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Alberta

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

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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

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Alberta

Fortis et Liber: Alberta’s Future in the Canadian Federation

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From the C2C Journal

By Barry Cooper, professor of political science, University of Calgary

Canada’s western lands, wrote one prominent academic, became provinces “in the Roman sense” – acquired possessions that, once vanquished, were there to be exploited. Laurentian Canada regarded the hinterlands as existing primarily to serve the interests of the heartland. And the current holders of office in Ottawa often behave as if the Constitution’s federal-provincial distribution of powers is at best advisory, if it needs to be acknowledged at all. Reviewing this history, Barry Cooper places Alberta’s widely criticized Sovereignty Act in the context of the Prairie provinces’ long struggle for due constitutional recognition and the political equality of their citizens. Canada is a federation, notes Cooper. Provinces do have rights. Constitutions do mean something. And when they are no longer working, they can be changed.

Mahatma Ghandhi was once allegedly asked what he thought of Western civilization. “I think it would be a good idea,” he is said to have replied. One could answer the same about Canadian federalism: it would be a good idea.

Not too long ago I was interviewed by a CBC journalist from Toronto regarding the Alberta Sovereignty within a United Canada Act, which upon its introduction by Premier Danielle Smith’s UCP government in November 2022 was attacked as needlessly provocative, deeply unconstitutional, legally unsustainable and shamelessly populist. “What is your vision of Canada?” the CBC reporter wanted to know. I told her the following: that Canada might be a federation. The implication was obvious: Canada is not a federation at present and, arguably, never has been. Many Canadians would find such a remark not arguable but outrageous. So here is my argument. My focus is on the Prairie West, not Laurentian Canada, the Maritimes, Newfoundland or B.C., each of which retains the story of its connection to Canada.

For 200 years Rupert’s Land (its flag shown on top left) along with the Northwest and Northeast Territories were the exclusive commercial domain of the Hudson’s Bay Company (HBC), granted by the British Crown; Great Britian officially transferred these vast lands to the Crown in Right of Canada in 1870. (Source of map: Golbez, licensed under CC BY 2.5)

Before Canada became a country in 1867, the vast tracts administered by the Hudson’s Bay Company – Rupert’s Land and the Northwest and Northeast Territories, including what became Labrador – were governed from London under Imperial orders and statutes. In law, Rupert’s Land was a plantation – a cold-weather plantation, to be sure, but a plantation nevertheless. The transfer of Company lands from the Imperial Crown to the Crown in Right of Canada took place by means of an Imperial Order-in-Council (passed under appropriate statutory authority) on July 15, 1870.

This all-but-forgotten history is important for understanding our present discontents. Not only was Rupert’s Land a territory politically distinct from the colony of Canada, but the manner of its acquisition by Canada underlined its distinctiveness. In 1868, a year after Confederation, the British Parliament passed the Rupert’s Land Act, specifying that the Hudson’s Bay Company would surrender its “lands, rights, privileges, liberties, franchises, powers and authorities” under certain terms and conditions to be negotiated by the Company, the Colonial Office and the Canadian government.

The negotiations were protracted and the specification of the terms and conditions took years of haggling among all the parties, some of which erupted into lawsuits. In the background there remained the unacknowledged claims of the inhabitants of the Red River Settlement (in what later became the Province of Manitoba), who were decidedly cool about the prospect of being incorporated into Canada. Neither they – whether of British, French, Métis, “country-born” or Indian stock – nor the other natives of Rupert’s Land were consulted about their new status.

Obscure but legally important: Canada is often said to have “purchased” Rupert’s Land from the Hudson’s Bay Company, but Canada did not actually pay for the land, only for the company’s capital improvements such as Lower Fort Garry in the Rural Municipality of St. Andrews (aka the Stone Fort, top), Fort Edmonton (middle), depicted here after construction of Alberta’s Legislative Assembly building, and the Hudson’s Bay Brigade Trail (bottom). (Sources of images: (top) Gordon Goldsborough, 2014-0038; (middle) Peel’s Prairie Provinces)

Rupert’s Land was not, therefore, on the market the way Alaska had been in the 1860s, when it was purchased from Czarist Russia by the United States for US$7.2 million (or 2 cents per acre), a transaction that took place in March 1867 through a signed treaty. True, many Hudson’s Bay Company stockholders similarly wished to sell Rupert’s Land to the highest bidder and hoped to begin the auction with an offer from China. Russia and the United States were also expected to join the bidding, along with Canada.

