a matter of privilege and
moved: "THAT the statements made by
the Premier calling into question the impartiality of the Speaker be referred
to the Committee on Privileges and Elections."
After receiving advice from the
honourable member for Thompson, the honourable First Minister (Mr. Filmon) and
the House leader of the Liberal Party (Mr. Lamoureux), I took the matter under
advisement.
As all honourable members know, I view
this as a very serious matter, and I would like to take some time to review the
main points in the argument put forward by the honourable member for Thompson
when he rose on this matter of privilege.
The member tabled a transcript from a
television interview with the First Minister just after the votes had been
taken on the budget. The transcript
quotes the Premier saying, and I quote:
When the votes are taken, we have 29, they have 28. You'll continue to see this happen and I
don't see it as being a lot different from other years.
The honourable member for Thompson, if
I may summarize what he said, interpreted those words of the First Minister as
meaning that he, the Premier, did not see me, the Speaker, as an independent
arbitrator of this House and that I was subject to the government Whip.
The Premier, in speaking to the matter
of privilege on May 3, acknowledged he had said that there had been six votes
in the Chamber thus far in the session and that the results had been 29 to
28. He went on to say, in each case, and
I quote: "I would never, ever bring
myself in a position to question your impartiality or your right to rule in
accordance with the precedents that have been long established in the
parliamentary tradition of this world."
The honourable member for Thompson has
fulfilled the first condition of privilege by raising the matter at the first
available opportunity. He indicated that
he had only received the transcript of the interview on May 3, and I take his
word for that.
Before ruling on whether a prima facie
case has been established, I would like to make some observations.
Erskine May's Parliamentary Practice,
20th edition, defines privilege as:
"the sum of the peculiar rights enjoyed by each House collectively
. . . and by Members of each House individually, without which they could not
discharge their functions, and which exceed those possessed by other bodies and
individuals," or as Hatsell, the great 18th Century authority said: The privileges of Parliament are rights which
are "absolutely necessary for the due execution of its powers."
May, page 127, as well as Beauchesne
Citation 71 are clear that accusations of partiality of the Speaker are
reflections on the Chair, and Beauchesne Citation 168(6) indicates that such reflections
may be punished as breaches of privileges.
This is backed up by the Australian
House of Representatives Practice, edited by A.R. Browning, that states: "Traditionally, a reflection on the
character or actions of the Speaker inside or outside the House"‑‑and
I want to come back to this point later‑‑"has been punishable
as a breach of privilege . . . ."
Another authority, The Encyclopedia of
Parliament, edited by Laundy and Wilding, indicates that disrespect to the
House collectively is the original and fundamental form of breach of privilege,
and includes libels on the House at large and upon the Speaker.
I looked at the question of whether
the principle that statements made outside the House by a member cannot form
the basis of a matter of privilege is applicable to this case. In my opinion, it does not because the
remarks of the First Minister (Mr. Filmon) relate directly to proceedings in
this House. My opinion is reinforced by
a ruling of Speaker Lamoureux of the Canadian House of Commons given on May 10,
1966, where he indicated that in order to constitute a breach of privilege the
matter must be based on things arriving from the actual transaction of the
business of the House.
Maingot in his book Parliamentary
Privilege in Canada put it this way:
"if one member speaking outside the House reflects improperly on
the conduct of another member's parliamentary activities and the matter is
raised as a matter of privilege in the House, the Speaker certainly has
jurisdiction to examine those same words and determine if there is a prima
facie case of privilege or contempt of the House." In our case, the issue does arise from my
casting votes on the budget which is definitely part of the actual transaction
of the business of the House.
A review of Manitoba Speakers' rulings
found nothing directly relevant to this particular matter of privilege.
* (1340)
The Canadian House of Commons does
have some rulings that are of interest.
On March 23, 1993, Speaker John Fraser ruled a prima facie case of
privilege existed when a member of Parliament was quoted in a newspaper as
alleging that the Deputy Speaker was in collusion to restrict the right of
members of the Bloc Quebecois to speak in the House.
On May 7, 1976, Speaker Jerome ruled
that accusations by a former M.P. that members of the House of Commons had been
in receipt of bribes was one of privilege.
Speaker Jerome also ruled on July 25,
1975, that accusations by a newspaper about a member leaking budget information
were the basis of a prima facie question of privilege.
Now, to get back to the case before
us. My job now is to decide whether,
assuming that the facts are as stated, the conduct complained of can reasonably
be held to be a breach of privilege. In
my review of the actual words spoken by the Premier (Mr. Filmon), I find that
they do not in themselves reflect on the partiality of the Chair. They do not directly imply wrongdoing,
slander or partiality of a presiding officer such as were noted in the House of
Commons rulings I just cited. The
interpretation of the honourable member for Thompson (Mr. Ashton) of what the
words spoken by the First Minister is just that‑‑an
interpretation. The explanation by the
Premier of what he meant is also just that‑‑an explanation. To paraphrase Beauchesne Citation 494, I must
accept statements by members respecting themselves and particularly within
their own knowledge.
In this case, what we have are an
interpretation and an explanation of the same incident. I doubt neither the intentions nor the
honesty of the honourable member for Thompson or the honourable First
Minister. Therefore, I do not find that
there is a prima facie case of privilege.
Having said that, I would like now to
thank the honourable House leader of the Liberal Party for something he said in
his remarks on May 2. He noted that
members of the media as well as members of this House have been saying that the
government has a majority of one in this House.
This has been a concern to me as well.
The government does not have a
majority. There are 28 government
members in this House and 28 opposition members, and there is one Speaker. What we have is a tied House. What we also have is a Speaker that has had
to and I am pretty sure will continue to have to cast deciding votes.
I appreciate the comments of the
Premier and of the honourable member for Thompson and indeed of many members in
acknowledging the difficult and delicate role the Chair is forced to play in
the upcoming weeks and months. As a
servant of the House, I will do my utmost to fulfill that role to the best of
my ability and in accordance with the best traditions of parliament. That concludes the matter of privilege.
ORAL QUESTION PERIOD
Burns Committee
Status Report
Mr. Gary
Doer (Leader of the Opposition):
Mr. Speaker, my question is to the Premier.
Last week during the Premier's
Estimates there were at least three hours of questions by both Leaders of the
opposition dealing with the issue of the Jets and the Burns report and the
deadline and the viability of the hockey team and the issues of public support
and various options.
Again, there is media speculation that
there are various proposals being put forward just waiting for the review of
the existing private owner of the hockey team.
Of course, this concerns all of us because under the agreement that was
signed by the Premier and the mayor of the City of Winnipeg on November 12,
1991, as each committee keeps studying this issue and studying this issue the
taxpayers of the province of Manitoba are subject to the partial operating
losses of the hockey team.
I would like to ask the Premier: What is the status of the Burns report? Secondly, how much money are we anticipating
that the province will have to pay for the operating losses of the hockey team
for the fiscal year we are currently in, which is the next fiscal year of the
Winnipeg Jets hockey team?
Hon. Gary
Filmon (Premier): Mr.
Speaker, I have a couple of things to say in response to that question. First, as I understand, the information that
was the basis of a newspaper article on the weekend came from some briefing
notes that were being prepared for the Burns commission. The Burns commission has not supplied me with
any written report and recommendations, and it is my assumption that no final
report exists. In fact, I am told that
Mr. Burns issued a statement to the effect that some of the material within
that newspaper article was incorrect.
The member is correct in saying that
all of us ought to be interested in finding a solution as quickly as possible
so that we obviate the need for continued support of the losses of the Jets
hockey team. That is why both the Mauro
committee and now the Burns committee have been asked to give us their best
advice as to the solution to what is a very difficult issue. The issue of course is one in which we would
not like to have the ongoing support of the team require funding from the
taxpayer. On the other hand, there
appears to be still some question of viability without further commitments of
support from the private sector.
With respect to the final aspect of
the member's question, as I told him last Monday evening, until we get the
information from the interim steering committee on an approved budget for the
forthcoming year for the Jets hockey team‑‑and we do not expect to
get that for I believe it is at least a month‑‑we are not in a
position to give him any accurate estimate on what support we may have to give
vis‑à‑vis losses in the next season.
* (1345)
The Winnipeg Jets
Operating Losses
Mr. Gary
Doer (Leader of the Opposition):
Mr. Speaker, it is indeed alarming for all of us to not know four weeks
already into the current fiscal year what our liabilities are going to be for
the agreement signed by the Premier on November of 1991.
It is also a great concern for us,
when the Premier and the mayor established this committee in November of 1991,
they asked that all these issues be dealt with:
the issue of the new arena, the issue of pubic support; the issue of
viability to the team. This, of course,
was moved over to the Mauro report, or the Mauro committee, then four or five
months later it has been moved over into the Burns committee.
Every time we drift along and drift
along and not make a decision, the taxpayers of Manitoba and the taxpayers of
the city of Winnipeg are liable for the operating loss of the hockey team.
My question to the Premier today is,
and he has been briefed by members of the committee he indicated in Estimates
last week, members of the Burns committee, the Mauro report indicated a $30‑million
necessity of public support for a new arena.
There is speculation today that it may well be $60 million of public
support for a new facility.
Can the Premier tell us, is the cost
of this new facility doubling in terms of public support? Can the Premier tell us why we cannot get the
figure for the operating losses of the team?
Does the team not even have a draft budget, so that we would have some
information on the basis by which all Manitobans can start making an
intelligent decision about the various options?
Hon. Gary
Filmon (Premier): Mr.
Speaker, firstly, I would not put out draft information when we are in a
position to get firm information on which to make that kind of‑‑I
know it may be good fodder for the Leader of the Opposition to try and make
some political hay on it, but it is not the basis on which to make good
decisions.
Secondly, in our discussion last
Monday evening, he acknowledged that it would not be appropriate for government
to attempt to make decisions when they do not have final indications of whether
or not there will be a revenue‑sharing agreement among the various teams
in the NHL or a salary cap, both of which were seen as essential to a decision
in the Mauro commission report.
The Leader of the Opposition and the
Leader of the Liberal Party (Mr. Edwards), I believe, both indicated their
agreement with that approach to it. We
do not have either one of those pieces of the puzzle in place. So the question is, do you take a precipitous
decision and commit to a development and a construction of a new arena,
purchase of a team and all these things without that information, or do you
ensure that when you make the decision, that critical long‑term decision
that does involve taxpayer participation to some degree, that you have all that
information as much as possible?
We are taking the prudent course by
ensuring that we do have that information.
The course that he is suggesting would be imprudent, Mr. Speaker, and I
do not accept it.
Mr. Doer: Mr. Speaker, the Premier cannot talk about
prudent courses when he signed an agreement in 1991 that requires us to pay for
the operating losses of a hockey team and he cannot tell us four weeks before
the budget of the Jets what it is going to be.
So let the Premier not lecture any member of this Chamber about his
agreement and his operating loss of the team being covered by us.
The Premier has now confirmed that the
arena is not an option because we do not have a salary cap as recommended in
the Mauro report, and we do not have a revenue‑sharing agreement from all
the other NHL teams.
My question is to the Premier. If we are going to cancel the operating loss
deal that he has signed for the team, what is the option that we are looking at
in six weeks in terms of the hockey team?
The government signed an
agreement. It has moved it from one blue‑chip
committee to another blue‑chip committee to another blue‑chip
committee, and we want to know six weeks ahead of time, what are the options
for the public of Manitoba.
Are we going to have all the facts and
figures on the table so that we can make an intelligent decision on something
that is very important to our province?‑‑but also so are the losses
that we have to cover very important to the people of this province.
* (1350)
Mr.
Filmon: You see, Mr. Speaker, this is
why Manitobans cannot put any trust in this Leader of the Opposition. Just Monday evening he said: I do not want to politicize this issue
because this is too important to Manitobans and there is a very fragile
situation.
Now, today, he is doing exactly what
he said he would not do, trying to make some cheap political points. That is why Manitobans do not trust him.
The fact of the matter is that we
signed an agreement that did include responsibility for sharing losses with the
City of Winnipeg, because such an agreement already existed with Winnipeg
Enterprises Corporation in which they were responsible for the losses exceeding
the first $400,000, I believe. We took,
in return for that, shares in the hockey club so that we would then become
covered for some degree for the losses that we would be incurring.
There are reasons behind all of these,
but the long‑term reason why we are spending the appropriate time in
trying to find a solution is that I believe most Manitobans would like to see
the continuance of an NHL hockey team in Winnipeg. I believe most Manitobans recognize that if the
team is to fold or be withdrawn from this city, it will not likely return in
our lifetimes. So most Manitobans want
the right decision to be made, and they want sufficient information available
at the time that the decision is being made.
We do not have all that
information. That is what the Burns
committee is saying; that is what everybody is saying. We do not know whether or not the NHL will
have a revenue‑sharing agreement.
That is one of the critical factors pointed to in the Mauro report. We do not know whether or not there will be a
salary cap at this point. That is one of
the requirements put forward in the Mauro committee.
So for him to try and make some cheap
political hay on this is irresponsible, and it goes absolutely contrary to what
he said on Monday‑‑
Mr.
Speaker: Order, please.
Points of Order
Mr. Doer: The Premier is imputing political motives in
this Chamber about cheap politics, when we are asking questions about the costs
of the various options that he signed. All
we want is the information, Mr. Speaker.
Let us get the rhetoric from the Premier out of the debate, and let us
have an intelligent debate about this issue.
Mr.
Speaker: The honourable member does not
have a point of order.
* * *
Mr.
Filmon: On another point of order, I
have said repeatedly, when I have that information I will share it with him and
other members, so let him not try and put anything in my mouth.
Mr.
Speaker: Order, please. The honourable First Minister does not have a
point of order. That is clearly a
clarification of the facts. That is all
that was.
Connie Curran
Contract Cancellation
Mr. Dave
Chomiak (Kildonan): Mr.
Speaker, my question is to the Premier, and given the government's track record
on the kind of deals that they have entered into, the question by the Leader of
the Opposition was quite justifiable.
Mr. Speaker, the Premier has staunchly
defended the Connie Curran contract, the $4 million plus $800,000 of expenses,
tax‑free, even going so far on radio to defend it. Since the Minister of Health has told us in
Estimates that not all of the money has been paid out to Connie Curran and that
some money is in trust, will the First Minister direct the Minister of Health
to not pay out that more than probably three‑quarters of a million
dollars in trust to Connie Curran and, instead, put that money back into health
care for the many programs that have been cut by this government and to
community services that are not in place?
Hon.
James McCrae (Minister of Health):
The honourable member will recall discussion last week when it came to
costs in health care systems, and I reminded him of the cost to the Ontario
health system of the salary and expenses of one Michael Decter, with whom
honourable members opposite are very familiar.
You know, even if they withheld 20
percent of Mr. Decter's salary, he would still be paid way more than Frank
Maynard here in Manitoba. The honourable
member ought to remember when he is raising questions like this, the issue of
hypocrisy does enter into the debate from time to time. It usually only happens when honourable
members from the New Democratic Party get into the debate.
When you are looking at the
performance of a contract, Mr. Speaker, you have to look at what you contracted
for and look at the deliverables, and that is precisely what has been
happening. As a result of looking at the
deliverables, the savings that were contracted for were arrived at within the
range contracted for. There are no legal
grounds by which the government of Manitoba or the hospitals involved in the
contract can hold back money indefinitely.
* (1355)
Mr.
Chomiak: Mr. Speaker, why, since the
minister himself said on November 3 that he could not justify Connie Curran's
contract, can this minister now say that he is going to pay another three‑quarters
of a million dollars to Connie Curran when everyone in Manitoba knows that this
contract and this project, the Connie Curran contract of $4 million plus
$800,000 in expenses, tax‑free, is a disgrace to the province of
Manitoba?
Mr.
McCrae: Not unlike the previous set of
questions, it brings into the debate a fair amount of rhetoric. The honourable member brings into the
discussion a fair amount of rhetoric, as well as interpretation which certainly
is not accurate.
I remember the newspaper article to
which the honourable member refers very well, and it is very difficult, Mr.
Speaker, to tell the honourable member today, when his mind is clearly made up
that it does not matter that there is all this waste and inefficiency in our
hospitals. His mind is made up; he wants
to continue to defend that waste and inefficiency. I very, very clearly disagree with him and so
do the people who need the health system in the future.
Home Care Program Review
Tabling Request
Mr. Dave
Chomiak (Kildonan): Mr.
Speaker, we think a million dollars going out of the health care system would
be far better in the health care system paying nurses than paying their
American consultant.
