Address the homelessness crisis and prevent lives from being lost

SUSAN LEBLANC « » : Late last year, in the span of just five weeks, three people living in tent encampments died. Three lives lost - three people with families, with stories, with hopes. Nobody should die because they have nowhere safe to sleep. This government must take meaningful action before more lives are lost. My question for the Minister of Opportunities and Social Development is: When will this government address the crisis and ensure no more Nova Scotians die in tent encampments?

HON. SCOTT ARMSTRONG: Good news, Speaker: We have taken action, and that's why we increased the budget by 1,300 per cent. That's why we have new units going up all over the province. That's why homeless encampments are going down. We are providing spaces for people to go. I can happily report that on a cold night in this Winter, we had a spot for every single homeless person - a safe spot, a warm spot, and a spot with wraparound services to support them.

SUSAN LEBLANC « » : We appreciate that some work is being done, but that doesn't change the fact that lives are being lost. Those spots that the minister is talking about - not every person who lives in a tent is able to go into those spots, for a variety of reasons. It doesn't change the fact that during the Spring session, this government has refused to protect renters and lift Nova Scotians out of poverty while more than 1,000 people in this province still don't have a safe place to live. We have an excellent example of what is needed and is working in The Overlook in Dartmouth North. Will the government ensure, like at The Overlook, that every Nova Scotian has an appropriate place to live with wraparound supports they need to survive and thrive and make sure no one else dies outside?

SCOTT ARMSTRONG: We have a range of supports for people who are experiencing homelessness or being challenged with a safe place to live, from emergency shelters, permanent shelters, and transitional housing to supportive housing. I'd like to point out The Rose. I've pointed it out many times in this sitting. There is a unit with 18 families who have been moved out of places like hotels. They provide a good place to live with bathrooms and a kitchen. There's a playground. There's a gym facility. We're going to continue to invest and support Nova Scotians who struggle. I've said it before: The most important social program is a job. We're connecting people who struggle with employment in this province. That's our goal: to have fewer people needing supports. We're getting the job done.

Why did this government abandon the residential tenancies enforcement unit?

SUSAN LEBLANC « » : This government paid $300,000 for instructions on how to set up a residential tenancies enforcement unit. The enforcement unit would have improved tenant rights, and the government got pretty deep into the process of making this happen. The responsible department was even exploring different options for hiring enforcement officers. I can table that information. Can the minister tell us why the residential tenancies enforcement unit was abandoned when it was so close to becoming a reality?

HON. JILL BALSER « » : Our focus is to make sure we have a Residential Tenancies Program that works for tenants and landlords. As I said in the previous question asked around residential enforcement, we want to make sure that is a positive relationship. We encourage everyone who has any questions, of course, to reach out. When we did have that report commissioned, as we spoke on the floor of the Legislature in the last session, the outcomes of that wouldn't have made the improvements that some Nova Scotians would have been looking for. We know that in other jurisdictions, they're not meeting the timelines that Nova Scotia is. I stand proudly to say that we have made changes to our Residential Tenancies Program to make sure when there is a dispute between a landlord and a tenant, they have a resolution in a quick timeline.

SUSAN LEBLANC « » : A resolution is not enforcement of the resolution. We're talking about the enforcement of the decisions that are made at the Residential Tenancies Program, which, according to the minister, worked well. The government keeps saying the system is working and no enforcement unit is needed, but this wasn't always the case. In January 2024, department staff defended the creation of an enforcement unit because "There would be a balance in charges laid against a landlord or tenant." What or who changed this government's position on a residential tenancies enforcement unit?

JILL BALSER « » : Again, I want to highlight the fact that we do have a very good Residential Tenancies Program. Having the opportunity to meet with the teams and knowing there are members located at Access Nova Scotia centres across Nova Scotia - they are there to do the good work to support tenants and landlords. It's been said before: If you have a program that has that ability to be able to find a positive resolution in a quick timeline, we make sure that, in the changes that were made, we're meeting and seeing hearings completed within three weeks. We know that in other jurisdictions it's taking months. In jurisdictions that have tenant compliance enforcement units, it's taking months. We have to make sure that when there are disputes, there is a positive resolution in a timely manner.

Why is support for the music industry not a priority for this government?

SUSAN LEBLANC « » : NSCC's Music Business Program attracts top talent. Grammy-winning artist Dyson Knight of the Baha Men recently said he was excited to enroll in this program so his "music can step up a bit." That's a quote, and I will table it. We're hearing that this program is being cut because it doesn't fall within any of the government's priority areas. My question to the minister is: Why is support for the music industry not a priority for this government?

HON. BRENDAN MAGUIRE: I am confused, Speaker. You want us to not interfere with academic freedom on one hand, and then the next person gets up and says to interfere with academic freedom on the other. This government has supported the arts more than any other government. There is an announcement today around a sound stage for the arts. The film industry and the arts industry are flourishing in Nova Scotia. The government is not directing the NSCC on what programs to have and what not to have. They make decisions based on enrolment and what they see fit for their own institution.

SUSAN LEBLANC « » : This government is intent on aligning post-secondary institutions with their own agenda. We have heard it over and over again, and we have a bill in front of us saying that very thing. The loss of the Music Business Program shows that this government's agenda is having a really negative consequence on the lives of Nova Scotians. Speaking of film, many of the people who write and compose music for our film industry will have gone through this program that's being cut. Without this program, we will lose talented people, and the continued success of our music industry will be put at risk. Why is the government putting Nova Scotia's vibrant and valuable music industry at risk?

