good afternoon everybody thank you for joining us this afternoon and if you had to wait for a little bit a while I apologize for that it is an honor to be here a hosting in Winnipeg Health minister is from across Canada I’ve gotten to know many of these ministers behind me over the last couple of years and very impressed every time we meet together with the passion that they bring for their individual Provence is and the residence within their individual provinces at each of them have difficult jobs where they take them on with Incredible passion and desire to better the lives of those were living with in their provinces so is you know those who are from Manitoba there is a little by-election that’s happening not far from here so pursuant to legal advice I’m going to ask the writer from Saskatchewan to bring forward the provincial Communication in terms of the meetings that we had and then if there are specific questions directed to to me I understand but I can take them after that so Minister writer thank you Minister gertsen and we’d like to thank you and all your officials for no standing job of Hosting this event good afternoon we’ve had a very interesting and productive number of discussions I think of communicate as being handed out to all of you right now we discussed many topics most of those topics will not surprised you we’ve discussed include mental health in a dick the opioid crisis pharmaceutical drug coverage including expensive drugs for rare diseases the federal legalization of cannabis and the need for federal funding to meet evolving Healthcare challenges as I said as well as a number of other topics I believe I speak for all the ministers here when I say that we recognize and appreciate the importance and the need to build strong Partnerships with each other through all the provinces and territories collaboration cooperation between the provinces and territories is the only way to consistent reliable and sustainable healthcare services for all Canadians and all of my colleagues and I are very much looking forward to the deliberations and discussions tomorrow with the federal minister of Health with that I think myself and all our Collie I would be pleased to answer any questions now and I’ll turn that over to to Mark a reminder to the media if you have questions to come up there two microphones there to you and that’ll allow obviously for translation we also do have some media on the phone and but will start with here in the room so if there are any questions to come up to the two microphones and identify who you are but media outlet and then put your questions to The Minister’s I guess I would address this to mr. curtain because Manitoba’s been on the Forefront a lot of things with respect to cannabis maybe you could characterize where you all as a group are on your consultation for the government specifically about health warnings and children in that sort of thing the justice is formed the primary lead on the issue of of course or significant health related issues when it comes to the legalization of cannabis and so I’m a health medisource perspective but we have had a number of discussions including last October and Edmonton and prior to that and one of the messages that we have had coming out and certainly is a province of Manitoba we strongly advocated for more communication nationally from the federal government ensuring that we have a common message and a a common approach to particularly for young people telling young people that there are dangerous when it comes to the use of cannabis and simply because a product is no longer a criminal or criminalize product doesn’t mean that there aren’t Health Associated cost to it and so we’ve been advocating a strongly to the federal government looking for a robust plan in terms of providing information to do I thicken Asians generally about the health effects of cannabis butter particular for young people cuz you know there’s research that relate to those who are 25 and under when they used to use cannabis in the negative effects of that so from Manitoba the fact that we’ve been disappointed that the that the wearing his campaign nationally hasn’t been what we might have expected but certainly we are hopeful that between now and the the Dayton October of legalization that I might change my follow-up would be for the minister from Saskatchewan perhaps because you’re speaking on behalf of the group where are you on the national pharmacare strategy and is there consensus among you on what you would expect from Ottawa if such a program or introduced I think it’s fair to say the the concept all the ministers are looking favorably on that we like the concert very much but I think it’s fair to say the devil’s in the details were looking forward to the discussion tomorrow with the federal Minister what we need in this case obviously is a full funding partner we don’t want to have the federal government setting their criteria and the dollars not following where the situation I’ll speak specifically the Saskatchewan right now where we’re concerned that frankly the federal government for our Healthcare budget funds about 20% of our Healthcare budget because most of the shots so we want to make sure that the same thing doesn’t happen with the Nashville pharmacare program tell me about a meeting with multi jurisdictions was I’ll Western Premier conference and this was certainly one of the items on the agenda that day and you might recall that Albert I didn’t sign on cuz we were in the midst of ironing out the details on the Trans Mountain Pipeline and making sure that project move forward before the deadline that wasn’t making a Morgan and I have to say it is so good to be back at the table being able to have these kind of discussions but I do want to remind all Canadians that initiatives like pharmacare are certainly isn’t any government we’re absolutely committed to it we need to have resources available to pay for those and projects like Transmountain that bring in 15 billion dollars in National revenue and 15,000 jobs will go a long way to helping us move forward on these important Health initiatives like the ones we’ve discussed today Steve Lambert from the Canadian press I’m just wondering whoever wants to feel this one the rules about cannabis consumption where can and can’t be consuming and how very from Providence to Providence I understand Alberta between municipalities even was there any discussion about sort of the uniform approach so that your average Canadian driving long on the trans-canada highway doesn’t face five or six or seven different rules as they go across the country I’ll start by saying it is absolutely illegal to consume while driving so please don’t let anyone think that but definitely most of our jurisdiction * Justice ministers are the lead on this but as members