In a couple of ways it's similar; in a couple of ways it's different.
First of all, there's no province that I know of where the chief public health officer is at the deputy minister level. Some of them have assistant deputy minister level and functions; most of them report to a deputy minister and have the ability to advise the minister directly. That was the situation for me.
The ability to speak to the public and the ability to speak to anyone within the province was clarified in The Public Health Act of Manitoba as an expectation. I believe that's also clarified in the federal Public Health Agency of Canada Act. It's clear in subsection 12(4) that the chief public health officer issues a.... Anyway, there's a point where it says very clearly that the role of the chief public health officer is to communicate to the public, and that is very important.
When it comes to the role of a deputy minister, it's clearer in my mind and in my experience that the deputy minister is expected to speak on behalf of the minister and to work at that level in the political system. Although there is an advantage, potentially, to sitting alongside deputy ministers as a chief public health officer, the problem that can occur is the chief public health officer is no longer playing the role at the level they should play, in my view, which is to bring advice and a position on behalf of public health and on behalf of the provincial, territorial, and federal public health officers to the conference of deputy ministers as a whole, and through them to the ministers.
With that split in function, the levels of authority and responsibility are potentially confusing. I think the ability of the chief public health officer to speak openly and to communicate with the public is potentially more difficult as a deputy minister than as an official, which I understand this change will make: the chief public health officer will be an official.
The other thing that I may need to be educated about in interpreting the bill—because I've heard this said by a couple of the other witnesses—is this view that the chief public health officer is subordinate to the CEO or president of the agency. I don't see that in the way this is worded. I see that the chief public health officer advises both the president and the minister, and is hired by the Governor in Council, as is the president. The chief public health officer is not hired by nor reports to the president. I think that's very important. If I'm misinterpreting that, then I think the concerns that have been raised need to be paid attention to, but it's not clear to me.