BRENDAN MAGUIRE: I don't know how many times I can repeat it before it sinks in. We are not going to tell schools what they can and cannot teach. What we're saying is that when you have positions that are not being filled - health care positions - we need them filled. We are asking them because they are seeing a shortage in funding because of the temporary student caps to align with the workforce, to work with the workforce. Guess what? NSCAD is just as valuable as Dal. The School of Theology is just as valuable as any school. We appreciate the arts. We will continue to support the arts. NSCC is an institution all to their own.

Why is this government refusing to close the fixed-term lease loophole?

SUSAN LEBLANC « » : We were shocked to find out recently that this government's temporary rent cap does not apply to university residences. Students living at the Atlantic School of Theology residence are now facing a 25 per cent increase to their rents. As one student explained: "It feels like they're taking advantage of a loophole to exploit students." I will table that. My question to the minister is: Why did this government leave a loophole for universities in the temporary rent cap?

HON. JILL BALSER « » : I thank the member for this important question. We know that it's a difficult time for students, of course, raising the question around the decision that was made by the university in terms of increasing the rent. I just want to make note that university dorms aren't covered under the Residential Tenancies program here in Nova Scotia, but that goes for every jurisdiction across Canada. Nova Scotia is not unique in that sense.

We also want to make sure that we're focusing on student needs, looking at the investments being made in housing, because that is what we've been saying all along: With the improvements in housing, we want to make sure that we're making the right investments and focusing on the needs of students. I appreciate the students asking this question. It's not included in the Residential Tenancies program.

SUSAN LEBLANC « » : The minister's answer just reminds me to ask where the student housing strategy is.

I will change topics slightly. This isn't the only loophole that was left in the rent cap. We also have the fixed-term lease loophole. Fixed-term leases allow landlords to evict tenants at the end of their lease without cause. Some landlords, as we have heard, have been misusing this type of lease to raise rents above the five per cent rent cap every single year. The effects are clear: The cost of housing and tenant evictions are both skyrocketing. I'll table that. Why is this government refusing to end the ability to misuse fixed-term leases in Nova Scotia?

JILL BALSER « » : I want to take the opportunity to remind Nova Scotians if they have any questions about a lease to speak to their landlord, if that's an option, but to come to the Residential Tenancies program with any questions they might have.

Again, our focus on increasing the housing supply is also creating more options for Nova Scotians. We want to make sure Nova Scotians have the ability to be able to move and to be able to choose a home that's important for them. We are also seeing changes in our vacancy rates. We know the investments we have been making are improving. Again, anybody who has a question, come to the Residential Tenancies program. Come to all of us at our constituency offices. We're making sure Nova Scotians have the right information they need.

Why not provide additional screening for women with category C and D dense breasts?

SUSAN LEBLANC « » : Speaker, up to 50 per cent of cancers present in the densest breasts - that is, categories C and D - may be missed with regular screening. We've known this for years, and we know what the consequences are. Why is this government not providing additional screening for women with category C and D dense breasts?

HON. MICHELLE THOMPSON « » : We've had a number of conversations over the last couple years in regard to this. Dense breasts are one risk factor, but it is not the only risk factor. It's made known to individuals whether they have dense breasts post-mammography. It's an important conversation they need to have with their clinician. There is a wraparound program. We work with the Nova Scotia Breast Screening Program to understand best practice. There is enhanced screening that can happen based on a conversation. Dense breasts is one risk factor, but it's not the only risk factor. I would encourage folks that we are following best practice. We are one of only two provinces that have the high-risk breast-screening program in the country. We'll continue to work with the experts to understand any emerging evidence.

SUSAN LEBLANC « » : Speaker, in 2019, Nova Scotia began to directly inform women of their breast-density category - A, B, C, or D - after their screening mammogram. This lets women know whether they are at risk of having missed a cancer diagnosis, but it doesn't create a pathway for these women to access the screening. What the minister has just mentioned does not happen as a matter of course for most women. We've heard that from them time and time again. Most women who have dense breasts do not get access to the screening they need to detect the cancer early. Why is the government blocking women's access to essential life-saving screening?

MICHELLE THOMPSON « » : I think that's a terrible thing to say - that we are blocking women's access to care.

THE SPEAKER « » : I agree. The honourable Minister of Health and Wellness.

MICHELLE THOMPSON « » : We have invested a significant amount of money. Nova Scotia's breast cancer detection rate meets or exceeds national targets in all age groups. Nova Scotia exceeds the national target of less than 70 per cent of breast cancers that have not spread. Density distribution in Nova Scotia for all ages being screened is 27 per cent. We are working so hard to improve women's health. We are not holding back a resource. We're working with the Nova Scotia Breast Screening Program. We are trying to understand emerging evidence. I understand it is very frightening for people when they have a diagnosis of dense breasts, but it is one of a number of risk factors.

Federal money is on the table. Why not provide free birth control for Nova Scotians?

