Alberta
Albertans endure some of the longest health-care waits in Canada
From the Fraser Institute
By Mackenzie Moir and Tegan Hill
Alberta’s long wait times come despite high levels of health-care spending. The province ranked second-highest on health-care spending per person (adjusted for age and sex) among provinces in 2021
Last week, the president of the Alberta Medical Association sounded the alarm about Alberta hospital wait times, saying they’re as “as bad as we’ve seen it in 25 years.”
But in fact, it’s worse than that.
According to a new study, in Alberta the median wait in 2023 between a family doctor’s referral for a specialist appointment and receipt of treatment was 33.5 weeks—that’s the longest total median wait outside the Maritime provinces and almost six weeks longer than the national median wait (27.7 weeks). And Albertans now wait 23 weeks longer than they did in 1993 when the wait for care was only 10.5 weeks.
Alberta’s long wait times come despite high levels of health-care spending. The province ranked second-highest on health-care spending per person (adjusted for age and sex) among provinces in 2021, the latest year of available data. In 2023/24, health-care spending will consume a projected 41.2 per cent of Alberta’s program spending.
Moreover, Canada itself is a relatively high spender among universal health-care countries, yet ranks poorly on the availability of hospital beds, doctors and key diagnostic technologies such as MRIs. In other words, Alberta is a comparatively high spender and poor performer in an already high spending and poorly performing country.
Of course, there are serious consequences from lengthy delays for medically necessary care including ongoing pain, worsening of health outcomes and psychological distress. Unfortunately for Albertans, the median wait for treatment after seeing a specialist was almost two months longer than what doctors in the province consider reasonable.
The unreasonableness of these waits also varied significantly depending on the specialty. For example, after seeing a specialist, Albertans who needed an orthopedic procedure, which includes knee replacements and spinal surgeries, could expect to wait 40.1 weeks for care—more than 28 weeks longer than what physicians deemed reasonable that year. For those needing care for ears, nose and throat, the wait for treatment was 13 weeks beyond what’s considered appropriate.
Regardless of the specialty, waiting for treatment has become the defining issue for health care in Alberta. And these waits have been increasing since at least the early ’90s. The president of the Alberta Medical Association is right to sound the alarm, but the province’s health-care system has been struggling for years. Albertans obviously deserve better than this, but without a fundamental departure from the status quo they’re unlikely to see any long-term relief from the unreasonable waits they endure for routine care.
Authors:
From the Canadian Energy Centre
By Will Gibson
Alberta oil sands projects poised to grow on lower costs, strong reserves
As geopolitical uncertainty ripples through global energy markets, a new report says Alberta’s oil sands sector is positioned to grow thanks to its lower costs.
Enverus Intelligence Research’s annual Oil Sands Play Fundamentals forecasts producers will boost output by 400,000 barrels per day (bbls/d) by the end of this decade through expansions of current operations.
“Existing oil sands projects deliver some of the lowest-breakeven oil in North America at WTI prices lower than $50 U.S. dollars,” said Trevor Rix, a director with the Calgary-based research firm, a subsidiary of Enverus which is headquartered in Texas with operations in Europe and Asia.
Alberta’s oil sands currently produce about 3.4 million bbls/d. Individual companies have disclosed combined proven reserves of about 30 billion barrels, or more than 20 years of current production.
A recent sector-wide reserves analysis by McDaniel & Associates found the oil sands holds about 167 billion barrels of reserves, compared to about 20 billion barrels in Texas.
While trade tensions and sustained oil price declines may marginally slow oil sands growth in the short term, most projects have already had significant capital invested and can withstand some volatility.
Cenovus Energy’s Christina Lake oil sands project. Photo courtesy Cenovus Energy
“While it takes a large amount of out-of-pocket capital to start an oil sands operation, they are very cost effective after that initial investment,” said veteran S&P Global analyst Kevin Birn.
“Optimization,” where companies tweak existing operations for more efficient output, has dominated oil sands growth for the past eight years, he said. These efforts have also resulted in lower cost structures.
“That’s largely shielded the oil sands from some of the inflationary costs we’ve seen in other upstream production,” Birn said.
Added pipeline capacity through expansion of the Trans Mountain system and Enbridge’s Mainline have added an incentive to expand production, Rix said.
The increased production will also spur growth in regions of western Canada, including the Montney and Duvernay, which Enverus analysts previously highlighted as increasingly crucial to meet rising worldwide energy demand.
“Increased oil sands production will see demand increase for condensate, which is used as diluent to ship bitumen by pipeline, which has positive implications for growth in drilling in liquids-rich regions such as the Montney and Duvernay,” Rix said.
“If Ottawa had it’s way Albertans would be left to freeze in the dark”
The ineffective federal net-zero electricity regulations will not reduce emissions or benefit Albertans but will increase costs and lead to supply shortages.
The risk of power outages during a hot summer or the depths of harsh winter cold snaps, are not unrealistic outcomes if these regulations are implemented. According to the Alberta Electric System Operator’s analysis, the regulations in question would make Alberta’s electricity system more than 100 times less reliable than the province’s supply adequacy standard. Albertans expect their electricity to remain affordable and reliable, but implementation of these regulations could increase costs by a staggering 35 per cent.
Canada’s constitution is clear. Provinces have exclusive jurisdiction over the development, conservation and management of sites and facilities in the province for the generation and production of electrical energy. That is why Alberta’s government is referring the constitutionality of the federal government’s recent net-zero electricity regulations to the Court of Appeal of Alberta.
“The federal government refused to work collaboratively or listen to Canadians while developing these regulations. The results are ineffective, unachievable and irresponsible, and place Albertans’ livelihoods – and more importantly, lives – at significant risk. Our government will not accept unconstitutional net-zero regulations that leave Albertans vulnerable to blackouts in the middle of summer and winter when they need electricity the most.”
“The introduction of the Clean Electricity Regulations in Alberta by the federal government is another example of dangerous federal overreach. These regulations will create unpredictable power outages in the months when Albertans need reliable energy the most. They will also cause power prices to soar in Alberta, which will hit our vulnerable the hardest.”
Finalized in December 2024, the federal electricity regulations impose strict carbon limits on fossil fuel power, in an attempt to force a net-zero grid, an unachievable target given current technology and infrastructure. The reliance on unproven technologies makes it almost impossible to operate natural gas plants without costly upgrades, threatening investment, grid reliability, and Alberta’s energy security.
“Ottawa’s electricity regulations will leave Albertans in the dark. They aren’t about reducing emissions – they are unconstitutional, ideological activist policies based on standards that can’t be met and technology that doesn’t exist. It will drive away investment and punish businesses, provinces and families for using natural gas for reliable, dispatchable power. We will not put families at risk from safety and affordability impacts – rationing power during the coldest days of the year – and we will continue to stand up for Albertans.”
“Albertans depend on electricity to provide for their families, power their businesses and pursue their dreams. The federal government’s Clean Electricity Regulations threaten both the affordability and reliability of our power grid, and we will not stand by as these regulations put the well-being of Albertans at risk.”
Related information
- Conference Board of Canada socio-economic Impacts of Canada’s 2030 Emissions Reduction Plan – (April 2025)
- Alberta Electric System Operator’s position on Canadian Energy Regulations
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