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PM Trudeau presents premiers $196B health-care funding deal, including $46B in new funding

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OTTAWA – The federal government is pledging to increase health funding to Canada’s provinces and territories by $196.1 billion over the next 10 years, in a long-awaited deal aimed at addressing Canada’s crumbling health-care systems with $46.2 billion in new funding.This new cross-Canada offer includes both increases to the amount budgeted to flow through the Canada Health Transfer (CHT) as well as federal plans to sign bilateral deals with each province and territory that are mindful of each system’s unique circumstances.

This funding influx is coming with an expectation that in order to access new federal dollars, provincial and territorial governments have to maintain their current health spending levels and commit to new transparency and accountability requirements around how health information is collected, shared, used, and reported to Canadians.

Prime Minister Justin Trudeau— accompanied by a handful of ministers—spent two hours on Tuesday afternoon presenting this proposal to his provincial and territorial counterparts at the first in-person meeting of all First Ministers since the COVID-19 pandemic. Early indications are, the offer hasn’t satisfied provinces’ demands.

While Trudeau is billing the Liberals’ commitment as “a major federal investment in health care,” early indications are, the offer hasn’t satisfied provinces’ demands.

Here’s what the federal government has put on the table:

  •  An immediate national and “unconditional” $2-billion top-up to the Canada Health Transfer (CHT) to address urgent pressures being experienced at pediatric hospitals, emergency rooms and surgical centres;
  •  A five-per-cent increase to the CHT over the next five years provided through the annual top-up, to be rolled into the CHT base after five years to ensure a permanent increase that would provide an estimated $17.3 billion over 10 years;
  •  $25 billion over 10 years for decade-long bilateral deals with each province and territory tailored to their health-care needs, but connected to shared priorities such as family health access, investing in mental health and substance abuse services; and modernizing the health information system;
  •  $1.7 billion over five years to support hourly wage increases for personal support workers and related professions as levels of government work together on retaining, recruiting, and recognizing the credentials of health-care workers;
  •  $150 million over five years for the Territorial Health Investment Fund to help cover medical travel and the cost of health care delivery in the North; and
  •  $2 billion over 10 years aimed at addressing the access challenges uniquely faced by Indigenous people.

“These additional federal investments will be contingent on continued health care investments by provinces and territories,” said Trudeau’s office in a statement unveiling the details.

While the prime minister met the premiers behind closed doors, federal officials provided reporters a technical briefing on the plan.

Ahead of the meeting, Trudeau said that while Canadians are proud of the universal public health-care system, it hasn’t been delivering up to the level expected.

From staffing shortages and a cold-weather surge of illnesses compounding extended wait times in emergency rooms, to hundreds of thousands of surgeries and medical procedures backlogged due in part to COVID-19 cancellations, there have been steady calls from those in the sector for urgent action as Canada’s population continues to grow and age.

“The pandemic reminded each and every one of us just how important our health is. It also put enormous pressure on our health-care systems and on our health-care workers, and it made us take a hard look at the long-standing issues facing our healthcare,” said Trudeau during a post-meeting press conference.

“As leaders, we’ve come together to deliver tangible actions and outcomes today, while building a more modern system to ensure results for all Canadians for the future,” he said, with a backdrop of empty beds at an Ottawa hospital.

OFFER LESS THAN PREMIERS CALLED FOR

Prior to the details being revealed, there were indications that some provinces, such as Ontario, were ready to sign on the dotted line in short order, while other provinces, such as Quebec, may want more time before agreeing to any new accord, depending on how they feel about federal conditions being imposed on how the new money will be spent.

Largely, the sense of optimism coming from premiers over the fact that the two sides finally were able to meet to discuss how to address Canada’s strained health-care systems seemed to dissipate somewhat after the meeting, with Ontario Premier Doug Ford calling it a “starting point,” and a “down payment.”

“There wasn’t a lot in a way of new funding that is a part of this package,” said Chair of the Council of the Federation and Manitoba Premier Heather Stefanson during a post-meeting press conference. “I think we were a little disappointed at that.”

The premiers’ longstanding ask has been for the federal government to increase the share of Canada’s health-care costs that they cover, from the current 22 per cent to 35 per cent. This deal does not satisfy this demand.

Seeing the CHT increased by the amount premiers’ had called for would mean the federal government would have to send out an additional $28 billion to the provinces annually. Based on the new funding put on the table on Tuesday, what Trudeau has offered instead works out to on average less than $5 billion in new funding a year.

