Health Transfer Payments: Flaherty Announces Reduction Of Growth In Spending By 2018

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Federal Finance Minister Jim Flaherty, centre, speaks to Bank of Canada Governor Mark Carney prior to to a provincial, territorial and federal finance ministers meeting in Victoria, BC, Monday, Dec. 19, 2011. (THE CANADIAN PRESS/Geoff Howe) | CP

VICTORIA - Federal Finance Minister Jim Flaherty was accused Monday of imposing a new federal health funding plan on the provinces and territories during what Ontario, Quebec and four other provinces said were unprecedented, one-sided meetings.

Flaherty said Ottawa's plan to continue increasing health transfer payments at six per cent annually for the next six years before tying the transfer dollars to the rate of economic growth and inflation offers the provinces and territories certain and stable health funding.

But the majority of provincial and territorial leaders said the deal amounted to a take-it-or-leave-it offer that was slapped on the table without any chance of discussion.

"Obviously, there was some concern about having the opportunity to digest the figure we put before them," said Flaherty at a news conference following the day-long meeting.

Flaherty said the health transfer payments increases will never fall below three per cent. He said by 2018, the increases will be tied to the rate of nominal GDP, which is the measure of economic growth including inflation.

The majority of the provincial and territorial ministers said they were astonished with Flaherty's approach, even though Ottawa signalled before the meetings it was considering a transfer formula tied to the nominal GDP.

"We were expecting to discuss how we were going to discuss federal transfers," said Quebec Finance Minister Raymond Bachand.

Ontario Finance Minister Dwight Duncan said he also expected to be involved in health funding negotiations that addressed the formula, but that wasn't the case.

"We thought we'd come and hear that sort of thing again, and then get an invitation to work together on these things, recognizing the challenges that all of us face."

Duncan and Bachand were joined at a post-meeting news conference by the finance ministers from Manitoba, Prince Edward Island, Newfoundland and Labrador and Nova Scotia, who all blasted the new transfer arrangement.

"I don't ever recall six finance ministers, representing, I've got to believe it's about 70 per cent to 80 per cent of the Canadian population, standing up together like this and just angry," said Duncan.

He said tying health transfers to the nominal rate of economic growth starting in 2017-2018 effectively removes $21 billion from health care funding across Canada.

"It's no present at all," said Duncan. "It's a lump of coal."

Duncan said his colleagues were all shocked at Ottawa's unilateral decision.

"He put the document in front of us and said this is how it's going to be."

Flaherty said the new health spending investments amounts to $178 billion over five years.

He said his provincial and territorial counterparts were briefed about Ottawa's plans at a dinner Sunday night.

"We do need to talk about the way forward in terms of being fiscally responsible, not only at the federal level but across the country, all the governments," said Flaherty.

"We all realize that public finances relate to revenues and we can't pretend that we can spend money that we don't have."

Provincial sources said Sunday night that they expected Ottawa to move to tie transfer payments to nominal inflation adjusted growth, estimated to be about 4.5 per cent.

B.C. Finance Minister Kevin Falcon said he's happy with the five-year plan.

"From B.C.'s perspective, we think certainty is a good thing," he said.

Others were visibly angry.

"I do not want to stand back quietly," said Manitoba's Stan Struthers.

"I'm open to any discussion on any angle in terms of the whole ball of wax of transfers — equalization, health, social transfers. I'm open to speaking with the minister on any of that. We didn't have that today. This was very unilateral."

Nova Scotia's Finance Minister Graham Steele called on Flaherty to start new, inclusive negotiations.

"The process that we saw today where the federal government comes and says this is our non-negotiable position simply is not the way to build a nation," he said.

The Opposition federal New Democrats called on Ottawa to work with the provinces to deliver health care to Canadians.


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