of cabinet where all committed to making sure that values around ensuring Public Safety and ensuring safe work site safe roadways and in Alberta physically really focused on reducing the opposite side of the market have been drivers but I don’t know if any of my colleagues want to add to that and there will be further discussions tomorrow with the federal government in relation to two cannabis and so some of the issues and challenges was the release to uniformly across provinces I’m sure we’ll be part of those discussions by recognizing is you know Steve it’s in emerging file it’s a file that’s a cup Pawn of quickly and and we’ve always said in Manitoba other things are going to have to be adjusted along the way you know we’re doing our best to ensure that we are putting safety at the Forefront of that are number one consideration but we also know that this is a significant policy change one of the most significant policy changes and recent Canadian memory and and there’s no question that is we go along we will learn not only from happened in Manitoba but in looking at other jurisdictions as well and we’ll adjust as we go as result the federal government’s awareness campaign related to cannabis hasn’t been will be expected and I’m wondering if you could just expand a bit on what you expected and what you got and I’d certainly welcome, too many other ministers who have who have comments on that topic so certainly in the discussion over the last couple of years and and maybe a bit beyond that in terms of the Federal Reserve recognition that there needs to be awareness and that the actor of legalizing a product doesn’t necessarily mean that it’s safe I mean that would be true for for alcohol as well cuz Ben is legal for a long time but there’s all sorts of awareness campaigns about the dangers of over-consumption or consuming in a way that’s not intended I certainly there had been a commitment by the federal government previously to have a robust public awareness campaign both about the the safety and the legalization of the product that commitment was was made in Edmonton or meetings in October we would be I would be finra Manitoba Health perspective would have been looking for a more National robust clear campaign that I particularly for you people there are dangerous for consuming cannabis has been outlined by many different medical professionals and so we haven’t seen that doesn’t mean it won’t happen yet would have liked to see it soon but but if possible may come yet the phones in the room so we’ll go to now respect can you elaborate I wouldn’t say progress we’ve we’ve had discussions we need some more discussions I think we’ll be discussing that with the federal Minister tomorrow as well I think it’s a concern for most of us here probably to fold number when is so we’ve had some discuss around the process that we’re hoping can be streamlined going forward and and then also in the context of Napa Parma CARE program we would like to have some discussions with the federal minister in that we think that should be a significant part of the discussion if we do move forward with a national Parma Care Program presentation on opioids from British Columbia I was mental health and addictions we had a presentation both for Manitoba and from British Columbia and some things that that they’re doing as far as helping particular in some cases towards towards Youth and children not was fairly wide-ranging it was sort of a best practices I think would describe it out we looked at what some bar colleagues across the country are doing that they’ve had success with I don’t know if anybody else wants hi Mark McAvoy Goldenwest I’m just wondering as a group so it’ll help as far as the opioid crisis what do you think the solutions are going Randy the Lord for my Nova Scotia I know BC you took a lead obviously the impact that they’ve been experiencing over the years and then from their experience I think a lot of us said take some some learning from that in the Nova Scotia contacts to recognized no single solution to the challenges of the 4S but a lot of round as reducing the stigma around the conditions we need to work on harm reduction as well as education and then these are some of the critical aspect and recognizing the health impacts as well as those challenges within the justice system so it’s there multiple left if I could just appointed Minister Darcy will be here tomorrow she’s the minister lead on that for British Columbia she wasn’t here today so we met with summer for officials but the other piece I want to add of courses opioid dependency treatment and I in Alberta we’ve expanded them significantly numbers Colombian and probably many jurisdictions have done the same for people who are using opioids to be able to make that transition to methadone or Suboxone to live productive lives while getting treatment I think it’s definitely one of the other pieces I really wanted to emphasize but I also to reinforce the harm reduction to take him to walk stone kit making sure that there’s testing and and other opportunities available for people meeting people who are using where they’re at and making sure that they’re still always in his people and patients and finding ways to help them live another day and have an opportunity live a full life okay so I think now will go to the phone I believe we have media on the phone and so I guess we could get the first question from the media with its on the phone thank you no no questions at this time on the phone lines if there are no other questions for for The Minister’s Coalition that set up today where which is Manitoba Health Coalition there advocating for basically Universal care and Universal care access to someone to ask you but that if you can step up so I can hear you no it’s about like health care and Universal care access and privatization so things to do but you know the issue of opiates and critically important in in Canada and certainly Racine British Columbia taking the lead because in many ways they’ve been at the pointy end of the spear when it comes to that dip circumstance but I also don’t want to Overlook at Manitoba that crystal meth methamphetamine in significant significant issue when it comes to our Province and good discussion previously with the federal government using some of the funding that they’ve made Alamo in this year’s budget which I think was initially Your Mark opiates but also to use at the Manor Cove his contacts for methamphetamine as well and we are in discussions are ongoing so every province is impacted differently of course if you are remember the mother or father of some child who is addicted to opiates that is your crisis and it is a it is a family crisis for you but we also recognize that in Manitoba methamphetamines a significant issue that we need to have support of his well you