Latest / Political Capital with Rob Shaw / #98 - Hospital crisis, trade mission and BC United branding
Transcript
- 0:02Check Podcasts. Hey everyone, welcome to Political Capital, your source for all
- 0:19the latest and BC politics. I'm your host, job Shaw. Thank you
- 0:22for being here, Thank you for watching us each and every week here on
- 0:27Check. A busy week in BC politics. We have an emerging healthcare crisis
- 0:32with doctors speaking out publicly. That's put the NDP on the defensive. We
- 0:36also have the premiere taking off for his first international trade trip. We are
- 0:40going to break it all down with the pod squad. The panel is here
- 0:43as usual, Jeff, Gillian and Ali. Thank you so much for being
- 0:48here each and every week to break things down. Let's start with a healthcare
- 0:52issue. We talk quite a bit about it on the show, but in
- 0:55the last week or so, we've had doctors an increasingly rare and unprecedented quantities
- 1:00coming out warning people about conditions overcrowding, understaffing in BC hospital as a twelve
- 1:06physician signed letter at BC's busiest er, Surrey Memorial. In the last week,
- 1:11the senior most doctor in the ear at Surrey Memorial coming out publicly doing
- 1:15interviews saying he would not have his own family attend the hospital, which I
- 1:21think caught a lot of people by surprise. And other physicians that have come
- 1:25out on sun Spring Island, Santage Peninsula, Langley, the North Island warning
- 1:30about overcrowding and substandard conditions in hospitals right now coming out of the pandemic and
- 1:37burnout things that we have talked about in the past. This seems to be
- 1:42building towards a really big pressure point on the NDP government. I want to
- 1:47go around and talk a bit about that. The Premier and the Health Minister
- 1:49asked about this. Why don't we start with you, Jeff, What is
- 1:57changing here on this file kind of in real time with these physicians coming out
- 2:00and speaking, and how do you think that's landing in the public's mind.
- 2:05Well, I think there's frustration with people who are in ears and waiting a
- 2:08long time for care. The stories that you're hearing coming out of communities.
- 2:13It's people waiting hours and hours and hours for necessary healthcare. It's distressing.
- 2:19No one should have to wait that long for care. In kudos to the
- 2:23caregivers for keeping things going at a difficult time. I think that the issue,
- 2:29the fundamental issue is we've talked about this before in the show. It's
- 2:32human resources, it's people, it's not having the bodies in our healthcare system
- 2:38to keep up with the demand from the public. It's an interesting situation Bcson.
- 2:44I think if you'd ask the health workforce planners in twenty ten what's going
- 2:49on, they would have said, we need the money so that we can
- 2:53train the people for the future. And today those same people have the money,
- 2:58but and they're putting it into training, but it's going to take years
- 3:00to get people, and they can't find the people, so it's a challenge
- 3:06for the government. I would note that the government is currently negotiating with hospital
- 3:13doctors on contracts, and so what I'm hoping is that as a result of
- 3:17those negotiations we'll see some progress like we have on the doctor's deal, which
- 3:22saw a big lift for family doctors and an influx of family doctors, and
- 3:25on the issue with the contract with nurses, where they established nurse to patient
- 3:31ratios, which will mean more nurses providing care for fewer people. But it's
- 3:37a big challenge for the government. There's a lot of frustration and it'll be
- 3:42interesting to see how they navigate this challenge and the days and weeks ahead.
- 3:46It is a good point the hospitalists, which are kind of the internal all
- 3:51purposive doctors that are in hospitals, they are, as you mentioned, Jeff,
- 3:55negotiating and that appears to be the key issue at Surrey Memorial and Langley
- 4:00as well according to the Health Minister's response. So there is that that dynamic
- 4:03happening for sure. Ali, what do you think of all? This seems
- 4:08rare to have this many doctors in this many places coming out publicly. They
- 4:11worry and they express their worry about reprisal for speaking out publicly. How serious
- 4:17is that and what should people be taking away from that? Do you think
- 4:23let's not forget that, like we're in competition with other provinces to get doctors
- 4:29to come to BC as well. And so when this is making headline news
- 4:33and the number one topic in healthcare right now, if I'm a young doctor
- 4:41trying to figure out where i want to go in this province, if I'm
- 4:43fortunate enough to be that service provide, but then I'm not coming to BC.
