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Alberta government should reform hospital funding to help shorten wait times

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From the Fraser Institute

By Mackenzie Moir and Alicia Kardos

Other high-performing countries with universal health care (Australia, Germany, Switzerland) use “activity-based funding.” Under this model, hospitals receive funding based on the amount of care they provide.

Earlier this year, the Alberta Medical Association sounded the alarm on “rolling surgical outages,” patients diverted to other treatment sites, and the potential capping of services at major provincial hospitals. Unfortunately, the delays these problems create aren’t new to Albertans, as patients continue to face lengthy wait times.

According to the latest data, Albertan patients faced a median wait time of 33.5 weeks in 2022 for non-emergency medical treatment, a delay that was nearly six weeks longer than the national average, and three times longer than what patients in the province experienced in 1993 (when national estimates were first published).

When broken down, the wait in Alberta includes the first 16.4 weeks it takes for a patient to see a specialist after referral from their family doctor—then a second wait of 17.2 weeks to receive treatment after seeing that specialist. And these figures don’t account for the wait to see a GP in the first place, which is a significant issue in a rapidly growing province where remain without a family doctor.

Of course, we hear the predicable calls for more money. But in reality, spending more won’t get Albertans out of this problem. In a recent comparison of high-income countries with universal coverage, Canada (in 2021) was already one of the highest spenders on health care (as a share of their economy) while having some of the fewest doctors and hospital beds (after accounting for differences in population age among countries).

And when compared to nine other high-income countries in 2020, Canadians were found to have the longest waits for medical care. Specifically, Canadians were the least likely to report waiting under four months for non-emergency surgery (at 62 per cent) compared to higher-performing countries such as Australia (72 per cent), Switzerland (94 per cent) and Germany (99 per cent).

So what’s the solution?

In a word, reform. For example, Alberta could change the way it funds hospitals. Canada’s predominant approach is to provide hospitals a set amount of money each year, regardless of the level of services provided. This means that the money hospitals receive isn’t tied to the actual number of services they provide. This discourages hospitals from providing more care because each patient represents a drain on their budget rather than an opportunity.

In contrast, many other high-performing countries with universal health care (Australia, Germany, Switzerland) use “activity-based funding.” Under this model, hospitals receive funding based on the amount of care they provide. This creates a powerful incentive for hospitals to treat more patients, because each patient represents an opportunity for the hospital to earn more money.

Quebec decided in last year to fund all of its surgical procedures using this model, and now plans to expand the model to all hospital care by 2027/28. The Smith government has also taken some steps that lay the foundation for these types of reforms. This is good news for Albertans, if reform is actually on the way.

Across Canada, despite the availability of solutions, the status quo of long waits persists. Breaking from the past can be hard, but there may be hope on the horizon for patients in Alberta’s beleaguered and poorly performing health-care system.

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Alberta

As President Trump creates new economy, Trudeau government ‘pandering’ to globalists

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Jordan Peterson in a February 5, 2025 video titled ‘Canada Must Offer Alberta More Than Trump Could’

From LifeSiteNews

By Anthony Murdoch

“Enough idiot green moralizing, enough carbon tax. Enough bloody net-zero,” he said, adding, “how about this: enough multiculturalism and destruction of the Canadian identity.” 

Well-known Canadian psychologist Dr. Jordan Peterson had choice words for Canadian politicians last week, accusing them of “pandering” to elites and ruining the nation.

In the February 5 video entirely dedicated to the topic of Canadian politics, Peterson said that he is sick of “pathetic celebrity wannabe” politicians, a category in which he includes Prime Minister Justin Trudeau, who are “pandering” to the global elites at the expense of ordinary citizens.

Peterson, who is from Alberta, in particular defended his province from a continued push by the Liberal government to undermine its oil and gas industry, amidst a trade tariff dispute with the United States. 

“Enough overt and covert attempts to destroy the basis of the economy of my fair and hard-working province,” said Peterson. 

“Enough delaying critical infrastructure development and rejection of international trade offers for natural gas, oil, and coal. Enough treatment of the resource economy upon which Quebec in particular, so unacceptably depends as a moral pariah.” 

Peterson also took issue with Trudeau’s unpopular carbon tax and the Liberal government’s ongoing promotion of DEI (diversity, equity, inclusion) ideology. 

“Enough idiot green moralizing, enough carbon tax. Enough bloody net-zero,” he said, adding, “how about this: enough multiculturalism and destruction of the Canadian identity.” 

