Alberta
Alberta takes big step towards shorter wait times and higher quality health care
From the Fraser Institute
On Monday, the Smith government announced that beginning next year it will change the way it funds surgeries in Alberta. This is a big step towards unlocking the ability of Alberta’s health-care system to provide more, better and faster services for the same or possibly fewer dollars.
To understand the significance of this change, you must understand the consequences of the current (and outdated) approach.
Currently, the Alberta government pays a lump sum of money to hospitals each year. Consequently, hospitals perceive patients as a drain on their budgets. From the hospital’s perspective, there’s little financial incentive to serve more patients, operate more efficiently and provide superior quality services.
Consider what would happen if your local grocery store received a giant bag of money each year to feed people. The number of items would quickly decline to whatever was most convenient for the store to provide. (Have a favourite cereal? Too bad.) Store hours would become less convenient for customers, alongside a general decline in overall service. This type of grocery store, like an Alberta hospital, is actually financially better off (that is, it saves money) if you go elsewhere.
The Smith government plans to flip this entire system on its head, to the benefit of patients and taxpayers. Instead of handing out bags of money each year to providers, the new system—known as “activity-based funding”—will pay health-care providers for each patient they treat, based on the patient’s particular condition and important factors that may add complexity or cost to their care.
This turns patients from a drain on budgets into a source of additional revenue. The result, as has been demonstrated in other universal health-care systems worldwide, is more services delivered using existing health-care infrastructure, lower wait times, improved quality of care, improved access to medical technologies, and less waste.
In other words, Albertans will receive far better value from their health-care system, which is currently among the most expensive in the world. And relief can’t come soon enough—for example, last year in Alberta the median wait time for orthopedic surgeries including hip and knee replacements was 66.8 weeks.
The naysayers argue this approach will undermine the province’s universal system and hurt patients. But by allowing a spectrum of providers to compete for the delivery of quality care, Alberta will follow the lead of other more successful universal health-care systems in countries such as Australia, Germany, the Netherlands and Switzerland and create greater accountability for hospitals and other health-care providers. Taxpayers will get a much better picture of what they’re paying for and how much they pay.
Again, Alberta is not exploring an untested policy. Almost every other developed country with universal health care uses some form of “activity-based funding” for hospital and surgical care. And remember, we already spend more on health care than our counterparts in nearly all of these countries yet endure longer wait times and poorer access to services generally, in part because of how we pay for surgical care.
While the devil is always in the details, and while it’s still possible for the Alberta government to get this wrong, Monday’s announcement is a big step in the right direction. A funding model that puts patients first will get Albertans more of the high-quality health care they already pay for in a timelier fashion. And provide to other provinces an example of bold health-care reform.
Alberta
Gondek’s exit as mayor marks a turning point for Calgary
This article supplied by Troy Media.
The mayor’s controversial term is over, but a divided conservative base may struggle to take the city in a new direction
Calgary’s mayoral election went to a recount. Independent candidate Jeromy Farkas won with 91,112 votes (26.1 per cent). Communities First candidate Sonya Sharp was a very close second with 90,496 votes (26 per cent) and controversial incumbent mayor Jyoti Gondek finished third with 71,502 votes (20.5 per cent).
Gondek’s embarrassing tenure as mayor is finally over.
Gondek’s list of political and economic failures in just a single four-year term could easily fill a few book chapters—and most likely will at some point. She declared a climate emergency on her first day as Calgary’s mayor that virtually no one in the city asked for. She supported a four per cent tax increase during the COVID-19 pandemic, when many individuals and families were struggling to make ends meet. She snubbed the Dec. 2023 menorah lighting during Hanukkah because speakers were going to voice support for Israel a mere two months after the country was attacked by the bloodthirsty terrorist organization Hamas. The
Calgary Party even accused her last month of spending over $112,000 in taxpayers’ money for an “image makeover and brand redevelopment” that could have benefited her re-election campaign.
How did Gondek get elected mayor of Calgary with 176,344 votes in 2021, which is over 45 per cent of the electorate?
“Calgary may be a historically right-of-centre city,” I wrote in a recent National Post column, “but it’s experienced some unusual voting behaviour when it comes to mayoral elections. Its last three mayors, Dave Bronconnier, Naheed Nenshi and Gondek, have all been Liberal or left-leaning. There have also been an assortment of other Liberal mayors in recent decades like Al Duerr and, before he had a political epiphany, Ralph Klein.”
