House of Assembly
Newfoundland and Labrador

Oral Questions
March 23, 2010

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MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

Over the past couple of weeks, both the Premier and the Minister of Health have launched attacks on the Province’s doctors. The minister even brought forward conspiracy theories that the Newfoundland and Labrador Medical Association was supplying the Opposition with information and subsequently cancelled negotiations. I say shameful behaviour when we are trying to improve the health care system in this Province.

I ask the Premier today: In light of your government’s damaged relationship with the Province’s doctors, are you willing to send these negotiations to binding arbitration and if not, why not?

MR. SPEAKER: The hon. the Premier.

SOME HON. MEMBERS: Hear, hear!

PREMIER WILLIAMS: Mr. Speaker, first of all, let me answer the question very directly. Under no circumstances are we prepared to send this matter to binding arbitration. You will see from the Budget next week – and the Minister of Finance will indicate – that we are going to run a deficit. We consider the people’s dollars to be very, very important dollars and regard every one very, very carefully. We want to make sure that they are spent properly.

The paramount concern for all of us is patients, and patient care and health care for patients. On that basis we were certainly prepared to enter into reasonable negotiations with the doctors, and have been prepared to do so, and have had discussions with them. Negotiations last week – the meeting that was cancelled last week was because of the volatile circumstances that were going on, that were precipitated by the NLMA when they tried to throw a smokescreen at the entire negotiations by indicating that the minister had made a statement which they felt was untoward. So, on that basis we felt it was not appropriate at that time to continue on with that particular meeting. We have since phoned. I understand, I believe, our negotiators phoned this morning to continue those negotiations and, as I understand it, that offer was flatly rejected by the NLMA.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

It is my understanding that the Newfoundland and Labrador Medical Association had submitted a proposal to government. They are awaiting a response from that proposal – not necessarily a phone call, but a written response into what government’s position is.

I ask the minister today: Why has that response not been forthcoming from you and your Administration?

MR. SPEAKER: The hon. the Minister of Finance and President of Treasury Board.

SOME HON. MEMBERS: Hear, hear!

MR. MARSHALL: Thank you, Mr. Speaker.

We have been having discussions with the NLMA over a period of time. The matter has moved along, obviously not as quickly as I think either side would like, but we did ask the NLMA to put their proposal in writing. We received their proposal on March 3, and we have taken that proposal and we had it costed and we have had it reviewed, and the costing is somewhere in excess of $126 million to $140 million.

In the meantime, the NLMA, the doctors want to have another meeting to provide us with additional information concerning coverage for ICU. That meeting was set up for last Friday. A representative from collective bargaining and a representative from health were to attend and meet with the doctors’ representative. The meeting was cancelled, and today I called to try to get the meeting rescheduled but the doctors indicated to me that they did not want to have the meeting rescheduled. Instead, they have asked us to respond to the letter of March 3, and in due course we will do so.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

On what is a very serious issue that has unfolded in the Province, the department received a proposal from these doctors on March 3, today is March 23 and there has been no response given to them in writing.

Mr. Speaker, I ask the Premier today - because we now have a copy of the proposal that was submitted to government and it was released this morning by the NLMA. I ask the Premier - because in your comments last week you said that the proposal they had submitted was through the roof, it was too high, it cannot be dealt with, it cannot be satisfied and it cannot be answered. Well, the proposal that we certainly looked at today does not fit that description.

I ask you: Which of these particular aspects of the proposal do you feel characterizes your comments?

MR. SPEAKER: The hon. the Premier.

SOME HON. MEMBERS: Hear, hear!

PREMIER WILLIAMS: I forgot to say over the moon, Mr. Speaker, because that would have been one I would have used, too, if I had to think of it at the time.

These proposals, as the minister has just indicated, have been costed at, at least $125 million on an annual basis, probably as much, if we add all the incremental items, as $140 million to $150 million; a significant amount of money. If you remember correctly, the last arbitration that the medical association went to, I think they were awarded $54 million. You can take that by comparison; it will give you an indication of the order of magnitude of what they are asking for now.