My final supplementary to the same
minister: Since they are now going to go
ahead and pay the $750,000 more to Connie Curran, will they table the home care
contract and, at the same time, will the minister ask the Department of Justice
to view the legality and consider breach of contract against Connie Curran, Mr.
Speaker?
Hon.
James McCrae (Minister of Health):
Mr. Speaker, that is typical of the New Democrats and is the reason why
we need to make changes to our health system, because he has just finished
saying, if you have a million dollars just throw it into the system. Do not ask how you are going to spend it or
anything, just throw a million dollars into the system and that will make everything
all better. That is exactly what got us
into the problems in the first place, that kind of mentality.
Time for change is here, and this
government and governments right across this country, New Democratic
governments when they are in office, conduct appropriate reforms and do their
best. In some cases, it is too bad they
waited as long as they did, because they now have to go with the slash‑and‑burn
method of reform, which is not the system we are using here in Manitoba. What we are doing is, through a phased
approach, bringing about changes that will leave us with a health care system
for many generations to come.
National Hockey League
Salary Cap/Revenue Sharing
Mr. Paul
Edwards (Leader of the Second Opposition): Mr. Speaker, I listened with interest to the
response of the Premier to the Leader of the Opposition's questions, and I
wanted to follow up with the Premier on one of the comments he made.
Clearly, according to Mr. Mauro's
committee and according to what we know of the Burns report and according to
all other people who have studied this, key to the determination as to whether
or not any public money should go into an arena or the Jets is the issue of a
salary cap or revenue‑sharing agreement.
That is not new, and I do not think the Burns committee is likely to
give us further guidance on that. That
seems fairly agreed to.
Mr. Speaker, my question for the
Premier: Given that it is only he and
Mayor Thompson that have met with Mr. Bettman from the NHL, and there is no
indication publicly as to whether or not this is on a short‑term agenda
for the NHL, whether or not it is a realistic possibility, can the First
Minister tell us whether or not all of this is in fact moot or whether or not,
according to his discussions with the NHL, there is a reasonable possibility
that either of those two things is going to happen in the short term?
Hon. Gary
Filmon (Premier): The Leader
of the Liberal Party gave two options in his preamble. One was whether it is on the short‑term
agenda and, two, whether or not it is realistically possible.
Mr. Bettman is very open in saying
that it is on their short‑term agenda, that the NHL governors believe
that it is part of the solution to long‑term stability for the
league. The other side of the coin, of
course, cannot be answered until they are through their discussions and
negotiations with the players who are adamantly opposed, I might say, to any
salary cap. So, like most sensitive
negotiations, nothing will be known for a considerable period of time.
They now have sort of postponed their
time frame till perhaps early fall, the beginning of the next season. That is where it may reach a head. At some point, the negotiations between the
players and the NHL, vis‑à‑vis a salary structure‑‑as
Mr. Bettman refers to it rather than "cap" but referring to it
perhaps I think in a similar context to what we believe is necessary‑‑they
now are saying that they will not bring that to a head during the NHL playoffs.
They will leave it until perhaps the
start of the next season as the breakpoint for their discussion. So we will not know that for some time. It is pretty evident about that, and that is
what makes the decision that we have to make more difficult. Whether or not we can make it without that,
as I said on Monday evening in my Estimates debate, I think it is very
difficult for us to make that decision without having these pieces of the
puzzle in place.
* (1400)
Mr.
Edwards: Mr. Speaker, in those Estimates
the Premier specifically indicated, and I am quoting: "When you look at it from a business
point of view, there is not a good reason why you would want to extend that any
extended length of time because you want to be able to get underway with a
development decision," clearly indicating that if there was an extension
it would be seen in a short‑term sense.
He compared it to the Abitibi‑Price extension. Mr. Speaker, he has now used the words
"considerable period of time" according to his best information being
required to get a salary cap or revenue‑sharing agreement in place.
Under the current situation with
current facts as they are, Mr. Speaker:
Can the First Minister indicate whether or not he believes there is any
point in considering an extension, given that he has used‑‑in his
own words, he has tied it to a short period of time he would be prepared to
extend it, when in fact it looks like it is "a considerable period of
time," using his words, that is going to be required to even look at a
salary cap or revenue‑sharing agreement?
Mr.
Filmon: I guess that is where we get
into difficulty with words, and I should apologize. I did say "a considerable period of
time," but I did talk about this fall as being the potential
breakpoint. So I do not have any real
assurance of any particular date. I do
not think the NHL can give us any particular date.
At this point, we are hopeful and I
think they are hopeful that this fall may bring a resolution to the issue, but
I cannot give him any assurance on that.
What I can say is that we believe that we need to have this part of the
arrangement settled in order to make our decision vis‑à‑vis the
ownership of the team and a new arena.
The Winnipeg Jets
Government Ownership
Mr. Paul
Edwards (Leader of the Second Opposition): Mr. Speaker, finally, for the First Minister
on this issue.
Mr. Mauro talked in his report about
public majority ownership of the Winnipeg Jets hockey team. The First Minister in Estimates on Monday
talked about that as being a possible option, that the public would own the
majority in Winnipeg Jets hockey team, but the Premier indicated that only if
certain conditions were in place and on a temporary basis.
Mr. Speaker, I would ask the First
Minister: Under what conditions would he
be prepared to exercise the option and take government ownership of the
Winnipeg Jets hockey team?
Hon. Gary
Filmon (Premier): Mr.
Speaker, I believe we ought to be prepared to take ownership on an interim
basis if it facilitates putting together the best package for long‑term
viability of a team and arena complex.
That is the critical part of it, that we would be doing it to facilitate
a proper long‑term solution, not doing it to become long‑term owner‑operators
of the hockey club.
Youth Court
Backlog
Mr. Gord
Mackintosh (St. Johns): Mr.
Speaker, my question is to the Minister of Justice.
The minister has received a letter
from the mother of a young offender dated February 14 of this year. In that letter, the mother talks about
charges being laid against her son in August of 1993 for car theft, among other
things. The mother now tells me that
nine months later this youth has yet to be sentenced. In fact, we are talking here about a guilty
plea. Meanwhile, this youth was involved
in eight additional car thefts, according to information received from the
mother. The mother says that this child
is laughing at the justice system.
My question to the minister is: Given that this minister is well aware of
backlogs of up to nine months even on guilty pleas, will she advise this House
what plan she is going to put in place to deal with this crisis in the court?
Hon.
Rosemary Vodrey (Minister of Justice and Attorney General): Mr. Speaker, the member references a very
specific case. I would be willing to
look into that particular case, but I would also want to be very careful
because obviously the case is still before the court. The member has said that there has not been a
sentencing.
I would like to make it clear that any
remarks I make today are unrelated to a specific case which the member has
tried to raise in this House and deal only in general terms with the issues of
the youth court to protect the fairness required for those people within the
justice system.
That member comes dangerously close to
ignoring due process of law, Mr. Speaker, when he raises those issues,
particularly in this House.
I will be very happy to address the
issue of how we are dealing with youth crime and justice in this province,
because the member knows very well we have taken a very strong stand in the
area of youth crime and justice. Our
stand is one‑‑and I was very happy to hear on Saturday‑‑in
which that member strongly endorsed one point of the nine‑point plan.
He gave his full support to the youth
justice committees, and I look forward to his continued support in our plan to
deal with youth crime and violence.
I will be pleased to continue
answering if the member‑‑[interjection]
Mr.
Mackintosh: I never
heard an answer, Mr. Speaker; I heard some vague allegations about due process.
My question to the minister is very
straightforward. What plan does she have
to deal with the serious backlog in the youth court, a court in crisis?
Mrs.
Vodrey: Mr. Speaker, I reject totally
the member's allegations of court in crisis.
I notice that in this House, where he cannot be so irresponsible with
the use of dates, he has now changed the range of backlog that he has been
speaking about. He has been quite
irresponsible in lately raising a period of time for backlog which is
absolutely incorrect.
I can tell the member today that for
those youths in custody we are booking court dates for youth in the youth court
as early as June for those people who are in custody. We have no more than a five‑month
backlog or a five‑month waiting period.
Let me also say to the member that,
again, I will remind him he comes very close to ignoring due process, because
in due process of law there are two sides and cases must be prepared.
Point of Order
Mr. Steve
Ashton (Opposition House Leader):
On a point of order, the minister has repeated an accusation made
against the member for St. Johns. I
would like to quote Beauchesne's 487(2):
"Words may not be used hypothetically or conditionally, if they are
plainly intended to convey a direct imputation."
The minister is suggesting that
somehow on this side of the House, for our Justice critic to be raising
questions about delay in the justice system that that is interfering in the
justice system. That is not only not
true, it is unparliamentary. The
minister should withdraw that and should just answer the questions raised by
the member.
Mr.
Speaker: Order, please. The honourable member did not have a point of
order. I believe the honourable minister
was just actually quoting from the sub judice convention.
* * *
Mr.
Mackintosh: The
minister says there is no 11‑month backlog. I bring in an example of a nine‑month
backlog and she says, do not bring it in.
My question for the minister, once
again, Mr. Speaker: Will the minister
consider putting together a committee of the Crown, of police, of defence, of
administrators, of judges to try and deal with this problem? Would she try and deal with the crises‑‑
Mr.
Speaker: Order, please. The honourable member has put his question.
Mrs.
Vodrey: Mr. Speaker, again I say the
member dangerously exaggerates the facts.
He again tries to ask the Attorney General of this province to speak
about a case which is before the courts, which he has brought forward to this
House and which, in all interest to fairness and respect for the position that
I hold, he knows that I will not speak publicly about a case before the courts.
However, I have said that my comments
are to be regarded generally. I reject
totally his accusation of 11 months. I
have made it clear in this House today that for those youths in custody we are
booking court dates as soon as June.
I would remind the member that he is
not and nor am I able to speak about some of the reasons that a specific case
may now be before the courts. As he
knows, there is due process to law; there are two sides to prepare a case.
* (1410)
Sex Offenders
Release Notification
Mr. Doug
Martindale (Burrows): Mr.
Speaker, parents and community members are very concerned about the release of
sex offenders into their neighbourhoods without any notification, and the
police are not even notified when a sex offender completes his sentence and is
released from jail.
Since the police are only made aware
of parole and probation orders, can the Minister of Justice create a system so
that the Winnipeg Police Department will be regularly informed as to when sex
offenders are being released into the community?
Hon.
Rosemary Vodrey (Minister of Justice and Attorney General): Mr. Speaker, the member speaks about a system
which we have for treatment specifically of sex offenders, which is, I will
tell the member, one of the leading programs both in terms of access and in the
content of that particular program across Canada. We work very carefully with that particular
program.
Also, Mr. Speaker, in relation to
treatment of sexual offenders and the community being aware of when they are
attending programs, he may like to know that I have worked with a
representative from that area to make sure that police are notified when sex
offenders are attending a group in that community.
Treatment Programs
Mr. Doug
Martindale (Burrows): Mr.
Speaker, can the Minister of Justice instruct the Crown to investigate the
lengths and types of sentences being granted to sex offenders in the Manitoba
court system with a view to providing greater treatment opportunities to these
people, since part of the problem in treating sex offenders is that they are
not spending enough time in jail to be treatable and many are receiving one‑year
sentences, intermittent sentences or probation?
Will the minister improve the existing programs, make them more
effective and make sure that people receive treatment before they are released?
Hon.
Rosemary Vodrey (Minister of Justice and Attorney General): Mr. Speaker, I am happy to educate the member
that sentences are imposed by the courts.
That is part of the responsibility of judges as they sentence
individuals, and perhaps that member would like to step into the issue of
judicial independence and range of sentencing.
However, if he is raising concerns about an amount of time possible for
sentencing, then we have to address that through federal legislation.
I would also like to say to the member
then as well, in terms of treatment, we do have very active treatments within
our institution, within Headingley Jail, that within Headingley those convicted
sexual offenders receive individual counselling. There is also group counselling, but I will
say to the member that group occurs on a regular basis. It is not a come‑and‑go
group. It has a defined beginning and
end.
Sentencing Reform
Mr. Doug
Martindale (Burrows): Mr.
Speaker, I am grateful the minister referred to the federal government, because
the previous Parliament had a bill before it on sentencing reform.
Will this minister contact the federal
government and push them to do something about sentencing reform, not just look
at a bill, but do something proactive so that sentencing is fair and consistent
and fair to the public and the victims?
Hon.
Rosemary Vodrey (Minister of Justice and Attorney General): Mr. Speaker, the federal Liberal government
has a great deal to consider in terms of the legislation before it, both
legislation that deals with young offenders and other legislation of the
Criminal Code. I have presented to the
federal minister several suggestions from the people of Manitoba to deal
specifically with issues of the Criminal Code.
I look forward to some co‑operation from the federal government,
but I have not had any indication at this time that they are willing to make
changes.
Home Renovation Program
Budget Allocation
Mr. Jerry
Storie (Flin Flon): Mr.
Speaker, one of the few bright spots in the provincial budget was the Home
Renovation Program. There is increasing
evidence that this particular program was an add‑on that was added on in
the process without any consultation with the Home Builders' Association, the
housing industry or the Department of Housing.
Mr. Speaker, my question is to the
Minister of Housing (Mrs. McIntosh).
Given the fact that there is no reference to the $10 million that is to
be expended in the special warrant that was passed on March 23, 1994, there is
no money available in the Estimates as printed and tabled in April, can the
Minister of Housing tell the people of Manitoba how the government is going to
pay for this program?
Hon. Eric
Stefanson (Minister of Finance):
Mr. Speaker, the member for Flin Flon knows parliamentary procedure full
well in terms of when he refers to special warrants and the dealing with the
budgetary matters. There is an
allocation within the '94‑95 budget, $10 million under Other
Appropriations. As he knows in terms of
this particular program, there is an application process that has to be
substantiated by attached invoices, quotes to tenders on any particular
projects and so on, so there is a time provision in terms of as these projects
will be coming forward. But provision
will in fact be made to meet all payments as required.
Mr.
Storie: Well, Mr. Speaker, first of all,
there is no authority for this particular kind of payment and it shows us the
confusion this government is in, even in a program that has the potential for a
lot of Manitobans.
My second question to the Minister of
Housing is: Given the fact that there
are no application forms available, there are no brochures available and the
department does not have the authority to pay, can the minister tell us how
long people are going to have to wait, given that they are already in some
cases finishing their projects, before they will receive the support that they
are entitled to from this particular program?
Mr.
Stefanson: Mr. Speaker,
again, I think the member for Flin Flon has served in previous
governments. He knows the issues of
confidentiality when preparing a budget document, and he knows that you cannot
set the wheels in motion in many instances to prepare all of the documentation
because of that confidentiality, or at least I hope he appreciates that aspect
of preparing a budget on behalf of Manitobans.
Immediately, the wheels were put in
motion to prepare all the detailed documentation that is going out, the kinds
of brochures, the application forms. I
have outlined for him a detailed process in terms of how applications will be
dealt with. There is money allocated in
the '94‑95 budget. There is
provision to meet the payments. I am not
sure where he is heading with this questioning.
This is a program, Mr. Speaker, that
has been very well received by Manitobans, both in terms of the construction
industry because of the hundreds of jobs that it will create in that industry
and because we are doing something for people and families in terms of
improving their homes during this particular year.
Mr.
Storie: Mr. Speaker, if there were
application forms in place so that people could find out the information they
need and if the program was restructured so that lower‑income families
and families with houses in the inner cities and in some rural communities
could take access, it would be a good program.
My final question to the Minister of
Housing (Mrs. McIntosh) or the Minister of Finance is: Can the minister tell the people of Manitoba,
if they have finished their project, when they might reasonably expect to
receive the support that they were promised?
Mr.
Stefanson: Again, the
member for Flin Flon I think looked at the details of this program. There are provisions to deal with the people
in various income levels. There is a
provision to deal with individuals who qualify under the RRAP program, the
Residential Rehabilitation Assistance Program, which is lower than the $5,000
threshold, Mr. Speaker. There is a
provision to deal with emergency home repairs, again for individuals which are
below the $5,000 threshold. So I want to
remind the member of those provisions that are in this particular program.
We are just in the process that has to
deal with renovations that were started after April 20, 1994. We are just in the process of
individuals. We are now three weeks from
budget day. Some individuals who might
have been quick off the mark are in the process of maybe starting to complete
their renovation programs. They will be
submitting their detailed information in terms of their cost. They will be providing the two quotes
required. That will be assessed by the
department, and refunds will be processed, as is provided under the program,
Mr. Speaker.
