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Alberta

Fraser Institute: Time to fix health care in Alberta

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From the Fraser Institute

By Bacchus Barua and Tegan Hill

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

After 15 years as a TV reporter with Global and CBC and as news director of RDTV in Red Deer, Duane set out on his own 2008 as a visual storyteller. During this period, he became fascinated with a burgeoning online world and how it could better serve local communities. This fascination led to Todayville, launched in 2016.

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Alberta

Albertans have contributed $53.6 billion to the retirement of Canadians in other provinces

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From the Fraser Institute

By Tegan Hill and Nathaniel Li

Albertans contributed $53.6 billion more to CPP then retirees in Alberta received from it from 1981 to 2022

Albertans’ net contribution to the Canada Pension Plan —meaning the amount Albertans paid into the program over and above what retirees in Alberta
received in CPP payments—was more than six times as much as any other province at $53.6 billion from 1981 to 2022, finds a new report published today by the Fraser Institute, an independent, non-partisan Canadian public policy think-tank.

“Albertan workers have been helping to fund the retirement of Canadians from coast to coast for decades, and Canadians ought to know that without Alberta, the Canada Pension Plan would look much different,” said Tegan Hill, director of Alberta policy at the Fraser Institute and co-author of Understanding Alberta’s Role in National Programs, Including the Canada Pension Plan.

From 1981 to 2022, Alberta workers contributed 14.4 per cent (on average) of the total CPP premiums paid—Canada’s compulsory, government- operated retirement pension plan—while retirees in the province received only 10.0 per cent of the payments. Alberta’s net contribution over that period was $53.6 billion.

Crucially, only residents in two provinces—Alberta and British Columbia—paid more into the CPP than retirees in those provinces received in benefits, and Alberta’s contribution was six times greater than BC’s.

The reason Albertans have paid such an outsized contribution to federal and national programs, including the CPP, in recent years is because of the province’s relatively high rates of employment, higher average incomes, and younger population.

As such, if Alberta withdrew from the CPP, Alberta workers could expect to receive the same retirement benefits but at a lower cost (i.e. lower payroll tax) than other Canadians, while the payroll tax would likely have to increase for the rest of the country (excluding Quebec) to maintain the same benefits.

“Given current demographic projections, immigration patterns, and Alberta’s long history of leading the provinces in economic growth, Albertan workers will likely continue to pay more into it than Albertan retirees get back from it,” Hill said.

Understanding Alberta’s Role in National Programs, Including the Canada Pension Plan

  • Understanding Alberta’s role in national income transfers and other important programs is crucial to informing the broader debate around Alberta’s possible withdrawal from the Canada Pension Plan (CPP).
  • Due to Alberta’s relatively high rates of employment, higher average incomes, and younger population, Albertans contribute significantly more to federal revenues than they receive back in federal spending.
  • From 1981 to 2022, Alberta workers contributed 14.4 percent (on average) of the total CPP premiums paid while retirees in the province received only 10.0 percent of the payments. Albertans net contribution was $53.6 billion over the period—approximately six times greater than British Columbia’s net contribution (the only other net contributor).
  • Given current demographic projections, immigration patterns, and Alberta’s long history of leading the provinces in economic growth and income levels, Alberta’s central role in funding national programs is unlikely to change in the foreseeable future.
  • Due to Albertans’ disproportionate net contribution to the CPP, the current base CPP contribution rate would likely have to increase to remain sustainable if Alberta withdrew from the plan. Similarly, Alberta’s stand-alone rate would be lower than the current CPP rate.

 

Tegan Hill

Director, Alberta Policy, Fraser Institute

Nathaniel Li

Senior Economist, Fraser Institute
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Alberta

Alberta Institute urging Premier Smith to follow Saskatchewan and drop Industrial Carbon Tax

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From the Alberta Institute

Axe Alberta’s Industrial Carbon Tax

Aside from tariffs, carbon taxes have been the key topic of the election campaign so far, with Mark Carney announcing that the Liberals would copy the Conservatives’ long-standing policy to axe the tax – but with a big caveat.

You see, it’s misleading to talk about the carbon tax as if it were a single policy.

In fact, that’s what the Liberals would like you to think because it helps them hide all the other carbon taxes they’ve forced on Canadians and on the Provinces.

Broadly speaking, there are actually four types of carbon taxes in place in Canada:

  1. A federal consumer carbon tax
  2. A federal industrial carbon tax
  3. Various provincial consumer carbon taxes
  4. Various provincial industrial carbon taxes

Alberta was actually the first jurisdiction anywhere in North America to introduce a carbon tax in 2007, when Premier Ed Stelmach introduced a provincial industrial carbon tax.

Then, as we all know, the Alberta NDP introduced a provincial consumer carbon tax in 2017.

The provincial consumer carbon tax was short-lived, as the UCP repealed it in 2019.

But, unfortunately, the UCP failed to repeal the provincial industrial carbon tax at the same time.

Worse, by then, the federal Liberals had introduced a federal consumer carbon tax and a federal industrial carbon tax as well!

Flash forward to 2025, and the political calculus has changed dramatically.

Mark Carney might only be promising to get rid of the federal consumer carbon tax, but Pierre Poilievre is promising to get rid of both the federal consumer carbon tax and the federal industrial carbon tax.

This is a clear opportunity, and yesterday, Scott Moe jumped on it.

He announced that Saskatchewan will also be repealing its provincial industrial carbon tax.

Saskatchewan never had a provincial consumer carbon tax, which means that, within just a few weeks, people in Saskatchewan could be paying ZERO carbon tax of ANY kind.

Alberta needs to follow Saskatchewan’s lead.

The Alberta government should immediately repeal Alberta’s provincial industrial carbon tax.

There’s no excuse for our provincial government to continue burdening our industries with unnecessary costs that hurt competitiveness and deter investment.

These taxes make it harder for businesses to thrive, grow, and create jobs, especially when other provinces are taking action to eliminate similar policies.

Premier Danielle Smith must act now and eliminate the provincial industrial carbon tax in Alberta.

If you agree, please sign our petition calling on the Alberta government to Axe Alberta’s Industrial Carbon Tax today:

 

 

After you’ve signed, please send the petition to your friends, family, and wider network, so that every Albertan can have their voice heard!

– The Alberta Institute Team

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