Some Canadian politicians spoke of the subsequent Canadian “purchase” of Rupert’s Land; some Canadian historians still do. But the transfer of Company lands to Canada was not a real estate deal. The Imperial Crown simply transferred its authority to the Crown in Right of Canada. Canada “indemnified” – i.e., bought off – the Hudson’s Bay Company not for the territory of Rupert’s Land but for the several capital improvements made during the previous 230 years. These included such structures as the Stone Fort at Red River and the timber fort at Edmonton, but also far-flung portage trails and the like.

Looked at from the perspective of Laurentian Canadian history, Rupert’s Land was a gift to the new Confederation from the Imperial Crown, the missing link between Canada and the colony of British Columbia that inspired the empire-builders of the Macdonald-Cartier coalition to extend the new eastern political entity to the Pacific Ocean, to build the Canadian Pacific Railway and to incorporate the province of B.C. within Canada. As for the Company lands to the east of Hudson Bay, very little commercial viability was expected. This was fur territory peopled by Indigenous trappers and barbaric traders as it had been for centuries. Canada later gave Ontario and Quebec additional territory carved from those former Company lands.

Canada expanded in a mode quite different from the United States. Unlike the generally well-planned and logical formation of new states from territories – a process meant to reflect an area’s maturation from thinly populated, intermittently governed and often lawless frontier to incipient civilization – there was nothing in Canada akin to the American Northwest Ordinance or to its successor laws. A key difference was that a newly formed U.S. state gained the same rights and privileges as other states, an important element of real federalism.

Here one should note that there are two elements essential to any federation. The first is a constitutionally defined division of responsibility between the central government and the constituent sub-national jurisdictions – provinces in Canada, states in the U.S. In a well-run federation each order of government stays in its constitutionally defined lane. The second element is that representation in the federal government combines numerical equality or “representation by population” with equal constitutional standing and privileges for all component jurisdictions.

“Enter the Union on an equal basis with existing states”: In contrast to Canada, the U.S. Northwest Ordinance of 1787 provided a formal and transparent mechanism by which newly settled territories could graduate to statehood if they met certain conditions – gaining the same rights and privileges as the original 13 states.

This second element is why the Americans combined in Congress a House of Representatives based on the principle of one person, one vote, with a Senate where each state – whatever its population – would send two senators to Washington, D.C. Because Canada does not provide equal provincial representation in the Canadian Senate (and for a few additional reasons) it has been called by political scientists a “quasi-federal state”. This particular anomaly (or defect) lay behind the attempt starting in the 1970s to establish a Senate that would have an equal number of Senators from each province, who would be elected and whose resulting legitimacy would allow the Senate to become effective in defending the rights of the provinces – the “Triple-E” Senate.

The second policy area where Canada’s expansion westward differed profoundly from America’s was the absence of consultation with the inhabitants of the newly acquired Canadian territories. In the U.S. this always entailed serious two-way discussions; ambitious pioneers would sometimes move out to a territory with the intention of taking part in its development and participating in its graduation to statehood.

In Canada, it was precisely the neglect and lack of communication that eventually led future rebel leader Louis Riel and his compatriot John Bruce to argue that the Western inhabitants of the Hudson’s Bay Company lands had been “abandoned” by the Imperial Crown. The Red River Settlement existed after the 1870 transfer, as they described it, in something akin to a Hobbesian state of nature. Consequently, they declared, the inhabitants of all the former western Company lands “refuse to recognise the authority of Canada,” which was seeking to coerce these subjects of the British Empire by imposing “a despotic form of government” on them.

