Alberta
Former AHS head, Dr. Chris Eagle will lead Acute Care Alberta

Refocusing acute care leadership for the future
Alberta’s government is bringing in the expertise and experience needed to continue refocusing the health care system for the benefit of all Albertans.
Alberta’s government is committed to refocusing the health care system so that Albertans can access the health care services they need when and where they need them. The work to transform the system is making significant progress, particularly with the recent launch of Primary Care Alberta in November 2024, and the continued advancement in establishing Alberta’s new acute care provincial health agency.
Acute care, which includes hospitals, emergency services and surgery care, is a significant part of the health care system, providing critical care to Albertans when they need it most. Acute Care Alberta, the new acute care provincial health agency, will work to speed up access to high-quality care, reduce wait times and make sure the patient’s journey through the system is efficient and effective across the province.
As progress is made to establish Acute Care Alberta, Alberta’s government is appointing Dr. Chris Eagle as chair and interim president and CEO. This appointment will take effect Feb. 1 to coincide with the establishment of Acute Care Alberta as a legal entity. Dr. Eagle’s focus will be on preparing the organization for its first day of operations later this spring. His appointment to the position is pending finalization of his contract.
Dr. Eagle has significant experience supporting and leading health care organizations and projects across Alberta, including his time as president and CEO of Alberta Health Services (AHS) from 2010 to 2013. His extensive experience in the health field will allow him to guide the work to operationalize Acute Care Alberta.
To help support Dr. Eagle’s work and to lead AHS through its transition from a regional health authority to a hospital-based service provider, Andre Tremblay, deputy minister of Alberta Health, has been appointed interim president and CEO of AHS.
“Acute care is the most complex part of the health care system, and it’s critical that we have the right leadership in place to see this work through and make positive changes to the health care system for Albertans now and into the future. I want to extend my sincerest gratitude to Athana Mentzelopoulos for the work she has done during her time leading Alberta Health Services.”
Tremblay brings a wealth of public service and health care delivery experience to the position. With more than 20 years of public sector leadership, he has served in several senior leadership positions. Prior to joining Health in June 2023, Tremblay has been deputy minister at Education, Agriculture and Forestry, and Transportation. This is also his second leadership role at Alberta Health, having previously served as an associate deputy minister. He was also previously appointed as the deputy clerk of executive council and deputy secretary to cabinet. In his role as interim president and CEO, Tremblay will not receive a salary. His salary as deputy minister will remain the same.
Tremblay will continue as deputy minister through this critical period of transition and change for Alberta’s health care system. He will also oversee the recruitment of a permanent president and CEO for Acute Care Alberta. He is best positioned to continue leading efforts to refocus the health care system while supporting the transition of Alberta Health Services to an acute care service provider.
While in the interim role, Tremblay will work with AHS leadership to oversee operations, support staff transitions to Primary Care Alberta and establish Acute Care Alberta as a legal entity ahead of its operationalization this spring. Throughout this work, Albertans will continue to access acute care services as they always have and there will be no impact to front-line health care workers.
The AHS board of directors will begin the search for a permanent president and CEO immediately, and more details will be provided once the hiring process is complete.
“I am excited to take on this role and support the efforts to refocus Alberta’s health care system and to create an improved acute care system that will make sure Albertans have access to the best health care services they need, no matter where they live in the province.”
“We are at a critical time in the work that is underway to refocus the health care system. I am confident we can continue to make great strides to achieve the goal of making health care better for everyone in Alberta. I want to thank Athana Mentzelopoulos for her hard work, commitment and leadership during her time in the role.”
“We have made great progress refocusing the health care system and I am eager to take on this new role and support the work being done to improve health care across the province. I look forward to leading AHS as it transitions to a service delivery provider and engaging with front-line workers and staff across the system in the coming months.”
Alberta
Equalization program disincentivizes provinces from improving their economies

