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Patient threatened with withdrawal of life-saving surgery unless she gets Covid shot

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This article is from the Justice Centre for Constitutional Freedoms.  The Justice Centre respectfully asks that you consider sharing this story to help bring attention to the dilemma facing this terminally ill Albertan.

EDMONTON:  The University of Alberta Hospital has threatened to take a terminally ill 56-year-old woman off of a donor list for a lung transplant because she has chosen not to receive the new Covid-19 vaccine. The Justice Centre for Constitutional Freedoms represents Annette Lewis, who has idiopathic pulmonary fibrosis, a terminal condition affecting both of her lungs. Ms. Lewis has been suffering with the illness for over two and a half years and waiting for a transplant for over one year. Just two months ago, her lung capacity was at just 40%. Without this transplant, Ms. Lewis will die.

Ms. Lewis provided the Justice Centre with an extended recording (condensed here to include only the discussion about the vaccine) in which a member of the lung transplant team told Ms. Lewis she will be removed from the transplant list if she refuses the shot. (Her oxygen machine which helps her to breathe can be heard in the background.) Below are excerpts from her conversation with the doctor (at minutes 10:15-11:23):

Doctor: “All of our pre-transplant patients are going to be required to have the Covid vaccine.”

Annette: “…if I don’t take the vaccine then I go off the donor list, is that what you mean?”

Doctor: “Yeah.”

Annette: “…wow…that’s pretty scary.”

Doctor: “Yeah.”

Annette: “If I don’t get the vaccine, I’m not going to get the transplant, and we all know what the end result of that is for me.”

Doctor: “Yeah.”

Annette: “It’s damned if you do and damned if you don’t in my case.”

Doctor: “Yes.”

Ms. Lewis shared her concerns with the transplant team that, while she has received all other childhood vaccinations again, as per the Lung Transplant Program team’s request, she does not want to receive the experimental Covid vaccine at this time. She does not wish to participate in a new experimental treatment, which is known to have sometimes serious side effects, including permanent disability and death.

Ms. Lewis outlined a number of considerations in her decision to forego receiving the Covid vaccine at this time including:

  1. The vaccines have not been fully authorized by Health Canada. They are being used under “Interim Authorization” in Canada, with human clinical trials continuing until 2023.
  2. Covid vaccines have caused notable side effects, including nearly 7,000 reported deaths between December 2020 and June 2021, according to the US Vaccine Adverse Events Reporting System (VAERS).
  3. Health Canada has placed warning labels on the Covid vaccines for adverse events such as blood clotting, myocarditis, pericarditis, and Bell’s Palsy.
  4. Finally, informed consent is the standard for all medical interventions. The FDA factsheet for the healthcare provider reads, “The recipient or their caregiver has the option to accept or refuse (Pfizer-BioNTech) vaccine.”

Ms. Lewis notes that the Nuremburg Code, which was enacted after WWII following coercive and forced experimentation on captives by German military officials, requires patients to be able to “exercise free power of choice, without the intervention of any element of force.”

In a follow up letter dated August 9, 2021, the Hospital advised Ms. Lewis she will not get her transplant without the vaccine. That information was confirmed again in a subsequent telephone conversation that Ms. Lewis had with a member of the Lung Transplant Program team on September 2, 2021, wherein Ms. Lewis was told that she is “number two” on the donor recipient list, but would need to get the Covid-19 vaccines in order to get her transplant.

On September 2, 2021, the Justice Centre wrote a legal demand letter to Dr. Rhea Varughese, Assistant Professor at the Lung Transplant Program at the University of Alberta, regarding the program’s decision to require all patients waiting for a double-lung transplant to submit to the Covid vaccine.

The Justice Centre has demanded that the Lung Transplant Program team at the University of Alberta Hospital provide confirmation within seven days that Ms. Lewis is exempt from any requirement for a Covid-19 vaccine and will remain on the double lung transplant list.

“The hospital’s conduct in making an ultimatum of this nature to a terminally ill patient is coercive and unethical. Threatening a patient’s access to life-saving medical treatment for not participating in an experimental treatment for a condition she does not have and may never get is a profound violation of Ms. Lewis’ human dignity, personal autonomy, and her constitutionally protected right to life, liberty and security of the person,” says Allison Pejovic, a Justice Centre Staff Lawyer.

“If Ms. Lewis is removed from the transplant list she will die. This is a gross violation of her freedom of choice. Having to choose between taking an experimental vaccine that she does not want, or certain death, is not a choice,” Ms. Pejovic concludes.

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Alberta

Alberta health care blockbuster: Province eliminating AHS Health Zones in favour of local decision-making!

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Hospital Based Leadership: Eliminating the bureaucratic vortex in hospitals

Since Alberta’s government announced plans to refocus the health care system in November 2023, a consistent message has emerged from patients, front-line health care workers and concerned Albertans alike about the flaws of the prior system. Alberta Health Services’ current zone-based leadership structure is overly complex and bureaucratic. It lacks the flexibility and responsiveness needed to effectively support facilities and staff – particularly when it comes to hiring, securing supplies and adopting necessary technologies.

That’s why Alberta’s government is changing to a hospital-based leadership structure. On-site leadership teams will be responsible for hiring staff, managing resources and solving problems to effectively serve their patients and communities. Hospitals will now have the flexibility to respond, freedom to adapt and authority to act, so they can meet the needs of their facilities, patients and workforce in real time.

“What works in Calgary or Edmonton isn’t always what works in Camrose or Peace River. That’s why we’re cutting through bureaucracy and putting real decision-making power back in the hands of local hospital leaders, so they can act fast, hire who they need and deliver better care for their communities.”