SUSAN LEBLANC « » : Manitoba has made history as the first province to sign the federal pharmacare agreement. Manitoba will now get $219 million over the next four years to cover medications like birth control. Providing free birth control would save Nova Scotians money. It would help address the gender-based violence epidemic. We have reminded this government about this opportunity countless times but we have yet to see any action. Why is Nova Scotia dragging its feet on signing this deal and giving Nova Scotians access to the medications they need?

HON. MICHELLE THOMPSON « » : Again, I'll answer the question that we are in active negotiations with the federal government regarding the deal. We need to make sure that this is a financially sustainable approach. We appreciate the opportunity that is before us, but we also have economic realities here that we need to ensure that if that money sunsets - and we expect that after three to five years it will - that we are going to have the capacity to continue to provide the same amount of coverage. In order to do that, we need to look at how we look at the natural resources in this province, how we generate economic development, how we do all of these things; but the Opposition have had nothing good to say about it since we started. I am very committed to looking at this deal and negotiating, but we need to look at the economic opportunities in this province.

SUSAN LEBLANC « » : I know the minister knows this, but reproductive health is an economic opportunity for Nova Scotians. It's all connected. Manitoba didn't wait for the federal money to come in. The province started covering birth control in the Fall because it knew it was the right thing to do, and it was economically sound. We are telling the government that there is money for them on the table right now and every day they delay, Nova Scotians are forced to spend more of their own money to cover this medication. My question is: Will the government ensure that Nova Scotians will have access to the medications they need?

MICHELLE THOMPSON « » : Again, there are a number of ways that people can access birth control through this province. We've talked about them before. Certainly if there is a financial barrier, through the Department of Opportunities and Social Development people have access to birth control. We have the Nova Scotia Family Pharmacare Program. Some people have private insurance - all these different ways to support people who require birth control. We are actively negotiating with the federal government. We cannot rush this negotiation. We cannot get a bad deal for Nova Scotians. We've seen that in the past with other deals when they've been rushed. We need to take our time. We need to ensure that we're doing the right things, that there is economic stability moving forward when and if that money sunsets, which we expect it will.

Free access to birth control would reduce reproductive coercion

SUSAN LEBLANC « » : The Transition House Association of Nova Scotia recently released a research brief, Reproductive Coercion and Intimate Partner Violence, and I'll table it. This is a form of gender-based violence that involves controlling another person's reproductive rights. The document recommends implementing access to universal, no-cost coverage of prescription contraception. Knowing that having free access to birth control can reduce reproductive coercion in this province, why does this government refuse to provide free birth control to its citizens?

HON. MICHELLE THOMPSON « » : We currently have programs that are available to people who are seeking birth control. We have our Family Pharmacare Program, people who also have private insurance. There are also some individuals who require additional support and through the Department of Opportunities and Social Development there are opportunities for people to access birth control. We know it's an important issue. We'll continue to work throughout government to best understand how to serve Nova Scotians.

SUSAN LEBLANC « » : All of those things are true but there are lots of people who are still falling through the cracks. That is why there is a massive call across the province and across the country for barrier-free, complete access to free birth control, so that the people who don't have those opportunities are able to access birth control. There's federal funding on the table right now to provide free birth control for all Nova Scotians. This is an important and simple step for us to take to help reduce the impacts of reproductive coercion in this country. We have yet to hear a good reason as to why the government has not taken this step. I'll ask again: Why won't this government work with the feds to provide Nova Scotians with free birth control to help address the epidemic of gender-based violence?

MICHELLE THOMPSON « » : We really are currently in negotiations with the federal government. The two departments are speaking about how best to serve Nova Scotians, what the negotiations may look like. It's not a straightforward negotiation. We have to make sure that it is a program that is sustainable when the money sunsets. It's great to get the money upfront, but eventually that money will go away. We need to make sure that we make the appropriate choices. We need to make sure that it's financially sustainable moving forward when the money sunsets. We continue to be in active negotiations. I'm very hopeful that we'll have more information soon.

Address the root causes of gender-based violence

SUSAN LEBLANC: New Leaf is a program that addresses the root causes of gender-based violence. It provides group counselling and support for abusive men who want to stop hurting their loved ones. When we talk about gender-based violence prevention, these are the programs we need, but New Leaf is struggling to keep up with demand, and they need more funding to provide this vital service - and I can table an article about that. When will this government commit to providing stable core funding for groups like New Leaf to prevent gender-based violence?

HON. SCOTT ARMSTRONG: We know that any incident of intimate partner violence is one too many, and across government we are investing and making great strides in supporting groups across this province to intervene before incidents happen. New Leaf is a great example of that. Our department supports New Leaf. Over several years, our funding has been increased. They have a proposal in. We're reviewing that proposal, and there will be more to say on this later.

SUSAN LEBLANC: I am glad to hear that a proposal is under way, but what is needed is what was recommended by the Mass Casualty Commission - stable core funding for organizations that address and prevent gender-based violence. This type of funding would mean that groups like New Leaf don't have to keep putting proposals in. They don't have to keep wondering if they will be able to continue next year or the year after. Supporting groups like New Leaf - which focus on interventions for men - will help address the root causes of gender-based violence. My question is: Why won't this government commit to a funding model that will ensure important programs like New Leaf can continue year after year after year?

THE SPEAKER: The honourable Minister of Justice.