From the Fraser Institute
By Tegan Hill and Joel Emes
As the Alberta Next Panel continues discussions on how to assert the province’s role in the federation, equalization remains a key issue. Among separatists in the province, a striking 88 per cent support ending equalization despite it being a constitutional requirement. But all Canadians should demand equalization reform. The program conceptually and practically creates real disincentives for economic growth, which is key to improving living standards.
First, a bit of background.
The goal of equalization is to ensure that each province can deliver reasonably comparable public services at reasonably comparable tax rates. To determine which provinces receive equalization payments, the equalization formula applies a hypothetical national average tax rate to different sources of revenue (e.g. personal income and business income) to calculate how much revenue a province could generate. In theory, provinces that would raise less revenue than the national average (on a per-person basis) receive equalization, while province’s that would raise more than the national average do not. Ottawa collects taxes from Canadians across the country then redistributes money to these “have not” provinces through equalization.
This year, Ontario, Quebec, Manitoba and all of Atlantic Canada will receive a share of the $26.2 billion in equalization spending. Alberta, British Columbia and Saskatchewan—calculated to have a higher-than-average ability to raise revenue—will not receive payments.
Of course, equalization has long been a contentious issue for contributing provinces including Alberta. But the program also causes problems for recipient or “have not” provinces that may fall into a welfare trap. Again, according to the principle of equalization, as a province’s economic fortunes improve and its ability to raise revenues increases, its equalization payments should decline or even end.
Consequently, the program may disincentivize provinces from improving their economies. Take, for example, natural resource development. In addition to applying a hypothetical national average tax rate to different sources of provincial revenue, the equalization formula measures actual real-world natural resource revenues. That means that what any provincial government receives in natural resource revenue (e.g. oil and hydro royalties) directly affects whether or not it will receive equalization—and how much it will receive.
According to a 2020 study, if a province receiving equalization chose to increase its natural resource revenues by 10 per cent, up to 97 per cent of that new revenue could be offset by reductions in equalization.
This has real implications. In 2018, for instance, the Quebec government banned shale gas fracking and tightened rules for oil and gas drilling, despite the existence of up to 36 trillion cubic feet of recoverable natural gas in the Saint Lawrence Valley, with an estimated worth of between $68 billion and $186 billion. Then in 2022, the Quebec government banned new oil and gas development. While many factors likely played into this decision, equalization “claw-backs” create a disincentive for resource development in recipient provinces. At the same time, provinces that generally develop their resources—including Alberta—are effectively punished and do not receive equalization.
The current formula also encourages recipient provinces to raise tax rates. Recall, the formula calculates how much money each province could hypothetically generate if they all applied a national average tax structure. Raising personal or business tax rates would raise the national average used in the formula, that “have not” provinces are topped up to, which can lead to a higher equalization payment. At the same time, higher tax rates can cause a decline in a province’s tax base (i.e. the amount of income subject to taxes) as some taxpayers work or invest less within that jurisdiction, or engage in more tax planning to reduce their tax bills. A lower tax base reduces the amount of revenue that provincial governments can raise, which can again lead to higher equalization payments. This incentive problem is economically damaging for provinces as high tax rates reduce incentives for work, savings, investment and entrepreneurship.
It’s conceivable that a province may be no better off with equalization because of the program’s negative economic incentives. Put simply, equalization creates problems for provinces across the country—even recipient provinces—and it’s time Canadians demand reform.
Alberta
Provincial pension plan could boost retirement savings for Albertans

From the Fraser Institute
By Tegan Hill and Joel Emes
In 2026, Albertans may vote on whether or not to leave the Canada Pension Plan (CPP) for a provincial pension plan. While they should weigh the cost and benefits, one thing is clear—Albertans could boost their retirement savings under a provincial pension plan.
Compared to the rest of Canada, Alberta has relatively high rates of employment, higher average incomes and a younger population. Subsequently, Albertans collectively contribute more to the CPP than retirees in the province receive in total CPP payments.
Indeed, from 1981 to 2022 (the latest year of available data), Alberta workers paid 14.4 per cent (annually, on average) of total CPP contributions (typically from their paycheques) while retirees in the province received 10.0 per cent of the payments. That’s a net contribution of $53.6 billion from Albertans over the period.
Alberta’s demographic and income advantages also mean that if the province left the CPP, Albertans could pay lower contribution rates while still receiving the same retirement benefits under a provincial pension plan (in fact, the CPP Act requires that to leave CPP, a province must provide a comparable plan with comparable benefits). This would mean Albertans keep more of their money, which they can use to boost their private retirement savings (e.g. RRSPs or TFSAs).
According to one estimate, Albertans’ contribution rate could fall from 9.9 per cent (the current base CPP rate) to 5.85 per cent under a provincial pension plan. Under this scenario, a typical Albertan earning the median income ($50,000 in 2025) and contributing since age 18, would save $50,023 over their lifetime from paying a lower rate under provincial pension plan. Thanks to the power of compound interest, with a 7.1 per cent (average) nominal rate of return (based on a balanced portfolio of investments), those savings could grow to nearly $190,000 over the same worker’s lifetime.
Pair that amount with what you’d receive from the new provincial pension plan ($265,000) and you’d have $455,000 in retirement income (pre-tax)—nearly 72 per cent more than under the CPP alone.
To be clear, exactly how much you’d save depends on the specific contribution rate for the new provincial pension plan. We use 5.85 per cent in the above scenario, but estimates vary. But even if we assume a higher contribution rate, Albertan’s could still receive more in retirement with the provincial pension plan compared to the current CPP.
Consider the potential with a provincial pension contribution rate of 8.21 per cent. A typical Albertan, contributing since age 18, would generate $330,000 in pre-tax retirement income from the new provincial pension plan plus their private savings, which is nearly one quarter larger than they’d receive from the CPP alone (again, $265,000).
Albertans should consider the full costs and benefits of a provincial pension plan, but it’s clearly Albertans could benefit from higher retirement income due to increased private savings.
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