Provincial boundary a barrier for health-care services near Alberta-N.W.T. border, residents say

A woman in a small Alberta hamlet says she is trying to get equal health care in her community after struggling to get home care following her open-heart surgery.

Almost 100 people live in Smith's Landing First Nation and Fort Fitzgerald. The closest health-care centre is in Fort Smith, N.W.T., about 24 kilometres away.Becausethe centre is over the border between the province and the territory, there have been someissues for Alberta residents accessing health care.

Beverly Tupper, a member of the Wood Buffalo Health Advisory Council, said it hasbeen an ongoing issue. She encountered the problem when trying to get home care after surgery in 2013, but workers from Fort Smith couldn't help herbecause of where she lived.

She said nothing has changed since then, which was the catalyst for her joining the health advisory council.

• Fort Fitzgerald, population 8, completes own census for 1st time thanks to 'tenacious' resident

"It's frustrating," Tupper said. "It feels unfair to be a Canadian resident and not be able to access the same level of health-care services that people 22 kilometres away can access with ease."

Tupper said she'd like to see an agreement between the the provincial and territorial governments. She said solutions could include getting nurses licensed to work in both Alberta and the Northwest Territories.

Andrew Wind, acting manager of communications for the government of the Northwest Territories department of health and social services, said in a statement that Fort Fitzgerald is under Alberta's jurisdiction and the province will have to find a solution.

The program is meant to meet the needs of N.W.T. residents and there are barriers including licensing that prohibit the territorial nurses from working in Alberta. Another barrier is billing, Wind said.

The Alberta government has not responded to CBC's request for comment.

Smith's Landing First Nation Chief Thaidene Paulette said hehas lived with the issue for his whole life.

"Elders or people with health-care needs on reserve simply can't have the home-care staff come from the Fort Smith health-care centre that's, like, two minutes away," Paulette said.

Midwifery services are the same, said Paulette. He said that was particularly frustrating for his mother, a midwife whocould help people in Fort Smith, but not in Fort Fitzgerald where she lived.

• Lesley Paulette, the woman who helped carve the way for N.W.T. midwives, retires

"It's so absurd," Paulette said.

Historically, many First Nations members who lived in Fort Fitzgerald were relocated in the 1950s to Fort Smith. Nowmany people would like to return to Smith's Landing but health care can be a barrier, Paulette said.

"We want the opportunity to provide elders' housing," Paulette said. "But without having the services there, we don't want to leave these people kind of in a bind out in the cold if they do require home-care services."

He's working with the First Nations and Inuit Health Branch to find a solution.

"This is all our traditional territory, but you get a border slapped between us, then it creates all these issues," Paulette said.

Matthew Gutsch, a spokesperson for Indigenous Services Canada, said the department is working with Smith's Landing to make sure residents have access to health-care services.

"Smith's Landing First Nation is working with Indigenous Services Canada on preparing plans health-care service agreements, options for home care services and opportunities for multi-year funding to address the needs identified by the community in order to improve health care services available to community members," Gutsch said in an emailedstatement.

Agnes Cheezie, who lives in Smith's Landing, struggled with the health-care system when her late husband developed a blood disease after a surgery in 2015.

Without home-care services, Cheezie had to bring her husband to and from the health-care centre almost every day. He was a large man, and Cheezie struggled to transport him back and forth. On top of that, Cheezie had recently had abdominal surgery and was dealing with an infection.

"If we had home care coming in it would've been a great help," Cheezie said.

She said she'd like to see an agreement between the governments so residents in Smith's Landing can be seen as equal to the N.W.T. residents in the health-care system.