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

Chilliwack’s pediatric observation unit gets financial shot from trades workers

Unions and contractors donate more than $30,000 to Fraser Valley Health Care Foundation

Delays en route for Highway 7 in Harrison Mills

Road resurfacing will cause month-long delays for drivers travelling through Harrison Mills

The luckiest man in Agassiz finds more than 200 four-leaf clovers

Walt Hardinge has found more than 219 four-or-more leaf clovers this spring alone

Missing woman last seen downtown Chilliwack in late April

Family concerned for Rebecca Lynne Sackley’s well-being

Chilliwack prolific offender arrested after four months on the lam

B.C.-wide warrant issued for David Allen Geoghegan in January

BREAKING: Court says B.C. can’t restrict oil shipments in key case for Trans Mountain

A five-judge Appeal Court panel agreed unanimously that B.C.’s proposed legislation was not constitutional

RCMP probe hit-and-run of Richmond senior

The man, who is in his mid-70s, was walking with his wife when he was allegedly struck

More than half of Canadians support ban on handguns, assault rifles: study

Divide between rural and urban respondents in latest Angus Reid Institute public opinion study

Coquitlam crash kills one person, injured two others

Investigators with the RCMP criminal crash unit are working to determing the cause of the incident

Spring rain needed as B.C. sees one of the lowest snowpack levels in 40 years

Snowpack levels in B.C. recorded on May 15 were similar to those in 2015 and 2016

Theresa May to quit as party leader June 7, sparking race for new PM

The new Conservative leader will become prime minister without the need for a general election

Vancouver man in serious condition after crash between motorcycle, transport truck

The man, 40, remains in hospital after a Thursday collision. Police believe speed was a factor

B.C. man who fell off cliff returns there to rescue eagle from vulture attack

Nanaimo’s James Farkas, who broke his hip in a fall, saves eagle on same beach months later

Raptors beat Bucks 105-99 to move within 1 game of NBA Finals

Leonard scores 35 as Toronto takes 3-2 series lead over Milwaukee

Most Read