Alberta
Albertans continue to pay for government debt—despite budget surpluses
From the Fraser Institute
By Tegan Hill
” due to the amount of debt accumulated, and higher interest rates, Albertans will actually see government debt interest costs increase and reach $687 per Albertan by 2025/26 “
Thanks in large part to a windfall in resource revenue, the Alberta government has been running budget surpluses since 2021/22. Yet at the same time, as budget season approaches, Albertans are paying more and more for the cost of government debt.
Prior to the recent string of surpluses, during a period of relatively low resource revenue, Alberta incurred nearly uninterrupted deficits from 2008/09 to 2020/21. A deficit is simply when the government spends more than it collects in revenue in a given year—and it leads to debt accumulation.
Indeed, Alberta went from a net financial asset position of $35.0 billion in 2007/08 to a net debt position of $59.5 billion in 2020/21. In other words, the province’s finances deteriorated by nearly $95 billion.
Of course, the burden of government debt ultimately falls on Alberta families, today and in the future, because governments must pay interest on their debt—and that interest ultimately is raised from Albertans through taxes. As the government accumulated more and more debt, debt interest costs increased from $61 per Albertan in 2007/08 to a projected $672 per Albertan in 2023/24. Servicing the debt also diverts resources away from services such as health care and education.
Unfortunately, debt interest costs don’t just disappear when you run surpluses, even with the Alberta government using a share of these surpluses to pay down debt. Instead, due to the amount of debt accumulated, and higher interest rates, Albertans will actually see government debt interest costs increase and reach $687 per Albertan by 2025/26.
This is why it’s so important for governments to practice fiscal prudence, in good times and bad. Rather than increasing spending during the good times (i.e. periods of relatively high resource revenue) as successive Alberta governments have done in the past, then running deficits when relatively high resource revenue inevitably declines, the Smith government should restrain spending.
How? For starters, the government can limit the amount of resource revenue included in the budget using a rainy-day account based on the previous Alberta Sustainability Fund (ASF), which was established in 2003 to “stabilize” a specific amount of resource revenue for the budget, thus limiting the amount of money available for annual spending. The idea was simple; save some resource revenue during good times to ensure a stable amount of resource revenue for the budget during bad times.
Unfortunately, the previous ASF was based in statutory law, which meant its rules were easily changed and the government discarded the fund entirely in 2013. The Smith government should instead establish the specific amount of resource revenue for the budget as a “constitutional rule,” which would make it more difficult to change in the future.
Government debt comes with big costs for Albertans—and those costs don’t simply disappear when the province runs a surplus. For true fiscal stability, the government needs a fundamentally new approach. The upcoming budget is a good place to start.
Author:
Setting the foundation for a refocused health system
Proposed legislation would support the refocusing of Alberta’s health care system to ensure Albertans get the care they need when and where they need it.
On Nov. 8, 2023, Alberta’s government announced plans for a refocused health care system to ensure patients are receiving the care they need, when and where they need it. To achieve this, Alberta’s government will be creating four new organizations, one for each priority health services sector: acute care, primary care, continuing care and mental health and addiction.
If passed, the Health Statutes Amendment Act would enable the government to take the necessary next steps to refocus the province’s health care system. The legislation would ensure Albertans have a system that works for them by prioritizing their need to find a primary care provider, receive urgent care without long waits, have access to the best continuing care options and obtain excellent mental health and addiction treatment.
“We are taking another step toward improving health care by updating legislation and enabling the governance and oversight required to refocus the health system. The critical improvements to transparency and accountability will help support the successful refocusing of the health care system to one that is responsive, effective and reflects the needs and priorities of Albertans today and for future generations.”
The Health Statutes Amendment Act will enable the transition from one regional health authority, Alberta Health Services, to an integrated system of four sector-based provincial health agencies including primary care, acute care, continuing care and mental health and addiction. The agencies will be responsible for delivering integrated health services, ensuring Albertans receive timely access to care, regardless of where they live.