Maintenance Enforcement
Public Hearings
Ms. Norma
McCormick (Osborne): Mr.
Speaker, my question is to the Minister of Justice.
On Saturday I met with about 30 people
concerned with the effectiveness of Manitoba's Maintenance Enforcement
Program. They shared their experiences
and their common belief that the maintenance enforcement system is not working
as intended.
My question to the minister is: Will the minister consider acting on the
priority recommendation of this group and hold a public inquiry to examine the
problems and deficiencies with this operation‑‑[interjection] I am
asking my question‑‑to hear the suggestions of those directly
affected for improving service and collection?
Hon.
Rosemary Vodrey (Minister of Justice and Attorney General): Mr. Speaker, as I stated in answer to a
question last week, my department is making sure that it is holding meetings
and is speaking with people who are concerned about maintenance enforcement,
representatives of women's groups in particular. We are gathering information.
As the member knows, a great deal of
our concern is to collect money owing from people who reside in other
provinces, so we are working with ministers across Canada and in the
territories to look at how we can revise the REMO act, but, of course, it will
take the co‑operation of the federal Liberal government.
* (1420)
Out‑of‑Province
Collection
Ms. Norma
McCormick (Osborne): My
supplementary, Mr. Speaker, in response to both today's question and also to my
question on May 5: The minister
indicated that there was a large amount of money owed to children from outside
the jurisdiction. Will this minister put
on record whether she considers the $4 million of the $27 million to be the
very large piece she was referring to and what her department intends to do to
collect the $23 million owed to children by their parents who still live in
Manitoba?
Hon.
Rosemary Vodrey (Minister of Justice and Attorney General): Mr. Speaker, the member has put incorrect
information on the record. No, that is
not the accurate amount.
However, I will tell the member that
we are working very hard. We are working
very carefully with people within Manitoba who are owing money and who are
required to pay that money. We have done
that through a number of enhancements within my department. We have added five new staff members. We are also working with counterparts across
the country.
Point of Order
Ms.
McCormick: On a point
of order, Mr. Speaker, the information with respect to the $4 million has been
received from the minister's department.
Mr.
Speaker: Order, please. The honourable member does not have a point
of order. That is a dispute over the
facts.
Sex Offenders
Treatment Programs
Mr. Gary
Kowalski (The Maples): My
question is for the Minister of Justice.
Mr. Speaker, it is evident that the
public is at risk when sex offenders do not receive treatment they need to
avoid reoffending. Sex offenders who
receive treatment reoffend at a much lower rate than those who do not receive
treatment.
Because of heightened public concern
for the demand for this service and the lack of resources, will her government
review the resources available to provincial treatment programs for sex
offenders?
Hon.
Rosemary Vodrey (Minister of Justice and Attorney General): Mr. Speaker, I just need to say to the member
that‑‑from the previous question‑‑she does not have the
total amount of money owing from across Canada.
However, to the member's question, the
third question in a series‑‑
Mr.
Speaker: Order, please. I would remind the honourable minister to
deal with the matter raised. There was
no point of order on the member for Osborne.
Mrs.
Vodrey: Mr. Speaker, in terms of
treatment for convicted sex offenders, first of all I think the member does
need to know that treatment is determined by the courts, No. 1, that is what is
required when the sentence is given.
Full treatment is 160 hours of therapy and it does focus upon
prevention, upon rehabilitation and relapse prevention. The program does come in two forms, a form of
institutional programming and also a form of programming in the probation area.
Mr.
Kowalski: I have a supplementary, Mr.
Speaker.
Why has this minister decided that
savings can be found in community and youth corrections? Has she thereby decided that treatment
programs are not necessary, or does she have an alternate plan and will she
share it with this House?
Mrs.
Vodrey: Mr. Speaker, I reject those
allegations totally. Let me tell him
that we do have a very comprehensive series of treatment programs. As I said in an earlier question, we have a
comprehensive series of treatment programs within the institution. They involve both individualized therapy and
they also involve group therapy.
As I said in an earlier answer, group
therapy is not a sort of come‑and‑go kind of group. The group therapy is one in which there is a
beginning and an end, and individuals would then go into the next group as it
has the spots available.
Point of Order
Mr.
Kowalski: On a point of order, the
Estimates figures in the budget show that there‑‑
Mr.
Speaker: Order, please. I would like to remind the honourable member
for The Maples that points of order are used to show the Chair that there has
been a breach of the rules. This is
clearly a dispute over the facts, so the honourable member does not have a
point of order.
Louisiana‑Pacific Co.
Treaty Land Entitlements
Ms.
Rosann Wowchuk (Swan River):
Mr. Speaker, several times I have raised with this House the concerns of
the First Nations' communities of my constituency with regard to the Louisiana‑Pacific
deal.
This week I met with chiefs, and I
would like to quote a chief who said: We
are not opposed to economic development.
No one is opposed to economic development. What we want is to be consulted. What we want to have is input, and what we
want is a fair piece of the pie. We want
jobs.
In light of that statement, Mr.
Speaker, I want to ask the Minister responsible for Native Affairs why he has not
met with the First Nations to hear their concerns on treaty land entitlement,
on traditional land use, why he has not met with them. Will he make a commitment today to go up to
the constituency and meet with these bands to address this concern so that he
does not put these jobs in jeopardy?
Hon.
Darren Praznik (Minister responsible for Native Affairs): Mr. Speaker, I find it so ironical that from
the New Democratic Party benches we would have concerns raised about job
opportunities. The question of how those
jobs and economic opportunities are distributed is certainly a very valid
question, but it is coming from a member and from a party who do not want the
operation in the first place so that discussion becomes very academic.
Point of Order
Mr. Jerry
Storie (Flin Flon): Mr.
Speaker, on a point of order, one of the obligations of every member is to
bring the truth to this House. The
Minister of Labour‑‑
Mr.
Speaker: Order, please, right here. Hold it.
The honourable member for Flin Flon, you know full well, sir, that is
unparliamentary because in essence what you are saying, the honourable minister
is not telling the truth. Therefore,
that is unparliamentary. Right? [interjection]
Order, please. The honourable member for Brandon East (Mr. Leonard
Evans), I am sure, does not want to reflect on the Chair.
What has happened here, the honourable
member for Flin Flon has said that the minister should bring forward the
truth. What you are saying, sir, is that
he has not been bringing the truth.
Therefore, that is unparliamentary.
The honourable member for Flin Flon,
just to withdraw that, please.
Mr.
Storie: I did imply that that may be
entirely possible in this instance, and if that is unparliamentary, Mr.
Speaker, I will withdraw it.
Mr.
Speaker: I would like to thank the
honourable member for Flin Flon. There
was not a point of order, by the way, because that was a dispute over the
facts.
* * *
Mr.
Speaker: Time for Oral Questions has
expired.
NONPOLITICAL STATEMENTS
Multicultural Week
Mr. Jack
Reimer (Niakwa): Mr.
Speaker, I wonder if I may have leave for a nonpolitical statement.
Mr.
Speaker: Does the honourable member for
Niakwa have leave to make a nonpolitical statement? [agreed]
Mr.
Reimer: Mr. Speaker, it is my pleasure
to inform the members of the House that this week, May 9 to 13, has been
proclaimed Multicultural Week in Manitoba.
Canada is a reflection of the cultures
of the world. Nowhere is the fact more
evident or proudly more celebrated than here in Manitoba. Manitobans have always been deeply committed
to maintaining their ethnocultural heritage and their traditions. The various celebrations, observations and
festivals held across the province throughout the year attest to the enthusiasm
and pride we feel about our origins.
We have become more aware of how
multicultural events are a positive force in our society. They provide economic stimulants, learning
experiences, a basis for understanding each other and countless opportunities
for bringing our ethnocultural communities closer together. Our dynamic multicultural community is a
vital factor in Manitoba's continuing growth and progress on every level. At a time when other nations are being torn
apart by their ethnocultural divisions, we are building for the future on the
strength of our ethnocultural diversity.
Multicultural Week is our official
recognition of Manitoba's multicultural reality of its roles in our society and
our day‑to‑day lives. I ask
all members of this House to join with me in recognizing and celebrating
Multicultural Week in Manitoba. Thank
you, Mr. Speaker.
Mr.
Speaker: Does the honourable member for
Wellington have leave to make a nonpolitical statement? [agreed]
Ms. Becky
Barrett (Wellington): Mr.
Speaker, I, too, would like to rise and commend the people of Manitoba on the
beginning of Multicultural Week in the province of Manitoba and share, as the
member for Niakwa (Mr. Reimer) has stated, the positives that the people of
Manitoba have experienced through the richness and the variety of the ethnic
groups that have graced our province over the last 125 years.
Mr. Speaker, I also feel that it is
incumbent upon us, too, in this House to ensure that the programs and the
community be enriched by everything that we do in this Legislature, and we,
too, work and take account of all of our actions and the effect that all of the
deliberations that we undertake in this House have on all of our communities,
most particularly this week the multicultural community.
Again, Mr. Speaker, on behalf of the
NDP caucus we, too, share in the celebrations of Multicultural Week.
Mr.
Speaker: Does the honourable member for
Inkster have leave to make a nonpolitical statement? [agreed]
Mr. Kevin
Lamoureux (Inkster): Mr.
Speaker, it is with pleasure that I stand up to give comment on Multicultural
Week on behalf of the Liberal caucus.
Later this week, in fact, I am going
to be over at Meadows West School where there is going to be a multicultural
concert. This is a school that has now
sponsored a multicultural concert of sorts for the last number of years. I have had other opportunities to be able to
attend it, and it is always a positive experience when you are able to
participate first‑hand in some of the different cultural events that are out
there.
I know over the last weekend, for
example, I was over at the Sikh temple on Mollard and was able to participate
in a Sikh wedding. You get a better
appreciation and a better understanding of the many different cultures and
heritages that are out there that help make up what we are and is a part of the
Canadian identity of being a multicultural society, because far too often we
hear the words of multiculturalism and we do not necessarily see the sorts of
actions from the public as a whole that reflect in terms of what really and
truly being a multicultural society is all about.
Hopefully, as we get weeks of
awareness such as this we will get more individuals participating and
experiencing first‑hand what multiculturalism is all about, thereby getting
a better appreciation and understanding of the many different cultures and
heritages that are out there. Anything
that goes to further promote multicultural harmony, whether it is a heritage
dance, whether it is barriers that are out there, can be a very positive
thing. It is with pleasure that I say
those few words. Thank you, Mr. Speaker.
* (1430)
HEALTH
Madam
Chairperson (Louise Dacquay):
Order, please. Will the Committee
of Supply please come to order.
This section of the Committee of
Supply is dealing with the Estimates for the Department of Health. We are on item 1.(b) Executive Support (1)
Salaries and Employee Benefits, page 81 of the Estimates manual.
Would the minister's staff please
enter the Chamber.
Item 1.(b)(1) Salaries and Employee
Benefits.
An
Honourable Member: No.
Mr. Dave
Chomiak (Kildonan): Madam
Chairperson, I see that the minister and his staff are ready to deal with the
questions. I would like to ask the
minister, does the department maintain any kind of a central registry vis‑à‑vis
lists for any kinds of hospital surgery, or any other matters of a similar
nature? In other words, is there a
central registry for various aspects of surgery and/or other services offered
by the Department of Health overall?
* (1440)
Hon.
James McCrae (Minister of Health):
Madam Chairperson, the information the honourable member asks about is
something that is available, although not compiled in the way the honourable member
might have in his mind. We have in
Manitoba the finest health data base pretty well anywhere, and it is a question
of whether the Department of Health actually keeps those lists of each kind of
surgery. The answer is no, we do not;
however, in certain areas where we feel that attention is required, we get
involved and we bring committees together, appropriate access committees and
things of that sort. We do not keep a
central registry of the various kinds of surgeries and how many and how many
per month or week or year. That
information is not readily available.
Mr.
Chomiak: Does the minister have access to
any information that he can share with the committee that would show the
breakdown of surgery and the improvements and/or nonimprovements that have
occurred in the last little while with respect to surgery and surgery waiting
lists?
Mr.
McCrae: Information like that in a form
that is readily usable is usually from the previous year, and that kind of
information, you will find some of it in the annual report, but information
about past years is more available than what is presently going on.
Mr.
Chomiak: Madam Chairperson, the issue
arose approximately during this fiscal year concerning heart surgery. At that time there was an announcement from
the government, which I complimented the previous minister on, with respect to
a central registry for heart surgery in order to co‑ordinate
surgery. The government made an
announcement in that regard.
I am wondering if the minister can at
least provide that information to me as to the status of that particular item
that I went out of my way to compliment the previous Minister of Health with
regard to.
Mr.
McCrae: I know the honourable member for
Pembina (Mr. Orchard) is busy taking a lot of advice from the honourable member
for Elmwood (Mr. Maloway) and is quite entranced with the information being
imparted by the member for Elmwood, so maybe he did not hear what the member
for Kildonan had to say. The member for
Kildonan was congratulating the member for Pembina, the Minister of Energy and
Mines, for the fine, fine job that he did in pulling together people with
respect to cardiac surgery‑‑
An
Honourable Member: It is a
trick question.
Mr.
McCrae: We can see that the member for
Pembina deeply appreciates those sentiments.
Madam Chairperson, through the
auspices of the appropriate access committee which deals with trouble areas
such as cardiac where there is a perceived overimbalance between the demand and
the supply, we have the cardiac people in Manitoba working together to ensure
that patients are properly prioritized for procedure, and we expect to have
something in written form that we can share with the honourable member by
September.
Mr.
Chomiak: Madam Chairperson, that matter
is the subject of the appropriate access committee. It is still not formulated yet so at present
there is not a central registry of any sort that is existing with respect to
cardiac surgery or other forms of surgery for that matter?
Mr.
McCrae: What I was referring to in my
previous response was a system to more appropriately co‑ordinate this
function will be in place by September.
Of course, the information that would go with such a system would then
also be available.
Mr.
Chomiak: Madam Chairperson, when the
health reform document was introduced approximately two years ago, there was
talk about the various bed cuts. As I
understand it, there still have not been announcements with respect to 200
additional cuts to take place in terms of beds.
Can the minister inform us as to the status of those cuts?
Mr.
McCrae: The honourable member, I
believe, in his question referred to reform and moved immediately to the issue
of closing hospital beds. Unfortunately,
that is sometimes taken to be the only part of reform that is going on and that
is something that needs to be enlarged on.
It cannot be done in just a moment or two.
Certainly, we are looking at it as a
first issue with regard to this whole matter, the issue of efficiency. I referred a little bit to that a little
earlier today during Question Period when the honourable member was raising
questions. We cannot continue to keep
inefficiency operating day in and day out in Manitoba, nor can we deliberately
go out and foster more inefficiency.
That would be even worse than allowing the inefficiencies that presently
exist to continue to exist.
So the first part of this matter, the
first and most important issue has to do with efficiency. Efficiency deals with length‑of‑stay
issues, our ability to provide alternative care in the community, our ability
to take appropriate care of people safely in the community as opposed to in
hospital and certainly as opposed to high‑cost tertiary care hospital
beds. This is an area where some people
deliberately misunderstand. Some people
just misunderstand and all kinds of people in Manitoba support what is going
on.
The reason they support what is going
on is that the nature of the care being provided in our restructured system is
more appropriate to the condition of people who find themselves in need of
assistance. So we have to have acute
care beds for people who need them, people who need emergency services, people
who need to recover from operative procedures.
People hurt who are seriously ill need to be placed in acute care beds
and we have to have those beds available.
We have to have them properly staffed with a properly trained mix of
staff people to look after the patients in those circumstances.
* (1450)
So when we point out that there have
been beds closed, we also should remember to point out that many, many beds
have also been opened, alternate beds, long‑term beds, personal care beds
and, of course, a 93 percent increase in spending on home care‑‑93
percent. That has to be remembered when
we discuss the closing of hospital beds.
If you look back to Quality Health for
Manitobans: The Action Plan, the plan
set out in the spring of 1992, there was basically universal support, although
honourable members opposite set out on a path immediately. Even though they gave verbal support for the
plan, they immediately began to be critical of each and every move in
furtherance of the plan. That is
something that needs to be brought forward, exposed. That is something that the members of the
public need to understand, just precisely what honourable members opposite have
been doing.
They need to understand that there has
not been just a closure of beds, there has been a redirection of funding from
acute to nonacute care. I refer, for
example, to 60 personal care beds established at Concordia general
hospital. That is 60.
