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Alberta

Province says improving primary health care system will take pressure off emergency care

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Strengthening health care: Improving access for all

Alberta’s government is stabilizing and strengthening primary health care across the province so that everyone can access care when and where they need it.

Primary health care is the first point of contact Albertans have with the health care system, and includes health professionals such as family doctors, nurse practitioners and pharmacists.

Last fall, health care leaders, Indigenous partners and experts from across Canada and around the world came together to form advisory panels as part of the Modernizing Alberta’s Primary Health Care System (MAPS) initiative. The panels identified immediate, medium- and long-term improvements to strengthen Alberta’s primary health care system.

Alberta’s government will begin moving forward on the recommendations in the final report to improve access to primary health care for all Albertans. The recommendations will be implemented through a phased approach, with several moving forward immediately, followed by medium- and longer-term improvements that will enhance community-based primary health care across Alberta.

“Today marks an important step in the work I am undertaking to enhance primary care as the foundation of our health care system. The Modernizing Alberta’s Primary Health Care System (MAPS) reports clearly identify the challenges our system is facing, and their release signals this government’s commitment to take immediate and ongoing action to support and stabilize primary health care in our province. I look forward to the ongoing work of implementing needed changes with our health care partners and providers.”

Adriana LaGrange, Minister of Health

Several immediate actions are being taken, all of which are consistent with recommendations from the panels. These actions are critical to ensuring Albertans have better access to health care when and where they need it. Alberta Health continues to work toward implementing recommendations over the medium and long term.

“The MAPS recommendations represent a huge leap forward for our primary health system – strengthening and clarifying governance, community involvement, and recognizing the importance of integrated team-based care that allows Albertans to access primary care from the most appropriate team member at the right time, in the right place. This is how we can ensure equitable access to care across our province.”

Dr. Janet Reynolds, co-chair, MAPS strategic advisory panel

Strengthening primary health care

Alberta’s government is acting immediately on recommendations to improve primary health care and increase Albertans’ access to the medical care they need, including:

  • Creating a primary health care division within Alberta Health.
  • Allocating $57 million over three years to provide family doctors and nurse practitioners with support to help manage their increasing number of patients. Each provider has the potential to receive up to $10,000 annually.
  • Working with the Alberta Medical Association to create a task force to recommend a new payment model for family physicians that encourages comprehensive primary care – where a patient has a regular family doctor who they develop a long-term relationship with and who works with them to ensure all their health care needs are met.
  • Developing a memorandum of understanding with the Alberta Medical Association to collaborate on a transition to a new physician compensation model, modernize primary care governance and enable family doctors to spend more time with patients and less time on paperwork and immediately stabilize primary care.
  • Expanding online mental health services, allowing doctors to bill for virtual mental health checks and therapy, and compensating them for extra time spent with patients virtually.
  • Ensuring doctors get paid if patients can’t prove insurance coverage, reducing administrative burden. This is known as “good faith” claims.
  • Introducing a payment system that will support nurse practitioners to open their own clinics, take on patients and offer services based on their scope of practice, training and expertise. Nurse practitioners have completed graduate studies ensuring that they are properly trained to examine patients, provide diagnoses and prescribe medication.

“We know that a strong primary health care system is foundational for better health care for Albertans, and that starts with access to a family physician and a team of dedicated providers. Primary care requires dedicated planning, resourcing and coordination. We are pleased to join the task force and believe continued collaboration and immediate action will bring us closer to our collective vision.”

Dr. Noel DaCunha, president, Alberta College of Family Physicians

“The Nurse Practitioner Association of Alberta is elated to see the newly released MAPs report, which provides direction for primary care reform and includes the full integration of nurse practitioners. The Government of Alberta is taking a significant and essential step in improving access to primary care for Albertans. This announcement is a win-win for Albertans and nurse practitioners, as it recognizes the valuable contributions of NPs delivering high-quality care for Albertans and their ability to decrease the stress on the health care system. We are excited about the future of primary care in Alberta.”

Dr. Susan Prendergast, president, Nurse Practitioner Association of Alberta

“These actions are welcome news for rural Alberta. Ensuring Albertans have access to health care professionals when and where they need it is essential. This work will help to solve some of the unique challenges for rural Albertans by encouraging health professions to practise in rural parts of the province.”

Martin Long, parliamentary secretary for rural health

Strengthening Indigenous health care

Indigenous Peoples face many barriers to access appropriate health care. To support better health outcomes, the government will build more meaningful connections with Indigenous leaders and communities to identify improvements that reflect the unique nature of their communities. Immediate actions include:

  • Creating an Indigenous health division within Alberta Health.
  • Creating a $20-million fund for Indigenous communities to design and deliver innovative primary health care services and projects.
  • Creating an Indigenous patient complaints investigator and Elders roster to investigate incidences of racism during the delivery of health care and provide culturally safe support to Indigenous patients throughout the patient complaint process.
  • Investing in a community-based Indigenous patient navigator program to support Indigenous peoples throughout their health care journey.

