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

Rachna Singh, MLA for Surrey-Green Timbers, is the Parliamentary Secretary for Anti-Racism Initiatives. (Photo courtesy of flickr.com/photos/bcgovphotos)
Oak Bay local Lachlan Kratz (red, middle) has signed with pro rugby team NOLO Gold in Louisiana. (Contributed photo)
Oak Bay local signs with pro rugby team

Lachlan Kratz at 21 is now NOLO Gold’s youngest member

A micro brewery is being eyed for Jordan River. However, the site where the brewery is proposed still needs to go through the rezoning process. (Black Press Media file)
Micro brewery proposed for Jordan River

Jordan River Brewing Company envisions to build wholesale, sit-in brewery along Highway 14

Traffic waits at the intersection of Highway 17 and Beacon Avenue. A study found failing levels of service at the intersection of Highway 17 and Sidney’s Beacon Avenue for multiple movements during morning peak traffic and for all left-moving traffic during afternoon peak traffic. (Wolf Depner/News Staff)
Province supports potential interim improvements to Sidney intersection

Province says interchange is the long-term plan for intersection of Beacon Avenue and Highway 17

Vancouver resident Beryl Pye was witness to a “concerning,” spontaneous dance party that spread throughout social groups at Kitsilano Beach on April 16. (Screen grab/Beryl Pye)
VIDEO: Dance party erupts at Vancouver’s Kitsilano Beach to the dismay of onlookers

‘It was a complete disregard for current COVID-19 public health orders,’ says Vancouver resident Beryl Pye

Lord Tweedsmuir’s Tremmel States-Jones jumps a player and the goal line to score a touchdown against the Kelowna Owls in 2019. The face of high school football, along with a majority of other high school sports, could significantly change if a new governance proposal is passed at the B.C. School Sports AGM May 1. (Malin Jordan)
Power struggle: New governance model proposed for B.C. high school sports

Most commissions are against the new model, but B.C. School Sports (BCSS) and its board is in favour

Russ Ball (left) and some of the team show off the specimen after they were able to remove it Friday. Photo supplied
Courtenay fossil hunter finds ancient turtle on local river

The specimen will now make its home at the Royal BC Museum

Pall Bearers carrying the coffin of the Duke of Edinburgh, followed by the Prince of Wales, left and Princess Anne, right, into St George’s Chapel for his funeral, at Windsor Castle, in Windsor, England, Saturday April 17, 2021. (Danny Lawson/Pool via AP)
Trudeau announces $200K donation to Duke of Edinburgh award as Prince Philip laid to rest

A tribute to the late prince’s ‘remarkable life and his selfless service,’ the Prime Minister said Saturday

B.C. homeowners are being urged to take steps to prepare for the possibility of a flood by moving equipment and other assets to higher ground. (J.R. Rardon)
‘Entire province faces risk’: B.C. citizens urged to prepare for above-average spring flooding

Larger-than-normal melting snowpack poses a threat to the province as warmer weather touches down

Vancouver-based Doubleview Gold Corp. is developing claims in an area north of Telegraph Creek that occupies an important place in Tahltan oral histories, said Chad Norman Day, president of the Tahltan Central Government. (THE CANADIAN PRESS/HO)
B.C. Indigenous nation opposes mineral exploration in culturally sensitive area

There’s “no way” the Tahltan would ever support a mine there, says Chad Norman Day, president of its central government

Stz’uminus Elder George Harris, Ladysmith Mayor Aaron Stone, and Stz’uminus Chief Roxanne Harris opened the ceremony. (Cole Schisler photo)
Symbolic red dresses rehung along B.C. highway after vandals tore them down

Leaders from Stz’uminus First Nation and the Town of Ladysmith hung new dresses on Sat. April 17

A Western toadlet crosses the centre line of Elk View Road in Chilliwack on Aug. 26, 2010. A tunnel underneath the road has since been installed to help them migrate cross the road. Saturday, April 24 is Save the Frogs Day. (Jenna Hauck/ Progress File)
Unofficial holidays: Here’s what people are celebrating for the week of April 18 to 24

Save the Frogs Day, Love Your Thighs Day and Scream Day are all coming up this week

The Attorney General’s Ministry says certain disputes may now be resolved through either a tribunal or the court system, pending its appeal of a B.C. Supreme Court decision that reduced the tribunal’s jurisdiction. (AP Photo/Mark J. Terrill)
Court of Appeal grants partial stay in ruling on B.C. auto injuries

B.C. trial lawyers challenged legislation brought in to cap minor injury awards and move smaller court disputes to the Civil Resolution Tribunal

Most Read