According to federal figures, in 2023-24 the federal government will provide $49.4 billion to provinces and territories under the CHT, with this longstanding predictable pool of funding projected to grow by 61 per cent over the next 10 years.

“It’s significantly less than what we were looking for,” Stefanson said, going on to tell CTV News Channel’s Power Play host Vassy Kapelos on Tuesday’s show that there was little time for deliberation after Trudeau’s presentation and that there are “lots of unanswered questions.”

NO DEALS TODAY, NEXT STEP? ‘ACTION PLANS’

Neither Trudeau nor the premiers planned to walk out of today’s “working meeting” with deals in hand.

The next step for provincial and territorial governments will be to develop “action plans” describing how they plan to use the funding and measure improvements to their systems.

Among the metrics the federal government says it will be looking at to assess whether tangible progress comes from these funding arrangements:

  •  The net new family physicians, nurses, and nurse practitioners in each province and territory;
  •  The percentage of Canadians who have access to a family health team or family doctor;
  •  The size of the COVID-19 surgery backlog;
  •  The median wait times for community mental health and substance abuse services; and
  •  The percentage of Canadians who can access their health records electronically.

The federal government made a point on Tuesday of stating that the bilateral agreements have to respect each government’s jurisdiction and uphold the Canada Health Act to protect Canadians’ “access to health care that is based on need and not ability to pay.”

Recently, in an effort to address their over-capacity operating rooms and winding wait lists, some provinces have announced plans to allow more private clinics to offer certain procedures. This has revitalized a debate over privatization and whether what some provinces are doing goes against the longstanding requirement to provide reasonable access to publicly-funded health services.

In order to maintain eligibility for their full Canada Health Transfer, provinces are required to uphold the Act’s criteria and ensure there is no extra billing and user chargers for insured health services.

Ahead of Tuesday’s meeting, calls were made on Parliament Hill by front-line health-care worker unions, advocates, and NDP Leader Jagmeet Singh to insist not a single new federal dollar flows to a for-profit provider.

In a statement reacting to the details of the multibillion-dollar federal proposal, Singh called it “the bare minimum.”

With both federal and provincial governments working on drafting their 2023 budgets, the expectation is the bilateral details will need to be worked out in time for the funding to be accounted for in the upcoming fiscal plans.

“In the coming weeks—not months—we will conclude bilateral agreements, begin flowing more money, and Canadians will start seeing real results,” Trudeau said.

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RCMP end latest N.B. search regarding teenage girl who went missing in 2021

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BATHURST, N.B. – RCMP in New Brunswick say a weekend ground search for evidence related to the disappearance of a teenage girl in 2021 didn’t reveal any new information.

In an emailed statement, the RCMP said 20 people participated in the search for evidence in the case of Madison Roy-Boudreau of Bathurst.

The release said the search occurred in the Middle River area, just south of the girl’s hometown.

Police have said the 14-year-old’s disappearance is being treated as a homicide investigation.

The RCMP said the search “did not reveal any new information regarding the circumstances of her disappearance.”

There are no plans for another search until police receive a tip or a lead pointing to a new search area.

This report by The Canadian Press was first published Oct. 21, 2024.

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Man Tasered after trespassing in Victoria school, forcing lockdown

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VICTORIA – A middle school in Victoria was forced into a lockdown after a man entered the building without permission, and police say they had to use a stun gun to make an arrest.

Victoria police say officers received multiple calls around noon on Monday of an unknown male entering Central Middle School, leading staff to set off emergency procedures that put the building under lockdown.

Police say its emergency response team arrived within minutes and found the suspect, who “appeared to be in a drug-induced state,” in the school’s library.

A statement from police says the suspect resisted arrest, and officers had to use a Taser to subdue the man.

He’s being held by police and has been assessed by emergency medical staff.

Police say the man was not armed and there were no continuing safety concerns for students and staff following the arrest.

This report by The Canadian Press was first published Oct. 21, 2024.

The Canadian Press. All rights reserved.

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B.C. Greens’ ex- leader Weaver thinks minority deal with NDP less likely than in 2017

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VANCOUVER – Former B.C. Green leader Andrew Weaver knows what it’s like to form a minority government with the NDP, but says such a deal to create the province’s next administration is less likely this time than seven years ago.

Weaver struck a power-sharing agreement that resulted in John Horgan’s NDP minority government in 2017, but said in an interview Monday there is now more animosity between the two parties.

Neither the NDP nor the B.C. Conservatives secured a majority in Saturday’s election, raising the prospect of a minority NDP government if Leader David Eby can get the support of two Green legislators.

