Fraser Institute: Time to fix health care in Alberta

Shortly after Danielle Smith was sworn in as premier, she warned Albertans that it would “be a bit bumpy for the next 90 days” on the road to health-care reform. Now, more than two years into her premiership, the province’s health-care system remains in shambles.

According to a new report, this year patients in Alberta faced a median wait of 38.4 weeks between seeing a general practitioner and receiving medically necessary treatment. That’s more than eight weeks longer than the Canadian average (30.0 weeks) and more than triple the 10.5 weeks Albertans waited in 1993 when the Fraser Institute first published nationwide estimates.

In fact, since Premier Smith took office in 2022, wait times have actually increased 15.3 per cent.

To be fair, Premier Smith has made good on her commitment to expand collaboration with the private sector for the delivery of some public surgeries, and focused spending in critical areas such as emergency services and increased staffing. She also divided Alberta Health Services, arguing it currently operates as a monopoly and monopolies don’t face the consequences when delivering poor service.

While the impact of these reforms remain largely unknown, one thing is clear: the province requires immediate and bold health-care reforms based on proven lessons from other countries (e.g. Australia and the Netherlands) and other provinces (e.g. Saskatchewan and Quebec).

These reforms include a rapid expansion of contracts with private clinics to deliver more publicly funded services. The premier should also consider a central referral system to connect patients to physicians with the shortest wait time in their area in public or private clinics (while patients retain the right to wait longer for the physician of their choice). This could be integrated into the province’s Connect Care system for electronic patient records.

Saskatchewan did just this in the early 2010s and moved from the longest wait times in Canada to the second shortest in just four years. (Since then, wait times have crept back up with little to no expansion in the contracts with private clinics, which was so successful in the past. This highlights a key lesson for Alberta—these reforms are only a first step.)

Premier Smith should also change the way hospitals are paid to encourage more care and a more patient-focused approach. Why?

Because Alberta still generally follows an outdated approach to hospital funding where hospitals receive a pre-set budget annually. As a result, patients are seen as “costs” that eat into the hospital budget, and hospitals are not financially incentivized to treat more patients or provide more rapid access to care (in fact, doing so drains the budget more rapidly). By contrast, more successful universal health-care countries around the world pay hospitals for the services they provide. In other words, by making treatment the source of hospital revenue, hospitals provide more care more rapidly to patients and improve the quality of services overall. Quebec is already moving in this direction, with other provinces also experimenting.

The promise of a “new day” for health care in Alberta is increasingly looking like a pipe dream, but there’s still time to meaningfully improve health care for Albertans. To finally provide relief for patients and their families, Premier Smith should increase private-sector collaboration, create a central referral system, and change the way hospitals are funded.

Bacchus Barua

Director, Health Policy Studies, Fraser Institute

Tegan Hill

Director, Alberta Policy, Fraser Institute

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Alberta will defend law-abiding gun owners who defend themselves

Published on December 2, 2025

Todayville

Alberta’s government will introduce a motion under the Alberta Sovereignty within a United Canada Act to defend law-abiding firearms owners.

A new motion under the Alberta Sovereignty within a United Canada Act will, if passed by the legislature, instruct all provincial entities, including law-enforcement agencies such as municipal police services and the RCMP, to decline to enforce or implement the federal gun seizure program. The motion also makes clear that Albertans have the right to use reasonable force to defend themselves, their families and their homes from intruders.

This builds on the steps Alberta has already taken to reduce crime, strengthen public safety and assert provincial jurisdiction over firearms. This includes passing the Alberta Firearms Act to establish the Alberta Chief Firearms Office, along with the Alberta Firearms Regulation and the Seizure Agent and Provider Licensing Regulation.

“It’s time for Ottawa to stop targeting the wrong people. Albertans have the right to protect their homes and their families. No one should hesitate to defend themselves when faced with a threat at their own doorway. Law-abiding citizens, hunters, farmers and sport shooters are not the source of violent crime, yet the federal government wants to confiscate their property while illegal guns pour across our borders. Alberta will not stand by while responsible gun owners are treated like criminals. This motion is about using every legal tool we have to protect their rights, uphold public safety and push back on federal overreach into provincial jurisdiction.”

Danielle Smith, Premier of Alberta

“When someone breaks into your home, the law recognizes that you have enhanced rights to protect yourself and your family. Alberta is making that principle unmistakably clear: lawful, reasonable self-defence will be respected, not criminalized.”