The Health Statutes Amendment Act establishes roles for an oversight minister and sector minister. The Minister of Health will take on the role of oversight minister, responsible for setting the strategic direction of the overall health system. A sector minister will be responsible for a specific health services sector. For example, the sector minister for Recovery Alberta is the Minister of Mental Health and Addiction. On the recommendation of the oversight minister, additional health service sectors may be established and designate a minister responsible for that newly created sector.
Enhanced government oversight will help Alberta’s government to better direct resources to the front lines where they are needed the most, improve patient care overall and support health care professionals.
“Mental health and addiction have been growing issues within our society and need to be prioritized within our health care system. Amid an addiction crisis, a refocused health system will allow for mental health and addiction services to get the attention, oversight and focus they need. Recovery Alberta would allow for improved mental health and addiction care across the province as an important part of an integrated health system.”
“Refocusing Alberta’s healthcare system is a crucial step towards ensuring that we can deliver a framework that prioritizes accessibility, accountability, and patient-centered care. By streamlining operations, improving oversight and fostering collaboration, we are setting a strong foundation for a healthcare system that is better equipped to address the diverse needs of each of our communities.”
The legislation will enable the minister of health to transfer employees or classes of employees from AHS to the new sector-based organizations, once established. During the transition period, AHS will be enabled to continue operating as a regional health authority. Employee transfers will be seamless, maintaining existing bargaining relationships and collective agreements. This will ensure stability for the workforce, unions and government as the health system refocus is implemented. There will be no job losses for staff who transition into the new organizations.
Amendments to be made to existing legislation
The Health Statutes Amendment Act includes amendments to the Regional Health Authorities Act and the Health Information Act, which have not been updated since the 1990s.
As part of these amendments, the name of the Regional Health Authorities Act will change to the Provincial Health Agencies Act. The amended Provincial Health Agencies Act will remove outdated references to allow the transition from a single regional health authority to a unified, sector-specific provincial health system. This will clarify the scope and accountabilities of provincial health agencies and health service providers going forward.
The amendments will also place responsibility on the provincial health agencies for operational planning and oversight of clinical service delivery across the province. This will enable provincial health agencies to set priorities in the provision of health service delivery. The agencies will also be tasked with sharing information and collaborating closely to support seamless patient care as the transition to the refocused health care system takes place.
Alberta’s government is committed to ensuring that patient information continues to remain safe and secure through this transition. Amendments to the Health Information Act will be introduced to support the new health system refocus and to support the establishment of the Canadian Centre of Recovery Excellence. These amendments will allow the Ministry of Health, the Ministry of Mental Health and Addiction, the four new provincial health agencies, the Health Quality Council of Alberta and Canadian Centre of Recovery Excellence to have the authority to use health information for health system purposes.
If passed, the Health Statutes Amendment Act will enable Recovery Alberta, the mental health and addiction provincial health agency, to begin operating in the summer of 2024. The primary care, acute care and continuing care provincial health agencies are expected to be established in the fall.
Quick facts
- Consequential amendments are changes made to existing legislation due to new legislation being passed. These amendments are necessary to ensure legislative alignment with the proposed amendments to the Regional Health Authorities Act.
- To support the Regional Health Authorities Act amendments and ensure alignment, 43 other acts are being consequentially amended – for example, to replace references to “regional health authority” with “provincial health agency” where necessary.
- AHS will remain a key provider of health services, and in fall 2024 will transition to focusing on the provision of acute care services.
- Alberta’s government introduced the Canadian Centre of Recovery Excellence Act which, if passed, will establish the Canadian Centre of Recovery Excellence (CoRE) as a public agency that would support the Government of Alberta, including Mental Health and Addiction, and Recovery Alberta in advancing the Alberta Recovery Model.
Related information
- Establishing the future of Alberta health care
- Refocusing health care in Alberta
- Recovery Alberta
- Canadian Centre of Recovery Excellence
- Bill 22: Health Statutes Amendment Act, 2024
Related news
- Refocusing on patient-centred care (Nov. 8, 2023)
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