Manual recounts in two ridings could also play an important role in the outcome, which will not be known for about a week.

Weaver, who is no longer a member of the Greens, endorsed a Conservative candidate in his home riding.

He said Eby would be in a better position to negotiate if Furstenau, who lost her seat, stepped aside as party leader.

“I think Mr. Eby would be able to have fresh discussions with fresh new faces around the table, (after) four years of political sniping … between Sonia and the NDP in the B.C. legislature,” he said.

He said Furstenau’s loss put the two elected Greens in an awkward position because parties “need the leader in the legislature.”

Furstenau could resign as leader or one of the elected Greens could step down and let her run in a byelection in their riding, he said.

“They need to resolve that issue sooner rather than later,” he said.

The Green victories went to Rob Botterell in Saanich North and the Islands and Jeremy Valeriote in West Vancouver-Sea to Sky.

Neither Botterell nor Valeriote have held seats in the legislature before, Weaver noted.

“It’s not like in 2017 when, you know, I had been in the (legislature) for four years already,” Weaver said, adding that “the learning curve is steep.”

Sanjay Jeram, chair of undergraduate studies in political science at Simon Fraser University, said he doesn’t think it’ll be an “easygoing relationship between (the NDP and Greens) this time around.”

“I don’t know if Eby and Furstenau have the same relationship — or the potential to have the same relationship — as Horgan and Weaver did,” he said. “I think their demands will be a little more strict and it’ll be a little more of a cold alliance than it was in 2017 if they do form an alliance.”

Horgan and Weaver shook hands on a confidence-and-supply agreement before attending a rugby match, where they were spotted sitting together before the deal became public knowledge.

Eby said in his election-night speech that he had already reached out to Furstenau and suggested common “progressive values” between their parties.

Furstenau said in her concession speech that her party was poised to play a “pivotal role” in the legislature.

Botterell said in an election-night interview that he was “totally supportive of Sonia” and he would “do everything I can to support her and the path forward that she chooses to take because that’s her decision.”

The Green Party of Canada issued a news release Monday, congratulating the candidates on their victories, noting Valeriote’s win is the first time that a Green MLA has been elected outside of Vancouver Island.

“Now, like all British Columbians we await the final seat count to know which party will have the best chance to form government. Let’s hope that the Green caucus has a pivotal role,” the release said, echoing Furstenau’s turn of phrase.

The final results of the election won’t be known until at least next week.

Elections BC says manual recounts will be held on Oct. 26 to 28 in two ridings where NDP candidates led B.C. Conservatives by fewer than 100 votes after the initial count ended on Sunday.

The outcomes in Surrey City Centre and Juan de Fuca-Malahat could determine who forms government.

The election’s initial results have the NDP elected or leading in 46 ridings, and the B.C. Conservatives in 45, both short of the 47 majority mark in B.C.’s 93-seat legislature.

If the Conservatives win both of the recount ridings and win all other ridings where they lead, Rustad will win with a one-seat majority.

If the NDP holds onto at least one of the ridings where there are recounts, wins the other races it leads, and strikes a deal with the Greens, they would have enough numbers to form a minority government.

But another election could also be on the cards, since the winner will have to nominate a Speaker, reducing the government’s numbers in the legislature by one vote.

Elections BC says it will also be counting about 49,000 absentee and mail-in ballots from Oct. 26 to 28.

The NDP went into the election with 55 ridings, representing a comfortable majority in what was then an 87-seat legislature.

Jeram, with Simon Fraser University, said though the counts aren’t finalized, the Conservatives were the big winners in the election.

“They weren’t really a not much of a formal party until not that long ago, and to go from two per cent of the vote to winning 45 or more seats in the B.C. provincial election is just incredible,” he said in an interview Monday.

Jeram said people had expected Eby to call an election after he took over from John Horgan in 2022, and if he had, he doesn’t think there would have been the same result.

He said the B.C. Conservative’s popularity grew as a result of the decision of the BC Liberals to rebrand as BC United and later drop out.

“Had Eby called an election before that really shook out, and maybe especially before (Pierre) Poilievre, kind of really had the wind in his sails and started to grow, I think he could have won the majority for sure.”

He said he wasn’t surprised by the results of the election, saying polls were fairly accurate.

“Ultimately, it really was a result that we saw coming for a while, since the moment that BC United withdrew and put their support behind the conservatives, I think this was the outcome that was expected.”

— With files from Darryl Greer

This report by The Canadian Press was first published Oct. 21, 2024.

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