- 4:48And so what I really hope here is that the NDP are able to
- 4:51navigate this in a way that like that we will be able to come to
- 4:55a solution, because at the end of the day, if this means less
- 4:58doctors coming here because they're not respected and heard. Then we have a people
- 5:04problem. To Jeff's point in recruiting the amount of doctors that we need.
- 5:10At the other point I want to make here is that we have to stop
- 5:12being afraid of this private healthcare word and canceling it immediately. You know,
- 5:18our dentistry or chiropractors, our natural paths. These are all private doctors in
- 5:23a a sense, and this is another solution. But it never the conversation
- 5:30never really gets off the ground because there's such a negative connotation with the private
- 5:35healthcare solution. M Yeah, it does, especially with this government. That
- 5:41conversation just you know, kind of ends before it even starts. But I
- 5:46noticed that it is something occasionally that BC United tries to raise in a kind
- 5:50of a difficult way, given the sort of environment people's willingness to talk about,
- 5:58you know, our universal public healthcare system. Jillian, what do you
- 6:00think of this? Well, I think it's troubling. I think, you
- 6:05know, Jeff made really good points about the things that the government can do
- 6:09to sort of continue staffing up the healthcare system. That's going to take time,
- 6:15I think, in respect to the Surrey situation, in particular, it
- 6:19seems like there's a really big disconnect between the health authorities and the doctors in
- 6:24the hospital, and this is coming at a time when we really can't afford
- 6:29to have any inefficiencies in the system. The doctors felt that they needed to
- 6:33come out publicly because they, you know, for some seems like relatively simple
- 6:38things like they weren't allowed to have a poster up advising people of wait times.
- 6:44They're upset because they haven't been able to include instances where they were understaffed
- 6:50in patient records, these sorts of things. So it seems to me that
- 6:55there's a disconnect between the health authority and the doctors, and that's something that
- 7:00could be addressed right away to sort of make sure that people at least are
- 7:03not operating under undue stress in a situation that's already really trying for them.
- 7:10The Health Minister has faced that question because doctor's view, those two examples that
- 7:14you just gave as kind of efforts to silence them in a way or reprisal
- 7:18when they speak out or try to do something. They have their this middle
- 7:21management or senior management at Fraser Health kind of come after them a bit,
- 7:26and the Health ministers had to say no, no, we're not muzzling doctors.
- 7:29We're not trying to muzzle doctors. But that that has blown back a
- 7:31little bit politically on the government. Jillian, I want to stay with you
- 7:34on this though we've danced around this, and Jeff's talked about the long term
- 7:41plans of government here the new med school, nursing spaces, foreign credential training.
- 7:46It's can take years to see the results of that. Is like,
- 7:48how does government balance that with the short term frustration from people who I think
- 7:56legitimately are asking the government, can't you do anything now? Now? Is
- 8:00the only solution to kind of grin and bear this for several years and hopes
- 8:05that what you have started now bears fruit years from now. That pressure within
- 8:11government, what do you think that that is leading to or maybe causing within
- 8:13government as they as they get hit by by these kind of increasingly bad news
- 8:18stories in this healthcare file. I think the government's in a tough position because
- 8:24they want to be publicizing and defending all of the things that they've done,
- 8:28which has been you know, especially in the last year or two, quite
- 8:31a lot. But you know, like you said, these things are going
- 8:37to take a while before they actually have an impact, especially because of how
- 8:41long the training takes for healthcare professionals. I think looking at you know,
- 8:48if we're experiencing these problems, especially within emergency care and acute care, what
- 8:52are other things the government can be doing to take make sure that people don't
- 8:56aren't getting to the place of emergency so off in is there more that we
- 9:00can be doing to help keep people healthy and help take the pressure off the
- 9:03hospital system so that you know, perhaps you know, people are are are
- 9:09getting healthy before they get to a point of crisis. I think that's one
- 9:11thing they could they could move to. Um, there's lots of social determinants
- 9:16of health. We've talked about a lot on this show. UM, you
- 9:20know, is there anything around that that they could do that would make a
- 9:22difference in the short term. Um, maybe it's time to look at some
- 9:26of that sort of stuff while the longer term healthcare policies come into effect.