HON. BECKY DRUHAN: My colleagues and I are eagerly wanting to answer this question because we are working cross-department. I do want to say that we recognize the need for core funding, and we have, in fact, started increasing core funding. That took place last year with respect to the transition houses - the largest increase in core funding in decades - and that was a significant investment. We're continuing to assess that. I wanted to draw the member's attention to the work that we are doing around supporting men, because this is an incredibly important issue, and we heard from Tod Augusta Scott - who is a leader in this field - in an article from the Halifax Examiner, and he said: ". . . while more money is always welcome for programs, including those for men, Nova Scotia is a leader nationally on this issue."

Why won’t the Health Minister help Jennifer Brady get the care she needs?

On September 19th I asked the Minister of Health if she would end the government’s legal battle against Jennifer Brady and allow Ms. Brady to receive the care she needs. Jennifer Brady has a debilitating lymphedema, and there is no treatment currently available in Nova Scotia. The department of health is saying it won’t cover out of province expenses without a specialist referral made in the province, but no specialist exists here. Jennifer has applied for medically assisted death earlier this year. We must not allow Jennifer Brady to die or live in pain when treatment is available. Below is our full exchange:

SUSAN LEBLANC : Speaker, my question is for the Minister of Health and Wellness. The minister's department has been fighting Jennifer Brady in court for two years over a procedure that is covered by MSI. My question is: Why? Ms. Brady has debilitating lymphedema and there is no treatment currently available in Nova Scotia. The department is saying it won't cover out-of-province expenses without a specialist's referral made in the province, but no specialist exists here. Will the minister end this legal battle and allow Jennifer Brady to receive the care she needs?

HON. MICHELLE THOMPSON: I certainly know that this is a very difficult situation for Ms. Brady. This matter is before the courts, and I will not comment.

SUSAN LEBLANC: The matter is in the courts; it's also on national news as Ms. Brady has shared her story with the CBC. Without access to the care she needs, Ms. Brady applied for MAID earlier this year. The head clinician who reviewed her application found that it met all criteria except that the condition cannot be treated. There is treatment available. As the clinician told the minister's department in his letter: Your office can make that happen. We know it is within the minister's ability to help Ms. Brady and many others like her. Will she do that?

MICHELLE THOMPSON: Again, I appreciate that this is a very difficult situation. Ms. Brady is free to share her personal health information. I, however, am not, and so I will not be able to comment any further on this situation.

Pressing the Minister about accessing primary care

On April 4, 2024 I asked the Minister of Health and Wellness about people’s troubles accessing primary health care in Nova Scotia:

SUSAN LEBLANC: Our offices hear regularly from people who are struggling to have their needs met without attachment to primary care. One told us, “I live with some chronic ailments, and I have no support to properly manage them. My partner is in a similar position. I have three children, and there are many things I would like to have support with from a primary care provider.” Another person said, “Both of us have multiple disabilities. My spouse’s health needs constant monitoring. We have no continuity of care, and it is stressful.” My question to the Minister of Health and Wellness is: Can the minister assure these and all 160,000 Nova Scotians on the Need a Family Practice wait-list that they will have attachment to a primary caregiver?

HON. MICHELLE THOMPSON: I do want to assure folks who are on the Need a Family Practice Registry that one of the most important things and options available is to update their health information. Recently, as a result, people living with chronic conditions such as diabetes have actually been attached to a clinic to support their health care needs. Also, they’ve been scanning for people who have time-limited conditions such as pregnancy to make sure that people have access to the care they need. There are a number of ways in which people can access, and it also speaks to the necessary and important step of making sure that every individual in Nova Scotia has access to their health care records to ensure continuity of care.

SUSAN LEBLANC: Not sure how those two things line up, but let’s go on to the next question. Another person told us: “I can utilize services like Maple for refills, but no one is consistent. When my mental health is worse, I don’t have anyone to provide support and help change my meds if needed.” Another said: My 77-year-old father has been without a family doctor for several years now and has been waiting the whole time. He’s getting his prescriptions refilled by phone appointments but has had several health issues that need a primary care doctor as a main point of contact. He’s dealing with prostate cancer, high blood pressure, joint issues, and all the things that go hand in hand with getting old, all without a family doctor. Are these the people whom this government thinks are managing just fine with virtual care?

MICHELLE THOMPSON: Again, I go back to how important it is for individuals to work either through 811 or online in order to update their information. We know that there are people who do require complex care. In some cases, that can be handled through a pharmacy, as an example - cardiovascular health, there’s some diabetic care that can happen through there. There are a number of different avenues. We are looking at attaching people to a family practice. A family physician is very important, but there are other primary care providers who can support people in a healthhome environment. I would encourage people to make sure their information is updated on the Need a Family Practice Registry, and also to look at other avenues in which they can get support. We are scanning that Need a Family Practice Registry on a regular basis to look for people with chronic conditions and attach them to appropriate chronic care.

Asking the Minister of Health About Nova Scotians' Personal Health Information

SUSAN LEBLANC: Late last night, under the cover of darkness, government members discussed at length the mounting concerns about this government’s proposed new approach to the disclosure of personal health information, which physicians have warned will fundamentally change the nature of the patient-doctor relationship and potentially break people’s trust in their physicians by allowing unrestricted disclosure of deeply private information. Can the Minister of Health and Wellness explain: What is so important that requires this government to play with fire with our personal information?

