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

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.”
“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.”
“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.”
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.”
“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.”
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.
Related information
Alberta
Jason Kenney’s Separatist Panic Misses the Point

By Collin May
Time was a former political leader’s expected role was to enjoy retirement in relative obscurity, resisting the urge to wade into political debate. Conservatives generally stick to that tradition. Ralph Klein certainly did after his term ended. Stephen Harper has made no attempt to upstage his successors. Yet former Alberta Premier Jason Kenney can’t seem to help himself.
From the boardroom of Bennett Jones, one of Calgary’s oldest law firms, Kenney recently offered his thoughts on the unspeakable horrors that await the province should it entertain a debate (perhaps even call a referendum) on separating from Canada. While dismissing Alberta separatists as a “perennially angry minority”, Kenney nevertheless declared a vote on separation would “would divide families, divide communities, divide friends for no useful purpose.” Business partnerships, church and community groups, even marriages and families would break apart, he warned, “shredding the social fabric of the province.”
It was a remarkable burst of untethered hyperbole, but it says more about the former premier than it does about the province he once led.
Kenney’s take on the history of Alberta separatism is telling. It’s a 50-year-old “discredited concept,” he said, whose acolytes “couldn’t get elected dogcatcher in this province.” Exhibit A in his analysis was Gordon Kesler, an Alberta rodeo rider and oil company scout who believed independence was the only way to save Alberta from Ottawa’s depredations. In a 1982 byelection, Kesler got himself very much elected as an MLA under the Western Canada Concept banner. He later lost in the general election to Peter Lougheed’s Progressive Conservatives, but Lougheed did not belittle Albertans for entertaining separatist notions. Instead, he asked for a mandate to fight Ottawa more effectively — and got it.
Kenney, by contrast, ridicules separatists while simultaneously painting them as an existential menace. Worse, he likens them to followers of Vladimir Putin and (perhaps even worse?) Donald Trump. “[I]f you just follow them on social media,” he claimed, one will quickly see that they cheered on Putin’s attack on Ukraine and Trump’s threat of making Canada the 51 st state.
Kenney’s latest intervention fits a pattern. As premier from 2019 to 2022, he could not resist trying to stamp out dissent. During the pandemic, he alienated political allies by dismissing their concerns about mandatory vaccines with contempt. He saw his ouster as UCP leader as the result of a Trumpian-inspired or “MAGA” campaign. UCP party faithful, however, said their rejection of him had far more to do with his top-down leadership style and habit of “blaming other people for the errors he made.”
What’s especially striking about Kenney’s separatist obsession is that he seems to understand as little about Albertans now as he did while premier. Albertans have long debated separation without the province descending into chaos. When Kesler won his seat, people talked about separation, argued its pros and cons, but couples were not running to their divorce lawyers over the issue and business partners were not at each other’s throats.
And there are legitimate reasons for concern about Canada’s social and political structure, as well as the role provinces play in that structure. Canada’s institutions operate largely on an old colonial model that concentrates power in the original population centre of southern Ontario and Quebec. This has not, and does not, make for great national cohesion or political participation. Instead, it feeds constant fuel to separatist fires.
The current threat to Canadian identity comes as well from the ideological commitments of our federal government. Early in his time as Prime Minister, Justin Trudeau declared Canada to be a “post-national” state. This sort of moniker is consistent with the popularly-designated woke doctrine that eschews the liberal nation-state, democratic procedures and individual freedom in favour of tribalist narratives and identity politics.
The obsession with post-nation-state policies has initiated the dissolution of the Canadian nation regardless of whether Quebeckers or Albertans actually vote for separation. We are all becoming de facto separatists within a dissolving Canada, a drift that current Prime Minister Mark Carney’s ineffective “elbows up” attitude has done nothing to reverse.
Kenney’s panicked musings about Alberta separatists would have us believe the province need only continue the fight for a better deal within the Canadian federation. Kenney pursued just such a policy, and failed signally to deliver. For too many Albertans today, his advice does not reflect the political reality on the ground nor appreciate the worrying trends within Canadian institutions and among our political class.
Kenney likes to associate himself with Edmund Burke, the father of conservatism and defender of venerable institutions. But Burke was known as much in his day for his sympathies with the American revolutionaries and their creation of an experimental new republic as he was for his contempt towards the French Revolution and its Reign of Terror. Burke’s conservatism still linked real actions with true words. It would be advisable, perhaps, to keep our own political language here in Alberta within the bounds of the plausible rather than fly off into the fanciful.
The original, full-length version of this article was recently published in C2C Journal.
Collin May is a lawyer, adjunct lecturer in community health sciences with the Cumming School of Medicine at the University of Calgary, and the author of a number of articles and reviews on the psychology, social theory and philosophy of cancel culture.
Alberta
Alberta Is Where Canadians Go When They Want To Build A Better Life