In fairness, many Canadians used to support the concept of balancing their votes in federal, provincial and municipal politics. I knew of some colleagues, friends and family members, including my father, who used to vote for the federal Liberals and Ontario PCs. There were a couple who supported the federal PCs and Ontario Liberals in several instances. In the case of one of my late
grandfathers, he gave a stray vote for Brian Mulroney’s federal PCs, the NDP and even its predecessor, the Co-operative Commonwealth Federation.
That’s not the case any longer. The more typical voting pattern in modern Canada is one of ideological consistency. Conservatives vote for Conservative candidates, Liberals vote for Liberal candidates, and so forth. There are some rare exceptions in municipal politics, such as the late Toronto mayor Rob Ford’s populistconservative agenda winning over a very Liberal city in 2010. It doesn’t happen very often these days, however.
I’ve always been a proponent of ideological consistency. It’s a more logical way of voting instead of throwing away one vote (so to speak) for some perceived model of political balance. There will always be people who straddle the political fence and vote for different parties and candidates during an election. That’s their right in a democratic society, but it often creates a type of ideological inconsistency that doesn’t benefit voters, parties or the political process in general.
Calgary goes against the grain in municipal politics. The city’s political dynamics are very different today due to migration, immigration and the like. Support for fiscal and social conservatism may still exist in Alberta, but the urban-rural split has become more profound and meaningful than the historic left-right divide. This makes the task of winning Calgary in elections more difficult for today’s provincial and federal Conservatives, as well as right-leaning mayoral candidates.
That’s what we witnessed during the Oct. 20 municipal election. Some Calgary Conservatives believed that Farkas was a more progressive-oriented conservative or centrist with a less fiscally conservative plan and outlook for the city. They viewed Sharp, the leader of a right-leaning municipal party founded last December, as a small “c” conservative and much closer to their ideology. Conversely, some Calgary Conservatives felt that Farkas, and not Sharp, would be a better Conservative option for mayor because he seemed less ideological in his outlook.
When you put it all together, Conservatives in what used to be one of the most right-leaning cities in a historically right-leaning province couldn’t decide who was the best political option available to replace the left-wing incumbent mayor. Time will tell if they chose wisely.
Fortunately, the razor-thin vote split didn’t save Gondek’s political hide. Maybe ideological consistency will finally win the day in Calgary municipal politics once the recount has ended and the city’s next mayor has been certified.
Michael Taube is a political commentator, Troy Media syndicated columnist and former speechwriter for Prime Minister Stephen Harper. He holds a master’s degree in comparative politics from the London School of Economics, lending academic rigour to his political insights.
Troy Media empowers Canadian community news outlets by providing independent, insightful analysis and commentary. Our mission is to support local media in helping Canadians stay informed and engaged by delivering reliable content that strengthens community connections and deepens understanding across the country
Alberta
From Underdog to Top Broodmare
WATCH From Underdog to Top Broodmare (video)
Executive Producers Jeff Robillard (Horse Racing Alberta) and Mike Little (Shinelight Entertainment)
What began as an underdog story became a legacy of excellence. Crackers Hot Shot didn’t just race — she paved the way for future generations, and in doing so became one of the most influential producers the province has known.
The extraordinary journey of Crackers Hot Shot — once overlooked, now revered — stands as one of Alberta’s finest success stories in harness racing and breeding.
Born in humble circumstances and initially considered rough around the edges, Crackers Hot Shot overcame long odds to carve out a career that would forever impact the province’s racing industry. From a “wild, unhandled filly” to Alberta’s “Horse of the Year” in 2013, to producing foals who carry her spirit and fortitude into future generations.
Her influence ripples through Alberta’s racing and breeding landscape: from how young stock are prepared, to the aspirations of local breeders who now look to “the mare that did it” as proof that world-class talent can emerge from Alberta’s paddocks.
“Crackers Hot Shot, she had a tough start. She wasn’t much to look at when we first got her” — Rod Starkewski
“Crackers Hot Shot was left on her own – Carl Archibald heard us talking, he said ‘I’ll go get her – I live by there’. I think it took him 3 days to dig her out of the snow. She was completely wild – then we just started working on her. She really needed some humans to work with her – and get to know that people are not scary.” — Jackie Starkewski
“Crackers Hot Shot would be one of the top broodmares in Albeta percentage wise if nothing else. Her foals hit the track – they’re looking for the winners circle every time.” — Connie Kolthammer
Visit thehorses.com to learn more about Alberta’s Horse Racing industry.
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