HON. MICHELLE THOMPSON: As I said yesterday, there are already requirements in place for the Minister of Health and Wellness that that individual has to meet under the Personal Health Information Act already. This is about getting information in the hands of Nova Scotians so that they can have their record in their hands and they can navigate the health care system. We have seen this be hugely successful in other jurisdictions. We have a responsibility to manage the health care system. We receive aggregate data from our hospitals, from our clinics, from all over, but we don’t have aggregate data from our primary care. That’s what this is about: managing a system, managing it well, managing it appropriately, and giving people access to their patient records.

SUSAN LEBLANC: The government has indicated that these changes are needed to advance the work of the YourHealthNS app - has anyone heard of that app, by the way? - which in part is being run by an Ontario-based company that was awarded this work in an untendered $50 million five-year contract last year. It’s recently come to light that this company has been facing financial challenges and was recently acquired by an investment firm. Last week in Estimates, I asked the minister about the sale and was told by the minister that the contract would be assumed by the buyer. Can the minister confirm: Has anyone from the department been in contact with the new owner of people’s private health information, and what does all this mean for Nova Scotia’s health data?

MICHELLE THOMPSON: I want to assure Nova Scotians that we are absolutely in compliance with all of the privacy laws that are in place. We want people to have access to their health records. We want people to be able to be their advocates in the health care system. People are saying, as we hear all the time from the feedback on the app, We want more. We want to know where our records are. We want to know what our bloodwork says. We want to know about our diagnostic imaging. People are asking for this information. Through this legislation and through the work that is happening with the Nova Scotia Health Authority and the individuals who are responsible for privacy to support us in granting that request, there is nothing to fear for Nova Scotians.

Question Period: 156,000+ on the doctor waitlist. Why is gov dismissing them?

My exchange with Health Minister Michelle Thompson about the Need a Family Practice wait list:

Last week, the Premier said: “There are different reasons people are on the list. Some actually have a doctor, but they don’t like their doctor, or they’re worried the doctor might retire, but they have access to care.” I can table that. I find this puzzling. The government actually publicly reports people’s reasons for joining the Need a Family Practice wait-list, which I will table: 54,708 are on the list because they’re new to the area; 15,672 have not needed a provider until now; 39,060 say their provider closed their practice; 31,092 said their provider had retired; and 15,256 say their provider is retiring. None of these are what the Premier said. My question is: Why is this government trying to detract from the very real experience and anxiety of the thousands of Nova Scotians without attachment to primary care?

HON. MICHELLE THOMPSON: We do continue to use the Need a Family Practice registry as one of the indicators that is important, but it’s not the only one. We do have to look at the accessibility of health care. People languished on that list for a long time before we formed government, and there was no other access point for them, other than waiting at the emergency department. We have created 60,000 new appointments per month - that’s 720,000 per year - in order for people to access health care. We are working with the list. We understand who’s on that list. We are finding different pathways for individuals who have a variety of different concerns, and we will continue to attach and provide access to people in Nova Scotia.

SUSAN LEBLANC: Also last week, the Premier told us that only some Nova Scotians need a family doctor or nurse practitioner, and that for others, virtual is working just fine. I just tabled that. These certainly aren’t the people we speak to, who without attachment to care live in constant fear of getting sick: people with young children; people who need controlled medications prescribed or titrated; people with complex health needs. Can the minister tell the 156,000 people who are waiting which one of them doesn’t need a doctor?

MICHELLE THOMPSON: It is very important that if individuals are on that list, they do update their information. Recently, we’ve been able to attach 13,000 people. Some of those people were pregnant, for example. We know they have a time-sensitive condition that requires them to be attached to a primary care provider. We were able to attach a number of individuals directly to diabetic education centres. There are other people who can look after complex needs, like our pharmacists who can manage chronic disease, and we’re seeing that through the pilot that we have across the province. There are many ways to access care. We have also given over 10,000 patients access to their information, so that they can be better advocates for themselves in accessing and attaching for health care.

Susan Leblanc Asks What will Goverment do to Ensure Measles Vaccine Supply

SUSAN LEBLANC: Speaker, Chief Medical Officer of Health Dr. Robert Strang recently urged Nova Scotians to check their immunization status, and for many to update their measles vaccination. Now we’re hearing that pharmacies and primary care providers are overwhelmed by demand. There are simply not enough doses of the vaccine. Kari Ellen Graham, a pharmacist in Halifax, has said, “The bottom line is you could try your pharmacy, although most pharmacies are out . . . a lot of doctor’s offices are now out.” How are Nova Scotians supposed to protect themselves and follow the advice of the Chief Medical Officer if there are no shots available?

HON. MICHELLE THOMPSON: First of all, I want to clarify and go on the record that there are shots available. There is MMR vaccine in this province. There is no shortage. Because of the demand, the orders that physicians and pharmacists have, they’ve gone through those orders more quickly. It’s simply reaching back out to the BioDepot, explaining that they are out of the vaccine, and ordering more.

SUSAN LEBLANC: It would be great if people could access the vaccine through mobile health units in cases where pharmacies and primary care providers are not a viable option, but according to Nova Scotia Health Authority’s website, many parts of Nova Scotia do not have mobile immunization clinics scheduled until April, and many are not even offering the measles vaccine. Measles cases across Canada are on the rise- we’ve heard this. Nova Scotians should not have to wait several more weeks to access the recommended vaccination. What is this government doing to ensure that all Nova Scotians have access to the vaccinations they need when they need them?