In recent weeks, the Trudeau government has been embroiled in a trade dispute with U.S. President Donald Trump, the latter threatening to impose a 25 percent tariff on all Canadian goods if border security and fentanyl trafficking is not taken more seriously.

Canada was given a 30-day reprieve from the 25 percent tariffs by Trump after Trudeau promised to increase border security and crack down on fentanyl making its way south.  

Since taking office in 2015, the Trudeau government has continued to push a radical environmental agenda like the agendas being pushed by the World Economic Forum’s “Great Reset” and the United Nations’ “Sustainable Development Goals.”  

Alberta Premier Danielle Smith has been a fierce opponent of Trudeau’s green energy agenda and an advocate for the oil and gas industry.   

Canada has the third largest oil reserves in the world, with most of it being in Alberta. Unlike in other nations, Alberta’s industry is largely considered ethical.

This is not the first time Peterson has accused Trudeau and his government of working against the interests of Canada.

Last year, Peterson formally announced his departure from Canada in favor of moving to the United States, saying his birth nation has become a “totalitarian hell hole.”  

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Alberta

Alberta calls for tough-on-crime approach from feds

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Premier Danielle Smith and Minister of Justice and Attorney General Mickey Amery are demanding Ottawa get serious about drug crimes in Canada.

Premier Smith and Minister Amery have demanded Bill C-5 be repealed in its entirety and the federal government reintroduce mandatory minimum jail sentences for Controlled Drugs and Substances Act (CDSA) offences. Alberta also calls on the federal government to rescind guidelines prepared by the Public Prosecution Service of Canada that direct federal prosecutors to divert drug cases away from the criminal justice system to pursue alternative measures and leave criminal prosecutions for only the most serious cases.

If the federal government does not immediately undertake these actions, Premier Smith and Minister Amery have asked for federal funding to enable the province to permanently take over all CDSA prosecutions.

“For years, Alberta’s government has urged the federal government to reverse their soft-on-crime policies which have allowed illegal drugs to flood our streets and for repeat offenders to prey on our most vulnerable. The federal government must act now and put an end to their insane policies. And if they refuse to, then they must allow the Province of Alberta to take over all prosecutions under the Controlled Drugs and Substances Act. Let there be no mistake, Alberta’s government will find these dangerous criminals, prosecute them and keep them in jail where they belong.”

Danielle Smith, Premier

When the federal government passed Bill C-5, they further weakened the Canadian justice system and increased potential harm for Canadians by:

  • Eliminating all mandatory minimum sentences of imprisonment for CDSA offences;
  • Eliminating many mandatory minimum sentences for serious weapons and substance-related offences under the Criminal Code of Canada;
  • Removing limitations placed on the use of conditional sentences;
  • Forcing both police and prosecutors to first consider referring people to treatment and support programs rather than charging or prosecuting drug possession offences; and
  • Continuing to emphasize an approach to drug possession that fails to address the death, disorder and victimization caused by the drug-crime nexus, by focusing narrowly on diversionary measures.

Under Bill C-5, law enforcement has lost the ability to effectively deal with serious crimes, lessening meaningful and impactful enforcement and prosecution. Drug dealers often face very limited consequences, with their charges dismissed or conditional sentences imposed. This allows these criminals to continue profiting from illegal activity while preying on vulnerable populations and worsening the drug crisis in Canada.

“Alberta is deeply concerned about the federal government’s failure to address the growing drug crisis in Canada. Federal prosecution directives and Bill C-5 have significantly weakened our justice system, allowing criminals and drug dealers to exploit loopholes while putting public safety and Canadian lives at risk. We demand immediate action to reverse these disastrous policies, prioritize the safety and well-being of Canadians, and restore Canada’s reputation on an international level.”

Mickey Amery, Minister of Justice and Attorney General

Issues with drugs and drug-related crimes continue to worsen in Canada, with drug trafficking often linked to other serious offences such as human trafficking, gun trafficking and money laundering. These concerns have also been underscored by the Trump Administration, which has called for Canada to secure the border to illegal migrant and drug activity. Alberta responded to that request by introducing a $29-million border plan to combat drug smuggling, gun trafficking and other illegal activities. The plan includes a new Sheriffs unit, a 51-officer Interdiction Patrol Team, four K-9 patrol teams, 10 weather surveillance drones and four narcotics analyzers to test for illicit drugs.

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