Dr. Swann: Thank you, Mr. Speaker. As Leader of the Official Opposition it’s a duty and privilege to rise today and respond to yesterday’s budget.
I’m frankly astounded by the haphazard nature of this budget: massive spending increases in certain areas offset by drastic cuts in others. Far from striking a balance, this budget throws Alberta wildly off balance with no plan for sustainable spending and our province’s future prosperity in jeopardy. This is a balancing act all right, but it’s like a high-wire performance, a big show for the audience with potentially catastrophic consequences. Only it’s like the minister of finance is sitting safely on the sidelines, poking Albertans out onto the high wire without a net.
Over and over again during my time as Leader of the Opposition I’ve stated my belief that Alberta is in dire need of government that understands the importance of planning for the long term. Albertans have told me that they share this view, but clearly this Tory administration has no concept of what a long-term plan entails. Why else would they lurch from budget to budget, shifting priorities on the fly, commissioning studies only to abandon them, ignoring the advice of our Auditor General, and passing a law to make deficit spending illegal only to repeal that law as soon as oil and gas prices collapse? Is it a spending problem, or is it really a competence problem, Mr. Speaker? We believe this budget confirms that this government has a competence problem.
Both as a physician and a medical officer of health I took a careful, comprehensive approach to assessing problems, coming up with solutions in consultation with patients, and following up to be sure that my solutions were working then amending as necessary.
For example, if a patient came into the office with a headache, I couldn’t just give him a pill and send him away. I needed to know his medical history, what other medications he might be taking, what other medical conditions he had, problems at home and work, and so on. Once deciding together on a course of action, we would monitor the patient’s progress together and make changes to treatment as necessary.
The same common-sense approach must be applied and should be applied to policy problems. The state of public health care, the condition of our economy, social issues such as homelessness and child care: all of these require a responsible leadership to consider the big picture without the baggage of ideology or personal prejudice. Comprehensive analysis, full assessment, action, monitoring, and amendments as needed: that’s the approach a responsible government would take to the big issues of the day. Instead, we have ad hoc policy designed to address partisan political problems while many equally important issues get swept under the rug.
The cut to children’s services, for example, is a scandal. The decision to slash nearly $40 million from a crucial program is beneath contempt, especially when the amount being cut is the same as the amount being devoted to subsidizing the dying horse-racing industry. Mr. Speaker, Albertans care about children a helluva lot more than they care about horse racing. I’m profoundly disappointed by the lack of empathy and short-sightedness displayed by this administration’s decision, especially given the news stories of troubled foster families this past week.
Yesterday I talked about the impact of this administration’s cuts on Alberta’s students – the next generation of engineers, tradesmen, scientists, doctors, artists, the leaders and builders of tomorrow – over $200 million cut from Advanced Education and Technology, creating even higher student debt and imperilling access to postsecondary education. If there’s one investment that could lead to creating a sustainable economy for Alberta, surely it’s education. But this administration, with typical short-sightedness, just made it harder for countless Albertans to achieve their full potential. The consequences of this decision will affect Alberta’s prosperity for a long, long time to come.
It certainly makes it no easier to address our critical shortages of health care professionals. That $2 billion added to the health care budget won’t help much without new doctors and professionals to make the system work. Clearly, the heartfelt but logical appeal of University of Calgary medical students Rithesh Ram and Natarie Liu, whose letters I read yesterday in the House, fell on deaf ears. Student debt, already crippling, is going to rise even higher, and I don’t see how the minister of advanced education is going to deny any of the proposed tuition increases given these cuts. High youth unemployment, declined registered education savings plan values, frozen minimum wage: all these factors, combined with this administration’s cuts to advanced education, make this a terrible time to be a postsecondary student in Alberta.
Slashing income supports in an economic recession shows not only a lack of compassion for Albertans struggling to cope but again reinforces this administration’s reputation for short-sightedness. You predict that the unemployment picture is not going to improve in the near term, so why cut benefits? They’re going to be needed, especially since employment lags behind general economic growth. It takes time to recover lost jobs. In the meantime Alberta families will struggle to cope.
The choices made by this administration reveal a, quote, flavour-of-the-month mentality. It recognized correctly that Albertans are concerned about health care, but rather than addressing the complex problems of management and resource allocation, it has decided to take the easy road and, in relation to health care in particular, throw money at the problem.
I can’t imagine how the minister of finance wrapped his head around this administration’s incredible $2 billion increase in health care spending. In fact, there was a comment on Twitter yesterday that I thought was both funny and revealing. I’m paraphrasing: Mr. Premier, when your finance minister is in tears while reading the budget, that’s not a good sign.
