Patients treated in hallway

BC VIEWS: Health funding charade hides crisis

The Justin Trudeau government is keeping Stephen Harper's restrictions on health care funding, and pushing home care. It's the right move

Canada is back. Back, that is, to staged “negotiations” between Ottawa and the provinces that end up with policies unilaterally imposed by Ottawa.

The return of this time-worn charade was best revealed when provincial environment ministers convened recently with Catherine McKenna, Canada’s minister of environment and climate change.

As B.C. Environment Minister Mary Polak and others were pulling up their chairs, Prime Minister Justin Trudeau rose from his in the House of Commons and announced his escalating “carbon price” policy will be imposed on provinces if they don’t do it voluntarily. Some provincial ministers walked out.

Then it was the turn of health ministers. To avoid another ugly scene in front of TV cameras, federal Health Minister Jane Philpott let it be known well before the meeting that the free-spending Trudeau government will be keeping the Stephen Harper government’s restricted formula for health transfer payments.

Two of Harper’s many sins were refusing to conduct fake negotiations with premiers in areas of federal jurisdiction, and rolling back annual increases in health care transfers from six per cent each year to about half of that.

Harper sent his finance minister, the late Jim Flaherty, all the way out to Victoria in 2011 to break the news. The formula, in response to an extended period of low economic growth and low inflation, also ends targeted funding for selected wait-listed surgical procedures and bases transfers on population only.

When it was announced, provinces east of Saskatchewan had anxiety attacks. Manitoba’s health minister called it “un-Canadian.” Ontario’s warned that it would “destabilize the federation.”

Now, as with international climate change policy, Trudeau is carrying on with Harper’s plan.

In the 2015 federal election campaign, unions ran ads accusing Harper of a $30 billion “cut” to health care transfers. This fictitious cut is based on six per cent annual increases that were arbitrarily promised by former Liberal prime minister Paul Martin, and have continued up until this year. Martin called this unsustainable plan to pour in ever-increasing cash “fixing health care for a generation.”

In his 2015 campaign, Trudeau promised to put an additional $3 billion towards health care, and negotiate a new agreement with provinces. That “negotiation” is over now.

Oh, and the $3 billion is coming, but it must be spent on home care services. Philpott was under pressure in the House of Commons last week, arguing that the previous Conservative government put lots more money into health care but didn’t change the system. It needs to be “transformed,” she said.

Cue the outrage, in Quebec especially, as Ottawa tries to direct the key provincial jurisdiction of health care.

Philpott, a physician herself, is right. Dr. Granger Avery, the former Port McNeill family doctor who now heads the Canadian Medical Association, agrees.

Indeed, the CMA has long argued that Canada still has a post-war acute care model in a country dominated by chronic care patients.

B.C. Health Minister Terry Lake and his predecessors have argued that the federal formula should account for the share of retirees, who are by far the biggest users of health care.

Nova Scotia health minister Leo Glavine described the situation best last week.

“We have the oldest demographic in the country, but when I look at that demographic, the big cohort is 53 to 68,” Glavine said. “And it’s not just the age of the population, it’s also a cohort with an extreme number of chronic conditions.”

That’s the real issue. The back end of the baby boom, my generation, is the big end. And we haven’t taken good care of ourselves.

Tom Fletcher is B.C. legislature reporter and columnist for Black Press. Email: tfletcher@blackpress.ca Twitter: @tomfletcherbc

 

Just Posted

Nearly $500,000 available for internships with First Nations government

Funds announced through partnership with Northern Development and Government of Canada

Kitimat registers biggest drop in property assessments

The residential property in the north with the highest value was $2.892 million

Former mayor Ray Brady passes away

“What I can say is that he was passionate about his beliefs and he would fight for them.”

CDC’s housing section looking for new home

CDC executive director says it has until Jan. 31 to move out.

Shames Mountain named one of the world’s Top 10 ski resorts

The UK magazine listed Shames alongside Whistler and hills in Italy, Japan and Austria

Solitary-confinement veto a chance to address mental health: advocate

B.C. Supreme Court made the landmark ruling Wednesday

B.C. civil rights group files complaint about RCMP arrest of man who later died

Dale Culver, a 35-year-old Indigenous man was arrested in Prince George last July

Lawyer says former B.C. government aide ‘barely guilty’ in ethnic vote scandal

Brian Bonney pleaded guilty to a breach of trust charge

Quite a few tears as homemade quilts distributed to residents of Ashcroft Reserve, Boston Flats affected by last summer’s fire

Quilters in B.C. and Alberta worked through the summer and fall to create more than 100 quilts.

Island Health: No need for alarm in wake of Victoria needle-prick incidents

Three incidents in a week prompts meeting between health authority, city service providers

B.C. coast loggers celebrate history, hope for improvement

Truck Loggers Association awaits B.C. NDP government’s new direction

Global Affairs aware of report of two Canadians kidnapped in Nigeria

The foreigners were heading south from Kafanchan to Abuja when they were ambushed around Kagarko

Whistler role in potential Calgary Olympic bid would be welcome: IOC

Calgary is mulling whether to vie for the 2026 Games, and could look to facilities in B.C.

Food industry failing at voluntary sodium reduction: Health Canada

Health Canada report shows the food industry made no meaningful progress in curtailing salt levels

Most Read