“Our lives our fortunes and our sacred honour”: Métis leaders Louis Riel (top left) and John Bruce (top right) saw the 1870 transfer of Rubert’s Land to Canada as an act of “abandonment” by the British Crown; to protect the interests of the Red River Settlement (bottom), they “refus[ed] to recognise the authority of Canada.” (Sources: (top left photo) Library and Archives Canada, C-018082; (top right photo) Manitoba Historical Society Archives; (bottom map) Manitoba’s Red River Settlement, by Douglas Sprague and Ronald Frye)

Much like the British subjects a century earlier who became signatories of the then-colonial Declaration of Independence in 1776, the Red River authors declared “to the world” and to Canada in particular that they had established a Provisional Government and, closely following the final paragraph of U.S. Founding Father and future President Thomas Jefferson’s text, “mutually pledge ourselves on oath our lives our fortunes and our sacred honour to each other.” (Original non-punctuation)

Although this statement might sound hopelessly grandiloquent to modern-day ears, their claims were not without a political basis. As my friend and U of C colleague Tom Flanagan pointed out in his 1978 essay “Political Theory of the Red River Resistance: The Declaration of December 8, 1869”, the Declaration of the People of Rupert’s Land and the North West certainly rested on highly questionable legal grounds. To begin with, as noted, the land transfer was an intra-Imperial action. It was not the act of a sovereign power called the Hudson’s Bay Company abandoning the inhabitants of “its” territory and turning them over to another and alien sovereign power, Canada. The Company was not at all sovereign, and Canada was not fully sovereign.

The legal issue was of secondary importance, however, to the political significance of the Red River inhabitants’ response to the actions of Canada, starting with the Declaration and including not one but two open rebellions, the second of which was a serious armed conflict in which Canada’s control hung in the balance. In that second one, in 1885, Laurentian Canada mobilized and commanded Imperial military assets to impose its law on the rebellious Northwest. To the inhabitants, these actions, even if by then they themselves opposed Riel, looked like a continuation of the style of rule from London they had previously endured by way of the Company. That is, rule of the Northwest by “imperial” Canada was of a piece with British Imperial rule prior to 1870.

This was why James Mallory, a distinguished 20th century McGill University political scientist, in his 1954 book Social Credit and the Federal Power in Canada referred to the Prairie provinces as “provinces in the Roman sense”. Whatever did he mean? A Roman provincia was distinguished by two major attributes. First it was a locale where imperium, administrative rule, was exercised by Rome or an agent of Rome. Second, unlike the inhabitants of Italy, “provinces” paid tribute to the capital. Moreover, the etymology pro-vincere (Latin for something that was defeated or vanquished) suggests the provinciae were conquered territories. Aside from their military and geopolitical significance, Roman provinces were there to be taxed and to enrich their Roman rulers.

The analogies to 19th and 20th century Canada are clear. Ottawa – as pitiful a town as it was – acted as a new Rome on the Rideau. The territories (and soon-to-be second-class provinces) were acquired additions; they existed to strengthen and benefit Laurentian Canada by analogy with Roman Italy, and to enrich its leading citizens. And the provincials were expected to behave themselves. To this day, the embarrassment of 1885 has not been forgotten by Laurentian administrators. Of course, the Canadian punishment for rebellion was not Roman in its ferocity, although the result for Riel was equally final.

“Provinces in the Roman sense”: According to political scientist James Mallory, Canada’s Prairie provinces were akin to “provinciae” in ancient Rome – conquered lands whose inhabitants were not citizens and who existed to serve the interests of the Imperial Capital and the Italian heartland. Shown, the fall of Macedonia in 168 BC depicted in The Triumph of Aemilius Paulus by Carle Vernet, 1789. (Source of painting: The Metropolitan Museum of Art)

Northrop Frye once remarked that if history is a narrative of what happened, myth tells the story of what happens all the time. In that sense, myth is a major constituent of what we now call political culture. The Red River resistance, however comic and ineffectual it appeared to later Laurentian historians, became part of a Western myth, the most recent manifestation of which was the Freedom Convoy of 2022. And, incidentally, Laurentian historians were a self-described “school” centred at the University of Toronto. The most famous of them was the first modern biographer of Sir John A. Macdonald, Donald Creighton. His thesis, The Commercial Empire of the St. Lawrence, published by Yale University Press in 1937, effectively founded the Laurentian school. The second edition, published by the U of T Press, bore a franker title: The Empire of the St. Lawrence. That is the origin of the term “Laurentian Canada”.

