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Alberta

Health Care Overhaul: AHS to be laser focused on Acute Care and Continuing Care outcomes

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22 minute read

Refocusing on patient-centred care

A refocused health care system will improve health outcomes for Albertans and empower health care workers to deliver quality care across the province.

Alberta’s front-line health workers provide exceptional care to patients and families, and Alberta’s government is committed to supporting their work by providing a high-functioning health care system. Alberta’s government has been working to address wait times and health care service disruptions, but challenges still exist in the system, including accessing community care like family doctors and local health services. The current health care system’s structure limits the government’s ability to provide system-wide oversight, set system priorities, and to require accountability for those priorities on behalf of Albertans.

To overcome current challenges and deliver the right care for Albertans at the right time, Alberta is refocusing the health care system. These changes will focus on the priority sectors of primary care, acute care, continuing care and mental health and addiction to ensure Albertans receive the best care within a single, fully integrated, high-functioning system.

These changes will improve front-line service delivery, and front-line jobs will be protected during this transition. Albertans will continue to access health care services where they regularly receive their care during the system’s transition period and beyond.

“Albertans deserve access to the health care they need, when and where they need it. Health care workers move mountains for their patients every day. For too many years, Alberta’s health care system has been too complex and uncoordinated, leading to unacceptable wait times and poorer health outcomes for Albertans. It’s time to change that. It’s time to put Albertans first in every health care decision and give our front-line experts the right space to properly care for Albertans. This is why we are refocusing the health system to provide better care for generations of Albertans to come.”

Danielle Smith, Premier

“We are at a critical juncture when it comes to health care in Alberta. We need to refocus how the system is structured and create a path forward that will get us the outcomes Albertans deserve. This work will take time and it will not be easy. We will lean on the world-class talent and expertise that exists in our health care system every step of the way. I ask health care workers to join us on this important journey so they can work in a better system – for them and for their patients.”

Adriana LaGrange, Minister of Health

“Minister LaGrange has acknowledged that our health care system needs urgent reform. This work will only succeed with the involvement and leadership of physicians. The AMA looks forward to meaningful consultation and collaboration as these reforms are further elaborated.”

Dr. Paul Parks, president, Alberta Medical Association 
Alberta’s government will establish advisory boards to provide initial direction and support for the transition into the reorganized provincial system. The four provincial organizations dedicated to each sector will be in place by fall 2024.

A streamlined AHS role

Alberta Health Services (AHS) will continue to have a strong role as part of the refocused system. Under the new structure, AHS’ primary focus will be acute care and continuing care. Other AHS delivery functions will move to be accountable to the new organizations.

Acute care

The acute care provincial organization will oversee the delivery of hospital care, urgent care centres, cancer care, clinical operations, surgeries and emergency medical services. The organization will work directly with acute care providers including Alberta Health Services, Covenant Health and chartered surgical facilities to speed up access to quality care and make sure the patient’s journey through the acute care system is efficient and effective across the province. Key outcomes for the new organization include:

  • Shorter wait times for emergency departments and surgeries.
  • Lowering emergency medical services response time.
  • Higher quality care across the province and enhancing access to care in rural areas.

“I have been advocating for changes to ensure our health care system is sustainable and serves the current and future needs of Albertans, particularly those in the City of Grande Prairie and the surrounding region. I am encouraged by the elements within the plan, and I am extremely optimistic it will produce the outcomes we are looking for and that our residents need.”

Jackie Clayton, mayor, City of Grande Prairie

“The Alberta Professional Fire Fighters & Paramedics Association believes in order to achieve improved ambulance response times and a community-focused pre-hospital care system that prioritizes the well-being of its practitioners, a structural change to the provision of health is in order.”

Elliott Davis, vice-president, Alberta Professional Fire Fighters & Paramedics Association

Primary care

The new provincial primary care organization will coordinate primary health care services and provide transparent provincial oversight. Primary health care includes all the services Albertans access to support their day-to-day health needs through every stage of life. That includes visits with a family doctor or a nurse practitioner, visits to Primary Care Networks, consultation with a specialist, preventative care and chronic disease management.