- 9:30Hmm. I sort of wonder if it's going to push the NDP government into
- 9:33making kind of uh, you know, announcements that might not do anything or
- 9:39aren't even announcements, but just to kind of you know, address that public
- 9:43criticism. We're seeing it in cancer care. For example, we talked on
- 9:46a previous show about the cancer care delay times having to go to Bellingham for
- 9:50cancer care in a new government program will In the last week, Adrian Dix
- 9:54has approved concept plans for new cancer care in an animal and Camloops concept plans,
- 10:00not even business cases. There's no budget attached to it, there's no
- 10:03timeline. They're just concept plans, which you know, the new Democrats in
- 10:07the past have kind of said you announce things with business cases, not before
- 10:11that, and I think that's an example of government getting hidden a part of
- 10:13the healthcare file, feeling that pressure and then starting to announce things they might
- 10:18not otherwise normally announce because the long term plan is going to take years to
- 10:24show any type of change on that. So I'm kind of watching on that.
- 10:28Ali. I want to go back to BC United, Kevin Falcon says,
- 10:31and he said this before, maybe the solution here isn't more money.
- 10:35And the NDP have added ten billion dollars to the healthcare budget since they came
- 10:39into office, of hired thousands and more people. He said, if money
- 10:43was just the solution to this, it would have happened already and that you
- 10:48have to do something different within the system. Do you think that argument is
- 10:52going to continue to hold when you have doctors coming out and saying we need
- 10:58more doctors, we need more money, or or how do you reconcile kind
- 11:01of the opposition's position there? Do you think I think a point there being
- 11:05that we've had record investment in healthcare, thank you NDP government for that,
- 11:11and also just the circumstances of the last five years in a focus on healthcare.
- 11:18But we've thrown the money at the problem and it's still not creating much
- 11:24of the solution. I think here though, for any political party, it's
- 11:28really just listening to those who are the experts in the solution. In one
- 11:33article I read this week in trying to figure out what's going to solve the
- 11:37emergency room healthcare issues, it's that doctors aren't even allowed to send patients to
- 11:43alleviate the way times within the emergency room to the specific department within the hospital
- 11:50without having to go through that like twenty four to in some cases forty eight
- 11:54hours of being and waiting in the emergency room first. And so there are
- 12:00some solutions. Here is the point that I'm trying to make in that there's
- 12:03policies that can be that help doctors help patients. And that's the case where
- 12:11that's not money, that's just sitting down and listening to them and trying to
- 12:13figure out how we do a massive overhaul of healthcare. And it's it's easy
- 12:18to say, let's just do a massive overhaul of healthcare, but that's really
- 12:24what this problem needs is a champion of what and I'm hoping that that's our
- 12:30Minister of Health Adriantics right right now and that he can be that. But
- 12:35that is what we need, a champion that's going to listen to doctors and
- 12:39nurses and everyone in these small solutions because they're the experts, not us.
- 12:43Jeff, what do you think money small solutions, long term progress? That
- 12:48political pressure, that dynamic, the doctor's speaking out. How does the government
- 12:52wade through all of that? Yeah, there's there's things government can do right
- 13:00away to make things better. I've seen the government wave fees for internationally trained
- 13:05nurses who want to come to BC or people who want to come back to
- 13:09practice. That's like three or four thousand dollars incentive. So that's something that
- 13:13can make a difference now getting pharmacists to do more expanded scope of practice,
- 13:18minor ailments and contraception prescription. So that's taking some of the pressure off of
- 13:26ers now. And there's always going to be things that we can be doing
- 13:28better in the health system and at least talked about some. I always get
- 13:33worried when I hear politicians say money is not the issue, because when I
- 13:37hear them say money is not the issue, then that says to me that
- 13:41they're not planning to invest money into an issue that requires money to be invested,
- 13:46and maybe they're going to put that money somewhere else. So I mean
- 13:50that will be the challenge. We were talking about mister Falcon and where he's
- 13:54on these issues, but there's it's a big file and whether it's Dicks or
- 14:01whether it's someone else in the future, heartslog lots of work to do for
- 14:07years to get us to where we need to be. Okay, let's change
- 14:11topics to international trade. The Premier heading out on his first overseas trade mission.