I will tell you one item that they are asking for; they are asking for some of their physicians to be reimbursed partially for overhead that occurred during the last agreement. I think that is pretty unreasonable.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Mr. Speaker, the other thing that these physicians are asking for is Atlantic parity with their colleagues in the three Maritime Provinces.

I ask the Premier: Is this a concept that government is prepared to accept and negotiate on?

MR. SPEAKER: The hon. the Minister of Finance and President of Treasury Board.

SOME HON. MEMBERS: Hear, hear!

MR. MARSHALL: Mr. Speaker, as I say, negotiations have been going on. We have their written proposal. We have had it costed. We have reviewed – I think there were ten or eleven asks in the proposal outlined in the letter. We were asked to hold off until such time as this meeting with respect to ICU took place. The meeting has not taken place. I called today to try to get the meeting rescheduled. They have asked us to respond now to the letter without having that meeting, so we will respond in due course.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Mr. Speaker, there are two very distinct sections within the NLMA proposal that relate to doctor recruitment and retention which goes with improving our health care services and also ensuring a doctor is available at all times to address patient concerns. These are very fundamental proposals that are necessary to improve our health care system.

I ask the minister: Why have you dismissed such a serious proposal without a comprehensive negotiation, going twenty days and not responding to this when you realize that these are the critical components of the proposal that is on the table?

MR. SPEAKER: The hon. the Minister of Finance and President of Treasury Board.

SOME HON. MEMBERS: Hear, hear!

MR. MARSHALL: Mr. Speaker, I just said to the hon. member that discussions have been taking place and we were asked not to respond to the letter until such time as that further meeting had taken place. So we are not delaying. Discussions will take place, they will continue, and we will negotiate a deal that is fair to all concerned but on behalf of the taxpayers of the Province of Newfoundland and Labrador.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Mr. Speaker, we are losing doctors in various regions of this Province in almost every speciality, and unless government is able to change its negotiating tactics this will continue. Yesterday, we learned that the hospital in Clarenville will be without an internal medicine specialist for the next ten days.

I ask the minister: What concerns do you have about the increasing gaps in this service? It is not the first time it has incurred; it has been a problem for the last two years. I ask: What is being done to ensure that doctors are recruited and these positions are filled?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. KENNEDY: Thank you, Mr. Speaker.

In fact we have, in 2010, Mr. Speaker, nineteen family practice residents finished their medical training, with two delaying their entry. Of the seventeen family physicians, Mr. Speaker, who will commence practice, fourteen are practicing in this Province, all with bursaries and return-in-service agreements. Twenty-seven specialists, Mr. Speaker, finished their medical training, with two residents delaying their entry due to maternity, sick leave. Of the twenty-five specialty residents to commence practice, seventeen are practicing in the Province, nine of whom have bursaries and return-in-service commitments.

So, Mr. Speaker, fourteen out of seventeen, I do not know the exact number but it has to be between 80 per cent and 90 per cent, and then seventeen of twenty-five - again, I will have to ask my colleague, the Minister of Finance to do the calculation, but they are very high numbers. Obviously, Mr. Speaker, the market adjustment policies, the bonuses, the bursaries, everything is working and we are keeping doctors in this Province, contrary to what the Liberal Opposition says.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

The minister might want to tell that to the people in Burin today who are supposed to have three internal medicine specialists but they only have one; the people in Clarenville who are now going to be without one; the people in Carbonear who recently lost an internal medicine specialist. Mr. Speaker, we know that there is a shortage of nearly 125 general practitioners in this Province today.

So I ask you, Minister: What plan do you have to ensure that these gaps are lessened and that we have good negotiations with our doctors so that we can recruit people to this Province?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. KENNEDY: Thank you, Mr. Speaker.