Danielle Smith, Premier

“Hospital-based leadership ensures decisions on hiring, supplies and services are made efficiently by those closest to care – strengthening acute care, supporting staff and helping patients get the timely, high-quality care they need and deserve.”

Matt Jones, Minister of Hospital and Surgical Health Services

“By rethinking how decisions are made, we’re working to improve health care through a more balanced and practical approach. By removing delays and empowering our on-site leaders, we’re giving facilities the tools to respond to real-time needs and ultimately provide better care to Albertans.”

Adriana LaGrange, Minister of Primary and Preventative Health Services

AHS’ health zones will be eliminated, and acute care sites will be integrated into the seven regional corridors. These sites will operate under a new leadership model that emphasizes site-level performance management. Clear expectations will be set by Acute Care Alberta, and site operations will be managed by AHS through a hospital-based management framework. All acute care sites will be required to report to Acute Care Alberta based on these defined performance standards.

“Standing up Acute Care Alberta has allowed AHS to shift its focus to hospital-based services. This change will enable the local leadership teams at those hospitals to make site-based decisions in real and tangible ways that are best for their patients, families and staff. Acute Care Alberta will provide oversight and monitor site-level performance, and I’m confident overall hospital performance will improve when hospital leadership and staff have more authority to do what they know is best.”

Dr. Chris Eagle, interim CEO, Acute Care Alberta

“AHS is focused on reducing wait times and improving care for patients. By shifting to hospital-based leadership, we’re empowering hospital leaders to make real-time decisions based on what’s happening on the ground and respond to patient needs as they arise. It also means leaders can address issues we know have been frustrating, like hiring staff where they’re needed most and advancing hospital operations. This change enables front-line teams to act on ideas they see every day to improve care.”

Andre Tremblay, interim president & CEO, Alberta Health Services

The Ministry of Hospital and Surgical Health Services, Acute Care Alberta and Alberta Health Services will work collaboratively to design and establish the new leadership and management model with an interim model to be established by November 2025, followed by full implementation by summer 2026.

Quick facts

  • Countries like the Netherlands and Norway, and parts of Australia have already made the shift to hospital-based leadership.
  • The interim hospital-based leadership model will be implemented at one site before being implemented provincewide.
  • Hospital-based leadership, once implemented, will apply only to AHS acute care facilities. Other acute care organizations will not be affected at the time of implementation.

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Alberta

Alberta is investing up to $50 million into new technologies to help reduce oil sands mine water

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Technology transforming tailings ponds

Alberta’s oil sands produce some of the most responsible energy in the world and have drastically reduced the amount of fresh water used per barrel. Yet, for decades, operators have been forced to store most of the water they use on site, leading to billions of litres now contained largely in tailings ponds.

Alberta is investing $50 million from the industry-funded TIER system to help develop new and improved technologies that make cleaning up oil sands mine water safer and more effective. Led by Emissions Reduction Alberta, the new Tailings Technology Challenge will help speed up work to safely reclaim the water in oil sands tailing ponds and eventually return the land for use by future generations.

“Alberta’s government is taking action by funding technologies that make treating oil sands water faster, effective and affordable. We look forward to seeing the innovative solutions that come out of this funding challenge, and once again demonstrate Alberta’s global reputation for sustainable energy development and environmental stewardship.”

Rebecca Schulz, Minister of Environment and Protected Areas

“Tailings and mine water management remain among the most significant challenges facing Alberta’s energy sector. Through this challenge, we’re demonstrating our commitment to funding solutions that make water treatment and tailings remediation more affordable, scalable and effective.”

Justin Riemer, CEO, Emissions Reduction Alberta

As in other mines, the oil sands processing creates leftover water called tailings that need to be properly managed. Recently, Alberta’s Oil Sands Mine Water Steering Committee brought together industry, academics and Indigenous leaders to identify the best path forward to safely address mine water and reclaim land.

This new funding competition will support both new and improved technologies to help oil sands companies minimize freshwater use, promote responsible ways to manage mine water and reclaim mine sites. Using technology for better on-site treatment will help improve safety, reduce future clean up costs and environmental risks, and speed up the process of safely addressing mine water and restoring sites so they are ready for future use.

“Innovation has always played an instrumental role in the oil sands and continues to be an area of focus. Oil sands companies are collaborating and investing to advance environmental technologies, including many focused on mine water and tailings management. We’re excited to see this initiative, as announced today, seeking to explore technology development in an area that’s important to all Albertans.”

Kendall Dilling, president, Pathways Alliance 

Quick facts

  • All mines produce tailings. In the oil sands, tailings describe a mixture of water, sand, clay and residual bitumen that are the byproduct of the oil extraction process.
  • From 2013 to 2023, oil sands mine operations reduced the amount of fresh water used per barrel by 28 per cent. Recycled water use increased by 51 per cent over that same period.
  • The Tailings Technology Challenge is open to oil sands operators and technology providers until Sept. 24.
  • The Tailings Technology Challenge will invest in scale-up, pilot, demonstration and first-of-kind commercial technologies and solutions to reduce and manage fluid tailings and the treatment of oil sands mine water.
  • Eligible technologies include both engineered and natural solutions that treat tailings to improve water quality and mine process water.
  • Successful applicants can receive up to $15 million per project, with a minimum funding request of $1 million.
  • Oil sands operators are responsible for site management and reclamation, while ongoing research continues to inform and refine best practices to support effective policy and regulatory outcomes.

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