MICHELLE THOMPSON: Nova Scotians have a variety of different ways in which they can access vaccines. They can access them through the mobile clinics, they can access them through primary care providers, they can access them through pharmacists. There are a variety of different ways. There is no shortage. There is high demand, which has caused offices and folks to go through their supply, but there is no shortage of the vaccine. If individuals require more vaccine- whether they have a pharmacy or whether they have an office- they simply need to reach out to the BioDepot and increase their supply.

Susan Leblanc asks the Minister to address nursing burnout and add locums

SUSAN LEBLANC: Speaker, my question is for the Minister of Health and Wellness. This province spent $126 million last year on travel nurses who work for private agencies. I can table that. Despite this large sum, our nursing shortage is not going away. The Nova Scotia Health Authority continues to have over a thousand nursing vacancies. Too many of our nurses are having to work 24-hour shifts, while others have to work up to six days a week. This is leading to burnout and nurses leaving the line of work. The travel nurse program is making it worse. On top of burnout, local nurses are working next to travel nurses who are making much more money. Why is this government continuing to throw money at private nursing agencies when the perceived solution is clearly not working?

HON. MICHELLE THOMPSON: We know that there is a provincial and national nursing shortage. We have to use travel companies right now. There is no other alternative. It allows us to keep beds open. There has been an underinvestment in nursing education for a number of years, which has resulted in this nursing shortage. We are raising the number of seats. We are recruiting. Our Patient Access to Care Act is bringing people in from all over the country. If we were to walk away from travel nurses, we would have to close beds in this province, which we’re not willing to do. What I can tell the member is that we’re one of the first jurisdictions in Canada to actually limit the use of travel nurses, and we’re anxious to see what that will result in as the time moves on.

SUSAN LEBLANC: Janet Hazelton, the president of the Nova Scotia Nurses’ Union, has presented a clear solution to this government. She would like to see a nurse locum program in place of their reliance on agency nurses. In a committee earlier this week, she said, “It’s very doable. All it’s going to take is for the unions and the employer to sit down and negotiate this. We just have to do it.” I can table that. When asked about such a program, the department said talks have been limited. Will this government listen to what nurses are saying and implement a provincial nurse locum program?

MICHELLE THOMPSON: Moving the same number of people around in a different way in the province is not going to help our nursing shortage. We have done a number of things. We’ve increased the number of seats. PACA - which that member voted against - will bring nurses from all over this country to Nova Scotia, enabling them to work within five days. We are looking at immigration strategies. We have to raise the supply of nurses. We need to train them. We need them to come and move and live and work here. We have a competitive contract. We are an incredible environment to work in. There are a number of things that are happening through the new collective agreement and by the employers to improve conditions for nurses, and I am confident in our ability to address the nursing shortage.

Question to Minister: Why won’t the government support teachers and stop burnout

SUSAN LEBLANC: Speaker, Nova Scotia’s population is growing, and enrolment in our schools is increasing in step. This is putting immense pressure on our teachers. A recent survey from the Nova Scotia Teachers Union found that 84 per cent of Nova Scotia teachers have considered leaving the profession in the last five years due to burnout, a lack of resources, and several other factors, and I will table that. My question for the Minister of Education and Early Childhood Development is: What is this government doing to protect our teachers from burning out?

HON. BECKY DRUHAN: It is incredibly important that our staff team of 20,000 across the province -10,000 of whom are teachers -and others feel supported to be able to provide the support and education that our students need. Our government knows and understands this. That is why we have spent so much time connecting with, listening to, and acting on the advice, recommendations, ideas, and suggestions of teachers and educators across the province. Speaker, I’m excited to tell you about all the things that we’ve heard. I have met with over 60 staff teams in meetings. I’ve been to dozens of schools, and they’ve given us ideas, like how we add more food to schools. We’re introducing a lunch program based on that advice.

SUSAN LEBLANC: I’m going to table an op-ed by the Nova Scotia Teachers Union president, Ryan Lutes, which talks about the need for another way to support teachers, which is making sure that we support our substitutes. One way to take the pressure off our schools is by addressing the chronic shortage of substitute teachers. The wages of Nova Scotia’s substitute teachers have not kept pace with the steep increase in the cost of living. In fact, they have not even keptpace with the wages of substitute teachers in other provinces. Our substitute teachers are some of the lowest-paid across Canada. I will table that op-ed. My question to the minister is: Will this government give Nova Scotia’s substitute teachers the pay raise they need?

BECKY DRUHAN: Speaker, I’ve said on many other occasions that I value and respect the bargaining process, and so I’m certainly not going to engage in that on the floor. The question of substitute teacher pay is one of the types of issues that can be at the table as teachers bargain, so I am not going to address that. This is something that I’ve spoken to with those thousands of teachers I’ve talked to. While we await that bargaining process to unfold, we’ve taken action. Based on the request of teachers across the province, we’ve increased the term subs, so that we now have term substitute teachers across the province who are available to be deployed into classes when they’re needed, as they’re needed. They build relationships in schools, and that’s something we’ve done on action directly on advice from teachers.

