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Feds will increase annual health transfer and offer targeted funding with conditions

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By Mia Rabson, Laura Osman and Mickey Djuric in Ottawa

Prime Minister Justin Trudeau will offer the provinces a “significant” increase to the Canada Health Transfer and additional money if they agree to one-on-one deals targeting specific problem areas in the health-care system.

A senior government official with knowledge of the plan said Trudeau will lay out a 10-year offer when he meets with the country’s 13 premiers in Ottawa on Tuesday.

The Canadian Press agreed to grant the official anonymity because they were not authorized to speak publicly about the matter.

They said the offer will include a top-up to the annual Canada Health Transfer, which Ottawa sends to the provinces each year with very few strings attached. This year Ottawa transferred $45 billion, which amounts to 22 per cent of what the provinces budgeted for health care.

The premiers want Ottawa to fund 35 per cent, which this year would have required $26 billion more.

Trudeau will offer more money to provinces that make one-on-one deals in specific areas, and with accountability measures attached such as setting targets for improvement and data sharing.

Health Minister Jean-Yves Duclos has previously said the federal government’s priority areas include improving access to family doctors, better mental health care, cutting surgical backlogs and a massive improvement to data collection and sharing.

The government’s offer will be made public but not until after it’s given to the premiers on Tuesday.

Manitoba Premier Heather Stefanson, who is currently the chair of the premiers’ group known as the Council of the Federation, said the fact premiers haven’t seen any details yet is frustrating.

“If we had it ahead of time we could have had a more fulsome discussion tomorrow,” she said. “There’s no question about that.”

She wouldn’t say if the premiers are flexible on the 35 per cent ask, or what concessions or strings they are open to.

“We want to see what the proposal will look like,” she said. “We’ll go in with an open mind and then we’ll go from there.”

Trudeau said his government doesn’t expect to sign the same deal with every province.

“We recognize that different provinces have different needs and different priorities, and that flexibility is an important part of our responsibility,” he said Monday.

After Tuesday’s talks, Duclos and the provincial health ministers will meet to keep working out the details. There is no specific deadline but the hope is that a new deal will be in place before the next federal budget, which is generally tabled in the early spring.

The federal official said one of Ottawa’s key asks is that the provinces agree to common indicators and the collection and sharing of data, both with other provinces and with Canadians. They said it’s needed to better understand the extent of the problems and to be able to measure progress.

Former health minister Jane Philpott, who was in charge of the file in 2017 when the last federal-provincial health talks took place, said Monday that is a critical element of any successful plan.

In 2017, Ottawa signed bilateral deals with each province and territory to flow $11.5 billion over 10 years to improve mental health care and home care. The deals included an agreement that the provinces would annually report some common indicators. While that has happened, the data is often incomplete and assessing progress is difficult.

“As I look back on that, I would say that the agreements were not as specific as they could have been, and I think that’s the lesson to be learned on this round,” Philpott said.

“When the federal government puts more money on the table, there needs to be accountability for how that money is spent. I think this time I would advise being much more specific about those expectations and potentially even using legislative tools to be able to ensure that the outcomes will be what they need to be.”

She said that could include clawing back money if provinces don’t meet their obligations.

Philpott said the lack of information about how the health-care system is performing is a major issue, as is the lack of hard targets for progress.

An estimated six million Canadians don’t have access to a family doctor or primary care team, and Philpott said a hard target should be to make sure every Canadian has access within five to seven years.

But to do that we’d need to know a lot more about the doctors we have, where they are, and how many hours they work.

“We don’t actually know how many practising family doctors there are in the country, which is a shocking thing,” she said.

Health workers’ unions and associations began ringing alarms about the dwindling number of health-care professionals in the early days of the pandemic. Since then, worker burnout has turned a bad situation into a crisis. They say without a long-term plan to shore up their ranks there is little that can be done to improve the state of health care in Canada.

NDP Leader Jagmeet Singh said Monday “any agreement that does not include clear commitments to hire more front-line health care workers would be a failure.”

The Conservatives have been hesitant to comment before seeing Trudeau’s offer but are concerned about the cost.

