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Monday, June 4, 2012

Harry Lali Tackles Health Minister - Part 3


Debates of the Legislative Assembly (Hansard)
Estimates: Ministry of Health
Committee C
Wednesday, May 16, 2012 Afternoon Sitting
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H. Lali: Again, the Liberals intend to actually install — it's already been installed — a telephone at the hospital entrance so anyone arriving at the hospital will have the ability to call 911. That's the situation that's there right now.

I'd like to ask the minister: is it true that the B.C. Liberals are now planning
to close the Princeton ER five nights a week, instead of the four nights in the communiqué, at least for a year or more?

Hon. M. de Jong: Let's assess the situation in and around Princeton General Hospital — a hospital that services, I think, about roughly 5,000 people, not all of them live in Princeton, of course. Although I might point out, far more live in Princeton today than was the case 12 years ago thanks to some additional economic activity that is taking place, which of course is good news for the community.

Here is the situation that the health authority is confronted by. It is delightfully entertaining, as always, to hear the honourable member speak about these matters and decisions as if they were the product of some cold, calculated political level of deliberation. What's disappointing is that he knows that's not true. He knows that's not true, and yet he persists in what I can only surmise to be crass political reasons to suggest
that.

The Ministry of Health, let alone the Minister of Health, let alone the cabinet have made no such decisions, and it is incorrect for the member to suggest otherwise. What the Interior Health Authority has done is tried as best it can, in an entirely non-partisan way, to address some challenges that exist. Most of those challenges relate to physician recruitment issues. There are three practicing physicians in Princeton. Now, the member has taken some time highlighting to the committee how knowledgeable he is about the circumstances in Princeton, and how that health care community is being, apparently, bled dry of resources.

He didn't, by the way, disclose to the committee what those three physicians made in 2010-2011 on a fee for- service basis. Because presumably, if he is correct and the health
care services in Princeton are being bled dry, that would reveal itself in a lack of funding for either that facility or the people that work there. I can disclose this information to
the committee because there's nothing private about it. It's set out in the public accounts.

The three physicians working in Princeton in 2010- 2011 earned $398,400, $476,420
and $430,800. So to suggest, somehow, that there is an issue around the funding of the
primary caregiver in the guise of the doctor is simply inaccurate and untrue. In fact, the challenge has been to try and attract additional physicians to Princeton, because only two of the three I've mentioned are prepared to provide ER coverage. In this forum, I would suggest this.

It is fair, first of all, for the member to offer criticism of where he believes the government has come up short in its efforts to address the needs of his constituents and, in this case, the people of Princeton. But it sounds like the member has a magical solution that he is simply awaiting the opportunity to implement. Maybe he does. Maybe in identifying the failure that he has characterized — the failure which, presumably, reveals itself in the inability to attract an additional ER physician to Princeton — he has an answer for that, and it is, he would submit, our failure for not having acted on it.

He has a choice. He has a choice today. He can share that solution with us, with me, and say: "But for the government's unwillingness to do this, we would have solved this problem." I'm interested to hear that. Apparently the member has a solution to the physician recruitment challenge that has plagued Princeton. I'm certainly anxious to hear it. I suspect 5,300 residents in and around Princeton are anxious to hear it. So let's have it.
I may respond by explaining why I think that solution is of limited utility. I may dispute the solution. But the member's submission can only lead to the conclusion that he has the
solution.

The solution, apparently, does not involve the $200,000 in additional funding that was made available to retain additional ER coverage, the $200,000 that Princeton has decided to make available for additional locum coverage, electronic scheduling and, by the way, the rental of an apartment for $44,000 so that if a locum comes to Princeton, they've got a place to stay. None of that, admittedly, has been enough to solve the challenge. But if the member wishes to be taken seriously in these deliberations…. Maybe he does; maybe he doesn't. If his purpose is to simply come in and cast some allegations and make some assertions, that's fine. But if he wants to be taken seriously, and he has a proposal for what would be required to address a physician supply problem in Princeton that has admittedly led to some limited closures….

By the way, I don't know where he is getting this material about expanded night time closings of the ER. If he wants me to take that assertion seriously, he should tell me
where he got that material from, because I am aware of no such plan. Let's have a productive conversation about where he feels some of the solutions lie. If it's just going to be an exercise in government bad or good, then we can have that conversation too.

…to be continued

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