Let us do a running total as I discuss
these. I think the honourable member
referred to some 240 bed cuts at acute care centres in Winnipeg, so we will
write 240 down at the top of my piece of paper here. Then we will write down Concordia general
hospital, 60 personal home care beds; and Deer Lodge Centre 44 chronic and long‑term
beds. Then there have been 23 long‑term
care transitional beds at Riverview Hospital, so that is 23 more there. Then when you include the 120 beds at
Kildonan personal care home, and we will add another 120 for River East‑‑I
am speaking of Winnipeg only at this time.
I do not know if I have forgotten any
beds we have opened up, but I am going to add up the ones that we have. I see the honourable member for Rossmere (Mr.
Schellenberg) is here and was a witness at the opening of some of these
personal care home beds, so I am not alone in drawing attention to these. So the 240 beds that the honourable member
has referred to as having been cut, if that is indeed the correct number, have
been replaced or there has been a redirection to the extent, if my arithmetic
is correct, to 367 beds opened versus the closed beds.
It sounds like more. I am not sure if the honourable member has
included all of the closed beds in his questions, so I want to be careful about
that. Basically the point I am trying to
make is that you have to count the beds open in the same equation, and then you
also have to remember length‑of‑stay changes. You also have to remember home care increased
by 93 percent over the last six years, and it is important to note that.
When we talk about length of stay, let
us remember that things like ophthalmology, in previous times, meant a hospital
stay of some significant length. Today
it can mean almost immediate release after a cataract operation. So when we add up the 367 newly opened beds
and put them beside those closed beds, it puts a slightly different emphasis on
the discussion. Let us remember that 360
new long‑term beds require people to look after those residents in those
beds. In personal care I think the ratio
is about one to one, so we are talking significant job creation in the community
to replace those acute care beds closed.
This is something that needs to be
stressed, I think, over and over again, Madam Chairperson, because if you
listened only to the honourable member, you would be left with the impression
that the only thing that happened was that beds were closed. I am here to acknowledge that beds have been
closed. That is a fact. That is something that has been planned, and
it is something that there has been support for. I think the only issue is, are you doing a
good enough job in the community? We are
able to show that we are doing a job in the community that we believe offsets
the changes in our acute care centres.
There is a problem here that maybe the
honourable member can help us with because he has connections in the union
movement that I do not have. I meet with
representatives of organized labour. I
work with them as closely as I can. I
try to‑‑[interjection] I meet with them, I work with them, I
try. I bend significant efforts to work
with organized labour and their members, and the honourable member is saying it
will be a frosty Friday or some such expression to suggest that I work with
them.
Well, I do work with them. I do not claim their support because I will
not go in lock step with them. I will
not be their mouthpiece as honourable members opposite will be. I will be the mouthpiece of the people of
Manitoba. I speak for the people of
Manitoba. I do not speak exclusively for
the union bosses in this province as the honourable member for Kildonan does. That is why I can only claim to work as
closely as I can with organized labour and their members in Manitoba to try to
preserve the best of what we have in our health care system and to promote
improvements in our health care system.
Sometimes union bosses have an agenda
that is a little different from mine or that has a different emphasis to
it. I understand the role of union
leadership and that is to represent labour, to represent workers either in our
health system or whatever system they are employed in. I respect their role. I know what they are there to do and why they
have to do it, but that should not include misleading the public. The public ought not to be misled into
thinking that hospital bed closures is the only game in town, because it is
not. There are a whole lot of other
things going on.
The other part of the question the
honourable member raises, and I will go back to that in a minute, but when I
raised the issue of the union bosses‑‑
Mr. Steve
Ashton (Thompson): I hear you
used to be a member, Jim.
Mr.
McCrae: The member for Thompson points
out I used to be a union member, and he is absolutely right. I was a card‑carrying member of the
Manitoba Government Employees' Union, and at that time the Leader of the Opposition
(Mr. Doer) was my union boss. The only
thing different about me and the member for Concordia is that when I entered
this House I put the needs of the people ahead of everything else. The member for Concordia‑‑[interjection]
I did sign it. I signed my membership
card in the MGEU because if the opportunity arose I wanted to have a say. They were taking my money anyway, so I wanted
to have a say on how my money was being spent.
There are issues right here in the
Contemporary Manitoba about how peoples' union dollars are being used,
too. We may even get into that. For example, I do not know what some of these
union bosses' wages are. I do not know
what their salaries and benefits are, some of those things. As I say, I met this morning with Peter
Olfert and representatives of some other unions, and I do not know if the
honourable member for Kildonan (Mr. Chomiak) also met with any of those people
or heard from any of those people after our meeting today. It is possible that could have happened. In any event, I say to the honourable member
that all of these 367 beds that I referred to and the employment that
generates, I do not know if it generates employment for all of these places; I
do not know if they are all union shops or not.
Now that may have an impact too,
because we need the assistance of the unions with this shift that is going
on. We are creating the jobs outside the
acute care places, and we need the unions' co‑operation in helping us
place people who could otherwise be displaced without that help from the unions
and from people like the honourable member for Kildonan.
* (1500)
So I look for support. Rather than always talking about cuts and
trying to disrupt, I would appreciate it if the honourable member would go by
his party's direction, which was basically to support health reform, and
basically to support health reform as laid out in the plan put forward by my
predecessor in the spring of 1992, but also to help real people who are facing
difficult times in their lives by job displacement because of shifts in
emphasis in health care. Help us to deal
with those shops that may not be all union shops. Help us to make that transition from acute
care employment to employment in community care, either long term or elsewhere.
Help us with those things. If you want to argue about closed hospital
beds, do that, but at least round out the whole equation and provide a service
which you can do, honourable members opposite can do, unless all they do is
take orders from the unions. Maybe they
listen and talk too, and maybe the unions will take a little leadership from
the New Democrats. Now I know there is
an organic fusion between the New Democrats and the union movement. That is what Professor Alan Mills said, there
is an organic fusion between the NDP and the union movement. Well, why do we not use that fusion in a
constructive way? That fusion could be
used to help real people who need help out there in the job market.
I think organic fusion means there is
a close kind of relationship. This is
what Professor Allen Mills said. In
spite of that fusion that exists, even that gets tested from time to time.
I know that in Ontario they tried to
build a social contract, and as part of that‑‑we have a New
Democratic government in Ontario, and they tried to build a social contract
with the union movement in Ontario.
Michael Decter used to work here in Manitoba. Michael Decter was the clerk of the Executive
Council, the highest office of the civil service here in Manitoba under the
Pawley government. The member for
Kildonan sat around that table with Michael Decter and the member for Brandon
East and the member for Dauphin, the member for Flin Flon and maybe a few
others as well, sat around the table cheek by jowl, belly to belly, nose to
nose with Michael Decter, and they became very close associates.
In any event, after the Pawley
government left office in 1988, Mr. Decter went to work subsequently for the
Ontario government, ended up being Deputy Minister of Health. For a time he headed up the effort to build
this social contract with the union movement, and all accounts seemed to
demonstrate that that whole experiment failed.
In fact, they carry signs in Ontario that says: Decter is a four‑letter word. That is according to the news coming out of
Ontario.
It is different‑‑New
Democrats seem to conduct themselves differently when in opposition than when
they are in government, because all I do ask honourable members opposite and
some of their union friends is to look to the other New Democratic
provinces. Do not stop there. Look to the Conservative province of Alberta
and the Liberal provinces of the remaining provinces to see what is happening in
the health care sector and every other sector.
There is a restructuring going on worldwide, industrially, commercially,
politically, and that includes the health care systems of many, many countries.
I do ask, plead even, for the support
of honourable members opposite, speak with their union boss friends because
those people can be helpful. I have had
very constructive discussions with them, and yet in fact they do not even sound
as menacing as the honourable member for Kildonan. So they do not have to overstate their case
to the unions. Let the unions state
their own cases. Why do the New
Democrats not just speak for the people who elected them? That would be a good idea in my view, because
the people who elected them would say:
Work with the government, criticize them when they make mistakes, give
them credit where credit is due, and give them a good kick when they need that
too. I think that is what the people of
Manitoba would say, and I am prepared to accept and acknowledge when my
mistakes have been brought to my attention.
I do not know when‑‑I
think, for example, the member for Brandon East (Mr. Leonard Evans), and I
think he has been in opposition for six years now. The last time he said something positive that
is on the record was when he and his colleagues were in government. That is the last time. Check it out.
You will not find anything positive that the member for Brandon East has
said. That is unfortunate, but that is
the way it works. [interjection] You want me to finish?
The honourable member for Kildonan
(Mr. Chomiak) wants me to finish, but just before I do, the other issue here,
is the issue of restructuring. I do not
know where the honourable member stood on the issue of ophthalmology, for
example, and centres of excellence, but we can see that by consolidating
ophthalmological services to Misericordia Hospital, we have been able to
improve service vastly to Manitobans, such that when they talk about the
private clinics, the private cataract or ophthalmological clinics, my response
to that is, we are not terribly worried because we think even our public system
is able to compete successfully with those private operators. It does not mean they are bad. It just means that we are doing a much better
job through a consolidated and restructured ophthalmological unit at
Misericordia Hospital.
So we are looking also at other
disciplines. We are looking at tertiary
care through Bell‑Wade and having discussions there. We are looking at secondary care as
well. There are a number of things yet
to be done, and we simply look for support from the honourable member. I guess it is asking too much to ask him to
be reasonable, but, you know, do not overstate the case of those with whom you
are organically fused because‑‑
An
Honourable Member: Why?
Mr.
McCrae: Do not overstate their
case. They do a pretty good job stating
their own case, and let not that fusion confuse you into thinking that you have
to yell louder even than the union bosses.
Mr.
Chomiak: Madam Chairperson, the minister
is clearly following the route of his predecessor by attempting to blame, by
attempting to hide behind the facts. I
had occasion to speak recently with several groups who met with the minister,
who said to me, why does the minister say one thing to us and another thing
somewhere else and another thing publicly?
I will not imply what they were saying
about the minister's technique, but they said at least the previous minister
was consistent in what he said. He did
not say one thing to one group and one thing to another group to garner favour
with them. At least the previous
minister did as much. That is at least
two groups who have met with that minister recently. Therein lies the tale because the present
minister is so caught up in his defensive maneuvers, because the present
minister is so caught up in trying to cover up for the mistakes.
Madam Chairperson, it is not members
on this side of the House who are sitting on three‑quarters of a million
dollars giving it to their American consultant.
It is members opposite who are going to give the hard‑earned tax dollars
of the Manitoba public more to their American consultant.
It is not members on this side of the
House who said, 1,500 more positions would be lost at St. Boniface, at Health
Sciences Centre. It is not members on
this side of the House; it is the government's own targets. It is the government's own guidelines. It is not members on this side of the House
who entered into that contract for $3.9 million plus $800,000 expenses. We gave them the opportunity, in fact, many
opportunities to get out of that contract, but they did not. It is not members on this side of the House
that gave the deputy minister an increase in salary while laying off nurses and
telling people they were not needed in the system.
* (1510)
It is not members on this side of the
House who did that, it is members opposite who will not take responsibility and
who attempt to deflect it and who attempt to categorize it and to say that any
criticism‑‑and I understand why the minister is so sensitive to the
criticism. I understand the health
reform undertaken by this government is in shambles. Everyone in the province of Manitoba knows
that this government has botched health reform miserably, Madam Chairperson,
miserably.
No matter how much the present
minister or the former minister will chant on with their rhetoric, the truth is
known by Manitobans. The truth is known
about January '93, St. Boniface closes 115 beds; St. Boniface cuts 140
positions April '93; Misericordia confirms 57 positions April '93; St. Boniface
announces another 39 hospitals, 230 beds April 30; May 18, Brandon General
Hospital announces 20 permanent positions; June 15, '93, St. Boniface lays off
148 nurses; all LPNs lose their jobs at St. Boniface; July '93, Grace General
Hospital closes 20 of their psych beds; July 30, '93, Grace announces it plans
to close its 25‑bed gynecology ward, and on and on and on.
That does not even deal‑‑on
top of that, they have the audacity, the former minister, to cut people off
home care, to force people off home care, to make people pay user fees for home
care equipment, to make people pay user fees for ostomy supplies. In the midst of it all, the saviour comes in
from the United States to Americanize the system, to make it like friends
opposite want.
How do friends opposite want it? They want to privatize major aspects of our
public health care system. There is no
question that is the goal, the end goal of members opposite, to cut back the
public system and to privatize. We know
because we see examples going on all over the system.
Mr.
McCrae: Patients like it and the NDP
hate it.
Mr.
Chomiak: The minister says patients like
it and we hate it. I like that comment
of the minister's.
You know, it is funny, Madam Chairperson,
how sensitive the minister is in defending this particular contract. The study is not completed, but it is
completed in his mind. Now he will not
do that with any of their other studies, Bell‑Wade, Frank Manning, they
are all on the shelf; oh, we are considering those. But when he is sensitive about privatizing to
We Care, no, the minister is defending it left, right and centre, going across
the province touting We Care when in fact the contract was not tendered.
In fact, it is not completed, but the
minister is saying the patients like it.
Of course, patients are going to like it when you have dismantled the
system, when you have dismantled home care and you have made it difficult. When you have done nothing to improve home
care to allow people to get access to that service, of course, people are going
to say yes.
Mr.
McCrae: Tell us about self‑managed
care.
Mr.
Chomiak: The minister says, tell us about
self‑managed care as he goes on and on.
He has had his study for almost a year now calling for expanding self‑managed
care. They are waiting. I know what they are waiting for. They are waiting for some announcement. They are going to try to give big PR. The minister will get in front of the pool
lights and make another announcement to try to show somehow that they are
improving the system, and they are going to expand self‑managed care
another 30 in Winnipeg, another 30 in rural Manitoba, another 30 in northern
Manitoba. Everyone knows that, Madam
Chairperson. Everyone knows what is
coming, and everyone welcomes an expanded self‑managed care.
After they have studied the heck out
of it for year, after year, after year, this is going to be their big
initiative because I know how the minister operates. He takes something and he runs with it, and
he uses that as a front to say we are doing something in some areas.
He ran with the drunk driving
initiative in the Department of Justice for years. That was the only initiative undertaken in
that department, and every time the minister stands up he says, well, we have
the toughest drunk driving legislation.
Of course, we have. The minister
kept on and on and on because there were no other initiatives undertaken in the
department and the present minister, of course, is suffering, as a result of
that, from the backlog and the difficulties by the previous minister.
To return to the point, the minister
takes a few symbolic gestures, and the minister attempts to show that is
somehow moving us in the area of reform, Madam Chairperson.
I did not intend to go this long, but
the minister went on his usual 20‑25 minute dissertation slamming union
bosses and going all around attempting to criticize everyone except accepting
responsibility for the actions of the department, except accepting the
responsibility and saying, yes, perhaps we made a mistake here, perhaps we made
a mistake there. No, the minister does
not do that because the best defence for the minister is an offence. You simply attack and attack and attack. Blame the union bosses. Blame the opposition.
It is not us who put your health care
reform in the tatters it is. It is the
minister, or the predecessor. It is that
entire cabinet who sat around and said let us hack and slash here. Let us cut money from the Home Care program. Let us make people pay for user fees. Let us give Connie Curran her runaway
money. That is who did it. It was not members of this side of the House
who suggested that.
So the minister ought not to go on
lecturing in terms of what we should be saying and doing. We are doing our job on behalf of the people
of Manitoba, trying to somehow get this health care system back to something
that people believe in, trying to get a health care system people have faith in,
trying to get a health care system where, when you go knocking on someone's
door, you do not fear for their health or fear for the well‑being of
their parents or their loved ones.
Because what your initiatives have
done in the health care field, Madam Chairperson, is raised fear and caused doubt
and caused‑‑[interjection] The member for Pembina (Mr. Orchard)
says, that is silly. The minister still
has not received the message. That is
the sad part. Members on that side of
the House have still not heard the message.
Yes, they had the minister doing ads
in a nice sweater during the last by‑election, but, no, they simply did
not acknowledge or recognize the serious errors that were made in the health
care system, their lack of consultation, the blunders that they had entered
into, the bad contracts, the bad sense of priorities, and now the minister is
trying to put a face, trying to change the tone and somehow blame the
opposition.
If the minister is seeking to blame
the mess on all of us, let him do that, but he does a disservice to both the
opposition and to the province of Manitoba by only seeking to blame.
My question to the minister‑‑if
the minister could outline for us what the status is of the central purchasing
plan that was undertaken by Miss Connie Curran, et al?
Mr.