- 14:16He's going to Singapore, South Korea and Japan sometimes and I know the
- 14:22NDP in the past have called these trade missions junkets travel junkets for politicians.
- 14:26They get to go and do a bunch of photo ops and come back with,
- 14:28you know, not much to show for it, maybe some sister city
- 14:33agreement type of thing. The Premier now saying this is important time to do
- 14:37this. With international relations with China and Russia obviously causing supply chain problems.
- 14:43BC's mineral resources needed for solar panels and electric vehicles in high demand, and
- 14:50you know our traditional export products of wood and copper and that type of thing.
- 14:54So Premier is very stoked about going on this trip. I talked to
- 14:58him about it this week. Thinks things will happen. Is it a junk
- 15:01it is it a trip? Can it be both things at the same time.
- 15:05I guess depending on which side of the political offense you're on, Jeff,
- 15:11let's stick with you on that. Yeah. I could see folks at
- 15:15home who are looking at their rent bill or their mortgage and saying, is
- 15:18this really a good use of money? And I think anyone who's ever worked
- 15:22in a political opposition party has written the news release it's time to junk the
- 15:28junkets, right, That's just like a rite of passage. But trademissions are
- 15:31important. They can boost economic growth and expand international investment INBC. We've got
- 15:39a good story to tell, and you've touched on, you know, the
- 15:41products and services that were known for. But I want to take this back,
- 15:46and I want to say that this travel is not glamor right. Does
- 15:50anyone here think that this kind of work travel is fun? Well, of
- 15:54course not. Don't be ridiculous. Picture yourself. You're six foot seven premier
- 16:00about ten hours to Japan. Two hours on the front end, two hours
- 16:03on the back end, sixteen hour time different, So your internal clock get
- 16:07shot. You're away from your family. All your routines that keep you grounded
- 16:10and healthy are gone, different food, different beds, always on pressure to
- 16:15deliver thanks to shows like this high This is no fun. So if I'm
- 16:19a politician, I would like to junk the junkets. But it's it's it's
- 16:22important for the economy, important for investment. I think, and and Eby's
- 16:27gonna get stuck in economy class too because we have this sort of Can you
- 16:30imagine him in an economy class seat that's got a stink, Yeah, especially
- 16:34the person just hits his knees. Yeah, we know the public doesn't allow
- 16:41politicians to fly first class, even though we expect them to jump off the
- 16:45plane on the other end and immediately into work. But anyways, Alium,
- 16:48what's your thought on this? I know, like from a communications point of
- 16:51view, the other challenges, the government needs to show some sort of you
- 16:55know progress there and not bore the public. But it doesn't also want to
- 17:00show what would look like the premier having a holiday in front of you know,
- 17:03landmarks, So you get these boring kind of grip and grins with dignitaries
- 17:07like the governor of Tokyo, which the premiers planning to meet, and the
- 17:11public doesn't think this was worthwhile at all, so you kind of stuck in
- 17:15a position too. Yeah, I don't think people would necessarily like mind it
- 17:21or focus on all of the potential communication blenders that could come from these sort
- 17:26of trips where all eyes are on our politicians, as long as you come
- 17:30back with something to show for it. So I mean, spend all the
- 17:37money that it takes, but you have to come back with something. So
- 17:41something that I'm going to be looking at is the fact that like one of
- 17:44our major exports of course, will be potentially L and G and so is
- 17:48this a potential where he comes back with a good deal for us spend all
- 17:52the money it takes for that to happen, but you got to come back
- 17:57with something in order to to pay for all of that. Yeah, the
- 18:03Premier is meeting with Mitsubishi, which is a partner I believe in LENG Canada,
- 18:07So that's he is going to have to talk about LG, even though
- 18:10I think he's preferring to talk about hydrogen and Ballard's kind of fuel cell BC
- 18:15hydrogen connection rather than LG. But that's an I think that's an ideological thing
- 18:19for the new Democrats and for this premiere when it comes to L and G.