From the Frontier Centre for Public Policy
One in three Canadians chooses Alberta to start over. But to stay Canada’s top destination, it must fight Ottawa’s barriers and complacency
No province has captured the Canadian imagination quite like Alberta—and not because of oil.
One in three Canadians leaving their provinces in the past five years headed to Alberta. They were escaping stagnant wages, high housing costs and suffocating bureaucracy. They came for freedom and opportunity, and Alberta delivered. Its edge is cultural: it rewards enterprise instead of strangling it.
The question now is whether Albertans can keep that edge before Ottawa and complacency close in.
Prosperity, like liberty, vanishes the moment people stop fighting for it. If Alberta wants to remain Canada’s economic engine, it must continue to move forward, tearing down old barriers while fending off the new ones that Ottawa and other provinces are always erecting.
The cost of standing still is staggering.
Economists say provincial trade barriers (rules that prevent goods, services, and workers from moving freely) cost the Canadian economy up to $130 billion a year. For Alberta, even a 10 per cent reduction would be worth $7.3 billion a year.
When Quebec killed the Energy East pipeline that would have carried Alberta crude to eastern refineries, Alberta lost the chance to export oil worth as much as $15 billion annually.
That’s not theory. That’s lost paycheques, lost tax revenue and public services that never materialized.
Alberta has always been more willing than others to break free from the barriers that hold back growth. Liquor sales were privatized decades ago, as were property registries. The New West Partnership with Saskatchewan, Manitoba and B.C. opened labour mobility and procurement, though it has since stalled. Alberta doesn’t impose cultural tests and it doesn’t levy a provincial sales tax. Families arrive because life here is easier. They can work, start a business, raise kids or simply breathe without bureaucrats looking over their shoulder.
But cracks remain. Liquor shelves may be free, but the Alberta Gaming, Liquor and Cannabis Commission monopoly clogs the warehouse. Professional associations in law, teaching and health care are slow to recognize credentials and drown their members in red tape.
Procurement often tilts local, because, apparently, free markets stop at the city line. And like every other province, Alberta still bows to Ottawa’s anticompetition telecom rules, the dairy and poultry cartel and the banking oligopoly, systems that consistently benefit Quebec farmers and Bay Street lenders at Alberta’s expense.
And as if the old cracks weren’t enough, new barriers are appearing. One of the worst is protectionism. Canadians love mocking Donald Trump’s tariffs, yet happily embrace the same thing at home. “Buy local” sounds warm and fuzzy but props up cartels in groceries, banking, telecom and construction. The truth? We’ve imposed more barriers on ourselves than Trump ever dreamed of.
Prime Minister Mark Carney exemplified the problem when he promoted subsidies for canola farmers. It was a double insult. First, it showed Ottawa would rather hand out cash than negotiate hard. Second, it reminded farmers that the “help” isn’t free. They pay for it through their own taxes, scooped from Saskatchewan and Alberta, laundered through federal bureaucracy, then mailed back with a ribbon.
Carney also vowed that interprovincial barriers would vanish by July 1, 2025. That deadline came and went. His shiny new “process” for expediting infrastructure looks like more of the same: more Ottawa mediation that risks slowing everything down.
But it isn’t only economics standing in the way. Ideology is becoming a barrier of its own. Diversity, equity and inclusion has morphed into a system for entrenching gatekeepers. It compels people to think and act in ways they didn’t choose. It drains productivity, creates make-work compliance jobs and sorts people into categories. Worst of all, it punishes anyone who doesn’t conform. Alberta resists this infection better than most, but its universities and federally dependent agencies are already hooked.
Then comes debanking. In 2022, Ottawa showed how quickly it could freeze accounts, and banks complied without hesitation. Since then, regulators have only expanded their reach under the banner of anti–money laundering and climate policy. The message is blunt: if Ottawa decides your sector is undesirable, access to financial services can vanish. For Alberta, with its energy industry branded a planetary threat, this is no hypothetical.
A free economy is meaningless if citizens can be financially exiled from it by decree. Alberta must shield its people by turning ATB, its provincially owned bank, into a fortress institution and enshrining access to financial services as a civil right.
So what does moving forward mean? It means doubling down on being the most desirable province to live and work. That requires bold reforms. Cut regulators down to size. Protect banking access in law. Decentralize big-city governments to make them more accountable and give residents real choices. Reform health care to expand choice and slash wait times. Deregulate housing and trucking to lower costs. Confront public-sector unions that act as ideological monopolies.
Canada loves to brag about free trade, but governs like a feudal kingdom. Alberta has already shown that a freer path is possible. The task now is to resist cartels, fight the banks, tear down old walls and stop new ones from rising.
Alberta has always been a frontier of builders, risk-takers and prosperity seekers, and to thrive it must keep moving. If Alberta leads, it will stay prosperous and desirable. If it falters, doors will close.
The choice is clear: Alberta can either be strangled by regulations or break free and keep its frontier spirit alive.
Marco Navarro-Genie is vice-president of research at the Frontier Centre for Public Policy and co-author, with Barry Cooper, of Canada’s COVID: The Story of a Pandemic Moral Panic (2023).
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