We currently have - as of September, 2009 – 1,042 physicians in active practice, our most ever. In the last eighteen months, Mr. Speaker, we have a net increase of fifty-three physicians. We currently offer bursaries, Mr. Speaker, of $25,000 a year. We have forty-one family medicine residents, seven psychiatry residents, and twenty-eight residents in other training programs, with a one-year return-in-service agreement. We have retention bonuses, Mr. Speaker, weighted toward rural and isolated areas, up to three years incremental, Mr. Speaker, $36,000 for three years added on to their salary in a lump-sum non-pensionable payment. Mr. Speaker, we have an $18 million expansion of the medical school, and we will increase our undergraduate class size from sixty-four to eighty. We have a provincial physician recruitment office. We are currently, Mr. Speaker, in negotiations with the physicians.

Again, we have difficulty recruiting individual positions and physicians but overall, Mr. Speaker, we are doing quite well. The doctors, contrary to what the Opposition says, are quite happy with (inaudible).

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Well, that is of little comfort for the people in Burin, I say to you, Minister. It does not change the fact that these vacancies exist in our system and gaps are still there.

Mr. Speaker, I stand here with great sadness to question the minister on why air ambulance services in our Province have failed the people of Labrador again. A man who was severely injured from an industrial accident in Labrador West died while waiting for an air ambulance to arrive.

Why, after all the previous incidents, are the people of Labrador still waiting unacceptable times for air ambulance medevacs?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. KENNEDY: Thank you, Mr. Speaker.

On October 9, I became Minister of Health and Community Services. On November 27, I flew to Labrador, met with the councils in Lab West, met with the council in Happy Valley-Goose Bay, met with two families who were severely affected by air ambulance issues. I indicated in this hon. House in early December that we would conduct a review of the air ambulance.

I appreciate the petition provided by the Leader of the Opposition with the 3,000 residents of Labrador asking to have services in Labrador. We have a consultant, Mr. Speaker, who has conducted a review. That review is completed; we will be releasing that review in the near future.

Mr. Speaker, I heard the host of Open Line today say there should be air ambulance in Happy Valley-Goose Bay, Deer Lake and St. John’s, and I also heard the Member for The Straits & White Bay, or –

PREMIER WILLIAMS: White Bay North.

MR. KENNEDY: White Bay North - phone in and say it should be in St. Anthony. We are looking at it, and again I ask – we have two planes - to the Leader of the Opposition, where should they be?

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

I think the minister needs to put his head around the fact that it is not about changing out services in air ambulance; it is about adding services to meet the need and meet the capacity in the Province.

Mr. Speaker, the CEO of Labrador-Grenfell Health stated that the original air ambulance was out of service - I have no idea why; maybe the minister can tell us that - however, the chartered aircraft used as a replacement had to recharge the on-board oxygen service and the medical team had to return to the Health Sciences Centre to retrieve medical equipment.

I ask the minister: Why wasn’t an air ambulance ready to go in this Province at a moment’s notice with a medical team on standby, with oxygen on board, ready to respond to an emergency?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. KENNEDY: Mr. Speaker, I have indicated in the past that the air ambulance is a very serious issue. I have met with the families who were affected, and the emotional impact of meeting with those people was quite significant on me. Again, Mr. Speaker, my sympathies to the family in Labrador West.

The air ambulance did not work as it should, Mr. Speaker. It is the reason that we are conducting the review and looking at where we should have our planes located. I am advised, Mr. Speaker - and so far some of the comments by the Liberal leader are accurate - the plane in St. John’s was down. It is a 1990 King Air as opposed to the 2008 King Air that is in St. Anthony right now. A King Air airplane, Mr. Speaker, costs approximately $8 million and there has to be the crew to go with it. So we certainly have to improve.

I have made a commitment to the people of Labrador that we will look at improvements. I can assure the people of Labrador, Mr. Speaker, that we take this very seriously and that, in due course, we will be making a decision and addressing their needs.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

We are happy to know that the minister is going to investigate this incident. We were somewhat taken back that the decision to do this did not come until yesterday, which was four or five days after this incident in Labrador West; however, Mr. Speaker, I think answers need to be provided as to why this air ambulance was not available and not ready to go at a moment’s notice.