Establishing a primary care governance structure was one of the recommendations from the Modernizing Alberta’s Primary Health Care System (MAPS) report, which was released on Oct. 18.

The primary care organization will focus on achieving key outcomes, including:

  • Ensuring every Albertan will be attached to a family physician or a nurse practitioner.
  • Providing timely access to high-quality primary care services, including after-hours, no matter where they live.
  • Supporting an integrated team of health professionals to provide comprehensive primary care, including family physicians, nurse practitioners and pharmacists, that has appropriate access to patient health information.

“The Nurse Practitioner Association of Alberta supports the decision by the minister and Alberta Health to restructure health care oversight in the province. The health care system in Alberta is in crisis and new ideas and approaches are required to address current need and to support Albertans into the future. The proposed changes have the potential to position Alberta as a leader in primary care, continuing care, emergency, acute and surgical services and integrated mental health supports. These are bold enhancements that if done well will lead to improved access, improved health outcomes and improvements to the bottom line. We look forward to working with the government and stakeholders to ensure success.”

Susan Prendergast, president, Nurse Practitioners Association of Alberta

“The Alberta Paramedic Association supports the Minister’s refocusing of the current health model in Alberta. This re-visioning allows for opportunities to tackle current issues, and create system enhancements in the delivery of services for Albertan’s including those improvements linked directly to the profession of paramedics.

Len Stelmaschuk, president, Alberta Paramedic Association

Continuing care

The continuing care system provides Albertans with the health, personal care and accommodation services they need to support their independence and quality of life, including rehabilitative or restorative care. These services and supports may be provided in different settings, including individuals’ homes, continuing care homes, supportive living accommodations and adult day programs.

In alignment with the Facility-Based Continuing Care Review, the new continuing care provincial organization will provide provincial oversight, coordination, service delivery, home care and community care. This will renew focus on residents and create equitable, consistent and timely access to continuing care supports and services through a single, coordinated intake approach. All current contracted operators will continue to deliver services under contract with the new organization.

The new organization will continue the work to add more continuing care spaces, attract and retain health care workers, advance innovative solutions and support Albertans as they choose where and how they’d like to live. The new organization will focus on achieving:

  • Equitable, consistent and timely access to continuing care services?.
  • An increased number and geographic distribution of beds to meet the needs of Albertans.?
  • Improved team-based cross-sector care leveraging other health and social services.

“Albertans deserve and expect the best system of care that will support their independence and quality of life. By refocusing Alberta’s health care system on patient-centred care, Albertans will now receive the highest quality of care, including seniors, vulnerable Albertans and children and adults with developmental disabilities.”

Jason Nixon, Minister of Seniors, Community and Social Services

“The Alberta Continuing Care Association applauds the recent health care reforms by the Alberta government and its commitment to advancing health care services for seniors. These reforms align with our mission of creating a sustainable and innovative continuing care sector. We’re eager to collaborate with Alberta Health, providing expertise, advocating best practices, and fostering innovation for seniors’ well-being.”

Feisal Keshavjee, chair, Alberta Continuing Care Association

Mental health and addiction

As part of the refocusing, Alberta’s Ministry of Mental Health and Addiction will begin to oversee the mental health and addiction system, including managing funding. To continue the delivery of public mental health and addiction services, Alberta’s government is establishing a new provincial mental health and addiction organization. This organization will be responsible for the delivery of services currently provided by AHS. It will continue to focus on recovery-oriented care for Albertans, delivering services that span prevention, intervention, treatment and recovery supports.

Oversight of the mental health and addiction system by the appropriate ministry will ensure Albertans are receiving high-quality recovery-oriented care in every corner of the province. This change will also allow for better coordination between services delivered by the public agency and the non-profit sector. Additionally, to support the ministry’s enhanced responsibilities, a new Centre of Recovery Excellence will be established to improve the quality of mental health and addiction service delivery in Alberta.