“It is unacceptable that Indigenous Peoples continue to face so many barriers when accessing primary health care. It is crucial that all First Nations, Métis and Inuit peoples have equitable access to community-based primary health care that is culturally safe, respects their unique needs and is free of racism. These immediate actions will help us achieve that goal.”

Rick Wilson, Minister of Indigenous Relations

“The panel’s recommendations provide a clear and stable pathway to create a safe, culturally appropriate primary health care system that includes Indigenous people as partners and leaders at every stage of the development, governance and delivery of health care services. The best solutions exist within our respective communities, tailored for our unique needs and priorities. The commitments made today are an important first step toward improving health equity for Indigenous Peoples, regardless of where they live in Alberta.”

Naa Taoyi Piita Wo Taan, Dr. Tyler White, CEO, Siksika Health Services and co-chair, MAPS Indigenous Primary Health Care Advisory Panel

Quick facts

  • Advisory panels were established through MAPS in fall 2022 to identify primary health care improvements in the short term and over the next 10 years.
  • Final reports from the panels were submitted in spring 2023.
  • The strategic advisory panel final report contains 11 recommendations to refocus the system around primary health care with an emphasis on:
    • access to team-based care
    • integration between primary health care and community care
    • a foundation of a coordinated and accountable primary health care system
  • The Indigenous advisory panel final report contains 22 recommendations under five themes:
    • improve health equity for Indigenous Peoples
    • address Indigenous racism in health care
    • build culturally safer primary health care and an Indigenous workforce
    • create system innovation and support community capacity
    • Indigenous ownership, stewardship, design and delivery of health care services
  • Budget 2023 allocated $125 million over three years to implement recommendations from MAPS.
  • The next step will be to further engage with health care partners, including Indigenous communities, to implement these immediate priorities and the broader MAPS recommendations.

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Alberta announces citizens will have to pay for their COVID shots

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From LifeSite News

By Anthony Murdoch

The government said that it has decided to stop ‘waste’ by not making the shots free starting this fall.

Beginning this fall, COVID shots in the province will have to be pre-ordered at the full price, about $110, to receive them.  (This will roll out in four ‘phases’. In the first phases COVID shots will still be free for those with pre-existing medical conditions, people on social programs, and seniors.)

The UCP government in a press release late last week noted due to new “federal COVID-19 vaccine procurement” rules, which place provinces and territories as being responsible for purchasing the jabs for residents, it has decided to stop “waste” by not making the jab free anymore.

“Now that Alberta’s government is responsible for procuring vaccines, it’s important to better determine how many vaccines are needed to support efforts to minimize waste and control costs,” the government stated.

“This new approach will ensure Alberta’s government is able to better determine its overall COVID-19 vaccine needs in the coming years, preventing significant waste.”

The New Democratic Party (NDP) took issue with the move to stop giving out the COVID shots for free, claiming it was “cruel” and would place a “financial burden” on people wanting the shots.

NDP health critic Sarah Hoffman claimed the move by the UCP is health “privatization” and the government should promote the abortion-tainted shots instead.

The UCP said that in 2023-2024, about 54 percent of the COVID shots were wasted, with Health Minister Adriana LaGrange saying, “In previous years, we’ve seen significant vaccine wastage.”

“By shifting to a targeted approach and introducing pre-ordering, we aim to better align supply with demand – ensuring we remain fiscally responsible while continuing to protect those at highest risk,” she said.

The jabs will only be available through public health clinics, with pharmacies no longer giving them out.

The UCP also noted that is change in policy comes as a result of the Federal Drug Administration in the United States recommending the jabs be stopped for young children and pregnant women.

The opposite happened in Canada, with the nation’s National Advisory Committee on Immunization (NACI) continuing to say that pregnant women should still regularly get COVID shots as part of their regular vaccine schedule.

The change in COVID jab policy is no surprise given Smith’s opposition to mandatory shots.

As reported by LifeSiteNews, early this year, Smith’s UCP government said it would consider halting COVID vaccines for healthy children.

Smith’s reasoning was in response to the Alberta COVID-19 Pandemic Data Review Task Force’s “COVID Pandemic Response” 269-page final report. The report was commissioned by Smith last year, giving the task force a sweeping mandate to investigate her predecessor’s COVID-era mandates and policies.

The task force’s final report recommended halting “the use of COVID-19 vaccines without full disclosure of their potential risks” as well as outright ending their use “for healthy children and teenagers as other jurisdictions have done,” mentioning countries like “Denmark, Sweden, Norway, Finland, and the U.K.”

