Showing posts with label flip flop. Show all posts
Showing posts with label flip flop. Show all posts

15 October 2009

If only they’d read their briefing materials…

While health minister Jerome Kennedy busily backs off decisions he took only a few weeks ago on health care, there is something obviously haphazard and chaotic about the way the current administration is approaching virtually everything they do.

Your humble e-scribbler has noted this before in other policy areas. Equalization is the most obvious subject and, as it turned out, that was a post that was extremely popular.

But in the case of health care, word of the on-again and possibly off-again review of some services makes one want to turn back the clock to 2002.

That’s the year a provincial government with no cash to speak of - and certainly far less than the billion dollar surpluses Jerome! and his buddies have turned up – laid down a simple set of practical guides to health care delivery across the province.

Healthier Together (2002) was touted as a strategic health plan for Newfoundland and Labrador. It’s still available on the health department website. Read together Along with regional profiles produced the following year, you get a very good picture of the health issues in each part of the province and the solutions needed.

If you want to get a sense of how the document could help the government of today, take a look at the section on the organization of the health care regional authorities:

Newfoundland and Labrador is a large geographic area with a highly dispersed population where regions often have different circumstances and needs. This is partly the reason why the province has 14 health care boards.

It is not possible to compare the diversity of this province to the relative uniformity of Winnipeg or Edmonton, where populations which exceed that of Newfoundland and Labrador are serviced by a single health authority. However, if the number of health boards in this province create barriers to proper patient care, then re-examination is needed.

One of the problems both the Premier and the current health minister pointed to was a lack of accurate information they had when making decisions.

Well, the 2002 approach affirmed that decision-making authority on delivery of service belonged to the regions, not to people far removed from where the service was delivered. It also noted that the number of boards allowed gave a system that could take into account the local issues that could get lost in a larger system.

But when you turn to the section on where services would be located, there’s a simple model for health care that could work very easily today. After all, this thing was drafted only seven years and and, as it notes, the health care system currently in place goes back 20 and more years:

Primary health care sites will be the common denominator of service for the whole province. These sites will provide a cluster or network of basic services, plus public health and social services consistent with the mandates of the health and community service boards. Each site will serve a defined geographical region designed to ensure the right number of health professionals to service the population. For example, a minimum of five family physicians will be needed in a primary service site so that coverage can be provided 24 hours-a-day, seven days-a-week. Therefore, a region should contain no less than 6,000 people and the site should be located so that 95 per cent of the population within that region are within 60 minutes driving time to the site. Depending on the geographic shape of a region or the remoteness of some communities, additional facilities may be located outside the main primary health care site to be serviced by a small complement of staff or by providers who make routine visits to the area.

Doesn’t that sound just a wee bit like Lewisporte?

All this makes you wonder if the turn-over at the senior levels in the current administration has served to rob the government of much-needed corporate memory, the kind of memory that would serve a cabinet well in tough economic times.

That turn-over didn’t come as a result of retirements and normal job changes-over. Rather there seems to be some other force at work producing a parade of ministers in some departments and the ping-ponging of others (finance and justice) while at the public service level there is an equally high level of change. All of it must surely make it very hard to implement a coherent and sustained set of policies over time.

And when people making decisions don’t have a clue about what happened relatively recently or when it is official policy to denigrate everything that occurred before October 2003, it makes the job of running government all that much more difficult.

-srbp-

08 February 2009

“We want to be independent and self-sufficient”

Some views on Canada, Confederation, Newfoundland and Labrador and what it is all about, from the words of one man and his administration, sometimes within the very same interview.

1.   This land is my land!  Sort of.  Globe and Mail, February 7, 2009:

“…Separation is not something that is on my agenda under any circumstances.

This is a great country and I want to be part of it, but the country disappoints me when we don't rally to protect each other.” [Emphasis added]

Yet, what recently happened in the federal budget was not confined to the actions of one man or even one political party in a federal system:

“It should have been a legitimate celebration of coming out of the 'have not' status and being a net contributor to Canada. We're looking at that to be a very positive thing — and then Canada just struck us over the head.” [Emphasis added]

2.  Halifax, June 2001:  on the Great Plot that is Confederation

“The more that I see, the more nauseous and angry that I get. The way that our people and our region have been treated by one arrogant federal Liberal government after another is disgusting. The legacy that the late Prime Minister Trudeau and Jean Chrétien will leave in Atlantic Canada is one of dependence on Mother Ottawa, which has been orchestrated for political motives for the sole purpose of maintaining power. No wonder the West is alienated and Québec has threatened separation. Canadians - and Atlantic Canadians, in particular - realize the importance of dignity and self-respect while Ottawa prefers that we negotiate from a position of weakness on our hands and knees….”