- 18:23Jillian, what do you think junkett Worthwhile difficult for government to navigate,
- 18:30I think they are important. BC relies a lot on exports. We have
- 18:34a major port. I think BC is the closest sport to Asia in North
- 18:41America, so it is really important. But you know, it's also really
- 18:47hard to measure success on trips like this because a lot of the time they're
- 18:52about long term relationship building. So it is really important to you know,
- 18:56go over remind people of all of the things that we have to offer in
- 19:00BC. But often these relationships take a really long time to bear fruit.
- 19:06It's really difficult to quantify, so that's the challenge. I think. You
- 19:11know, we've seen, especially at the federal level in the last couple of
- 19:15years, how leaning too much on the communications aspect of these trips can have
- 19:22a really negative effect for government. The Prime Minister has had a lot of
- 19:26sort of you know, gaffs and unfavorable sort of photo ops and things like
- 19:30that. So I think that the PC government has probably learned from that and
- 19:37is going to be focusing more on the business side of the trip. I'm
- 19:40not sure, you know that we should be expecting anything too concrete. Perhaps,
- 19:44well we'll see something specific with respect to natural resources, but you know,
- 19:51I think as it's hard to quantify, but it still is important.
- 19:56Yeah, okay, let's just squeeze in one final topic here. We only
- 20:00have a minute or so. But BC United new advertising campaign trying to get
- 20:06that brand out or the former BC Liberal Party. We're going to show some
- 20:08of it here just in the background, Kevin Falcon walking through a forest talking
- 20:14about BC's diminished stature, talking a bit about you know, his plan.
- 20:18This intended to get that branding into the public's mind and that that idea,
- 20:25that messaging he keeps saying about providing results, not rhetoric, just quickly go
- 20:30around here, good, bad, corny effective. How do you think this
- 20:33new advertising campaign is landing, Jillian start with you. Yeah, I thought
- 20:40it was interesting. It's definitely a shift in strategy in terms of messaging.
- 20:44The Falcon talking about how, you know, the NDP is thinking too small
- 20:48and we need to be thinking bigger in order to sort of address all of
- 20:52the problems that the province is facing. And I think that that's so fascinating
- 20:56because traditionally, you know, BC United former BC Liberal roles are more of
- 21:00a small government party. Falcon's sort of been trying to run on this issue,
- 21:07building on some of his record building things like the Portman Bridge. I'm
- 21:10not sure it's going to land. It's such a big shift. You know,
- 21:14they need to be doing something different to get ahead of the polls.
- 21:15But I'm not sure that it's consistent enough with public perceptions of his party in
- 21:22terms of where they're already at. Yeah, okay, Allie, thirty seconds.
- 21:25What do you think political parties have to do this? It's not even
- 21:29just that BC United had a new rebrand and the and the new local launch.
- 21:34That there needs to be like two streams for all political parties in advertising
- 21:38and getting their word out there. And that's the positive messaging and the contrast
- 21:41messaging. And so I think you're going to see a lot of that in
- 21:45the next year, certainly as we lead up to the election. But it's
- 21:48not just election periods that you should see these sorts of advertising. You should
- 21:53see them year round. Jeff, final word, do you it's the same
- 22:00first ad every politician has ever done. Aren't things bad? Things will be
- 22:03better if you vote for me. So it's you know, it's fine.
- 22:07Who I feel bad for is the viewers at home. They're trying to watch
- 22:10The Upside and America's Funny Funniest Home Videos coming up after Political Capital here on
- 22:15check looking for some good news and they've got to deal with the downer Kevin
- 22:18Kevin Falcon talking down BC. Come on, let's chase America's where where's the
- 22:23good news? Yeah? Yeah, hey, look, great ratings for America's
- 22:27Funniest Own Videos. It's a popular show. So hopefully we didn't show that's
- 22:32fine. Upside good news stories and Victoria's good show all right, Thank you
- 22:37for watching, Thanks for the panel for being here. As always, make
- 22:40sure you subscribe check plus Political Capital on your podcast device or here Sunday's on
- 22:45check TV. Thanks so much. We will be back next week with all
- 22:48the latest here on Political Capital.