The mRNA shots have also been linked to a multitude of negative and often severe side effects in children and all have connections to cell lines derived from aborted babies.

Many Canadian doctors who spoke out against COVID mandates and the experimental mRNA injections were censured by their medical boards.

LifeSiteNews has published an extensive amount of research on the dangers of the experimental COVID mRNA jabs that include heart damage and blood clots.

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Alberta

Alberta’s grand bargain with Canada includes a new pipeline to Prince Rupert

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From Resource Now

By

Alberta renews call for West Coast oil pipeline amid shifting federal, geopolitical dynamics.

Just six months ago, talk of resurrecting some version of the Northern Gateway pipeline would have been unthinkable. But with the election of Donald Trump in the U.S. and Mark Carney in Canada, it’s now thinkable.

In fact, Alberta Premier Danielle Smith seems to be making Northern Gateway 2.0 a top priority and a condition for Alberta staying within the Canadian confederation and supporting Mark Carney’s vision of making Canada an Energy superpower. Thanks to Donald Trump threatening Canadian sovereignty and its economy, there has been a noticeable zeitgeist shift in Canada. There is growing support for the idea of leveraging Canada’s natural resources and diversifying export markets to make it less vulnerable to an unpredictable southern neighbour.

“I think the world has changed dramatically since Donald Trump got elected in November,” Smith said at a keynote address Wednesday at the Global Energy Show Canada in Calgary. “I think that’s changed the national conversation.” Smith said she has been encouraged by the tack Carney has taken since being elected Prime Minister, and hopes to see real action from Ottawa in the coming months to address what Smith said is serious encumbrances to Alberta’s oil sector, including Bill C-69, an oil and gas emissions cap and a West Coast tanker oil ban. “I’m going to give him some time to work with us and I’m going to be optimistic,” Smith said. Removing the West Coast moratorium on oil tankers would be the first step needed to building a new oil pipeline line from Alberta to Prince Rupert. “We cannot build a pipeline to the west coast if there is a tanker ban,” Smith said. The next step would be getting First Nations on board. “Indigenous peoples have been shut out of the energy economy for generations, and we are now putting them at the heart of it,” Smith said.

Alberta currently produces about 4.3 million barrels of oil per day. Had the Northern Gateway, Keystone XL and Energy East pipelines been built, Alberta could now be producing and exporting an additional 2.5 million barrels of oil per day. The original Northern Gateway Pipeline — killed outright by the Justin Trudeau government — would have terminated in Kitimat. Smith is now talking about a pipeline that would terminate in Prince Rupert. This may obviate some of the concerns that Kitimat posed with oil tankers negotiating Douglas Channel, and their potential impacts on the marine environment.

One of the biggest hurdles to a pipeline to Prince Rupert may be B.C. Premier David Eby. The B.C. NDP government has a history of opposing oil pipelines with tooth and nail. Asked in a fireside chat by Peter Mansbridge how she would get around the B.C. problem, Smith confidently said: “I’ll convince David Eby.”

“I’m sensitive to the issues that were raised before,” she added. One of those concerns was emissions. But the Alberta government and oil industry has struck a grand bargain with Ottawa: pipelines for emissions abatement through carbon capture and storage.

The industry and government propose multi-billion investments in CCUS. The Pathways Alliance project alone represents an investment of $10 to $20 billion. Smith noted that there is no economic value in pumping CO2 underground. It only becomes economically viable if the tradeoff is greater production and export capacity for Alberta oil. “If you couple it with a million-barrel-per-day pipeline, well that allows you $20 billion worth of revenue year after year,” she said. “All of a sudden a $20 billion cost to have to decarbonize, it looks a lot more attractive when you have a new source of revenue.” When asked about the Prince Rupert pipeline proposal, Eby has responded that there is currently no proponent, and that it is therefore a bridge to cross when there is actually a proposal. “I think what I’ve heard Premier Eby say is that there is no project and no proponent,” Smith said. “Well, that’s my job. There will be soon.  “We’re working very hard on being able to get industry players to realize this time may be different.” “We’re working on getting a proponent and route.”

At a number of sessions during the conference, Mansbridge has repeatedly asked speakers about the Alberta secession movement, and whether it might scare off investment capital. Alberta has been using the threat of secession as a threat if Ottawa does not address some of the province’s long-standing grievances. Smith said she hopes Carney takes it seriously. “I hope the prime minister doesn’t want to test it,” Smith said during a scrum with reporters. “I take it seriously. I have never seen separatist sentiment be as high as it is now. “I’ve also seen it dissipate when Ottawa addresses the concerns Alberta has.” She added that, if Carney wants a true nation-building project to fast-track, she can’t think of a better one than a new West Coast pipeline. “I can’t imagine that there will be another project on the national list that will generate as much revenue, as much GDP, as many high paying jobs as a bitumen pipeline to the coast.”

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