The mental health and addiction organization will focus on:

  • Supporting every Albertan struggling with the deadly disease of addiction and/or mental health challenges in their pursuit of recovery.
  • Ensuring Albertans can access a full continuum of recovery-oriented supports that help them improve their overall well-being and sustain recovery.
  • Improving mental health and addiction care for Albertans by further expanding access to treatment and recovery supports across Alberta.

“Our government is making sure Albertans have more access to mental health supports and addiction treatment services than ever before. The direction we are taking Alberta is caring for Albertans and supporting them in their pursuit of recovery.”

Dan Williams, Minister of Mental Health and Addiction

“These steps from Alberta’s government create an opportunity to build on the strong foundation of existing mental health and addiction services and the exemplary work of our staff and clinicians. I am excited to lead the transition toward a new provincial mental health and addiction organization to ensure delivery of the best recovery oriented clinical care anywhere in the country”.

Kerry Bales, chief program officer, Provincial Addiction & Mental Health and Correctional Health Services, Alberta Health Services 

“To see a government this focused on recovery brings so much hope to those working at Oxford House and the individuals in treatment. I’m proud to support the government in their work to strengthen addiction services around the province.”

Earl Thiessen, executive director, Oxford House Foundation

“We are excited with the government’s refocusing of the health care system. It will achieve better system coordination and delivery for service providers, more support for front-line workers and improved access to addiction and mental health supports.”

Lorette Garrick, CEO, George Spady Society

Covenant Health

Covenant Health will continue to offer services in the areas of acute care and continuing care in communities across Alberta. Under the new structure, Covenant Health will no longer be contracted and funded through agreements with AHS. It will transition to have direct relationships with the new organizations.

“Our health system has been under considerable stress and we’re optimistic about the new bold and balanced direction set by Alberta’s government. We welcome the commitment in this announcement to engaging with patients, health care providers and the community. We look forward to working with the Government of Alberta and all our partners to build on this new outcome-focused approach as we recommit all our energy to improving the health of Albertans.”

Patrick Dumelie, CEO, Covenant Health

Engaging the health workforce and Albertans

Alberta’s health care workers deserve to work within a structure that will support their success and prioritize their well-being. Alberta’s government will begin engaging with the health care workforce in a thoughtful and thorough manner. As the province moves towards implementing this new structure, understanding job obstacles and exploring opportunities to reduce red tape and implement other practical solutions will be critical to achieving success.

Engagement sessions with front-line workers, AHS staff, health care unions, health associations and a wide range of health partners are scheduled throughout November and more will be added into the new year.

Alberta’s government is also committed to engaging with Albertans and listening to input from patients, families and caregivers. More information about public engagements will be provided in the coming months. Engagement session dates will be regularly updated online.

“I am excited to see that the government is ensuring patient care is at the centre of the health system. As a practitioner, I work to provide the best possible care for my patients, and I am glad that we are moving towards a system that is structured around that.”

Dr. Les Scheelar, anesthesiologist

“The Alberta Association of Nurses is highly supportive of the bold steps the Government of Alberta is taking to refocus the health care system. These changes will help create better work environments for nurses and enable them to better provide care that meets the needs of Albertans.”

Kathy Howe, CEO, Alberta Association of Nurses

Local decision-making, accountability and integration

Front-line health care workers and regional partners have a direct line of sight on what needs to change to improve quality of care in their community. All four health system sectors will be mandated to empower local decision-making and work closely with new regional advisory councils. Alberta Health will restructure the 12 regional advisory councils that currently exist and create a new Indigenous advisory council to better represent community perspectives, bring forward local priorities and give input on how to improve the system.

The Ministry of Health will also realign its structure to better match with the new organizations, support the refocusing of the health care system and provide appropriate oversight. This includes ensuring each organization has its own reporting structure within Alberta Health.

In addition, the role of the Health Quality Council of Alberta will be expanded to support Alberta Health to set performance standards and performance indicators and to support audit and compliance functions. The council will also collect insights from patients throughout the transition toward achieving a high-performing health system.

A separate integration council will be formed immediately to ensure system alignment, identify efficiencies, remove barriers and make sure the system is delivering better health outcomes.

