One provider commented on the diminished flexibility in policy limiting the capacity of FNIHB staff to argue for extension of support for living expenses:
B]ecause we're administering this program on behalf of FNIHB, and because we're having to make our own people jump through their hoops, our people blame us .
Medical transportation clerks working on-reserve manage a program where eligibility is decided by the FNIHB regional office.
Some participants suggested that FNIHB purposefully uses diffused or ever changing lines of accountability to manage the risks associated with negative decisions:
The above quotes reflect patients' experience in attempting to access resources required to access care, in this case mainly the support from FNIHB for medical transportation.
Our dataset shows that providers, families and patients often turn to First Nation communities to seek assistance (for prescription drugs or medical transportation needs not covered by FNIHB, for example) when all other avenues have been explored.
3) FNIHB is the federal department responsible for the funding of health services delivered on-reserve.
So far, FNIHB has refused to look at that form, instead insisting that their form is required for all First Nations.
If FNIHB plays hardball and starts to freeze funding or impose third party managers, the chiefs have agreed to seek a court injunction against those moves and also hope to get a court order to force the ministers to the negotiating table.
Based on the reports by WHO (11) and the Swedish Expert Group, (8) taking into account existing evidence of possible effects at blood levels below 200 [micro]g/L, (12) a decision was made by FNIHB
in the 1970s to refer to blood levels below 20 [micro]g/L (or 6 mg/kg in hair) as being "acceptable" and levels greater than 100 [micro]g/L in blood (or 30 mg/kg in hair) as "at risk".