McCrae: Some of the things the
honourable member says, Madam Chairperson, would have you believe that his
alternative, there being none other put forward, is that we keep people in
hospitals, that we make hotels out of our hospitals and staff them as if they
were hospitals, but they have well people in them or people who are well enough
to be looked after somewhere else, keep them in hospital anyway.
The member asked about central
processing. We are working together with
all of the hospitals in Winnipeg to make every effort to streamline that
process and make it efficient, always remembering that the patient is the one
that we want to look after, and if we do everything with the focus on the
patient instead of the focus on maybe some model of the way we used to do
things, if we put the patient first we will make improvements, and that is
where we are at.
Ms. Avis
Gray (Crescentwood): Madam
Chairperson, I am wondering if the minister could indicate when we might be
able to get a list of the grants to the external agencies so that we have an
opportunity to review them before we ask questions.
Mr.
McCrae: For purposes of planning we will
make that available tomorrow for the honourable member, and she could ask her
questions after that time.
* (1520)
Ms. Gray: Madam Chairperson, I am wondering, in the
area of salaries and employee benefits, if the minister, if there is a salary
indication of merit increments, et cetera, for those senior management who are
not part of the union, and if the minister would be prepared to share that with
us.
Mr.
McCrae: As the honourable member knows,
the salaries of all civil servants is public information, and senior management
of departments is also public information.
It is not all set out in a nice list in contemplation of the honourable
member's question, but I am told that we can make that information available
for the honourable member. I point out
to the honourable member that every employee in the civil service is appointed
within a salary range. The honourable
member has a background like I do in the civil service, so understands how
there are classifications and steps within those classifications.
Just for the honourable member's
benefit and, maybe even more significantly, for the benefit of the honourable
member for Kildonan (Mr. Chomiak), when he suggests that people's salary should
be rolled back, he is suggesting that 106 clerks in the Department of Health's
salary be rolled back, because 106 people‑‑
Point of Order
Mr.
Chomiak: I have never ever suggested that
all the clerks' salaries be rolled back, only the deputy minister's salary.
Madam
Chairperson: Order,
please. The honourable member for
Kildonan does not have a point of order.
It is clearly a dispute over the facts.
* * *
Mr.
McCrae: I do not think it is fair to
discriminate against the Deputy Minister of Health. I do not think discrimination like that is
appropriate, for whatever reason. The
honourable member wants to discriminate against one individual, the Deputy
Minister of Health, when there are 106 clerks in the Department of Health in
exactly the same position in terms‑‑
Madam
Chairperson: Order,
please. The honourable member for
Crescentwood (Ms. Gray) posed a question, and the honourable Minister of Health
is attempting to respond to that question.
Mr.
McCrae: Madam Chairperson, I did say to
the honourable member that the information she seeks will be put together for
her and made available for her, but the question does beg the question about
discrimination against one individual, like the honourable member for Kildonan
is perpetrating.
It is not fair to suggest that one
person ought to be singled out when a treatment is identical for that person as
with everyone else simply because that person is prominent by virtue of being a
deputy minister, after working many, many years in the Department of Health,
and working his way to that position. It
is not fair, I suggest, that the honourable member‑‑I mean, what he
has done is said, we will pick and choose who we do not like; we will make sure
that their salaries are rolled back; and if we do not like them enough, maybe
ultimately they will quit or some such thing like that. Now that is the kind of governing which this
country, I thought, put behind us years ago.
The fair and logical extension of the
honourable member's position is that he would roll back the wages of 106
clerks, union people who are paid in precisely the same manner as out‑of‑scope
people like deputy ministers. Forty‑three
secretaries would not get their increments if the honourable member had his
way, because I can tell you, if we are going to adopt that policy‑‑and
we will check with the unions and see if they think that is the right approach
as put forward by the member for Kildonan.
After all, it is his idea that we roll
back the wages of 106 clerks. It is the
honourable member's idea that we roll back the wages of 43 secretaries. The honourable member for Kildonan wants us
to roll back the wages of 65 service workers, and this is just in the Department
of Health. The member wants us to roll
back the wages of seven cooks. The
member for Kildonan wants us to roll back‑‑the Health critic for
the New Democratic Party and the New Democratic Party and his Leader and
everybody over there want us to roll back the wages of 24 laboratory
technologists. They want us to roll back
the wages of 61 nurses.
When it comes to case co‑ordinators,
public health nurses, mental health workers and resource co‑ordinators,
the honourable member and his colleagues want us to roll back the wages of 243
people. It this is their position, this
is the position that we will be asking the unions whether they agree with the
member for Kildonan that we should roll back the wages of nine home economists.
Should we really be rolling back the
wages of two audiologists; 16 medical officers; one occupational therapist;
three psychologists; one pharmacists; two scientists; three dietitians; eight
planning analysts? The honourable member
wants us to roll back also the wages of four consultants; 12 administrative
officers. [interjection] Yes, the honourable member has just confirmed that he
wants us to roll back these wages. He
wants us to roll back the wages of 12 administrative officers. The New Democrats in Manitoba want us to roll
back the wages of 11 finance officers and three keypunch operators.
You see, Madam Chairperson, these
people are people too. They earned their
increments. They are in a salary scale
and have not reached the top yet. You
see, if they had reached the top of their scales, they would not get any
further raises, but if you have not reached the top, you get these increments
in the civil service. The honourable
member wants that stopped certainly for the deputy minister. But if he is a fair man and somebody who does
not discriminate against just one person, then his policy has it that 15
computer operators and programmers would have their wages rolled back.
Remember, Madam Chairperson, this is
only in the Department of Health. You
have to extend this argument that he makes beyond the Department of Health to
all the civil servants in Manitoba, all the people who work under collective
agreements in the public sector, all the teachers‑‑[interjection]
Was he a civil servant too? Oh, sure, he
used to work as a political person in one of the minister's offices, the member
for Kildonan.
(Mr. Ben Sveinson, Acting Chairperson,
in the Chair)
The member for Kildonan wants us to
roll back the salaries of four equipment technicians, 13 activity
instructors. You know these activity
instructors, they do valuable work, and the honourable member wants to roll
their salaries back without any regard whatever for their contribution to the
health of their fellow Manitobans. He
wants to roll back the wages of five professional officers, four directors‑‑well,
now, maybe this is not so bad‑‑three assistant deputy
ministers. I guess the higher you go in
the hierarchy, the more of a target you are going to be for the honourable
member for Kildonan and his friends opposite, who did not mind at all loading
on the benefits and the salaries for senior people in Crown corporations and
perhaps in the government too when they were in office. They did not mind at all probably putting in
a good word for Michael Decter before he went off to Ontario to get his
$140,000 salary and $102,000 in benefits.
What about their dear, dear friend
Mark Eliesen? What has he been doing
lately? The New Democrats' dear, dear
friend Mark Eliesen is pulling off a salary in B.C. of $195,000‑‑if
he has not been fired by now‑‑and a bonus of $58,000. That is all defensible, but, oh, no, do not
work within a scale subject to all the rules of the Civil Service Commission
and pay a deputy minister a certain level in Manitoba and make sure he is
treated like other civil servants that he presides over.
Of course, the last one, and this is
the one out of the 716 people the honourable member would have us believe,
there is only one in that list whose salary he would roll back. Why does he want to do that? Symbolism.
Well, I can hark back to the symbolism of other leaders in this world of
ours in the past and what symbolism did and how symbolism resulted in a change
to our world. I say to the honourable
member that he gets himself onto a pretty slippery slope when he tries to play
around with a little bit of symbolism at the expense of one individual.
* (1530)
The honourable member wants me to talk
to them; I did talk to them. I spent two
hours talking to them on an open‑line radio show last week, and when it
became clear, the hypocrisy of the New Democratic Party, the questions reverted
to other things like diets in old folks homes, about the way we run our
hospitals, and support for health care reform initiatives going on in
Manitoba. The honourable member probably
monitored that program and knows as well as I what the public is saying and
what they are saying about the approach of the New Democratic Party to anything
resembling a nonhypocritical way to deliver services.
So much for the merit program. That goes by the boards. Well, that is maybe kind of typical of the
New Democratic Party, where there is no merit in the first place; if they had
any, they would not want to reward it anyway, and that is why they do not have
merit in the New Democratic Party.
I still wonder what the honourable
member's colleagues in the union movement think of his proposal to roll back
everybody's merit increases or not to give them next year, but if the whole
idea of keeping people in hospital when they do not need to be there, which is
the policy of the New Democratic Party, I am sorry, I disagree with it. I think that in order for me to disagree
appropriately with it, we do have to put in place appropriate supports in the
community.
I have tried to go over some of those
supports that we have put in. I think
the honourable member has forgotten altogether that this is not 20‑25
years ago. You do not stay in hospital
for a week for eye surgery anymore; it is usually done, and you go home on the
same day, but the honourable member forgets about that. If he had his way, we would have all this
capacity in our hotels, we would not need to have a Home Care program, we would
not need to have personal care, but we would have a lot of hospitals doubling
as hotels in our province, and that is not appropriate. That is not the proper way to use our
hospitals.
They are $800 a day in some of them,
$500 or $600 in others, and that is an inappropriate use of scarce
dollars. The honourable member is not in
government, so he does not have to respect that, but certainly when he and his
colleagues were in government in 1987, the first, and I will put this in
quotation marks, "health care reform" was in Brandon General Hospital
where they, without any regard for any supports in the community, lopped off 42
beds in our hospital in Brandon.
I will tell you, the people in Brandon
were not very happy, especially when the member for Brandon East (Mr. Leonard
Evans), who represents the east end of town, went off and hid. The honourable member for Brandon East, when
his colleagues were busy hacking and slashing and closing beds at Brandon
General Hospital and calling it health care reform, where was the member for
Brandon East? Hiding somewhere.
How come we do not hear any comment
from the member for Kildonan when we know that 5,000 beds have closed in
Ontario? Who closed them? Michael Decter. Who is Michael Decter and, more to the point,
where is he now? Well, the member for
Kildonan mentioned Connie Curran as he heckled from his seat. Well, Michael Decter is now the chief
executive officer for the APM company, Connie Curran's company here in Canada.
Let us not get any further in this
debate until we uncover the crass hypocrisy of the New Democratic Party and the
honourable member for Kildonan.
Ms. Gray: I have another question that relates to the
overtime line under Executive Support, 28.7.
If the minister could tell us who actually is racking up the overtime
hours, is it professional/technical staff, or what is generally the breakdown?
Mr.
McCrae: I know the honourable member
will not sympathize, but I am putting in the overtime and I do not put in for
it. But we will check and for those who
are getting paid for it, we will make the honourable member aware of that.
Within the office of the deputy
minister, there is an overtime amount.
During the time of‑‑well, the Health department is hard
enough to run, but we are in a transformation mode, and there have been
significantly higher levels of work to be done in the deputy's office.
Although the amount is similar to what
it was last year, it is still at fairly high levels of overtime, and that is to
take account of various initiatives that the deputy's office is involved
in. In terms of specific information, I
will make that available to the honourable member.
Ms. Gray: Could the minister also perhaps get the
information, if 28.7 is the amount of dollars that are paid out in overtime, what
the actual total amount of dollars is, in other words, overtime hours which are
not paid out but in fact are used as time off in lieu of.
Mr.
McCrae: We will obtain that information.
Mr.
Chomiak: I would think that a
considerable amount of that overtime might be bought up by the photocopying of
articles for the minister from Ontario and other jurisdictions that have
absolutely no relevance to proceedings in this Chamber.
Point of Order
Mr.
McCrae: I would like to point out that
any information I have about Michael Decter has not been photocopied in my
office.
The
Acting Chairperson (Mr. Sveinson):
The honourable minister did not have a point of order.
* * *
Mr.
Chomiak: The member for Pembina (Mr. Orchard)
said that he did the photocopying, and that would not surprise me. I mean, that would not surprise me, to see
them all huddled around the photocopy machine‑‑all huddled‑‑while
the public, while the health care system ticks along and is partially in the
state of disrepair as a result of the policies initiated by the previous
minister and carried on by the present minister. It would not surprise me to see all of the
members huddled around a photocopy machine photocopying the articles.
It is a pity that we have to spend as
much time as we do with the minister going off on tangents, referring to
matters that have absolutely no relevance to this discussion. Perhaps I feed into this by responding to the
minister. I prefer not to, but the
minister simply goes on and on and on, irrelevant factors, trying to justify
many of the decisions.
Mr. Acting Chairperson, the minister
gave probably the most complete answer he has given in this entire Estimates
process to the question that was not even asked when he started going through
the list of employees in the department and indicating somehow saying what our
position is. That is the problem, the
trap the minister falls into, because the minister likes to accuse. He did that very well when he was in opposition. He likes to accuse and attack, but cannot
defend his own position. The minister
only attacks and accuses and does not deal with the issue.
The minister would have a tough time
explaining to people in my constituency how the salary for the deputy minister
can increase by more than 10 percent in several years while people are asked to
take such massive cuts. Whether the
minister likes it or not, symbolically it is a very difficult issue for
Manitobans to understand. I understand
the minister's sensitivity. I am sure I
understand his sensitivity, because symbolically it is a major problem, and the
minister cannot deal with it.
* (1540)
The minister seeks to hide around, and
the minister says, one individual. The
fact remains that out of this particular branch is formed the whole strategy
and the whole emphasis on health reform.
That is why it is important.
Because out of here is launched the health reform initiative, out of
here is the strategy behind the health reform initiative, out of this
particular appropriation is where the direction comes, and it says here: strategic direction in policy development,
program determination and administration.
Provides for the development and implementation of health system
renewal. Develops strategies for the
development of healthy public policy, policy development in key areas. Provide leadership to senior executive and
management personnel.
It is significant. It is important to the people of Manitoba that
they know and they understand what has happened, Mr. Acting Chairperson, and it
is unfortunate that the minister does not accept that this is a major
difficulty. It is a pity the minister
does not understand that this is a problem as perceived by the public of
Manitoba, but nothing I say or do will convince the minister otherwise, since
he has got his own agenda with respect to defending this particular matter.
Mr.
McCrae: Well, as I was saying, Mr.
Acting Chairperson, the honourable member has given us his views of the merit
principle and how it has no place in the civil service, and the merit principle
has no place anywhere else in there in his view. I am afraid I just disagree‑‑I am
not afraid. I disagree with that. I am proud of the fact that I disagree with
that.
There has got to be some reward for
people who do a good job. In the civil
service we often do not even call them merit increases, we call them
increments, which happens to you in the civil service as you near the top of
your classification. Sometimes there is
another classification that you can go to, but ultimately, if you are around in
a particular position long enough, you reach the top of your level, and your
salary does not go higher unless there is a reclassification process, which is
supervised by the Civil Service Commission.
I just want the honourable members to
have a bit of an overview of where all of this discussion is taking us. Here we are, because the honourable member
for Kildonan (Mr. Chomiak) raised it, spending an inordinate amount of time on
one particular person, one particular salary and so on, when really what has
been happening in Manitoba has been a phased approach to a reformed health
system which is taking longer than it has taken in other provinces but will
achieve the same result.
The reason we can afford to take a
little longer with this and use the phased approach and try to cushion impacts
is because we started earlier than most provinces and because we started with a
plan. Other provinces came along, and
with the stroke of a pen, reduced the number of hospital districts, for
example, in Saskatchewan from something like around 400 hospital districts to
about 30, at the stroke of a pen, literally, through the passage of
legislation. This happened in other
provinces, too, a very, very quick process. [interjection] The honourable
member for Kildonan wants to talk. He
does not want to listen so I will sit down and listen.
Mr.
Chomiak: Mr. Acting Chairperson, as I
indicated to the minister, I can read this particular speech in the Hansard
because the minister has delivered it on two or three separate occasions. I can simply read all of the comments that
the minister is putting in the record with regard to this, because the minister
has made it over and over again. Unless
the minister has new information he wishes to bring to this committee, we
should probably move on.
The
Acting Chairperson (Mr. Sveinson):
Item 1.(b)(1) Salaries and Employee Benefits $608,600‑‑pass.
1.(b)(2) Other Expenditures $163,600.
Ms. Gray: Mr. Acting Chairperson, just a couple of
questions under Other Expenditures. The
Communications, 37.6, could the minister indicate what dollars are spent in
that line?
Mr.
McCrae: That line refers to costs from
the office of the deputy minister; telephone costs budgeted to reduce from
$30,000 budgeted last year to $26,700 this year. Postage costs are expected to be the same at
$7,400, and courier expenses are expected to be at about the same at $3,500.