“What we’ve seen over the last eight years is that Justin Trudeau has thrown money at all kinds of different challenges and, in general, things are getting worse,” said Conservative MP Garnett Genuis Monday.

“When we see a proposal from the government we’ll review it, we’ll see whether the government’s actually going to get us out of the failures they’ve caused.”

This report by The Canadian Press was first published Feb. 6, 2023.

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Alberta

Alberta Sheriffs receiving additional officers and more powers with new funding

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Mike Ellis shakes hands with Alberta Premier Danielle Smith after being sworn into cabinet as minister of public safety in Edmonton, Monday, Oct. 24, 2022. Alberta sheriffs will have expanded powers and play a bigger role in combating rural crime with new funding, the provincial government said Friday. THE CANADIAN PRESS/Jason Franson

St. Paul, Alberta

The Alberta Sheriffs Branch will have expanded powers and play a bigger role in combating rural crime with new funding, the provincial government said Friday.

Public Safety Minister Mike Ellis said $27.3 million will go to new positions and for rural crime initiatives, including two plain clothes teams that will help RCMP with criminal surveillance.

The announcement comes as Alberta continues to mull over whether to create a provincial police service to replace the RCMP.

“There has been some misleading commentary about this investment in the Alberta sheriffs, namely that it’s the way of laying the groundwork for establishing a provincial police service by some other means,” Ellis said Friday in St. Paul, Alta., 200 kilometres northeast of Edmonton.

“I’d like to remind people that the provincial government hasn’t made any decision about an Alberta police service.”

Ellis said although the RCMP has its own surveillance teams, most of the efforts are focused on major investigations. He said the new sheriff teams will fill a gap by helping the RCMP detachments with local investigations.

“I’ve heard countless stories about home invasions being committed by prolific offenders or thefts from farms. Every property owner has the right to feel safe in their home and the right not to wake up and find their equipment gone or fuel siphoned from vehicles,” he said.

“These really are the type of cases that keep Albertans up at night.”

The sheriffs will also get funding to add 20 investigators to the Safer Communities and Neighbourhood unit, which uses civil enforcement to target problem properties where illegal activities take place.

There is also money for the Sheriff Highway Patrol to train and equip its members to help RCMP with emergencies and high-priority calls.

“We will provide all members of the Alberta sheriffs with full powers to arrest under the Criminal Code,” Ellis said.

“Some members of the sheriffs already have Criminal Code authorities, but we believe the public will be better served with consistency throughout this province.”

The head of the Alberta RCMP said he welcomes the additional help from the sheriffs.

“These additional resources for the Alberta Sheriffs will improve our combined ability to suppress criminal activity in rural Alberta,” said Deputy Commissioner Curtis Zablocki in a statement.

Farooq Sheikh, the chief of Alberta Sheriffs, called it a proud day.

“While our members have a visible presence in many functions they perform such as highway patrol, fish and wildlife enforcement, security in our provincial courts … the sheriffs perform a lot of important work to keep communities safe that’s outside of the public eye.”

This report by The Canadian Press was first published March 24, 2023.

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Alberta

Finance Minister Travis Toews, Environment Minister Sonya Savage say won’t run again

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Alberta Finance Minister Travis Toews delivers the budget, in Edmonton, Tuesday, Feb. 28, 2023. Toews says he will not run in the upcoming provincial election. THE CANADIAN PRESS/Jason Franson

By Dean Bennett in Edmonton

Two Alberta government cabinet ministers announced Friday that they will not be seeking re-election.

Travis Toews, the province’s finance minister and the runner-up to Premier Danielle Smith in last fall’s United Conservative Party leadership race, is exiting politics. Environment Minister Sonya Savage also said she will not run in the expected May 29 provincial vote.

Toews, the legislature member for Grande Prairie-Wapiti in northwestern Alberta, ended months of speculation with his announcement. He said it was a recent decision and a difficult one for him and his wife, Kim.

“(There were) personal considerations, certainly family considerations and some business considerations,” Toews said in an interview. “When we added all of them up this seemed like the right decision for us. That was the impetus for it.”