Between the Red River resistance and the truckers’ convoy, over 150 years apart, came Prime Minister Macdonald’s grossly misnamed “National Policy”, which subordinated the economic vitality of Prairie agriculture to Laurentian industrial commerce. (To oversimplify somewhat, high import tariffs protected eastern industries while making imported goods critical to the Prairies’ economic development needlessly expensive, in turn making export-dependent Prairie farmers less economically competitive; the National Policy amounted to simple exploitation of the West.) When Alberta and Saskatchewan became Roman-style provinces in 1905, the Dominion Lands Policy saw to it that the major source of revenue from land sales and fees remained reserved “for the purposes of the Dominion”, not them.

The Western political response continued to reverberate for more than a century. Several political parties and social movements formed in opposition to Laurentian policies: the Progressives, Social Credit, the Social Gospel, the CCF, and later the Reform Party and the Canadian Alliance. The fact is, Westerners have typically wanted to make Canada work as a genuine federation. They were neither revolutionaries nor separatists. Like their cousins in the American West, they sought equal rights as citizens and equal representation for Western, especially Prairie, provinces.

In 1905 the Dominion of Canada carved the new provinces of Alberta and Saskatchewan out of portions of the Northwest Territories; the newcomers were treated as distinctly second-class in comparison to the original provinces, among other things only gaining full control over their lands and natural resources in 1930. (Sources of photos (clockwise, starting top-left): Calgary Herald Archives; Provincial Archives of Saskatchewan R-A4110-2; Glenbow Archives, na-1496-2; Western Development Museum)

And while all of these movements mounted often-spirited resistance to Laurentian political and economic controls, they also seemed to accept the political institutions of imperial Canada. Remember the slogan of the Reform Party in 1987? “The West wants in.” Why? To increase the likelihood of self-government, the very desire for which was dismissed by Laurentians as unintelligible: were these pesky Westerners not already citizens of an already self-governing country? They must be alienated, poor things, and in need of the ministrations of an alienist.

David A. Smith, another distinguished political scientist, who taught for many years at the University of Saskatchewan, provided a less condescending answer than the conventional dismissal by Laurentians in his 1969 essay “A Comparison of Prairie Political Movements in Saskatchewan and Alberta”. Westerners, Smith wrote, had tried working within the dominant political parties, then through so-called “third parties” that attempted to persuade the dominant parties, then through balance-of-power strategies. “No other area of the country,” Smith said, “has experimented with so many partisan alternatives and had so little apparent satisfaction from the results.”

A third distinguished political scientist, Alan Cairns, once asked: why were the Social Credit and the NDP called “third parties?” In B.C where Cairns taught, these parties were the government, the major players in a vibrant two-party system. The “third parties” were the Liberals and Conservatives. One might say the same thing about Social Credit and the Cooperative Commonwealth Federation (the future NDP) on the Prairies. That is, the political articulation of the Western provinces is distinct from that of Laurentian Canada.

The Prairie provinces continued to be subjected to destructive Laurentian policies throughout the 20th century, such as prolongation of the Canadian Wheat Board, official bilingualism and the National Energy Program, implemented by Pierre Trudeau in 1981 (shown on bottom left, to the right of Alberta premier Peter Lougheed in the centre). Depicted on bottom right, oil sands facility at Mildred Lake. (Sources of photos: (top left) Canadian Government Motion Picture Bureau/Library and Archives Canada/C-064834; (bottom left) The Canadian Press/Dave Buston; (bottom right) The Canadian Press)

After Canada’s first half-century or so, after the Prairie provinces finally in 1930 gained control over their natural resources (as Canada’s “founding” provinces had had from the start), there followed in the post-Second World War era further nonsensical Laurentian policies: the needless prolongation of the Canadian Wheat Board (whose command-and-control methods evoked the late Roman Emperor Diocletian’s ludicrous economic decrees), the definition of Canada as a bilingual country (the major consequence of which was to ensure that most Westerners did not find a professional career in Ottawa attractive), and of course the unforgettable National Energy Program, seen by many Albertans as the 20th century successor to the National Policy.