I ask the minister: In cases where our provincial air ambulances are tied up and in use in other parts of the Province, why is it that there is not a Plan B that is readily available to respond to these emergencies?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. KENNEDY: Yes, Mr. Speaker, there is a Plan B, but unfortunately it did not work as it should in this case. The air ambulance in St. John’s was down. I am still waiting for an explanation as to why the air ambulance in St. Anthony was not utilized. It is my understanding it was in the air. So then, Mr. Speaker, there is a charter company that we have on call. That charter company, Mr. Speaker, was advised around 8:00 o’clock that their services would be required. The gentleman in question went into the hospital in Labrador, by my notes, at 2:45 p.m., Mr. Speaker, and it was around 6:10 that a request for an air ambulance came in.

There was an hour lost, as the Leader of the Opposition has indicated, Mr. Speaker. There was an hour lost as a result of having to return to obtain equipment from the Health Sciences Centre. The unfortunate reality, Mr. Speaker, is that the charter aircraft which was utilized took an hour longer to fly to Labrador West than the King Air normally would.

Again, these are issues that are of concern. We have conducted a review as to where air ambulance should be situated in this Province, Mr. Speaker, and we look at all alternatives to make sure that not only the residents of Labrador but all of the residents of the Province of Newfoundland and Labrador, including the residents of Western Newfoundland, are well served by air ambulance.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

I ask the minister today: In light of the fact that the review is ongoing into provincial air ambulance services, and the need has been identified that a third air ambulance service should be based in Central or Western Labrador, are you prepared to enter into a standing offer contract to have an aircraft based in Labrador immediately to respond to any air medevac services that would be required until this particular issue has been ironed out?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. KENNEDY: Mr. Speaker, the review of the consultant has been completed. We will be reviewing the same and making our decision over the next short period of time as to the location of air ambulance services in this Province. There has been no decision made, Mr. Speaker, that a third air ambulance is required in this Province. If the hon. member opposite remembers our discussion on this in December, I had indicated that the flight statistics showed that there were more flights coming out of Deer Lake than there were out of St. Anthony, and that there were more flights coming out of Labrador than were coming out of St. Anthony.

Mr. Speaker, I can assure the Leader of the Opposition that this decision will be made shortly, but anything that we have to do right now to ensure that proper services are provided to all residents of this Province, steps will be taken and addressed immediately.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

Mr. Speaker, I have heard the Minister of Labrador Affairs talk about meetings he has had with international stakeholders around 5 Wing Goose Bay. In fact, in The Labradorian newspaper yesterday he said he was on top of this file and expecting to hear good news. However, Mr. Speaker, the NATO exercise that the minister was so excited to see come to Goose Bay has gone to the United States.

Will the minister inform the House as to why 5 Wing Goose Bay is not going to receive this NATO exercise, and instead it has gone south of the border, obviously without his knowledge?

MR. SPEAKER: The hon. the Minister of Labrador Affairs.

SOME HON. MEMBERS: Hear, hear!

MR. HICKEY: Thank you very much, Mr. Speaker.

Mr. Speaker, again the Leader of the Opposition only gets half of the facts straight half of the time. Let me explain to the hon. members in the House regarding 5 Wing Goose Bay. There was a NATO exercise planned for Happy Valley-Goose Bay, for 5 Wing Goose Bay this summer. It was put together quickly by the NATO General, General Brady. Goose Bay was looked at for close air combat support. We travelled to Ottawa last week, myself and the hon. Minister of Intergovernmental Affairs; we spoke with the Minister of National Defence, along with the British High Commissioner, as well as the Embassies of Germany and the United States.

MR. SPEAKER: Order, please!

I ask the hon. minister to conclude his answer and to do it now.

MR. HICKEY: Mr. Speaker, what is happening in Happy Valley-Goose Bay and at 5 Wing Goose Bay this summer is that work will be continuing on the expenditure of some $1.9 million to improve hangars seven and eight and there has been a commitment on behalf of NATO that this exercise will take place next year and future years until 2016.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: Order, please!

The hon. the Leader of the Opposition.

MS JONES: Thank you, Mr. Speaker.