He dismissed suggestions the decision was tied to his loss to Smith or to the party’s further shift to the right under her leadership.

“We have a big tent party. This United Conservative Party has a lot of diversity. All groups are very important,” he said.

“I’m fully committed to the party, to the movement, committed to the premier and committed to an election win this May.”

Toews was elected in 2019 for the UCP and was finance minister for all but a few months when he ran to replace former premier Jason Kenney as party leader, coming in second to Smith.

Savage, the member for Calgary North-West, announced her decision to quit provincial politics with a statement on Twitter, saying she wants to spend more time with her family. She said she looks forward to remaining a party member and wished the premier and her UCP colleagues success in the upcoming election.

In a statement, Smith said Toews has been “one of the strongest finance ministers in Alberta’s history and leaves a legacy of strong fiscal management that I will continue to uphold as premier.”

“I greatly respect his decision to spend more time on the ranch and with his family,” Smith said. “There will be big boots to fill in Grande Prairie-Wapiti, and I wish him, Kim and the family nothing but the very best.”

Smith said Savage will be greatly missed.

“Minister Sonya Savage’s dedication and commitment to furthering Alberta’s energy interests and developing a Made-in-Alberta approach to responsible environmental stewardship of our natural resources will benefit Albertans for decades,” she said in a statement.

Toews had refused to discuss his future in recent weeks, saying he was focused on passing the budget, which featured a projected $2.4-billion surplus along with increased spending across the board.

The decision comes a little over a month from when the writ is expected to drop.

Smith said that given the short window, she will work with the party and the local constituency association to appoint a candidate “so that the new candidate can hit the ground running and ensure a UCP victory in this constituency.”

Toews was the early favourite to replace Kenney as leader last year – with half of the caucus members supporting him — but fell short in the end as Smith galvanized party anger with the federal government and COVID-19 health restrictions.

He locked horns with Smith during the campaign. He criticized her for past advocacy of a provincial sales tax and said her proposed — and since passed — sovereignty act would scare off investment with its promise to ignore federal laws in areas of perceived provincial jurisdiction.

As finance minister, the rancher and accountant oversaw the best and worst of Alberta’s turbulent oil-and-gas-powered economy, with massive deficits, negative oil prices and eye-popping surpluses.

He looked born to the parts of outdoorsman and number cruncher: close-cropped hair, eyeglasses and well-worn cowboy boots with a trademark monotone speaking style occasionally punctuated by high-decibel, finger-pointing attacks on the NDP Opposition during question period.

He stickhandled many controversial files, including de-indexing personal income tax, arguing for wage cuts to nurses during the COVID-19 pandemic and lifting the rate cap on auto insurance.

He was also the point person on long-running deliberations to pull Alberta out of the Canada Pension Plan in favour of a provincial one. The government has yet to release research on the merits and drawbacks of such a plan, despite promising two years ago that the release of a report was imminent.

Toews was also among those who were surreptitiously photographed in 2021 at a drinks-and-dinner get-together with Kenney on a rooftop patio on the legislature grounds in contravention of COVID-19 gathering rules.

In a statement, Opposition NDP finance critic Shannon Phillips said she admires Toew’s record.

“He conducts himself with decency and is mostly grounded in reality, unlike the new crop of Smith candidates.”

Toews said his proudest achievement is leaving the province in a better place financially than when he found it, noting the new budget also includes commitments to keeping spending under control while repaying debt and investing in long-term savings.

“We’re leading the nation in job creation,” Toews said.

“All of that tied together certainly brings some satisfaction to these last four years, which have certainly been a bit of a roller-coaster.”

He said the difficult part was long nights of no-win decisions during the COVID-19 crisis, balancing public health with personal freedoms with no clear cut black-and-white answers.

“Those were some of the hardest hours of my life serving on that COVID cabinet committee,” he said.

“(They were) impossible decisions, and knowing those decisions were going to impact Albertans directly. We certainly didn’t get it all right.”

This report by The Canadian Press was first published March 24, 2023.

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