Mickey Amery, Minister of Justice and Attorney General

“As an experienced former law enforcement officer, law-abiding gun owners have never been an issue, in my own personal experience, nor has there been any data to support that law-abiding gun owners are the ones that are committing violent gun crimes. The illegal guns that you see being used by criminals are typically being smuggled in from the United States. The federal government should help us strengthen the border, helping us to stop illegal guns from coming into Canada. This would further enhance safety and security for the people of Alberta and Canada as opposed to going after lawful gun owners.”

Mike Ellis, Minister of Public Safety and Emergency Services

Under the Alberta Firearms Regulation, municipalities, law enforcement and police commissions must obtain approval from Alberta’s Minister of Justice before accepting funding to participate in the Assault-Style Firearms Compensation Program.

“Misguided federal initiatives such as the handgun transfer ban and the Order in Council firearms prohibitions of 2020, 2024 and 2025 have had a devastating impact on the safe, legitimate activities of the firearms community and the businesses that support it, while having no discernible effect on criminal activity. I am proud to see that the Alberta government is pushing back and supporting lawful firearms owners through these measures.”

Teri Bryant, Alberta chief firearms officer

“Licensed gun owners and all Albertans can rest assured that their government, under the leadership of the UCP, is laser focused on protecting law abiding citizens while prioritizing real public safety.”

Tracey Wilson, vice-president of public relations, Canadian Coalition for Firearms Rights

“The Alberta Hunter Education Instructors Association will continue to support our government and the Alberta chief firearms officer in our joint quest to use safety training and education as the key tools to ensure we have safer streets and communities. Safe and responsible use of firearms in Alberta is a key part of our heritage, culture, and our rich and precious heritage.”

Robert Gruszecki, president, Alberta Hunter Education Instructors’ Association

Key facts:

Pursuant to the Attorney General’s recent guidance protocols, Alberta’s prosecutors will decline to prosecute offences under the federal gun seizure program when it is not in the public interest.
The Attorney General’s recent guidance protocol directs prosecutors to not prosecute home defence offences when it is not in the public interest.
Total spending on the federal Assault-Style Firearms Compensation Program is expected to exceed $750 million.
The firearms motion considers the Alberta Bill of Rights, the Constitution Act, 1867 and the Criminal Code.
Currently 10 per cent of adult Albertans are licenced to use and own firearms. There are 381,900 firearms licences in Alberta.
Alberta has 638 licensed firearms businesses, 138 shooting ranges and 91 shooting clubs.

Alberta

Emissions Reduction Alberta offering financial boost for the next transformative drilling idea

Published on December 1, 2025

Todayville

From the Canadian Energy Centre

$35-million Alberta challenge targets next-gen drilling opportunities

‘All transformative ideas are really eligible’

Forget the old image of a straight vertical oil and gas well.

In Western Canada, engineers now steer wells for kilometres underground with remarkable precision, tapping vast energy resources from a single spot on the surface.

The sector is continually evolving as operators pursue next-generation drilling technologies that lower costs while opening new opportunities and reducing environmental impacts.

But many promising innovations never reach the market because of high development costs and limited opportunities for real-world testing, according to Emissions Reduction Alberta (ERA).

That’s why ERA is launching the Drilling Technology Challenge, which will invest up to $35 million to advance new drilling and subsurface technologies.

“The focus isn’t just on drilling, it’s about building our future economy, helping reduce emissions, creating new industries and making sure we remain a responsible leader in energy development for decades to come,” said ERA CEO Justin Riemer.

And it’s not just about oil and gas. ERA says emerging technologies can unlock new resource opportunities such as geothermal energy, deep geological CO₂ storage and critical minerals extraction.

“Alberta’s wealth comes from our natural resources, most of which are extracted through drilling and other subsurface technologies,” said Gurpreet Lail, CEO of Enserva, which represents energy service companies.

ERA funding for the challenge will range from $250,000 to $8 million per project.

Eligible technologies include advanced drilling systems, downhole tools and sensors; AI-enabled automation and optimization; low-impact rigs and fluids; geothermal and critical mineral drilling applications; and supporting infrastructure like mobile labs and simulation platforms.

“All transformative ideas are really eligible for this call,” Riemer said, noting that AI-based technologies are likely to play a growing role.

“I think what we’re seeing is that the wells of the future are going to be guided by smart sensors and real-time data. You’re going to have a lot of AI-driven controls that help operators make instant decisions and avoid problems.”

Applications for the Drilling Technology Challenge close January 29, 2026.