AB - The Terrace Standard, Wednesday, March 18, 1998 Docs, health council at odds over how to get more money THE TWO groups with pri- mary responsibility for health care in the city have yet to come together in the effort to find more moncy for Mills Memorial Hospi- tal, Doctors and the Terrace and = Area = Conumunity Health Council, which mins Mills, met last week and plan to meet again. ' Both groups agree the hos- pital needs more money but disagree on how to tackle the provincial government. Health council chair Larisa Tarwick says that for the first time, the hospital is gathering statistics to show the province it offers ser- vices which cost more than what the budget it receives will cover. And she says the province is now at least listening. “We're trying to build a case, and I can speak for the whole board, we’re working on getting results and we think we.can get some help with the new budget,’ she said. The council asked for, and was granted, a visil from a health ministry official to — Dump costs known IT WILL cost about the same amount to fix up the Thomhill dump as it will to build a new one near Onion Lake, according to a new study. Regional district staff have just completed a sum- mary of site investigations from the. tyo locations. Both are being: -cofisidered for a potential larger “sile..to' re: place the inadequate Terface: and Thornhill duiips. “We 'féel’comfortable that we could develop a site at either —- location,” regional district manager of works and services Roger Tooms. ‘‘We'd like to con- tinue looking at both op- tions.” | Tooms says preliminary findings indicate that the costs of developing the two locations are similar, depending on who uses the Onion Lake site. , Greater Terrace could comfortably use an im- proved Thornhill site for decades, That appears to be the cheapest option if the expanded landfill only received Terrace-area gar- bage. But if Terrace were to join with Kitimat in developing and using the Onion Lake site, the price for that option would drop considerably. “Tf Kitimat were to come into Onion Lake, we're looking at comparable costs to if Greater Terrace used the Thornhill site,’’ Tooms says. He points out that one of the main reasons the regional district. = con- centrated on finding a land- fill sile to the south of Ter- race was to allow Kitimat the option to get on board, either immediately or in the future. Long term, the Onion Lake site would likely still have slightly greater costs because garbage would have to be transported there. Roger Tooms «. says “We're tired of playing the political game with Victoria and sending stats back and forth. You need a two by four to deal with Victoria, not a bunch of statistics.” “He agreed that we do have some challenges,” Tarwick said. But the problem, added Tarwick, is that the health council is dealing with some issues that are beyond its control. One of those is the prob- lem in finding specialists to replace those which are leaving. Another is the lack of pop- ulation in the northwest to justify the kinds of specialist and medical services that make sense for the people who live here. “Looking at levels judged on a per thousand {popula- tion) is a very artificial way of providing services, We need flexibility with the budget and that’s what we're working on,’’ Tar- wick said. But Dr. Geoff Appleton, the northwest representative on the B.C, Medical Associ- alion, says arguing with statistics won’t work. ‘We're tired of playing the political game with Vic- toria and sending stats back and forth,’ said Appelton who attended last week’s meeting with the health council. **¥ou need a two by four to deal with Victoria, not a bunch of statisties,”’ “We've agreed to dis- agree on the tactics.”’ Appleton said local doc- tors might be more suited to do battle with the provincial goverment than the health board or hospital adminis- trators. “We're not in danger for our jobs. We don’t work for the provincial government,” he said. But Tarwick cautions that doctors, who are in a sepa- rate battle over fees with the HHO Geoff Appleton province, have their own agenda at work, “They want more money . and more surgical time,”’ she said. The same kind of agenda is at work with health care unions who are also in ne- gotiations with the provin- cial government, Tarwick added, ‘There are issues being played ont on a different field,’’ she said, Although the doctors and the health council have agreed to meet again, just who will be at that session is in doubt. Doctors want nurses and Terrace city council at an open session to air out prob- lems. The health council doesn’t want the council involved and prefers to discuss the is- sues behind closed doors. 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