Finally, a procurement and system optimization secretariat within Alberta Health will negotiate standard offers for goods and services to drive efficiencies through economies of scale. This will allow the refocused system to continue to benefit from centralization of these services when appropriate.

“Across hundreds of hours of engagement with community leaders and health care providers in rural Alberta, I have repeatedly heard concerns with the health care system and the need for local perspectives in decision-making. I know this will be welcome news, and that the work being undertaken by the government of Alberta is going to lead to much-needed change in our system.”

Martin Long, parliamentary secretary for rural health

“We need to bring high-quality health care service back to rural Alberta. As a small-town Alberta mayor, I think this is a significant step in that direction, and we need to get started now.”

Kevin Ferguson, mayor, Town of Ponoka

Related information

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This is a news release from the Government of Alberta.

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Alberta

Fact, fiction, and the pipeline that’s paying Canada’s rent

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From Resource Works

By

Is the Trans Mountain a fake, like some say the moon landing was faked?

It’s hard to interpret otherwise a persistent claim being made in media by British Columbia’s premier, David Eby.

This week he said that Alberta is “not even using” the new Trans Mountain pipeline from Edmonton to Metro Vancouver.

Could that be true? We decided to look into it.

Here’s what we discovered.

Since May 2024 when the Trans Mountain expansion project was opened, Alberta oil has flowed steadily down the pipeline from its origin in a suburb of Edmonton.

Credible international news organizations have reported that the new pipeline is 85% full. Indications are that by the period 2027-28, it will reach as close to 100% full as it’s possible to.

The number of ship calls to the Westridge coastal loading facility in Burnaby is on track to reach 400 by the end of the year. This strongly supports the contention that Alberta oil is flowing through the pipeline.

https://www.statcan.gc.ca/o1/en/plus/8439-trans-mountain-pipeline-delivering

I often say Trans Mountain is “paying Canada’s rent,” and I mean it literally. Ottawa owns the pipeline through Trans Mountain Corporation, and it’s already sending more than a billion dollars a year back to the federal treasury in dividends, interest, and fees.

It’s also boosting export revenues by letting Alberta oil reach world markets instead of being trapped at a discount — raising royalties, taxes, and paycheques across the Prairies. And every tanker that sails from Burnaby keeps tug crews, port workers, and coastal suppliers in business. That’s real money flowing through the economy — the kind that actually pays the rent for Canada.

In total, Resource Works examined nine claims that would all need to be true if Premier Eby is telling the truth about the pipeline being empty:

Truth Test: “Alberta isn’t even using the pipeline we bought them last time.”

Category Claim or Implication Evidence / Data Source(s) Finding / Truth Rating
1. Pipeline utilization TMX is unused or empty. Trans Mountain reports 757,000 bpd throughput on an 890,000 bpd capacity system (≈ 85 %). Trans Mountain Q1 2025 Financial Results; Reuters (30 Jul 2025). ❌ False — pipeline is heavily used and approaching full capacity.
2. Export volumes Few or no shipments. 306 vessels loaded at Westridge Marine Terminal by Q2 2025 (~20–25 per month). Trans Mountain Q2 2025 Results; CER Market Snapshot (Sept 2025). ❌ False — consistent, large-scale exports are underway.
3. Financial returns No financial benefit to Canadians. $729 million returned to federal government YTD 2025; projected >$1.25 billion for year. Trans Mountain Q2 2025 Results. ❌ False — major positive fiscal returns already realized.
4. Shipper commitments No demand for pipeline capacity. 80 % of capacity contracted to long-term shippers; 20 % reserved for spot. S&P Global Commodity Insights (Feb 2025); CER Snapshot. ❌ False — demand is locked in by long-term contracts.
5. Operational timeline Project still inactive or delayed. Commercial service began May 1 2024; steady throughput growth each quarter. Trans Mountain Corporate Reports 2024–25. ❌ False — fully operational since 2024.
6. Regulatory data No verified data exist. Monthly throughput published by CER and Trans Mountain Corp. Canada Energy Regulator (CER Data Portal). ❌ False — independent regulators in fact consistently confirm the data.
7. Market impact No improvement to Alberta’s market access. WCS-Brent differential narrowed; Asia exports up sharply. CER Market Snapshot (Sept 2025); S&P Global 2025 report. ❌ False — there is clear evidence of improved market access.
8. Ownership context B.C. or Alberta “owns” the pipeline. Owned by Government of Canada via Trans Mountain Corporation. Finance Canada; Trans Mountain Corp. Ownership Statement. ⚠️ Misleading — federal ownership doesn’t mean Eby “bought Trans Mountain for Alberta.”
9. Provincial benefit analysis No benefit to B.C. or Alberta. Royalties, tax revenue, and employment gains in both provinces; marine services in B.C. TMX Economic Impact Assessment 2024; CER regional reports. ❌ False — both provinces gain fiscal and employment benefits.