The only thing, obviously, that Happy Valley-Goose Bay got out of this is that the minister got a trip to Ottawa.

Mr. Speaker, this is a serious issue. In fact, back in December, I had one of the researchers in my office e-mail the minister and respectfully ask for an update on 5 Wing Goose Bay. This is the response the minister sent back to my researcher - an intelligent, intellectual response, Mr. Speaker. I quote. He says: 5 Wing is alive and well. You need to grow up, and don’t e-mail me any more.

This was the response, Mr. Speaker, from the minister of one of the most important –

SOME HON. MEMBERS: Oh, oh!

MR. SPEAKER: Order, please!

If the hon. Leader of the Opposition has a question, I suggest she pose it immediately.

MS JONES: Thank you, Mr. Speaker.

I have a very important question, but first of all I was going to say, this was the –

MR. SPEAKER: Order, please!

I ask the hon. member to pose her question or sit down.

MS JONES: Thank you, Mr. Speaker.

I ask the minister: On the heels of that intellectual response, what does this mean for 5 Wing Goose Bay and NATO training going in to 2011, which we all know (inaudible) –

MR. SPEAKER: Order, please!

The hon. the Minister of Labrador Affairs.

SOME HON. MEMBERS: Hear, hear!

MR. HICKEY: Mr. Speaker, let me say this to the hon. member: This government, under this Premier, has supported 5 Wing Goose Bay more than any provincial government in the history of this Province.

SOME HON. MEMBERS: Hear, hear!

MR. HICKEY: Let me say this to the hon. member across: Your answer should be going to the Liberal Member of Parliament, Todd Russell, who is up in Ottawa; that is where your questions on 5 Wing Goose Bay should be going, I say to the hon. member.

SOME HON. MEMBERS: Hear, hear!

MR. HICKEY: Let me say, just to answer your question, Mr. Speaker, all is alive and well, I can tell you, at 5 Wing Goose Bay. We still have 350 people working at the base, and I can tell you with the improvements that are going to be made this year, on hanger seven and eight and the PTA, I can tell you we have a bright future. Our glass, as the Premier said yesterday, is half full not half empty.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: Order, please!

The hon. the Member for the District of The Straits & White Bay North.

MR. DEAN: Mr. Speaker, the fishery represents the heart and soul of rural Newfoundland and Labrador and unfortunately it is a very troubled industry on the brink of collapse. Everyone concerned about the fishery is looking at the MOU as a way forward for this industry. In fact, many of the constituents in my district have been asking about the progress of this framework agreement.

So, I ask the minister: Will he update the people involved in the industry when they can expect to see some significant results in this process?

MR. SPEAKER: The hon. the Minister of Fisheries and Aquaculture.

SOME HON. MEMBERS: Hear, hear!

MR. JACKMAN: Thank you, Mr. Speaker.

I advise the Opposition to probably follow the media a little bit closer, because if they would have they would have seen a sequence of steps that have moved this process along quite expeditiously. This process started last July; Ministers Dunderdale and Hedderson met with fisherpeople and instituted it. In the fall, Request for Proposals was called. On December 17, a letter was written; on December 30, a meeting with both sides and government. On January 22, reports were received back; February 15, presented to Minister Shea - and, Mr. Speaker, I see you are going to rise, so I will answer the question.

Mr. Speaker, all of these dates have been released to the media. Right now, Mr. Speaker, the working groups are meeting and I would expect that within the next month or two we will have some further information.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: Order, please!

The hon. the Member for the District of The Straits & White Bay North.

MR. DEAN: Mr. Speaker, the federal government is a major stakeholder in this industry and they have not been meaningfully involved in the process; yet they will be deemed as essential to its success.

I ask the minister why the federal government is not at the table, and what is this government’s plan to get the federal counterpart there?

MR. SPEAKER: The hon. the Minister of Fisheries and Aquaculture.

SOME HON. MEMBERS: Hear, hear!

MR. JACKMAN: Mr. Speaker, there is no doubt about it, the federal government has to be a partner in this, but I would suggest to you, Mr. Speaker, to the Opposition and the people of the Province, that before we can expect that the federal government would get involved, we have to have the parties in the Province who can come to some sense of agreement and some sense of direction.