know in terms of you know when it comes to access to healthcare are we obviously believe that Canadians deserve access to healthcare we as a province of been taking a number of different stuff I try to better access to healthcare to make it more accessible more quickly so that people can get the right care in the right place at the right time but we also know that there are different models of care that sometimes need to be you looked at and have to be explored we are living in an environment not unlike what the minister for Saskatchewan said where we are having 19% of the funding from the federal government for health care in Manitoba when you are receiving 19% of the funding from from the federal government and they are essentially setting a hundred percent of the rules that can be a difficult environment to to work in and so are we can’t be naive in in Manitoba at least two to suggest there aren’t other ways that we have to look at delivering health care because an economic model that relies on a province to pay 80% of the cost and growing growing need for healthcare simply isn’t sustainable so we continue to look in Manitoba for Unique in the Aveda ways to deliver Healthcare while ensuring that those who need Healthcare get it in a timely way and in the right place their setup partly because they want to push you for legislation ensures Universal Public Health Care access they said they are concerned that the private sector strategy you talked about in the shared Health roller recently is against that I mean are there areas are you wouldn’t look for private sector involvement where you can tell folks who are concerned like this you wouldn’t go there for that committed to as a as a province and has a government is to ensure that people got the right care in the right place at great time obviously we’ve made some difficult decisions over the last 2 years some decisions I haven’t always made me the most popular minister in Manitoba maybe not even the most popular Minister my cock is but the real is that you have to make decisions sometimes that are important when a system isn’t functioning well and the healthcare system in Manitoba was not functioning well I think everybody in the system recognizes their needed to be changed or would have been different opinions about what that change could have look like and that’s fair in a free and Democratic Society but we have made changes I think we’re seeing Improvement when it comes to wait times at our emergency rooms in particular were seeing other improvements when it comes to length of stay in hospital we have the lowest number of people who are waiting to go into a personal care home from the hospital and we’ve had in the history of recording those statistics in Manitoba so there is certainly evidence that the changes that we are making are having an effect we’re going to have to to look at ways to make changes in in the healthcare system will listen to those of course you have various opinions and Views by the end of the day we will be driven by evidence and with the interest of trying to improve healthcare for every way mentally just wondering what you guys are hoping to discuss tomorrow still in what you’re going to be the main points of discussion with the federal health minister AC services from one of the presentations today that we received from research around an academic psychologist in Memorial University was around access and it’s a program of cat at for mental health and addictions we started rolling this out and I’ll Province and what has happened as well we’ve usually single-session counseling opportunities we have actually seen in those areas zero wait time for mental health counseling and some of our rural areas and some of our urban areas we have gone from a hundred ninety two people waiting for mental health counseling last UFC 219 as of last month and it hasn’t really an awful lot of increasing resources it’s simply being a shift in the culture from the providers of this one Center in the province’s still has not taking this model of next in line they currently have 274 people waiting over 300 days full mental health Counseling Services we have found by looking at the way we do things and by getting better value for the dollars that we spending on Healthcare we made a huge difference in Access and it is access the people of Newfoundland and Labrador mainly focused on that usually content with a system once I get into it but access is the cake I just want to put that plug out where we we had a very good presentation this morning and it was very well received back to your question and to all questions as been asked this afternoon they’re all pretty precise and the appropriate question to be asking to your question what will be in Portland that will be discussed tomorrow basically I dress today but if it is sad that the devil is in the details we know very well what the face of the devil is and it’s about funding okay we’re talkin we will be talking to more about a number of things specifically and especially maybe mental illnesses opioid crisis and natural pharmacare there is a common denominator around. It’s Monday and considering the CHS history in this country where federal government has reduced it’s it’s part in the funding over the years we’ve come at a time which we are discussing we will be discussing we’ve been discussing today those new program. Added programs that do have it cost the number one question today what funding role will Ottowa be taking that’s the question we want what we want have more I speak for everybody here we want to provide more services we understand what’s at stake we understand in these we also live on a daily basis the limitations if we have in our capacity to deliver those Services because of funding so we have partner somewhere in the middle of this country that maybe could do more this is going to be the main subject tomorrow give a set dollar amount that you’re going to be asking for tomorrow I will not enter in this press conference that aspect but we know what the numbers are and we know where the funding is going to which is lower from Ottawa so we cannot do two things same time we cannot increase service isn’t responding and ask for for ventral and territories government to do it all it’s a simple as that and as being sad like a present to her this morning it is simple math that you learn elementary school that’s awesome so someone will have to have an answer at some point obviously it’s not going to be okay thank you very much and I guess with no fault questions from the media on the phone I think the media for attending today’s news conference and thank you to the ministers this is yourFederal, provincial and territorial health ministers are meeting in Winnipeg for their annual summit.
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