Ms. Gray: Can the minister tell us where the
advertising dollars come out of, for instance, the current program against
cigarettes and smuggling, or does it come out of specific lines of the
department?
Mr.
McCrae: The officials tell me that the
Department of Health is not financing those, but the Department of Finance is.
Ms. Gray: The Other Operating line, 52, could the
minister give us a basic breakdown of what the $52,000 are used for?
Mr.
McCrae: The $52,000 under Other
Operating, Mr. Acting Chairperson, is the same as last year. It accounts for hotels, meals, insurance,
publications and other which is not broken down further in the documents that I
have in front of me‑‑hotels $6,300; meals $15,100; insurance $500;
publications $4,100; other $26,000.
The Acting
Chairperson (Mr. Sveinson): Item
1.(b)(2) Other Expenditures $163,600‑‑pass.
1.(c) Evaluation and Audit Secretariat
(1) Salaries and Employee Benefits $340,200.
Mr.
Chomiak: Mr. Acting Chairperson, the
nursing five‑year resource plan, would it be under this particular
appropriation, or would it be under some other appropriation?
Mr.
McCrae: It is not under this
appropriation, but we can talk about it if the honourable member wishes.
Mr.
Chomiak: I will move it to the
appropriate appropriation just for purposes of expediency.
The other question that I have with
regard to this appropriation is, what is the status of the legislation as it
affects dental nurses?
* (1550)
Mr.
McCrae: Mr. Acting Chairperson, with
respect to dental nurses and the services they provide working with other
members of the dental profession in Manitoba, certainly dental nurses'
contribution to the overall dental health of Manitobans is and has been
significant for Manitobans.
With respect to professional issues
between dental nurses and other nursing professionals and other professionals,
there remain issues that are the subject of ongoing discussion, perhaps
sometimes debate, too. Because of this,
and not only in this area, but many other areas as well, we have had and seen
over the years of proliferation, of professional organizations in Manitoba and
other provinces as well. It raised
enough issues for government in Manitoba to prompt the government to ask the
Law Reform Commission of Manitoba to do some work on this subject.
Now the honourable member may recall,
this Law Reform Commission is a commission that was revived by our government
shortly after we took office in 1988.
This project that the Law Reform Commission is working on is, I am told,
the biggest project it has ever been involved with because of that
proliferation of professions in Manitoba.
I am glad we did not allow the Law
Reform Commission to die, which was about to happen to it had we not moved back
in 1988 to restore to it its independence and its very existence. Before I took office as Attorney General, the
previous Attorney Generals were in the process of winding down the Law Reform
Commission. I think they were winding it
down. In fact, they replaced‑‑
Point of Order
Mr.
Chomiak: Mr. Acting Chairperson, I
believe that the minister is to confine his responses at least to his own
department. The minister is trying to
play cheap politics by justifying and dealing with decisions that occurred in a
previous department. If the minister would
answer the question, we could perhaps get on for the benefit of the public of
Manitoba, rather than have the minister play his political games by rehashing
and giving of history when he was Justice minister, perhaps when he was‑‑
The Acting
Chairperson (Mr. Sveinson):
Order, please. I would encourage
all members sitting here today to try to stick to the lines in the department
at hand. At this point, though, the
honourable member does not have a point of order.
* * *
Mr.
McCrae: Well, I certainly agree with
you, Mr. Acting Chairperson, and I do not propose to break any rules, certainly
not on purpose anyway.
What I am talking about, the Law
Reform Commission, is indeed very relevant to the issue raised by the
honourable member. I would not be
talking about this if the honourable member had not raised the question. It is very relevant that we have a Law Reform
Commission to help us sort out all these things.
Now unlike the honourable Minister of
Energy and Mines (Mr. Orchard) who probably misses the honourable member for
Kildonan a lot, I do not have that problem because he was my critic before when
I was in the Justice department, and now he is still my critic. I just cannot seem to shake him off, Mr.
Acting Chairperson.
Some
Honourable Members: Oh, oh.
The
Acting Chairperson (Mr. Sveinson):
Order, please. I am having
trouble hearing the comments of the honourable minister.
Mr.
McCrae: Just to make sure there is no
doubt about the relevance of the services provided by the Law Reform Commission
in relation to this question about dental nurses, let me explain that if there
was no Law Reform Commission I do not know what independent agency we could
have turned this matter over to to look for advice, because many of the issues
involved in this are legal, many of them are regulatory in nature.
There are many overlapping issues
between various professionals. If the
NDP had their way and there was no Law Reform Commission, I just do not know
who we could have turned to, to seek advice on this extremely important issue
of the proliferation of professional organizations in Manitoba.
You know we went so far as to restore
the very same commissioners to the commission.
The NDP politicized the commission by turning over the commissionerships
to senior civil servants. Much as I
enjoyed working with those senior civil servants when I was Justice minister,
they were not appropriate people to head up a Law Reform Commission which, by
its very nature, should‑‑
Mr.
Chomiak: You are living in the past.
Mr.
McCrae: I am living in the future, as a
matter of fact.
Mr.
Chomiak: I support the Law Reform
Commission. I support it.
Mr.
McCrae: Okay, so the honourable member
has said he supports the Law Reform Commission.
He admits that trying to do away with it was a terrible, terrible
mistake on the part of he and his predecessors, because you see the honourable
member cannot escape responsibility totally.
He was very much bound up with that infestation of New Democrats that we‑‑
Points of Order
Mr.
Chomiak: I believe you should admonish
the minister and all members of this Chamber to try to stick to the department
in question. The minister is reliving
his tenure as Justice minister, perhaps happier days, but the point is, he is
dealing with‑‑
The
Acting Chairperson (Mr. Sveinson):
Order, please. The honourable
member does not have a point of order.
* * *
Mr.
McCrae: On a new point of order, I
wonder if you would consider admonishing the honourable member for Kildonan,
who drives me to distraction by raising so many points of order all the time.
The
Acting Chairperson (Mr. Sveinson):
The honourable minister does not have a point of order.
* * *
The
Acting Chairperson (Mr. Sveinson):
The honourable minister, to finish his comments.
Mr.
McCrae: Very briefly then, the
honourable member has admitted the failure of the previous government and
possibly the failure of any future NDP government as well by extension, so that
is not something we should be worrying about very much.
The Law Reform Commission, with
respect to the question raised about dental nurses, released a discussion paper
in November of 1993 and has requested comments from all interested groups
before March 1 of this year. The final
report and recommendations we expect will be prepared hopefully later this
year.
Those interested in professional
status or regulation for dental nurses, as well as the Manitoba Dental
Association itself, may submit comments to the Law Reform Commission. I am not sure if they have or not, but on
other issues I have been involved in discussions, and one or other of these
groups may well have done that already, made their views known to the Law
Reform Commission, so that the commission in all its deliberations and using
all of the skill that it has at its disposal, because of the excellence of the
commissioners that we restored to office back in 1988 after the New Democrats
tried to wind down that commission, I am sure they will come forward‑‑
The
Acting Chairperson (Mr. Sveinson):
Order, please. The honourable
member for Kildonan, were you up on a point of order or not?
Mr.
Chomiak: I am just anticipating finally
the end of the minister's long‑‑
* (1600)
The
Acting Chairperson (Mr. Sveinson):
Order, please. The honourable
Minister of Health to finish his comments.
Mr.
McCrae: Well, I lost my place now, Mr.
Acting Chairperson.
An
Honourable Member: When in
doubt, ask Frank.
Mr.
McCrae: I do, I do.
The
Acting Chairperson (Mr. Sveinson):
Perhaps we are ready to move on.
Mr.
McCrae: Except I lost my place and I
will finish up really quick.
The Law Reform Commission is working
on this question, and I expect that later this year they will make their report‑‑I
hope it is later this year‑‑and that will be released. Then we will have the benefit of that advice,
and we will be able to proceed further.
Until then, we encourage groups interested in dental health of Manitobans
to continue their dialogue and to continue working together, making the patient
the focus of all of their efforts. That
is my wish. I have said that to all of
the people who I have come in contact with.
The honourable member earlier accused me of being inconsistent and
saying‑‑[interjection] Oh, he said other people have accused me of
being inconsistent, and I would like other people to say that to my face.
Mr.
Chomiak: Mr. Acting Chairperson, I am
happy to hear the minister says that he is working on behalf of patients.
Can I take from the minister's long
response therefore that the government is not planning to change or amend the
regulations as it affects professionals for dental nurses, dental hygienists or
any of those other professionals pending the release of this study and/or
report from the Law Reform Commission?
Can we give assurances to the public out there that given what the
minister said, and it is fairly clear, we can expect no changes to that
legislation or the ensuing regulations pending the report of the Law Reform
Commission?
Mr.
McCrae: I am glad the honourable member
was able, after that last response of mine which I do acknowledge, Mr. Acting
Chairperson, was a little longer than you might have expected, because it was a
very important question‑‑I did not mean for it to be longer or I
did not even mean for it to be irrelevant in any way.
With regard to people involved in
dental care, the answer is no. We do not
have any legislation coming this session with respect to that area. The Law Reform Commission work is not
designed to put totally everything on hold.
There may be some already recognized, statutorily recognized groups that
may require change. I do not preclude
that, although I do not have anything else immediately in my mind at this
point. But certainly this session, the
answer would be no.
Ms. Gray: Mr. Acting Chairperson, could the minister
indicate for us what program evaluations have been conducted in the past year
by this section?
Mr.
McCrae: During 1993‑94 the evaluation
unit of our department has been very busy actually according to the note I have
in front of me.
With respect to the Mental Health
Division, there has been a base‑line survey for mental health reform for
Winnipeg. They brokered requests for proposal
for impact evaluation for mental health reform in Winnipeg. They project‑managed evaluation with
respect to the Continuing Care Division.
There was a medication administration program review. That was a data collection tool. There was work done with respect to
evaluation and monitoring of home support worker activities. There was work done with respect to Winnipeg
hospitals and personal care home waiting lists.
There was data collection and work done on methodology and analysis.
With respect to the Health Services
Development Fund, proposals come in and somebody has to assess and evaluate
those proposals based on some specific data that exists out there so that we
can make judgments about whether proposals ought to be supported. That is considering the nature of the things
we fund from that fund. This is very
important work.
There has been relevance ratings of
all proposals to Health Canada through their national Health Development
Fund. There has been analysis with
respect to health professions and employers and resources. There has been work done with respect to
patient access to medical records. Those
are the kinds of projects that we have been involved in in 1993‑94.
Ms. Gray: Mr. Acting Chairperson, could the minister
tell us, what was the result of the evaluation that was done or the report or
review on the evaluation of monitoring of home support work?
Mr.
McCrae: Mr. Acting Chairperson, with
respect to home support programs, the data developed, the data discovered as a
result of this work was simply turned over to the Home Care program. This branch, one of its functions is the
collection of data. That data was made
available to Home Care. When we get to
Home Care, we can answer specifically questions raised by the member or, depending
on how we want to run these Estimates, we can get information sooner.
Ms. Gray: Could the minister provide us with terms of
reference as to exactly what this data collection involved, some written
information on what they were looking at and what they were trying to collect?
Mr.
McCrae: Mr. Acting Chairperson, we can
supply that and will supply that for the honourable member.
Ms. Gray: The criteria for the health reform proposals,
is there a certain criteria that the evaluation and audit secretariat refers to
when they are accepting proposals and judging as to whether they would be
viable or not? I am sure there are a
number of things they would look at in terms of good proposal writing, but is
there also a set of criteria that this government has in regard to what they
consider as priorities or important for looking at accepting proposals?
* (1610)
Mr.
McCrae: I would like to just put a
couple of very brief things on the record for the honourable member. The health reform initiatives that have been
embarked on, and that will be embarked on, will be evaluated not by our
internal government branch as funded by the Health Services Development Fund,
which funds such agencies as the Centre for Health Policy and Evaluation, which
gives us I think what would be perceived as a more independent look, more
independent evaluation of things we would do.
For example, I do not think the
honourable member for Kildonan is interested in this, but the Centre for Health
Policy and Evaluation has demonstrated to me that the results of the bed
closures about which the honourable member asked‑‑he did not ask
about results, he just talked about closures.
The results we have been shown of the bed closures have been no impact
on patient care, no impact on condition of patients, no impact with respect to
readmission, no impact with respect to death after discharge from hospital.
All of those indicators, that kind of
information has been shared with me by the Centre for Health Policy and
Evaluation, which is funded from the Health Services Development Fund.
Our department itself has certain
evaluation protocols. These people are
professionals, and the work that they do is based on professional criteria, but
I think the kinds of questions the member is asking about have to do with
health reform which is being evaluated more by more independent evaluators.
Ms. Gray: Mr. Acting Chairperson, my question was not
who is evaluating proposals, because I did not understand that it was
Evaluation and Audit Secretariat. The
minister mentioned that there was an involvement of this secretariat in looking
at the health reform proposal, so I was assuming that they were involved in, or
participating in, looking at the proposals as they came in and perhaps
assisting in the determination as to which proposals would be actually funded
through health reform.
Is that correct? If that is the case, is there a set of
criteria that the secretariat uses in terms of evaluating those proposals to
decide if they should be funded?
Mr.
McCrae: Mr. Acting Chairperson, maybe it
is me doing the misunderstanding. The
honourable member is correct about that.
Ms. Gray: Is there written criteria that the
secretariat uses in terms of looking at those proposals and judging whether
they should be funded?
Mr.
McCrae: We can provide the honourable
member with the criteria used by our audit secretariat in evaluating proposals
and will do so.
Ms. Gray: Mr. Acting Chairperson, I thank the minister
for being willing to provide that information.
Could the minister tell us, the
medication administration review committee, could he give us a bit more
information as to what that committee looked at?
(Madam Chairperson in the Chair)
Mr.
McCrae: Madam Chairperson, I will give
now to the honourable member the terms of reference for the medication
management committee, and then at a subsequent occasion I will give the results
because I do not have those in front of me.
By the way, there were 12 members of
the committee, and the terms of reference were to review current issues and
practice regarding medication management and the delivery of community care for
the Home Care program.
Secondly, to review information on
practice and standards Canada‑wide and make recommendations for change in
medication management.
Thirdly, to participate in the
development of standards and protocols for the Home Care program according to
existing legislation and the provincial standard‑setting bodies. Those were the terms of reference.
Also, for the member's information,
with respect to the committee, the medication management committee was composed
of 12 members. Two of them were
physicians, three of them were nurses. We
had one more nurse than doctor on that committee. There were four from Manitoba Health and a
pharmacist and two from the Victorian Order of Nurses. That is five nurses and two physicians on
that particular committee.
Ms. Gray: Madam Chairperson, the optometrist
association, I understand, is interested in some changes to the legislation
affecting their practice. Have they met
with the minister? Could he bring us up
to date as to what his position is on their potential changes?
Mr.
McCrae: Yes, Madam Chairperson, I have
met with representatives of the optometrists.
Their issue, the one they raised with me I do not believe has been
resolved to date. Their issue is one where,
I believe, there is still a point of view to be shared. The issue is one of some parity among
ophthalmologists and optometrists, and the honourable member understands how
those issues work I think.
I have been asking the optometrists
and the others to resolve as much of those issues amongst themselves, bring
solutions to me, and I will do what is necessary by way of legislative
amendment. It is so much easier and
appropriate, for the most part, to resolve these things amicably and without
resorting to the government taking a position which ultimately appears to be
taking a side, which is one of the last things I want to do if there are other
options available to me.
To this point, I do not believe the
professionals involved have resolved all of the issues. I guess it will depend next on what the
patient needs. If we can encourage the
ophthalmologists and optometrists to work out whatever differences there are,
as I say, we can move forward. However,
I am interested in getting these things resolved, especially if their
resolution can mean improved services for the people who need eye care
services.
* (1620)
Ms. Gray: Madam Chairperson, does the minister know if
the ophthalmologists are prepared to sit down with the optometrists and look at
these issues?
Mr.
McCrae: Madam Chairperson, presently I
am not able to say. We have encouraged
both sides to get together. The
honourable member's question reminds me to check to see what the present status
is. Perhaps, an update later on in the
Estimates can be brought forward.
Madam
Chairperson: Item 1.(c)
Evaluation and Audit Secretariat (1) Salaries and Employee Benefits $340,200‑‑pass;
(2) Other Expenditures $207,500‑‑pass.
1.(d) Finance and Administration (1)
Salaries and Employee Benefits.
Mr.
Chomiak: Madam Chairperson, I am
wondering if the minister could outline what the $511,000 Communications budget
is spent on, just generally.
