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

Big crowd out at Laketown Ranch for Trooper’s Lake Days show

They were the band everyone was waiting for, and the Flats were rockin’ when Trooper performed

David Suzuki column: Carbon pricing is an important tool to tackle climate change

“As long as fossil fuels seem to be the cheapest energy to the public, they’ll keep using them”

Drivesmart column: Little things can make a big safety difference

Signal! The bulbs are good for more than three or four blinks, too.

Robert Barron column: Island a beautiful and dangerous place

But the Valley does face even more of a threat from earthquakes than many had thought.

REPLAY: B.C. this week in video

In case you missed it, here’s a look at replay-worthy highlights from across the province this week

Coming up in Cowichan: Father’s Day fun to fundraising

Father’s Day Tractor Show at the BC Forest Discovery Centre

Cowichan Coffee Time: From CHAMPS to scholarships

The Duncan Kinettes donated $6,400 to the BC Summer Games

B.C. NHL prospect expected to make ‘full recovery’ after an incident in Calgary

Jordy Bellerive was injured in a reported house fire Saturday night

BC Lions defensive back Marcell Young levels streaker in home opener

Young hit the fan near one of the 45-yard lines

Police: Taxi driver who hit 8 Moscow pedestrians fell asleep

Two Mexican World Cup fans were among those hit

B.C. VIEWS: Orphans of our urban drug culture neglected again

Child advocate Bernard Richard leaves B.C. with harsh message

From marijuana beer to pot cookies, Canadian companies creating cannabis edibles

Manufacturers think that edibles will do well with users who don’t want to smoke or vape

Privacy lawyer warns against victim blaming in recent sextortion scams

Perpetrators get sexual photos of the victim and threaten to share them with friends and families

Most Read