3.  On the goal, from the same speech:

We don't want handouts. We want our pride back. We want to be independent and self-sufficient.

4.  Eternal vigilance against the Foe:

We’re resilient, we’re survivors, ah, y’know, we basically prepared for this day. When, y’know, over the course of the last few years, you’ll notice from our Throne Speeches, we’ve talked about being self-reliant, we’ve talked about being masters of our own destiny. And we have been building up a war chest for when the feds come at us again, quite frankly.

5.  Throne Speech 2008:

As a result of our collective efforts to wrestle down the deficit, to ratchet up growth and to reach an agreement that fulfilled the promise of the Atlantic Accord, we are – for the first time in our history – poised to come off equalization very soon. This is a stunning achievement that will reinforce the bold new attitude of self-confidence that has taken hold among Newfoundlanders and Labradorians. [Emphasis in original]

The revenues that pushed the provincial treasury to “have” status came entirely from agreements signed before October 2003.

6.  On the current economic problems facing the province, Globe and Mail, February 2009:

Williams says the per capita loss is roughly six times that of Quebec or Nova Scotia. He also said his financial experts are predicting provincial revenues from dropping oil prices will be down some $1.5-billion.

"That's a double whammy," says Williams, that will "cripple" his province and force it back into deficit spending.

"We've done all the right things fiscally," he says, "and then in one fell swoop 'bang' we're pretty well back where we started."

The warnings against overspending  - that one from 2005 - from early on in the Williams administration went unheeded. The Premier had a decidedly different view of the province’s economic fortunes only a few months ago.  He wouldn’t talk hard numbers even though the ones the provincial government is currently using were pretty obvious to regular readers of these e-scribbles. All that’s happened in the past couple of months is a refining of the numbers, not a surprise shift to big ones.  $1.3 billion in November.  $1.5 billion now.  Works out to the same thing.

7.  The oldest living father of Confederation, reincarnated, Globe and Mail, February 2009:

Independence talk, he says, is once again being heard: "But that's not where I'm coming from. Separation is not something that is on my agenda under any circumstances.

"This is a great country and I want to be part of it, but the country disappoints me when we don't rally to protect each other.

Ditto, circa2007:

Premier Danny Williams says he's trying to quell separatist feelings within Newfoundland and Labrador, despite a throne speech that suggested the province should push for more autonomy from Ottawa.

"The fans of sovereignty are here. If anything, I've been trying to dampen those fires as much as I can," Williams said yesterday.

8. Autonomy!  Throne Speech 2007:

…our people have now also learned that we will achieve self-reliance economically only by taking charge of our future as a people. To that end, My Government will harness the desire among Newfoundlanders and Labradorians to cultivate greater cultural, financial and moral autonomy vis-à-vis Ottawa. [Emphasis added]

9.  What autonomy means, in greater detail,  Hansard, 24 April 2007:

Political self-reliance simply means that we cannot rely upon those elected to offices outside of this Province to deliver what is in our own best interest. We must achieve that on our own. Self-reliance will not come by depending on others to achieve it for us. That is a lesson we have learned year after year, generation after generation. So we will harness the desire among Newfoundlanders and Labradorians to cultivate greater political, financial and moral autonomy vis-a-vis Ottawa. As a distinct people and as equal partners, Aboriginal and non-Aboriginal together, we will write a new future for Newfoundland and Labrador; a future of our own design, where mutual understanding, justice, equality, fairness and co-operation are the order of the day. [Emphasis added]

10.  Foreshadowing.  If recent events are any indication federal politicians and those at the time who were wannabes clearly ignored that point, as Bond Papers warned at the time:

It should surely give pause to all those incumbents federal members of parliament from this province and those likely candidates for it means clearly that Danny Williams does not and will not trust you. These words mean, unequivocally, that elected representatives of the people of Newfoundland and Labrador are not to be trusted merely because they represent the people of the province somewhere other than in the House of Assembly controlled utterly by the current provincial administration.

Scott?  Walter?  Paul?  Peter?  Siobhan?  Fabian?  Gerry?  Loyola?

One wonders if they get the point.

11. And you want to be my latex salesman? Budget speech 2008:

We are standing tall as powerful contributors to the federation – as masters of our own domain, stronger and more secure than we have ever been before. [Emphasis added]

-srbp-

04 February 2009

I wanna be your sledgehammer

“But you don't get hit over the head with a sledgehammer,…”

The legislature is supreme and that is good, as Premier Danny Williams assured us in December.

But then again, maybe it isn’t so good and it isn’t so supreme.

Guess it matters who is swinging the sledgehammer and who is getting it in the head.

-srbp-