Then, the 1982 Constitution Act gave the Supreme Court of Canada effective control of legal aspects of the Constitution. And, like the first Supreme Court of Canada, it has acted largely as a centralizing creature of Laurentian Canada. One must be remarkably naïve not to think that Prime Minister Pierre Trudeau had something like this in mind when he began campaigning to “patriate” the Constitution nearly two generations ago. In any event, a major consequence of the 1982 Act was to undermine the institutions of federalism, particularly provincial responsibility for natural resources and the environment, which had been sustained by the jurisprudence of Britain’s Judicial Committee of the Privy Council in earlier times and largely respected after 1949 when judicial appeals to the Law Lords were abolished.

Today almost all the malign aspects of Canada’s Constitution are encapsulated in the federal equalization program. As Rob Anderson, Derek From and I point out in the Free Alberta Strategy (there’s also good material in this C2C essay), the Government of Canada has for decades expropriated vast amounts of fungible wealth from the taxpayers of the Prairie West and especially from Albertans – amounting to literally hundreds of billions of dollars. Moreover, the latest assault by the Justin Trudeau government has combined this traditional wealth removal with a novel attack on the source of provincial prosperity, the oil and natural gas industry in general and the oil sands in particular. For many Albertans, Ottawa has definitively breached the principles of the federal Constitution.

Now what?

First, recall the historical importance of federalism. In those remote days prior to the Canadian Charter of Rights and Freedoms, the focus of Canadian constitutional politics was on the balances struck over the years between responsibilities under s. 92 of what was then known as the British North America (BNA) Act that belonged chiefly to the provinces – such as transportation, regulation of businesses and professions, creation and oversight of municipalities, education, courts of law, health care and natural resources – and those given to the Dominion government under s. 91 – such as national defence, foreign relations, the criminal law, relations with Indians and international trade.

Of all the theorists of federalism to whom I was introduced as an undergraduate, William S. Livingston has remained my favourite. His Federalism and Constitutional Change was published by Oxford in 1956. It was preceded by an article, “A Note on the Nature of Federalism”, that established his main arguments. In my opinion they have not been superseded though they may have been forgotten.

“It’s not like Ottawa is a national government”: The Alberta Sovereignty within a United Canada Act, passed in late 2022 by the UCP government of Premier Danielle Smith, pictured, aims to strengthen the province’s ability to limit unconstitutional intrusions of federal policy and law into areas of provincial jurisdiction, thereby reaffirming that Canada is a federal state. (Source of photo: The Canadian Press/Jason Franson)

This is the context within which Premier Smith’s remark is to be understood when she said on third reading of Bill 1, later the Sovereignty Act, “It’s not like Ottawa is a national government.” (Emphasis added)

Social and political realities change: formerly poor jurisdictions such as Alberta grow wealthy; formerly rich jurisdictions such as the Maritimes grow poor. Political institutions eventually display the characteristic of serving purposes for which they were not initially designed. Just as federal societies change, federal institutions are required to change as well in response to new realities. If federal institutions are incapable of responding to changes in federal societies, the result is political dissolution, which is to say, independence of a former constituent jurisdiction. That was the prospect posed by Quebec in the 1970s after its “Quiet Revolution”. Quebec separatism spooked Canada sufficiently to change the effective federal Constitution to reflect the new configuration of the federal society.

This is not to say that legal federalism, which defines the primary areas of jurisdiction of Ottawa and the provinces, is unimportant. Sections 91 and 92 of the BNA Act are still in force and effect. Moreover, reasserting and defending the constitutional validity of the division of powers is the primary purpose behind Alberta’s Sovereignty Act.

Although attacked by critics, Alberta’s Sovereignty Act has received strong popular support for challenging the Justin Trudeau government’s constant intrusions into areas of provincial constitutional jurisdiction; the author points out that the Constitution does not require provinces to enforce federal laws, and that the Supreme Court of Canada has confirmed this. Shown, supporters of the Sovereignty Act outside the Alberta legislature, December 2022. (Source of photo: CityNews/Laura Krause)

Its central provision regarding federalism enables the provincial government to refuse to enforce federal laws. The decision not to do so would be based on the judgment of the legislature that the federal law in question was illegal, unconstitutional, harmful to Albertans or contrary to Alberta’s interests, based primarily on the text of ss. 91 and 92 and how those provisions were put into practice over Canada’s first century – but which recent federal governments have successively and, in the Justin Trudeau government’s case, systematically undermined or overridden as if they weren’t even there.