Question to Minister: Fixed term lease loophole forcing Dartmouth renters to move

SUSAN LEBLANC: Speaker, my question is for the Minister responsible for the Residential Tenancies Act. Last week the final tenant was evicted from a nine-unit Dartmouth North building after the landlord refused to renew a series of fixed-term leases. As a result of having to move, Keely Corrigan saw her rent more than double. It went from $754 to $1,525, and I will table that. Without the abuse of fixed-term leases, Keely could have stayed in her rent-capped unit instead of moving into a unit she will struggle to pay for. My question for the minister is: Does the minister believe that this is the intended and appropriate use of fixed-term leases?

HON. COLTON LEBLANC: Of course, I recognize that when a tenant does face the end of their lease, it does put them in a very difficult situation. It does cause a lot of stress. Again, I have spoken at length about the intended use of fixed-term leases on the floor of the Legislature. It is the time and place for them, and as a member of this government, I continue to support that intended use. We know that the low vacancy rate in the province is causing a lot of stress in the housing market. And that is why, as a government, we are focused on the true solution that is adding more housing stock to the housing market -a $1 billion investment over five years to add an additional 40,000 units. And that’s why I am proud of the leadership of the Minister of Municipal Affairs and Housing.

SUSAN LEBLANC: Speaker, this is not an isolated incident. This story has played out time and time again in my office and surely in many others around the province. Residents are being displaced from affordable units, often into unaffordable or precarious housing or, in fact, into homelessness. This government seems to think that handing over funding to developers and landlords will result in trickle-down affordability. We’ve had nearly three years of this philosophy, and all we have to show for it in Dartmouth North is a series of renovated buildings that have doubled in price. My question to the minister is: Why is this government failing to preserve the precious few affordable housing units we have left?

COLTON LEBLANC: I certainly do not want to speak for the Minister of Municipal Affairs and Housing but, again, I go to the true solution. We are focusing on more housing, more places that Nova Scotians can call home. Contrary to what the member opposite is saying, we are making a number of investments in the housing market, whether it be modular or public housing, whether it be new public housing, whether it is supporting student housing projects across the province, whether it is new or affordable housing projects, whether it’s removing the provincial HST portion on new construction for purpose-built multi-unit apartments. We know we need more housing. That is the solution to the housing crisis.

Government Must Fund More Midwives in Nova Scotia

SUSAN LEBLANC: Speaker, midwifery-led births account for only 5 per cent of total births in Nova Scotia, far below the national average of 14 per cent, and I can table that. This is a disservice for expectant mothers in Nova Scotia, given many positive health outcomes associated. Midwifery support leads to more natural births, a decrease in C-sections and surgical interventions, easier breastfeeding initiation, and it decreases the chance of having a pre-term birth. Not only does it take the stress off new moms, but it also takes stress off our hospitals. Does the Minister of Health and Wellness recognize the importance of midwifery care in our health care system?

HON. MICHELLE THOMPSON: I spoke about this yesterday in the Chamber. Certainly, midwives have a role to play in prenatal, obstetrical, and gynecological care. In fact, there are things that they can do around supporting women’s wellness. We have a couple of areas outside of the city. IWK has some midwives, and we do have some areas. It certainly is not easy to maintain the staffing complement in those areas. We’re also making sure that midwives are part of a team. We need to ensure that they have nurses who are around them. We need to make sure they have primary care physicians who do obstetrics. We need to make sure they have specialty services to support them. Yes, many deliveries are usual and regular, but we need to make sure that they have the infrastructure around them. We do continue to look at women’s health issues, and we’ll continue to assess the situation as we move forward.

SUSAN LEBLANC: As the minister’s response shows, it’s hard to ignore the benefits of midwives that they add to our health care system. Investment in midwives is simply a smart policy, yet there are only 16 funded positions and 3 practices in the province. Many communities across Nova Scotia, as the minister said, lack essential midwifery care. The budget yesterday was a missed opportunity for this government to address the critical shortage. Why is this government not investing in midwives? MICHELLE THOMPSON: Nova Scotians are not missing out on good, quality, excellent obstetrical and gynecological care in this province, and midwives are a part of that team, but they are not the only members on that team. We know that midwives play a role. We have 16 positions. To date, they have been very difficult to date to fill. We continue to work with Nova Scotia Health and IWK to better understand how to support them.

THE SPEAKER: Order. The time allotted for Oral Questions Put by Members to Ministers has expired.

Minister Must Give Auditor General Funding She Needs

SUSAN LEBLANC: Speaker, my question is for the Minister of Finance and Treasury Board. The Auditor General’s budget request for increased funding for health audits was unanimously approved at a recent committee meeting. The idea of additional health auditors actually comes from this government’s election platform and the Health and Wellness Minister’s own mandate letter, but despite this committee’s approval, it is inexplicably missing from the budget. Can the minister explain why this election promise and mandate is going unfulfilled?

HON. ALLAN MACMASTER: Speaker, it’s not missing from the budget, and it’s not missing as a platform commitment unfulfilled either. The commitment has been fulfilled. We created this extra resource capacity for the Auditor General because we believe in the importance of auditing what’s happening in health care, because we want to see continuous improvement. We see the Auditor General’s Office as playing a role in that. We actually stuck to what we committed to in our election platform, and that office is now staffed as we had committed to in our election campaign.