Last year, on three occasions I visited the Westridge Marine Terminal, twice on tours of the land-based facilities and the third time from the water. Ships were docked at the terminal on all three occasions, and I was told by staff that they were being loaded.

I didn’t actually see any oil at the oil terminal, but…

I have to admit I did not actually see (or smell) any oil. But I’m also aware that it is very much in the interest of the Trans Mountain Corporation to never expose any oil to where it can be seen, touched or smelled, since this would result in stiff fines and other harsh repercussions.

At this point, I have to say that there is no supporting evidence whatsoever that Alberta is using the Trans Mountain pipeline as a moon landing style hoax for some nefarious goal. There is no sign of a massive fraud that required collaboration among energy regulators, Alberta oil producers, the pipeline company, the international business press, numerous federal ministers, trade union leaders, numerous environmental organizations that expend enormous efforts to try to curtail shipments of the oil that they say moves through the pipeline, and the many First Nations that have actively supported from and benefit from the project in its completed state.

Of course, I’m well aware there is a political context here. Since October 1, Premier Eby has been engaged in a war of words with Alberta Premier Danielle Smith. She announced that she is determined to see get built another new pipe from her province to a federally regulated port somewhere on the Pacific coast.

And to be clear, this isn’t about giving Alberta a free pass. Premier Smith isn’t blameless either — she’s been happy to turn complex national issues into provincial sound bites when it suits her. The difference is that Canada can’t afford leaders on either side of the Rockies who substitute theatre for truth.

Premier Eby is right when he says British Columbians should not be forced to give up opportunities because another province wants to do something. Labour market fears are legitimate as we’ve seen in the recent past. But when it comes to infrastructure and investment opportunities, time and again Canadians have learned the hard way that “a bird in the hand is worth two in the bush.” There is no guarantee that today’s opportunities, pushed away, will materialize again at any point in the future.

There’s also a public context. At no moment in recent times have British Columbia residents been more supportive of the idea of building more oil pipeline infrastructure. The following slide from a poll by Innovative Research Group (shared by pollster Greg Lyle at a recent event organized by Resource Works) is consistent with other findings:

Even without out this quite exceptional condition, the current situation deserves a vigorous public conversation. It also deserves the truthful use of information.

My final verdict is this: We can all be fully confident that the Trans Mountain Expansion is indeed 85 per cent full, that hundreds of tankers have already sailed, and that more than a billion dollars has flowed back to Canadians.

Bottom Line

The facts show a functioning, profitable national asset:

  • Operational since May 2024
  • 85% utilized and rising
  • Hundreds of ships exporting Canadian oil
  • Over $1 billion flowing back to the public purse from Trans Mountain – that’s even before counting the upstream employment and impacts

This Resource Works analysis is based on public reports from Trans Mountain Corporation (2024 & 2025), Canada Energy Regulator (2025), Statistics Canada, S&P Global Commodity Insights, and Reuters.

Stewart Muir, visting the Trans Mountain pipeline’s Westridge Marine Terminal.

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Alberta

Alberta Is Where Canadians Go When They Want To Build A Better Life

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From the Frontier Centre for Public Policy

By Marco Navarro-Genie

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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