Health
Advance Care Planning: Preparing for Your Future Healthcare

Are you prepared?
All Albertans should prepare for a possible scenario where they may be unable to make their own medical decisions, especially if they are older or have chronic or serious illness.
If you became seriously ill, would your family, caregivers and healthcare providers know how you would want to be cared for? Who would speak for you if you were too sick to speak for yourself?
Learn more about advance care planning.
Advance Care Planning
A way to help you think about, talk about and document wishes for health care in the event that you become incapable of consenting to or refusing treatment or other care.
You may never need your advance care plan – but if you do, you’ll be glad that it’s there and that you have had these conversations, to make sure that your voice is heard when you cannot speak for yourself.
Goals of Care Designation
A medical order used to describe and communicate the general aim or focus of care including the preferred location of that care.
Although advance care planning conversations don’t always result in determining goal of care designation, they make sure your voice is heard when you cannot speak for yourself
Medical Care
Focuses on medical tests and interventions to cure or manage a person’s illness, but does not use resuscitative or life support measures.
Comfort Care
Focuses on providing comfort for people with life-limiting illness when medical treatment is no longer an option.
Resuscitative Care
Focuses on prolonging or preserving life using medical or surgical interventions, including, if needed, resuscitation and intensive care.
Learn about Goals of Care Designation ordersIf you can’t speak for yourself, your Goals of Care Designation helps the healthcare team match your values and preferences to care that is right for you and your healthcare condition.
Personal directive: Choose your decision-makerYour personal directive is a legal document. It names someone you trust to make important decisions for you if you can’t make these decisions yourself.
Keep advance care planning documents in a Green SleeveThis is a plastic pocket that holds your advance care planning forms.
Resources | video libraryGet more information on advance care planning and find more resources to help you or explore our video library.
Mental Health
Headline that reads ‘Ontario must pay for surgery to give trans resident both penis and vagina: appeal court’ a sign of the times in Canada

From LifeSiteNews
Gender ideology so entrenched, surgical mutilation is no longer considered fringe
If you’d like a glimpse of what 10 years of progressive rule has done to Canada in a single sentence, I submit to you this April 24 headline: “Ontario must pay for surgery to give trans resident both penis and vagina: appeal court.”
Imagine reading a headline like that in, say, 2010. You’d wonder what country you were living in — that is, if you weren’t trying to figure out what you just read. But in Canada in 2025, this stuff isn’t fringe. It’s establishment.
The Ontario Court of Appeal, the province’s top court, issued a ruling this week stating that the province must pay for a “penile-sparing vaginoplasty” for a resident who identifies as transgender but does not identify “exclusively” as either male or female and thus would like to possess both a penis and a vagina.
According to the Post, “a three-judge panel of the Ontario Court of Appeal confirmed a lower court’s ruling that the novel phallus-preserving surgery qualifies as an insured service under the Ontario Health Insurance Plan.” In case you’re tempted to write this off as an aberration at the hands of a handful of activist judges, this ruling is the third unanimous decision in favor of the “patient,” identified in court records as “K.S.”
“K.S. is pleased with the Court of Appeal’s decision, which is now the third unanimous ruling confirming that her gender affirming surgery is covered under Ontario’s Health Insurance Act and its regulation,” K.S.’s lawyer, John McIntyre, told the Post. K.S., as it turns out, identifies as neither male nor female … but uses female pronouns:
The legal battle between K.S., whose sex at birth was male, dates to 2022, when the Ontario Health Insurance Plan (OHIP) refused her request to pay for the cost of surgery at a Texas clinic to construct a vagina while sparing the penis, a procedure this is not available in Ontario, or anywhere else in Canada. K.S. uses female pronouns but does not identify as either fully female or fully male.
Previously, saner generations would have no idea how to interpret the preceding paragraph, but gender ideology has made fools of us all. OHIP attempted to argue that “because the vaginoplasty would not be accompanied by a penectomy, the procedure isn’t one specifically listed in OHIP’s Schedule of Benefits and therefore shouldn’t be publicly funded” and also that the surgery is “experimental” in Ontario and thus can’t be covered.
But K.S., who has a male member but would also like a neo-vagina, appealed to the Health Services Appeal and Review Board, which overturned OHIP’s decision. OHIP appealed to the Divisional Court but lost; the latest appeal, heard November 26, was also rejected because a “penectomy,” the removal of the penis, was “neither recommended by K.S.’s health professionals nor desired by K.S.,” according to the court’s decision.
I wonder if the judges thought that they’d be ruling on whether a man who identifies as neither a man or a woman was entitled to obtain a vagina while retaining his penis when they were going to law school.
The court stated that K.S., who is in his early 30s, “has experienced significant gender dysphoria since her teenage years, as well as physical, mental and economic hardships to transition her gender expression to align with her gender identity.” Of course, K.S. isn’t “transgender,” per se — because he doesn’t identify as the opposite sex, even though he uses the pronouns of the opposite sex. He wants to be … both, somehow. And he wants the taxpayer to pay for it.
As the Post reported:
K.S.’s doctor submitted a request to OHIP for prior funding approval for the surgical creation of a vaginal cavity and external vulva. The request made it clear that K.S. wasn’t seeking a penectomy. In a letter accompanying the request, her doctor said that because K.S. is “not completely on the ‘feminine’ end of the spectrum” it was important for her to have a vagina while maintaining her penis, adding that the Crane Center for Transgender Surgery in Austin, Tx.,” has an excellent reputation” for gender-affirming surgery, “and especially with these more complicated procedures.”
The surgeries, depending on which are performed, range in cost “from US $10,000 to $70,000.” The court also ordered Ontario to pay K.S. $23,250 after dismissing OHIP’s appeal; the province has until June 23 to seek leave to the Supreme Court of Canada.
Mental Health
Suspect who killed 11 in Vancouver festival attack ID’d