Mr.
McCrae: Yes, as the honourable member
points out there is $511,600 budgeted here for communication functions, which
is down about 2.4 percent I guess from last budget. The telephone bill was $96,200 for '94‑95,
down from $108,700 in '93‑94. The
postage bill is the same for each of the two fiscal years as per the budget,
$291,700; the same for public communications, $43,600; the same for courier
service at $80,100.
Mr.
Chomiak: Madam Chairperson, can the
minister indicate whether or not any of the functions undertaken by this
particular branch or this department in this appropriation are being
contemplated to be contracted out or are in the process of being contracted out
or, in fact, have been contracted out in the last little while?
Mr.
McCrae: We are talking about the payroll
function, finance, personnel administration functions. No, we do not contract any of that out. The honourable member may be suggesting maybe
we should, and maybe we could review that.
Mr.
Chomiak: The minister has a curious habit
of implying a response or a policy initiative from a question that is
asked. If the minister had carried that consistently
through, then he would have cancelled the Connie Curran contract a long time
ago, because I asked that question so often.
The minister is indicating that no
function in this area is contemplated to be contracted out or privatized in any
way, shape or form.
Mr.
McCrae: I am sorry. I think I lumped Human Resources in with this
and that is a separate area.
No, this has not been the subject of
contracting out. I mean if the
honourable member is interested in discussing that further‑‑I just want
to serve the taxpayers better. That is
all I am here to do.
Mr.
Chomiak: Madam Chairperson, don't we
all? Can the minister just name who the
two managers are by name in this particular area?
Mr.
McCrae: Tim Duprey is the assistant
deputy minister, and Susan Murphy is the director.
Ms. Gray: Madam Chairperson, under the reduction in the
line Professional/Technical, where there is an annotation about workforce
adjustment, can the minister indicate how many positions were lost through
workforce adjustment, if that is what that means when one reads the line?
Mr.
McCrae: Madam Chair, in that area where
there were once 27.42 staff years, there are now 24.42, which is a reduction of
three, one of them being a financial officer, one of them being a chief power
engineer and another being a power engineer class 5.
Ms. Gray: Madam Chairperson, the financial officer, can
the minister indicate why that position was deleted? Was there a reorganization, or‑‑why
was that position deleted, the financial officer? Was there a reorganization, or was it felt
that position was redundant? What was
the purpose for that?
Mr.
McCrae: Madam Chair, there has been a
reorganization of the department. There
has been an amalgamation or a consolidation of what used to be known as the
Manitoba Health Services Commission in Manitoba Health. No, there was a retirement involved, as well,
which assisted in making sure that there was a minimal impact on people.
Ms. Gray: Madam Chairperson, this section is the
section that deals with space for the Department of Health. I am wondering if the minister could indicate
the temporary space for staff from the St. Boniface district and the East
Kildonan district, which is now downtown.
It was there to be a temporary space, as indicated by the former
minister, and our concerns at that time were that the temporary space would end
up being permanent space.
We still have a situation where staff
who service the St. Boniface area are actually working downtown, out of their
community, as well as staff working in East Kildonan are working outside of
their community.
Can the minister give us an update on
whether there is a move to return those individuals to their communities so
they can provide the community‑based service?
* (1630)
Mr.
McCrae: These services have been
temporarily brought under this downtown route.
I think the honourable member is asking, will the field offices or
whatever be moved back out? That is
presently being examined between the Health department and the Government
Services department. It is our hope,
however, that the staff will be on the job outside a central location most of
the time, though we need, I take it, some kind of field office‑‑I
call it field office‑‑situation.
The member is talking about a place to
report to, to have you hang your hat and have a desk. I think that there might be some need for
that, but for the most part these are public health people, and their function
has them outside the office for the most part.
But the final resolution as to where they are going to be physically
located has not been resolved.
Ms. Gray: I think it has been over two years in these
temporary quarters. Is there actually
any move to move them back to their communities where not only do they have an
office to report to but I understand they provide community services as well,
such as prenatal classes, other kinds of educational programs?
Is there really a move to actually get
them back to the community, or is it at a standstill? If it is not, what possibly could we be
discussing for two years that would make us not able to make a decision?
Mr.
McCrae: I think the honourable member is
engaging me in a discussion that has to do with internal matters related to
where staff of a department are housed as opposed to service delivery to the
community. Service delivery, as I
understand it, has not been interrupted by any of this. The public health education issues that the
people are engaged in carries on and will carry on whether it has been two
years or whatever length of time it is.
It is the service to the public and proper treatment accorded to our
employees of course.
I was a little confused at the
beginning because I thought the honourable member was talking about service to
the public. Public service goes on, and
the issue whether it has been two years or however long it has been is an
internal issue to the department and to our staff. So I too, having been shunted around a little
bit in my day when I was in government, understand how it must feel. On the other hand, the clients of the service
are the ones who were not interrupted when it was happening to me, and I do not
think it is happening now either. We
have pretty fine people working for us.
I too would like to see it resolved for their purposes, but service
delivery is where I was getting confused.
I do not think there has been any interruption in service delivery.
Ms. Gray: Madam Chairperson, the reason I am asking the
question is that at the time the staff were moved downtown, there were a number
of community organizations and groups, particularly in the St. Boniface area,
who specifically wrote the former Minister of Health and expressed concern
about service delivery and less access to the health professionals. There was a commitment made at that time by
the former Minister of Health that it was an interim measure and that the
preference was that staff be housed in a particular geographical community
area. That is why I am asking the
question, so that I can get back to these groups and see if there has been any
progress.
I am just wondering, is that still the
commitment of this Minister of Health, that the staff be located in the
community of St. Boniface as opposed to downtown?
Mr.
McCrae: Madam Chairperson, yes, I am
just getting a little history on this for myself as to what commitments were
made and so on. The issue, I guess, for
me is, has there been any impairment of service delivery? If the honourable member knows of that, if
she would not mind sharing with me from the consumer's point of view any
withdrawal or reduction or impact on service delivery while we continue to
wrestle with this problem of where our staff should be located. Sometimes there is a symbolic thing here too
that may be part of it. I do not know.
I am quite prepared to look with an
open mind at where the staff physically ought to hang their hats when they go
to the office, but do they deliver their services at the office or do they
deliver their services in the community?
I am willing to be brought up to date by the honourable member on that.
Ms. Gray: Madam Chairperson, I will actually get some
more information for the minister from the member for St. Boniface (Mr. Gaudry)
who probably has an up‑to‑date status, and we will share that with
the minister. Thank you.
Madam
Chairperson: Item 1.(d)
Finance and Administration (1) Salaries and Employee Benefits $2,408,100‑‑pass;
(2) Other Expenditures $1,573,400‑‑pass.
1.(e) Human Resources (1) Salaries and
Employee Benefits $1,061,800.
* (1640)
Mr. Chomiak: Madam Chairperson, I wonder if the minister
might just table the one brief question what the targets are 1994‑95
affirmative action plan.
Mr.
McCrae: Madam Chairperson, we do not
have a target set yet for 1994‑95, but I will tell the honourable member
where we are as at March 1994 which is a couple of months ago. We had total employees at that time, and this
includes term employees, of 3,045 people.
Of that 3,045 people, 77 percent or 2,348 were female persons; 4 percent
or 148 were aboriginal persons; 3 percent or 97 persons were disabled; 3
percent‑‑there must be rounding going on here, because the number
is not exactly the same‑‑or 107 people represent visible minority
groups. That is where we were as of
March 1994. I take it through the Civil
Service Commission and working in conjunction with them, we address targets and
we do not have a target to report today.
The other point to be made is that
these numbers that I have just put on the record do not always reflect the
whole picture, because a lot of people do not always declare that they are a
member of a particular target representation group.
Ms. Gray: Madam Chairperson, the 77 percent that the
minister referenced who were women, that is really women who are within the
Department of Health. I would imagine
that the real statistic would be, however, how many women are actually in
positions where those positions have been targeted that Affirmative Action
would assist with women.
For instance, we have a lot of
clerical staff in the Department of Health, and because most clerical positions
are filled by women, those are not considered targeted positions. So really the 77 percent gives us an overall
figure. Can the minister tell us how
many women, as an example, are in targeted positions?
Mr.
McCrae: Madam Chair, I do not think this
answer goes precisely to the honourable member's question, but this is broken
down a little more now for the honourable member.
I should not start with Administrative
Support because it is overrepresented‑‑I should not say that. It is very much represented by female
persons. That is a traditional thing
that Affirmative Action, I think, may or may not be helping to address.
In Administrative Support positions,
female persons represent 92.3 percent.
Well, now wait a minute. In that
same group, 7.03 percent are aboriginal, 7.18 percent are disabled and 6.73
percent are visible minorities. The
reason this adds up to more than 100 is some of these people are the same
people.
In the professional group, 75 percent
are female, 2.3 percent are aboriginal, 2.1 percent are disabled, 2.7 percent
represent visible minorities.
In managerial positions, I do not know
what this used to be, but I assume it is getting better: 46 percent are women, 2 percent are aboriginal,
2 percent are disabled, 3.9 percent are visible minorities.
In the technical areas, female persons
account for 72.6 percent, 2.5 percent are aboriginal, 1.7 percent are disabled
individuals, 2.2 percent are visible minorities.
Then the service area: 74.3 percent are female persons, 14.6 percent
are aboriginal, 3.5 percent are disabled people, 2.3 percent are from visible
minorities. I will leave it at that for
the moment.
Madam
Chairperson: 1.(e) Human
Resources (1) Salaries and Employee Benefits $1,061,800‑‑pass; (2)
Other Expenditures $193,300‑‑pass.
1.(f)(1) Salaries and Employee
Benefits.
Mr.
Chomiak: Madam Chairperson, I wonder if
the minister could outline for me what the status is of not the PHIN card, but
of the evolution towards the Smart Card or that entire concept.
Mr.
McCrae: Madam Chair, I am pleased to do
that. A lot of work has been done in the
last year or so, a little more maybe with respect to health information issues. I think that a lot of people maybe did not
know that until recently when we began to talk about the Drug Program
Information Network and the potential extension of that network to include a
whole health information system which some people might in the future refer to
as Smart Health or Smart Card or some such expression.
Even Tim Sale was‑‑[interjection]
Well, he immediately said great. [interjection] He has been described as a lot
of things, but right away when he heard about a potential‑‑[interjection]
You can ask him yourself. He is a friend
of health care. However, I am not
referring now to Tim Sale, I am referring to somebody else. Tim Sale responded immediately when he was
asked, great idea. I think it was the
first he heard of it, and he was supportive.
Right there and then I began to wonder if everything was okay, but I
think it is.
We are within a few weeks of going
live. We are already providing
Pharmacard services on a pilot basis.
The reason for that is that I think we are up around a hundred or so
pharmacies in Manitoba on the system, in that range and growing. If we get everybody on it then we will call
that going live. I look forward to going
live on the DPIN. However, the
honourable member asked about an expanded health information system which
everybody agrees is certainly the way to go.
We have the technology available, and we ought to be using it to the
benefit of Manitobans.
(1650)
I am very, very excited, Madam Chair,
to say that what began as a drug products information network for pharmacy will
now be moving and expanding into something that will include all aspects,
hopefully, in the long‑term future of our health care system.
I think today we can only imagine, and
probably our imaginations do not take us far enough, how valuable smart‑health
automated system will be in the future, how useful it will be, how it will save
lives, how it will improve the quality of our lives. Manitobans are certainly ready. All they need is a government that is ready
to catch up to the expectations of Manitobans, and they have that in the
present government. This government is
partnering and working closely with all kinds of health care partners to put
into place a system that will automate information systems that allow
professionals from the medical profession, pharmaceutical profession, people
involved in delivery of laboratory services, hospital emergency rooms,
ambulance services. The whole continuum
can be included. All it takes is the
will to be included, and the technology is there. We have the will, and how quickly we can move
is really only limited by our ability to put in place a system that will serve
us all so well. We have to make sure we
respect people's rights, and I am a firm believer of that, people's rights as
guaranteed under our Charter and under our privacy laws. Relationships between patients and their care
providers have a special, special attribute involved, and that has to be
respected by an automated system.
As one who does not know very much
about computerized systems, I am pleased to know that there are so many
partners in the health system who are willing to work with us to ensure all of
the good things are derived from a card system and those things that ought to
be protected are indeed protected.
Mr.
Chomiak: Madam Chairperson, the minister
did not outline any sort of a time frame with respect to his answer. Is there a target or a general time frame
with respect to the movement towards the smart card, or not?
Mr.
McCrae: Madam Chairperson, I do not know
how to respond specifically to a time line question when we are dealing with,
certainly on the DPIN side of it, as I say, within weeks. The health card, well, let us complete some
discussions that we are presently having so we can get a better idea of approximately. I know the honourable member is not asking
for a specific date but something within the ballpark. I accept that, and I think that I would ask
to allow a little bit more discussion to go on before we get into ballparks.
I know there is very little now, in
terms of decision making, to stand in the way of moving forward. In other words, the decision to move towards
a totally integrated card system has in principle been made so that we will be
moving forward to bring this technology to all Manitobans. I still think, when we do this, we will be at
the forefront in all of Canada.
Mr.
Chomiak: The technological cost of
$300,000, the subnote says technology investment to support the restructured
organization. Can the minister perhaps
elaborate on what that $300,000 expended on a restructured organization refers
to?
Mr.
McCrae: The line to which the honourable
member refers is to improve our ability to communicate with the hospitals in Manitoba
with respect to our communications relationship with the hospitals. The line he is looking at refers partly to
that; it refers to hardware and software costs particularly.
Mr.
Chomiak: Is that part of the technology
and the hardware and software utilized in the, dare I say, Connie Curran
project?
Mr.
McCrae: This did not have anything to do
with that. The honourable member‑‑well,
I will leave it. He was going to try to
link something negative here and there really is not something negative to do
with the APM contract and so on. You
will not find something under every rock.
The honourable member keeps turning them over and over again. He can keep doing that. All he is going to find everywhere he goes
are improvements. He is going to find quality
care, appropriate care, for people where they need it and when they want it,
too. That is what is happening. That is exactly what is happening.
An
Honourable Member: We were
waiting for that.
Mr.
McCrae: The honourable member says he is
waiting for it. It is happening. All he has to do is open his eyes.
Ms. Gray: Madam Chairperson, can the minister tell us,
utilizing computers within the department, is it proven that if this software I
suppose is appropriate that in fact the use of computers can actually save
staff time, save staff resources? Have
we directly linked those two?
Mr.
McCrae: Some would say that is supposed
to be the way it works out, but if you look over the years, the growth in
computer technology and the growth in the size of the civil service or the
health care community, they have all grown at the same time, so the facts do
not always bear out the principle.
However, the object is not always just to decrease, decrease or reduce;
it is to improve, improve and that is what is happening. We can prove it and we are proud of it. We will continue to work in that direction.
Ms. Gray: The reason I asked the question is because it
seems like every year the Department of Health only gets so many dollars that
are used to purchase computers, and it seems like we are still feeling
antiquated in the department in terms of our computerized system. I am wondering why we cannot go ahead and get
the equipment that we need, because I would think in the long run there could
be a saving of staff time, overtime, term time if we actually were
computerized, because we are not as a department and far from it.
Mr.
McCrae: I think I can agree with the
honourable member. It may in the past
have looked like we were not moving very well with regard to an automated,
integrated health system and that includes communications, information sharing
and information systems.
We are in a position to make vast
improvements to our automated system, and if I could venture into the home care
area and say I cannot‑‑I mean I do not know how computers work in
every application, but I do know that we can make huge improvements in the home
care area through the use of automation, and that does not just automatically
replace people, but it does automatically, through this information system,
make vast improvements to people. That
is what we need to do, and that is what we are poised to do.
Madam
Chairperson: Order,
please. The hour being 5 p.m. and time
for private members' hour, I am leaving the Chair and will return at 8 p.m.
this evening.
* (1700)
PRIVATE MEMBERS' BUSINESS
Mr.
Speaker: The hour being 5 p.m., time for
Private Members' Business.