What is novel about this provision is that it would require Canada to take Alberta to court and there to prove its case, not the other way around as is the current practice. Nowadays when Ottawa first intrudes upon or overrides provincial jurisdiction and puts its unconstitutional policy or law into practice, it forces one or more provinces to try to stop it – even as the damage is already being done and the new policy threatens to become institutionalized through force of habit.

Equally important, there is no provision in the Constitution requiring any province to administer or enforce federal law. (Please see also this article and this article for supporting evidence of that contention.) The reason is obvious: Canada remains in law and reality a federation, not a unitary regime where provinces are simply agents of Ottawa the way Alberta municipalities are creatures of the provincial government. One reason for the political support that the Sovereignty Act has received are the objections to the arrogant default assumption of the Trudeau government that it is (except for Quebec) a “national government” – precisely what Danielle Smith denied. That is why it was originally and for a long time thereafter referred to as the Dominion government and today is called the federal government, which implies a government with limited and clearly enumerated constitutional scope and powers.

Another way of indicating the issue of connecting the reality of a federal society to a federal constitution is found in a remark of the late U.S. conservative journalist Andrew Breitbart, who famously observed that “politics is downstream from culture.” This is a snappy version of Frye’s remark regarding myth or what Livingston meant by the primacy of society. But what is downstream from politics? The answer is simple: the law of the Constitution.

Ask yourself: where did the BNA Act come from back in 1867? Or the 1982 Constitution Act? They came from political negotiations and political deal-making in response to political ideas and demands generated by the changing realities of a federal Canadian society. In that context, the 1982 Constitution Act looks like a legal response to the social changes of the “Quiet Revolution”. That is also where Alberta’s Sovereignty Act came from. Indeed, it can be seen as the current expression of a not-so-quiet Alberta revolution initiated by Ralph Klein, premier of Alberta from 1992 to 2006.

Those who say the Constitution is set in stone and can never be re-opened are legal fundamentalists and they are wrong. All constitutional documents, so revered by lawyers, especially the ermine-clad lawyers on the bench of the Supreme Court of Canada, were all downstream from political deals that reflected changing social, economic, cultural, etc. realities. Of course the Constitution can be re-opened! That is one of the long-range purposes of the Sovereignty Act.

“Clear majority on a clear question”: Two years after the 1998 Quebec Secession Reference case before the Supreme Court of Canada, the Liberal government of Jean Chrétien (on bottom, leaning forward) introduced the Clarity Act, establishing the conditions under which Canadian provinces may be allowed to begin the process of secession. The author considers this another act violating the concept of federalism, with Ottawa unilaterally calling the shots and placing provinces in a subordinate position. (Sources of photos: (top) @Law Scribes/X; (bottom) CP Photo/Fred Chartrand)

If Laurentian Canadians and lawyers nearly everywhere say that the Sovereignty Act is unconstitutional, I agree but with the following qualification: legal unconstitutionality is simply another way of saying it’s time to change the law of the Constitution. That is what Bruce and Riel had in mind so many years ago. The law of the Constitution may work well even today for Laurentians and for Ottawa bureaucrats, but they have become what English historian and philosopher Arnold Toynbee called a “dominant” rather than a “creative” minority. More to the point, if the law of the Constitution does not work for Albertans and for others in the Prairie West, why should it be respected? All the strategies listed by David Smith have not made a dent in the adamantine attitudes of Laurentian Canada. In their collective imperial mind, in their political culture, the Prairie West remains a colony. The Sovereignty Act aims to bring an end to a very unpleasant history.

And then there is the Clarity Act to consider. In the 1998 Quebec Secession Reference case brought by the Government of Canada, the Supreme Court of Canada required that any provincial referendum on secession receive a clear majority on a clear question in order to be valid and so to trigger mandatory negotiations. The Court did not define what either a clear majority or a clear question might be.

Two years later the Jean Chrétien government (under great pressure from the Reform Party) introduced what became the Clarity Act, according to which the Parliament of Canada would determine before any provincial referendum on potential secession whether the question was clear enough and, after the vote, whether the degree of support was sufficient to require negotiation on the terms of secession. If a referendum met those two criteria (according to Parliament), then a constitutional amendment requiring the consent of Parliament and the provinces would also have to be passed.