Quick Hit:
Authorities have identified the driver responsible for the devastating attack at Vancouver’s Lapu Lapu Day festival that killed at least 11 and injured dozens more. The suspect, Kai-Ji Adam Lo, 30, had a well-documented history of mental illness, and his family sought help just hours before the tragic event.
Key Details:
- Kai-Ji Adam Lo, 30, was identified as the driver who plowed into a crowd, killing 11 and injuring dozens more.
- Lo’s family sought psychiatric help for him hours before the attack; he was already known to law enforcement.
- Police believe the attack was not terror-related, citing Lo’s extensive mental health struggles.
At least 9 dead in mass casualty event after driver crashes into crowd at Vancouver street festival.
The 30 year old driver was taken into custody by festival goers then arrested.
According to law enforcement “the suspect was known to police for certain circumstances”. pic.twitter.com/slG7LsZNFG
— Kevin Dalton (@TheKevinDalton) April 27, 2025
Diving Deeper:
The city of Vancouver is grappling with unspeakable tragedy following the deadly assault that unfolded during the Lapu Lapu Day festival, a vibrant celebration honoring the Filipino community. Authorities have identified the man behind the wheel as 30-year-old Kai-Ji Adam Lo, who was apprehended at the scene Saturday night.
Lo, whose troubled history with mental illness was well known to local authorities and mental health professionals, faces eight counts of second-degree murder, with additional charges expected as the investigation continues. According to reports, Lo’s family had reached out to a hospital psychiatric ward just hours before the incident, desperately seeking help for him amid his escalating paranoia and delusions. It remains unclear whether any intervention was made in response to the family’s call.
Vancouver Police Chief Steve Rai confirmed that Lo had no interactions with law enforcement immediately prior to the event, but acknowledged that the city is reeling from its “darkest day.” Investigators emphasized that, because of Lo’s mental state, they do not believe the attack was terror-related.
Adding to the complex portrait of the suspect, Lo was mourning profound personal loss. His brother, Alexander Lo, was murdered in January 2024. Following the death, Lo had penned heartbreaking posts online, sharing how his brother’s death and his mother’s subsequent suicide attempt shattered their family.
Tragically, among the 11 killed during Saturday’s carnage was a 5-year-old child. Dozens more were wounded when Lo drove his SUV into the densely packed crowd gathered for the festivities. Lo has since appeared in court and will remain in custody as prosecutors prepare to bring additional charges.
The horror that unfolded in Vancouver serves as a stark reminder of the broader systemic failures surrounding mental health interventions. While Canadian authorities attempt to grapple with the aftermath, this tragedy sadly echoes similar stories in other nations where warnings about individuals in crisis have gone unheeded—with catastrophic results.
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