I am hoping, Mr. Speaker, that through this MOU process, that is what will happen. Once we come out of this process with a strong package, then we have something that we can take to Ottawa and we can say we fully expect you to be a partner in this restructuring or what comes out at the end of that process.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Member for the District of Signal Hill-Quidi Vidi.

MS MICHAEL: Thank you very much, Mr. Speaker.

Mr. Speaker, since May 2007 the people of this Province have had their confidence shaken in our health care system. Since this government has been elected they have created an enormous health authority which provides the major portion of tertiary care in the Province, and they have had six Ministers of Health. Mr. Speaker, we now have the current minister saying that Eastern Health Authority is too big.

Mr. Speaker, I ask the Premier: When will he admit that government made a mistake in forming these large, unmanageable regional health authorities?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. KENNEDY: Mr. Speaker, I thank the member for her question, but I do not remember saying that Eastern Health was too big. We have four health boards who administer the day-to-day operations of the health authorities. As the minister, as pointed out by the Leader of the Opposition yesterday, the minister has an oversight role. We are, Mr. Speaker, dealing with a $2.6 billion budget. Approximately $1 billion or $1.2 billion of it goes to Eastern Health, but Eastern Health is also responsible for the tertiary care unit, Mr. Speaker, and also approximately 300,000 residents of this Province. Then we have Central Health, which covers a vast geographical area and is responsible for approximately 70,000 people, Mr. Speaker. We get to Western Health, again, a big geographical area and approximately 60,000 to 70,000 people. Then we get Labrador-Grenfell, which is dealing with 30,000 people.

So it would seem to me, Mr. Speaker, that the - Eastern Health is big by its very nature, but I think that four boards certainly serve the purpose. We are ironing out the kinks, Mr. Speaker, and we move along. H1N1 was an example of how we work. Government worked with all the health authorities to do what had to be done.

MR. SPEAKER: Order, please!

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Member for the District of Signal Hill-Quidi Vidi.

MS MICHAEL: Thank you very much, Mr. Speaker.

I advise the minister to go over the footage of when he stands before the media, because I think you will find at one scrum he said at least three times that perhaps it is that Eastern Health is too large. So I suggest that he go and look over his own footage and see what he says in front of the media.

Mr. Speaker, the government keeps throwing numbers at us and impresses upon us everything that they are doing with regard to our health care, the money that is going into machines and buildings, which has to be done because of the fact that the infrastructure has to be kept. The issues in our health care system are much greater than creating the adequate infrastructure. Mr. Speaker, without constructive leadership this Province will be unable to attract or even retain the medical staff needed to engender the confidence that I am asking for.

Mr. Speaker, I ask the Premier: When will his government do what they were elected to do and work responsibly with the health care professionals to create an efficient health care system the public has confidence in?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. KENNEDY: Thank you, Mr. Speaker.

One of the things that I have done as minister in my short tenure is to identify priorities. In mental health and addictions, Mr. Speaker, we have sent out approximately $430,000 to various groups working with people to affect and help change their daily lives.

Today, Mr. Speaker, I was over at the Health Sciences where we dealt with the issue of wheelchair accessibility. This issue had been raised, Mr. Speaker, in December. January we met with the Coalition of Persons with Disabilities. Myself and the Minister of Human Resources, Labour and Employment got to work on the matter, and today, Mr. Speaker, it was heartwarming to listen to the President of the Coalition of Persons with Disabilities outline what this government has done right, how we have dealt with all issues that have been requested, Mr. Speaker.

When we talk about health professionals, I have already gone through the numbers of how we have recruited and retained individuals, but we are now in the middle of negotiations and we know that during negotiations things are going to be said and done. Mr. Speaker, I can assure this hon. House and the people of this Province that our concern is for the patients of this Province and the efficiency and effectiveness of our health care system, and that is what we will continue to work for.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: Order, please!

The time allotted for Questions and Answers has expired.

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