A few years later, former Parti Quebecois leader and Premier Jacques Parizeau told CTV News that the Clarity Act “meant nothing.” One reason for his remark was not just that Parliament had stacked the deck but that Quebec had passed its own law, one which emphasized the right of Quebec citizens to self-determination. Now, if push came to shove, one might expect Alberta to do the same.

The political distance dividing Alberta’s Sovereignty Act from Ottawa’s Clarity Act is huge. The one contemplates a restoration of federalism, the other an end to it. If Alberta is to remain strong and free, fortis et liber, as indicated on its coat of arms, Laurentians will have to change their attitude and their political culture. That is the challenge of political federalism today. Acknowledging that reality is the condition for making Canada a genuine federation in law. If not, it will take the more desperate remedy outlined in the Clarity Act to induce some sobriety into Laurentian consciousness.

Barry Cooper is a professor of political science at the University of Calgary. His latest books are Paleolithic Politics (2020) and, with Marco Navarro-Génie, COVID-19: The Story of a Pandemic Moral Panic (2020).

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Alberta

30 million contraband cigarettes valued at $25 million dollars seized in Alberta

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New release from Alberta Gaming Liquor and Cannabis (AGLC)

Record setting contraband tobacco seizures result from AGLC investigations

Alberta Gaming Liquor and Cannabis (AGLC) recently concluded several investigations which netted two of the largest contraband tobacco seizures in Alberta history.  The combined total of the contraband tobacco seized was 154,800 cartons of contraband cigarettes (30.7 million individual cigarettes).  These seizures are a result of the work conducted by AGLC’s Tobacco Enforcement Unit with the assistance of provincial law enforcement agencies.

  • In a January 2024 investigation, approximately 43,500 cartons (8.7 million individual cigarettes) were seized.  This equates to $7 million in retail value with a provincial tax avoidance of $2.4 million.  This included the seizure of 15,000 grams of contraband shisha.
  • In April of 2024, 60 wrapped pallets were seized from a warehouse setting netting a total of 111,300 cartons of contraband cigarettes (22 million individual cigarettes) which equates to over $18 million in retail value with a provincial tax avoidance of $6.6 million.
  • Criminal Charges are pending in both cases.

“These are significant contraband tobacco investigations involving individuals that are part of organized networks whose proceeds defraud Albertans millions of dollars in tax revenue. AGLC will continue to work with our partners to investigate and disrupt the individuals and organizations involved in these illegal activities as part our commitment to a strong contraband tobacco enforcement program in Alberta.”

  • Gary Peck, Vice President, Regulatory Services, AGLC

“Contraband tobacco hurts law abiding businesses that follow the rules, and it costs Albertans millions each year from lost tax revenue. Our government is committed to keeping illegal tobacco off the streets and ensuring that the sale of tobacco products comply with the law.”

  • Dale Nally, Minister of Service Alberta and Red Tape Reduction

Over the last nine months, AGLC’s Tobacco Enforcement unit has seized an estimated 35 million contraband cigarettes and 115,000 grams of contraband shisha from across the province. The total potential lost tax revenue is estimated to be more than $10.1 million.

Contraband tobacco:

  • is any tobacco product that does not comply with federal and provincial laws related to importation, marking, manufacturing, stamping and payment of duties and taxes;
  • comes from four main sources: illegal manufacturers, counterfeits, tax-exempt diversions and resale of stolen legal tobacco; and
  • can be recognized by the absence of a red (Alberta) or peach/light tan (Canada) stamp bearing the “DUTY PAID CANADA DROIT ACQUITTÉ” on packages of cigarettes and cigars or pouches of tobacco.

In addition to lost revenues that may otherwise benefit Albertans, illegally manufactured products also pose public health and safety risks as they lack regulatory controls and inspections oversight.

Albertans who suspect illegal tobacco production, packaging and/or trafficking are encouraged to contact AGLC’s Tobacco Enforcement Unit at 1-800-577-2522 or Crime Stoppers at 1-800-222-TIPS (8477).

Under a Memorandum of Understanding with Alberta Treasury Board and Finance, AGLC enforces the Tobacco Tax Act and conducts criminal  investigations  related to the possession, distribution and trafficking of contraband tobacco products. In 2022-23, provincial revenue from tobacco taxes was approximately $522 million.

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