PROPOSED RESOLUTIONS
Res. 4‑‑Drug Patent
Legislation
Mr. Dave
Chomiak (Kildonan): Mr. Speaker,
I move, seconded by the member for Wellington (Ms. Barrett), that
WHEREAS the proportion of health care
expenditures on drugs and medicines is 16.8 percent according to a recent study
by the Canadian Medical Association; and
WHEREAS profit margins of around 30
percent of sales are not unusual in the pharmaceutical industry; and
WHEREAS the Patented Medicine Prices
Review Board found that introductory prices for most new drugs are much higher
in Canada than in other countries, exceeding the median international prices by
21 percent and leading to an overcharging of Canadian consumers by
approximately $3 million in 1992; and
WHEREAS with the passage of Bill C‑22
in 1987 and Bill C‑91 in 1993, price competition for medicines in Canada
has been severely limited; and
WHEREAS the Canadian Medical
Association's report concluded, "With respect to spending on drugs, system
pressures have been exacerbated recently by the federal government's decision
to extend full patent protection on pharmaceuticals to 20 years with Bill C‑91";
and
WHEREAS it has been estimated that
Bill C‑91 will cost Canada's health care system $4 billion to $7 billion
over the next 20 years; and
WHEREAS during the 1993 federal election,
the Liberal Party promised to immediately review the provisions of Bill C‑91,
legislation which extends drug patent protection.
THEREFORE BE IT RESOLVED that the
Legislative Assembly of Manitoba urge the provincial government to pressure the
federal government to live up to its election promise to review the drug patent
laws and seriously consider repealing this unfair legislation.
Motion presented.
Mr.
Chomiak: Mr. Speaker, I rise with great
anticipation in this Chamber, great anticipation because I expect that given
the effect that this legislation can have on our health care system, and given
the effect that the previous legislation has had on our health care system,
that members of this Chamber unanimously will join with us to urge the federal
Liberal government to do something about this difficulty.
Mr. Speaker, I do not have to cite a
good deal of statistics because they have already been cited, and pointed out
dramatically far better than I can in my speech, about the effects that these
acts have had on not only the drug industry but on the health industry both in
Canada and in Manitoba.
(Mr. Ben Sveinson, Acting Speaker, in
the Chair)
I expect to receive support from
members on all sides of this Chamber, and I expect it for very good reason,
because the federal Liberal government was elected with a promise, Mr. Acting
Speaker, to deal with this matter. The
federal Liberal government was elected with a promise, and I expect the federal
Liberal government to live up to this promise.
I quote from a pamphlet handed out
during the election campaign of one Lloyd Axworthy, the Honourable Lloyd
Axworthy, who said, quote: Lloyd
Axworthy strongly opposed the changes to the Drug Patents Act which will increase
the cost of prescription medication by over half a billion dollars each year.
I expect that that member who now has
a key place in the federal Liberal government will live up to his promise. I expect he will do that.
Further, the Member of Parliament for
Winnipeg North, July 2, 1993, said, and I quote: My Liberal colleagues and I all oppose Bill C‑91. It extended patents to brand‑name drug
companies and removed the system of compulsory licensing which has permitted
generic Canadian‑based drug companies to produce quality drugs at
competitive prices.
Later on, the member for Winnipeg
North, who I anticipate will live up to this pledge, says and I quote: For a Liberal government, unnecessary costs
like those created by Bill C‑91 will be the first items on the agenda to
overcome the problems created by the Tories over their years in office. Mr. Acting Speaker, we are now in a situation
where we are wondering how long that agenda of items is. We are wondering how long the first extends,
because I take at their word what those members now government are saying now
in cabinet. This will be their first
item on the agenda.
(Mr. Speaker in the Chair)
Well, Mr. Speaker, I anticipate that
all members of this House, and particularly my colleagues in the Liberal
opposition, will join with us in urging those colleagues to do something on the
first item of business on their agenda to deal with Bill C‑91 and the
effects of Bill C‑22. I am certain
that I do not have to spend a good deal of time outlining to members of the
Liberal Party the effects this legislation has had on the Canadian health care
industry and will have in the future on the Canadian health care industry.
Mr. Speaker, at one time, prior to the
passage of Bill C‑22, our success at delivering drugs was recognized
worldwide. In fact, the New York Times
said that, quote: Canada's success at
delivering drugs at costs lower than those in the United States is an important
feature in its medical system, which has been a model for many health policy
experts seeking to contain soaring costs.
It said at that time, at one time, Canada's medical costs were 28
percent lower per capita than in the United States. A lot of that effect has been removed and affected
by Bill C‑22.
Mr. Speaker, what has happened with
Bill C‑22, as a result, those lower drug costs helped all Canadians
receive just as good quality prescriptions at lower prices. The effect has been quite dramatic on the
Canadian situation. In fact, as a result
of Bill C‑22, we have seen drug prices go up 13.4 percent a year, and
that was prior to Bill C‑91, which further enhanced the protection of the
big companies to receive drug protection.
So we saw drug prices go up almost, according in fact to the Winnipeg
Free Press, 13.4 percent a year as a result of C‑22.
Then we had C‑91, Mr. Speaker,
which further gave the multinational large drug companies a grip on the system,
and we saw C‑91, which allowed them to increase their profits, not by one
billion, estimated, not by two billion, not by three billion, but estimated to
increase from $4 billion to $7 billion.
* (1710)
In return, these large multinational
drug companies promised many things.
They promised jobs; they promised investment, but the track record does
not demonstrate that they have delivered.
In fact the record shows, after the 1987 bill was passed, they had
promised 3,000 new jobs to be created.
Did 2,000 jobs materialize? No,
Mr. Speaker. Did 1,500 jobs
materialize? No, only a fraction of
those jobs materialized after the 1987 bill.
Then the disaster. Following an increase in prices of 13.4
percent per year, following a failure to invest in R and D, following a failure
to create the jobs, we saw C‑91 foisted upon us, and again, we see the
drug companies potentially gaining $4 billion to $7 billion in profits.
Now this money does not go into
Canadians' pockets generally. It goes
into the dividends‑‑they do not clip coupons anymore‑‑but
goes into the pockets of investors outside of this country. It goes into the profits of the large multinationals. Whose pockets does it come out of? It comes out of our pockets, Mr.
Speaker. It comes out of the consumer's
pocket. It comes out of the health
consumer's pocket, those people in our society who require drugs to assist them
in keeping out of hospital and maintaining a semblance of order in their daily
lives or treating their health condition.
Mr. Speaker, this is a tragedy that a
country that had stable drug costs, that had an access to lower, cheaper brand
generic costs, would give itself away, sign on the dotted line and sign away
the opportunity to provide lower costs and quality health care.
You know, Mr. Speaker, it goes without
saying that all members of this House want to see better health care and
cheaper health care for all our citizens.
I know, given the commitment from the Honourable Lloyd Axworthy and
given the commitment from Dr. Rey Pagtakhan, surely all members of this House,
including the member for Inkster (Mr. Lamoureux), will support this measure,
will support us in sending a message to the federal government‑‑proceed
on your agenda, yes, we do want lower drug costs.
Mr. Speaker, it goes even further, I
might add, then simply lower drug costs and better quality drugs. It deals with Manitoba. We have generic drug manufacturers in this
province, in this jurisdiction. They
would like to expand; they would like to create jobs here. They would like to see R and D done here, but
they are held back by this legislation which took away the opportunity for
expansion in Manitoba.
It is not just a case of providing
cheaper cost, high quality drugs. It is
not just a case of the principle of $4 billion to $7 billion going in a siphon
into the pockets of the large multinational companies. It is more than that. It is more than the R and D jobs. It has to do with investment, millions of
dollars in investment, millions of dollars in job creation right here in
Manitoba‑‑right here in Manitoba, which is something that we need
desperately in this province.
That is something all members of this
Chamber, I know, are in favour of. All
members of this Chamber are in favour of job creation. All members of this Chamber are in favour of
expansion to provide jobs for our children to stay in this province, so I fail
to see how any member in this Chamber would wish to vote against a resolution
as positive as this one.
You know, Mr. Speaker, we often get
criticized in this Chamber and in this forum for not bringing forward positive
legislation or positive resolutions. But
what better and what more positive resolution could be brought forward then a
resolution unanimously passed by all members of this Chamber urging the federal
government not to do something that they were necessarily responsible for, not
to do something they did not promise for they did promise, but to simply live
up to their promise to help lower drug costs for all of our citizens, to live
up to their promise to help create jobs in R and D in Manitoba and to create
jobs for those people in Manitoba that would see the expansion of processing
for generic drug manufacturers?
Mr. Speaker, this clearly is one of
those rare opportunities in this Chamber, not rare I should say, but one of
those positive opportunities in this Chamber, for we have a chance to stand
together as Manitobans, to urge on the federal government to live up to their
promise. Nothing destroys the
credibility of a government as quickly or the credibility of a politician then
back‑pedalling from commitments and back‑pedalling from promises
that were made.
Mr. Speaker, I know that the Liberal
Party made these commitments recognizing they had the possibility of forming
government. I know that the Liberal
Party made these commitments in the hope that they could form the federal
government. Well, now they are
there. Now they can join us.
As the former Minister of Health, the
member for Pembina (Mr. Orchard) went off to Ottawa to try to plea against the
imposition of Bill C‑91, I am sure the present Minister of Health (Mr.
McCrae) will agree with the former minister to plead of the federal government
that they recognize that they must live up to their promise. They must ensure that changes occur so that
the effects of Bill C‑22 and the effects of Bill 91 are eliminated so
that the generic drug manufacturers, many located in Manitoba, will have an
opportunity to expand and to provide safer and better quality drugs for our
citizens.
It is identified in the government's
health reform plan 1992 about the effect of soaring drug costs. The minister cited it this year when the
minister increased the deductible and lowered the opportunity for individuals
to obtain rebates for Pharmacare. He
indicated that it was the cost of drugs, the rapidly escalating cost of drugs.
So, Mr. Speaker, it is recognized by
all in this jurisdiction, in this Chamber, what the effects are. So I certainly will ask, and I certainly
recognize that my friends will join us in urging the federal government to take
these steps that they promised to take.
Further, I know that there is a good
deal of talk that somehow this issue is tied up in NAFTA or GATT. But I think that it is not a question of
GATT, something could be negotiated, and it certainly was not a question of
NAFTA. It is really a question of
political will. The question is, does
the federal government have the political will to live up to its promise to
assist us to try to lower drug costs, to try to improve the quality of life for
Manitobans?
I am sure that members of this
Chamber, like the member for Pembina (Mr. Orchard) who flew off to Ottawa to
plead against the imposition of Bill C‑91, members of this Chamber and
the Liberal Party will join us in imploring‑‑it will have a
dramatic effect, I would suggest, if the Liberal caucus would stand up on this
issue to urge their federal Liberal colleagues to go along, to follow their
promise, to not break their promise, to not raise the level of cynicism against
politicians, but to live up to their commitment that they made, the commitment
that they made not just during the election campaign, but prior, to try to
repeal C‑91 and C‑22, to try to decrease drug costs to all
citizens, to try to improve the quality of health.
Often I have stated, drugs are a
preventative measure. They keep people
out of higher‑priced institutions. They are an aspect of health reform, and we
should lower drug costs. We had lower
drug costs before C‑22 and C‑91.
We can get back to having lower drug costs, and at the same time, we can
expand jobs in Manitoba and assist in the welfare of all Manitobans.
Thank you very much, Mr. Speaker.
Mr. Kevin
Lamoureux (Inkster): Mr.
Speaker, I am somewhat interested in this particular resolution and somewhat
pleased that the minister or the minister‑wannabe would in fact introduce
a resolution of this nature.
I can recall the New Democrats coming
into the Chamber and they talked about Pharmacare. They like to believe that they themselves are
the saviour of medicare, that they are the individuals who are going to be
there to protect the cost of drugs.
Mr. Speaker, the NDP should be well
aware of the fact that it was their government that increased the deductibles
for Pharmacare, made it harder for seniors, individuals on fixed income to be
able to get access to the medication that they required in order to better
their circumstances or their health so that we do not have to be as concerned
about the seniors and those on the fixed income in terms of having some
problems.
The member for Wellington (Ms.
Barrett) talks about honesty from government.
For Pete's sake, look in the mirror.
Look what the New Democratic Party has done across this country or not
further than the east from the province of Ontario.
* (1720)
The member for Kildonan (Mr. Chomiak)
talks about a fine Member of Parliament, Rey Pagtakhan. I wanted to quote so that the member for
Kildonan knows that his interests are well looked after in Ottawa. This is something that the member for
Winnipeg North said in the House of Commons knowing full well how important
pharmaceuticals are to the country, not only pharmaceuticals but in fact health
care. This is something that he himself
had pointed out.
This is what the Member of Parliament
from Winnipeg North says: Now, Mr. Speaker,
through you to my colleague from the New Democratic Party who would like to
pontificate and would care to forget the lessons of history, I am glad that
today he did not say that the NDP started medicare. Once before he did say that. Finally he has learned the lesson that it was
the Liberal Party in 1919, Liberal convention, that made the commitment to
Canada to introduce medicare. After we
conceived the idea, the member for Winnipeg North said, unlike the NDP, we put
action into it. We gave birth to
it. After having given birth to
medicare, we would like to continue to nurture it like a good parent of any
child.
This is in fact what the Member of
Parliament from Winnipeg North‑‑the man I am sure that the member
for Kildonan (Mr. Chomiak) gave serious consideration in terms of when he went
to the ballot box. Mr. Speaker, I would
like to indicate to the member for Kildonan that when it comes to the
preservation of medicare‑‑and the pharmaceutical industry is a very
important aspect to medicare making sure that the drugs are in fact available
to us, very, very important.
I would like to ensure him that his
concerns will in fact be brought to his Member of Parliament and hopefully as a
commitment that was given. I believe the
industry minister, current industry minister, announced on April 29 that he has
undertaken a monitoring process of this new legislation to ensure that drug
companies do materialize. In addition,
Minister Manley is monitoring the regulations and will make changes to the regulations
if there are problems.
You know what I think it is? I believe that the New Democrats are a very
desperate group of individuals. They sit
here, and they are concerned because Manitobans are not going to be fooled like
Canadians were not fooled last fall when they saw that the individual, the
party that best represents them when it comes to health care is not the New
Democratic Party.
If you believe it is the New
Democratic Party, take a look at what is happening in B.C. where they are
charging user fees like no other province across Canada. Take a look at what is happening in Ontario
where they are closing down health care beds, where they are laying off
thousands of health care workers. Mr.
Speaker, take a look at what is happening in Saskatchewan where they are
closing down more hospitals in that province than any other province in
Canada. What hypocrisy this New
Democratic Party has in this Chamber to stand up and pretend that they are
trying to give a serious attempt at defending medicare in the province of
Manitoba. It is a simple
resolution. Of course, it is a simple
resolution‑‑look at where it is coming from.
I am amazed that the New Democratic
Party would not take a strong policy stand in terms of where they would like to
see pharmaceuticals in the province of Manitoba.
What about the deductibles? Why do you not change your mind on what you
did when you were in government and start reducing it? Maybe that is what we should be talking about
in the Chamber. Why do we not talk about
the deductible? That is the whole
question of affordability for our seniors, individuals that are on a fixed
income. If you lower the deductible,
they are going to be able to purchase, they are going to be able to have better
access to it.
An Honourable
Member: How about the resolution? Talk about the resolution, Kevin.
Mr.
Lamoureux: That is the
resolution. The New Democratic Party is
concerned about affordability of medication.
The higher you raise the deductible, the more unaffordable it is going
to be for our seniors and people on a fixed income. But this party knew that in 1988; they knew
it before then when they increased the pharmaceutical deductibles. Did the member from Wellington (Ms. Barrett)
support Howard Pawley, the former Premier, when he raised the deductibles? Of course, she did, but now, when a party is
desperate, they like to believe that they can overtalk, they can say: No, no, we would not have done that. No, we are going to disown what we have done
in the past.
Well, you cannot do that. You have to live up to the things that you
have made commitments to and stop being so hypocritical of the positions that
you take here, Mr. Speaker.
Point of Order
Mr. Steve
Ashton (Opposition House Leader):
On a point of order, Mr. Speaker, Beauchesne's Citation 489 states very
clearly that "hypocritical" is unparliamentary. Quite frankly, the New Democratic Party, we
have some difficulty with Liberals in lecturing anyone on hypocrisy. I would like to ask that you have the member withdraw
that unparliamentary and inaccurate remark.
Mr.
Speaker: On the point of order raised, I
did rule in 1989‑1990, Beauchesne's, page 1046, that the word
"hypocritical" indeed is unparliamentary. Therefore, the honourable opposition House
leader does have a point of order, and I would ask the honourable member for
Inkster to withdraw that word, please.
Mr.
Lamoureux: Mr.
Speaker, out of appreciation of the rule book‑‑
Mr. Speaker: Unqualified. Order, please. The honourable member for Inks