Ministers who gathered for meetings to address the national health crisis left Tuesday without assurances of more funding from their federal counterpart, who blamed premiers for giving them B次元官网网址渕arching ordersB次元官网网址 to stop negotiating.
British Columbia Health Minister Adrian Dix, who co-chaired the second day of the gatherings Tuesday with federal Minister Jean-Yves Duclos, said the federal government withdrew from a joint statement on the talks and excluded itself from a news conference.
Duclos referred to a statement issued earlier Tuesday by the Council of the Federation, the group representing all premiers, before talks wrapped up.
In the statement, the premiers said they were disappointed with the lack of a federal response to an ongoing request from provinces and territories to get 35 per cent of health-care costs covered by Ottawa, up from 22 per cent.
However, Duclos declined to say at a separate news conference whether he came to the table with more cash, adding only that premiers did not want health ministers to accept any conditions, like providing data on the health-care workforce.
B次元官网网址淯nfortunately, despite (MondayB次元官网网址檚) gesture of good faith, provincial and territorial colleagues, our colleagues, have received marching orders by their premiers not to make further progress,B次元官网网址 Duclos said.
B次元官网网址淎s a result, the premiers are preventing all of us health ministers from taking concrete and tangible steps that would make an immediate difference in the daily lives of health workers and patients.
B次元官网网址淥bviously, this is disappointing. Canadians expect and deserve more than this.B次元官网网址
Duclos said that instead of allowing health ministers to engage in meaningful discussions, premiers were B次元官网网址渇orcingB次元官网网址 them to focus only on money.
B次元官网网址淲e need to work together so that patients everywhere in Canada can get the care they need, when they need it and where they need it. These are fundamental priorities that we all agreed upon. Why in the world wonB次元官网网址檛 premiers let us health ministers work on these priorities?B次元官网网址
The premiers also reiterated their call on Prime Minister Justin Trudeau to meet with them. Dix has said a national conference on the Canada Health Transfer, the federal money doled out to all jurisdictions, is also needed.
Duclos said he told health ministers the federal government would provide targeted funding for priorities they have expressed for many months.
B次元官网网址淲eB次元官网网址檝e had a total of 11 virtual meetings over the last year, plus this one in person,B次元官网网址 he said. B次元官网网址楤ut we need to be all together and express commonly those priorities and then move to the next step, which is going to be to determine the type of funding and the agenda that we want to work collaboratively on.B次元官网网址
Dix said the meetings came to a B次元官网网址渄isappointingB次元官网网址 end and that the provincial and territorial ministers could not move forward on the basis of what he called B次元官网网址渟mall sound bites from the prime minister.B次元官网网址
B次元官网网址淔air enough, they didnB次元官网网址檛 like that the premiers reiterated their position on the Canada Health Transfer. ThatB次元官网网址檚 entirely fair of the federal government to do in their expression. But I think itB次元官网网址檚 disappointing. IB次元官网网址檓 not sure it sends the best message,B次元官网网址 he said.
B次元官网网址淲e need the federal government to increase its role and support for public health care and not, as has been happening for too long, diminish that role.B次元官网网址
The federal government has made funding deals with individual jurisdictions in the past.
In August 2017, provinces and territories signed an agreement on improving access to home and community care as well as mental health and addiction services. Quebec signed a different agreement distinct from those priorities. The tailor-made deals involved a total of $11 billion in per capita funding over 10 years.
Haizhen Mou, a professor of public policy at the University of Saskatchewan, said those agreements suggest Ottawa could further tie cash to other areas in health care, including improved conditions for a burnt-out workforce and measures like streamlining the hiring of internationally trained doctors and nurses.
B次元官网网址淭he federal government could do a lot if they regard this health workforce problem as their national priority. They already did on some other issues,B次元官网网址 she said.
While health care is the responsibility of provinces and territories, Mou said they would do well to provide some accountability for how they spend pots of money, especially if itB次元官网网址檚 not targeted to particular areas.
B次元官网网址淥ur health-care system lacks accountability. ItB次元官网网址檚 not a funding or the share-of-contribution issue. ItB次元官网网址檚 an accountability and efficiency issue,B次元官网网址 she said.
The Canadian Federation of Nurses Unions and the Canadian Nurses Association said the lack of results, along with B次元官网网址渇inger-pointing,B次元官网网址 is not what they expected from the meetings.
B次元官网网址淣urses from across Canada are burnt out and under severe stress, while facing unprecedented pressures that have pushed them past the breaking point,B次元官网网址 the two groups said in a joint statement.
B次元官网网址淲e recognize that the federal government should be stepping up with more money for health care in Canada, but new investments must be targeted towards areas of critical need to ensure that Canadians receive the care they need, when they need it.B次元官网网址
Both groups said they will request a meeting with Manitoba Premier Heather Stefanson, chair of the federation, to discuss the critical measures needed to support nurses and the health-care system.
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