You know, if I’d called upon this government to increase the health budget by $2 billion, the heckling from that side of the Assembly might very well have brought the House down around our heads. Yet here we have an ideologically conservative administration, or at least, certainly, an ideologically conservative minister, or so he tries to appear, telling Albertans that their prescription for saving health care is throwing dump truckloads full of money at the system. As a medical doctor I can tell you that, yes, the system needs money, but what it needs most is competent management. Given this administration’s disastrous record with public health care, why should anyone believe that this huge increase in the system’s budget will actually lead to better results?
This administration’s own throne speech, delivered just days ago, admitted that Alberta receives far less value per dollar spent on health care than other provinces. Now we’ll receive even less value per dollar, because I don’t trust this administration to use those extra resources any more efficiently. In fact, by cutting child intervention services and income supports, this will foster situations that cause bad health outcomes for hundreds, perhaps thousands of Albertans, and they’ll wind up in the health care system, costing that system much more in the long run.
I find it incredibly ironic that two years ago this very administration was trying to tell Albertans that health care spending was out of control. Oscar Wilde might not have been a big fan of consistency, but I think most Albertans do not want a government that’s constantly sending out mixed messages.
A few months ago this administration claimed that it could find $2 billion in savings through greater efficiency. You seem to have come up about $700 million short and certainly haven’t found any appreciable efficiencies in health care, not when, as I explained yesterday, there are cases of keeping patients in intensive care units for days at a cost of thousands of dollars rather than shelling out less than a hundred dollars for antibiotics. Or cases like a former friend forced to wait too long for what would have been an easy, inexpensive gall bladder operation, but delays resulted in a potentially lifethreatening infection, costing the system thousands of dollars and, more importantly, resulting in a vastly less desirable health outcome for my friend.
Yesterday in my response to the throne speech I shared some stories from the many Albertans who have contacted us with stories of how they’re trying to cope with this administration’s mistakes. I shared those stories because I think it’s important that we all remember that the decisions we make as elected representatives have real impacts on real people every day: our neighbours, our fellow citizens, the people that we have been entrusted to serve. When we fail them, we fail in our primary reason for being in the Assembly. I hope that at least a few government members will take these stories to heart because we all share some responsibility for them.
Here is one I did not bring up yesterday.
“After 10 years of billions of dollars in surplus we now find ourselves with $4 billion in deficit. Where did the money go? I live on a disability pension; I don’t have lot of money to throw around. I have multiple sclerosis, and on occasion I need a chiropractor and some adjustments. But Mr. Liepert saw fit to delist these treatments, and now I cannot afford to go to a chiropractor. I have no balance. I fall frequently and require adjustments often. Also, I cannot afford my prescriptions because the minister of health raised the price of the plus for Blue Cross from $44.00 to $82.00 per month. Doctor appointments are over a month’s wait. The more you can do, please do, and more power to you. We need help.”
Here’s another.
“I asked for hospital beds, not a $250 million a year ambulance transition. In April this year Alberta Health Services took over emergency medical services throughout Alberta at a cost of $250 million a year, forever, after refusing to release publicly the findings of the EMS discovery project in the former Peace and Palliser health regions. What is our health minister trying to hide? I wrote my local government MLA and received this response from her in writing. She stated: “I am unable to share these findings with you,” and later, “The findings of the EMS discovery projects cannot be released publicly.” Disgusting. Very George Bush style of governance. This was a great selling feature to taxpayers. For example, in Calgary, where EMS operations were close to $30 million a year, this was not supposed to be passed down to us. Then why is it I am now facing a 4.8 per cent property tax increase? The system is clearly not working.”
To conclude, Mr. Speaker, believe me, these stories represent just the tip of the iceberg. To paraphrase Shakespeare: this surely is the winter of Alberta discontent. This budget uses a boatload of cash to wallpaper over problems while failing to address fundamental issues of poor governance, mismanagement, and the failure to consider the long-term implications of habitual, moment-to-moment decisionmaking.
I believe that as a society we must do our best to live within our means so that future generations will not be compromised. As our First Nations citizens might say: we do not inherit the earth from our ancestors; we borrow it from our children.
This budget borrows heavily indeed from the next generation of Albertans. I only wish I could believe that this administration had the skills to put this loan to best use. Clearly, Mr. Speaker, we are dealing no longer with merely a financial problem but with a competence problem. There is a better way.
Thank you, Mr. Speaker.
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