Patients treated in hallway

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

 

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Sidney Jon Blair said he would have died if a van and car had collided at the intersection of corner of Resthaven Drive and Brethour Avenue in early December. (Wolf Depner/News Staff)
Sidney senior urges motorists to slow down on Resthaven Drive

Jon Blair said community must become more pedestrian-friendly

Bob Joseph, author of 21 Things You May Not Know About the Indian Act, will be available for a Q&A through the Vancouver Island Regional Library Jan. 28. (Courtesy of Vancouver Island Regional Library)
Q&A on the Indian Act with Bob Joseph open to Greater Victoria residents

Bob Joseph is the author of 21 Things You May Not Know About the Indian Act

Tarpaulin-covered tents sit next to one of the ponds in Beacon Hill Park. The location of the Meegan community care tent has still not been nailed down, as Victoria council rejected the recommendation offered by city staff. (Don Descoteau/News Staff)
Location of care tent for Victoria’s Beacon Hill campers still not settled

Council roundly rejects Avalon Road site, road’s edge on Cook Street appears the top alternative

Coaches with the Juan de Fuca Minor Hockey association have had to get creative during their weekly practices to keep players interested and improving their skills without physical contact. (Damian Kowalewich photo)
West Shore minor hockey coach shares what it’s like on the ice without parents, fans

Most practices consist of relay races, goalie shots and passing drills

The Songhees Wellness Centre is a symbol of First Nations strength in the region. Representatives of local First Nations will soon play a greater role in decision making and governance relating to the Capital Regional District. (Courtesy Royal Roads University)
Capital Regional District to add First Nations representatives to advisory committees

Board approves bylaw, looks forward to Indigenous input on future decisions

A scene from “Canada and the Gulf War: In their own words,” a video by The Memory Project, a program of Historica Canada, is shown in this undated illustration. THE CANADIAN PRESS/HO - Historica Canada
New video marks Canada’s contributions to first Gulf War on 30th anniversary

Veterans Affairs Canada says around 4,500 Canadian military personnel served during the war

A 17-year-old snowmobiler used his backcountry survival sense in preparation to spend the night on the mountain near 100 Mile House Saturday, Jan. 16, 2021 after getting lost. (South Cariboo Search and Rescue Facebook photo)
Teen praised for backcountry survival skills after getting lost in B.C.’s Cariboo mountains

“This young man did everything right after things went wrong.”

Conservative Leader Erin O’Toole holds a press conference on Parliament Hill, in Ottawa on December 10, 2020. THE CANADIAN PRESS/Sean Kilpatrick
No place for ‘far right’ in Conservative Party, Erin O’Toole says

O’Toole condemned the Capitol attack as ‘horrifying’ and sought to distance himself and the Tories from Trumpism

A passer by walks in High Park, in Toronto, Thursday, Jan. 14, 2021. This workweek will kick off with what’s fabled to be the most depressing day of the year, during one of the darkest eras in recent history. THE CANADIAN PRESS/Chris Young
‘Blue Monday’ getting you down? Exercise may be the cure, say experts

Many jurisdictions are tightening restrictions to curb soaring COVID-19 case counts

A health-care worker prepares a dose of the Pfizer-BioNTech COVID-19 vaccine at a UHN COVID-19 vaccine clinic in Toronto on Thursday, January 7, 2021. THE CANADIAN PRESS/Nathan Denette
COVID-19: Provinces work on revised plans as Pfizer-BioNTech shipments to slow down

Anita Anand said she understands and shares Canadians’ concerns about the drug company’s decision

Tourists take photographs outside the British Columbia Legislature in Victoria, B.C., on Friday August 26, 2011. A coalition of British Columbia tourism industry groups is urging the provincial government to not pursue plans to ban domestic travel to fight the spread of COVID-19. THE CANADIAN PRESS/Darryl Dyck
B.C. travel ban will harm struggling tourism sector, says industry coalition

B.C. government would have to show evidence a travel ban is necessary

(Phil McLachlan - Capital News)
‘Targeted’ shooting in Coquitlam leaves woman in hospital

The woman suffered non-life threatening injuries in what police believe to be a targeted shooting Saturday morning

Everett Bumstead (centre) and his crew share a picture from a tree planting location in Sayward on Vancouver Island from when they were filming for ‘One Million Trees’ last year. Photo courtesy, Everett Bumstead.
The tree-planting life on Vancouver Island featured in new documentary

Everett Bumstead brings forth the technicalities, psychology and politics of the tree planting industry in his movie

JaHyung Lee, “Canada’s oldest senior” at 110 years old, received his first dose of the COVID-19 vaccine on Thursday, Jan. 14, 2021. He lives at Amenida Seniors Community in Newton. (Submitted photo: Amenida Seniors Community)

Most Read