SUSAN LEBLANC: The Auditor General was approved by the special committee for $1.1 million and received $200,000 extra this year. Last year, she asked for extra money and she got not nearly what she asked for. This is unreal, in the face of this government yesterday tabling a budget that again allocated its bulk of spending toward health care at a whopping $7.3 billion. (Applause) Yes, yes. Great, great. With this level of investment, and in the midst of the scandal that is the Hogan Court health hotel, it’s more important than ever to have the independent eyes of the Auditor General to ensure that the government is accountable and transparent in their health care spending. My question to the minister: If the minister believes his government’s spending is all above-board, why won’t he provide the funds to the Auditor General that she asks for?

ALLAN MACMASTER: No other government before has provided these resources to the Auditor General’s Office. That’s a fact. Nobody did it before. We’re open to doing it. We did it. We did what we said we would do in the election campaign. There are a lot of asks -believe me. We had well over another billion dollars of spending asks that we could have said yes to, but we said yes to a lot of things in the budget yesterday. One of them was further increases in the health budget, because that is our focus as a government, and there was something new: There was tax relief for Nova Scotians.

Question to Minister: Why did gov pay developer’s tax bill on Hogan Court?

SUSAN LEBLANC: Speaker, my question is for the Minister of Health and Wellness. In the Auditor General’s report on the Hogan Court hotel deal, it was revealed that the highly unusual and concerning transaction was negotiated with a developer who didn’t even own the property and then included $500,000 to cover the developer’s deed transfer tax after they bought and flipped the hotel to the Province. My question is -and I think we would all like to know this -why is the government paying this developer’s tax bill?

HON. MICHELLE THOMPSON: We continually talk about Hogan Court, and I’m so pleased to be able to stand up and talk about that first-in-the-province transition-to-care facility. This is a monumental change. I can appreciate that they’ve . . . (interruption).

THE SPEAKER: Order. We’re all a little bit too loud in here today. We’re going to start again. The honourable Minister of Health and Wellness.

HON. MICHELLE THOMPSON: Thank you. I’d like to thank the members opposite for just helping me prompt my response there. I might have missed that opportunity if they hadn’t said something. We are really pleased with this development. There was a right of first refusal that informed how we proceeded with the project. We bought this facility so that we can get more care faster to Nova Scotians, particularly our seniors who are waiting in hospital. There are things we can absolutely learn from the Auditor General’s report. We have accepted them. Certainly the last Auditor General’s report had said that I was going too fast and doing too much, and I will take that any day over other . . .

SUSAN LEBLANC: Speaker, many may find it hard to believe, but despite spending a massive amount on this shell of a hotel, the government missed a pretty important part: the driveway. Shockingly, the government’s new overpriced hotel doesn’t even have road access. Instead, this government had to negotiate service and access agreements with the developer to make up for the omission. Why did the purchase of this hotel fail to include a driveway, and how much are we paying the developer for road access to our own building?

MICHELLE THOMPSON: If the only thing the member opposite can find wrong with Hogan Court is that it doesn’t have (interruption). The only thing we’re talking about today is a little driveway. I feel confident in our ability to put in an adequate driveway that will help families pick up their loved one and take them home after they receive excellent care in a transition-to-care facility.

Susan Leblanc Asks Government About Careless Spending on Hogan Court

SUSAN LEBLANC: Speaker, the government’s approach of “going like hell” -and I’ll table that -has proven to be high-risk but not high-reward. In fact, care seems to be missing entirely from the government’s approach to health care spending. Carelessly handing out untendered contracts has resulted in out-of-control costs, and a decrease in the promised number of additional health care beds. My question for the Minister of Health and Wellness is: When will the government take responsibility for its poor decision on the Hogan Court project?

HON. MICHELLE THOMPSON: There have been historic investments to date with a new budget coming. We have made incredible decisions. We have made incredible investments -60,000 more primary care appointments per month. We’ve invested in 60 new and strengthened primary care clinics across this province. We are finally using pharmacists to the fullness of their scope, resulting in 95,000. We are working with seniors in long-term care with the Nova Scotia Health Authority to transition seniors in this province in a respectful way to appropriate places for them to recondition and finally get home. We have a new Cape Breton Medical Campus. We have a surgical wait-list that has reduced by 27 per cent since April 1, 2022. I have about six more pages . . .

SUSAN LEBLANC: Money is tight these days. Nova Scotians go to the grocery store and compare costs before deciding what items to buy because they understand the importance of getting value for what they are spending. On the other hand, this government -as we have heard from the Auditor General bought a $35 million hotel without even a proper appraisal. While many Nova Scotians are scrounging to save a few cents, the government is recklessly throwing around millions of dollars. Will the government apologize to Nova Scotians for taking such a careless approach to health care spending?

MICHELLE THOMPSON: What I really want Nova Scotians to know is that this is a government that fully invests in their health, in their wellness, and in their ability to transition, based on the stage of their life, to an appropriate place where they can live. We did not buy a hotel; we bought a transition-to-community facility. When you have people who are world-class clinicians -like Dr. Christine Short and Dr. Rockwood excited about the prospect of the ability to care for our elders in this type of environment, it is more than value for money. Nova Scotians should be very proud that this government has their shoulders to the wheel, and that we show every day how we value them, because nobody on that side did for the last 12 years.