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Alberta

Health Care Update: Province will deliver health services regionally in seven “health corridors”

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Ensuring a successfully refocused health system

Alberta’s government continues to make progress refocusing the health care system to ensure all Albertans get the care they need.

Under Alberta’s refocused health care system, four fully integrated provincial health agencies are being created to oversee the priority sectors of primary care, acute care, continuing care, and mental health and addiction. Two of the provincial health agencies, Recovery Alberta and Primary Care Alberta, have been established with input from more than 30,000 health care professionals and Albertans.

Additionally, it was recently announced that Minister of Seniors, Community and Social Services Jason Nixon would become the sector minister for the new continuing care provincial health agency. He has now taken on this role and will oversee continuing care as the government works toward standing up the new continuing care agency.

“Refocusing the health care system is a complex process that needs to be done right. We’re committed to taking the time necessary to develop a better health care system for Albertans and the front-line workers who work tirelessly every day to serve their patients.”

Adriana LaGrange, Minister of Health

Acute Care Alberta transition

Acute Care Alberta

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. Alberta’s new acute care provincial health agency, Acute Care Alberta, will become a legal entity in early 2025 and begin operating in spring 2025. As work continues, Alberta’s government is committed to ensuring there are no interruptions to patient care while keeping front-line workers and all Albertans informed and supported.

The new acute care provincial health agency will work directly with service providers to speed up access to high-quality care, reduce wait times and ensure a patient’s journey through the acute care system is efficient and effective.

To support the standing up of Acute Care Alberta, the Acute Care Provincial Health Agency Executive Transition Team has been established. The team includes executive members from Alberta Health and an external special adviser, Dr. Chris Eagle. As a former CEO of Alberta Health Services, Dr. Eagle brings extensive experience in the delivery of acute care services in the province. He will provide valuable insight and expertise that will support the transition of Alberta Health Services from a health authority to a service delivery provider.

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 and their continued dedication to delivering health care to Albertans.

Primary Care Alberta now operational

Primary Care Alberta

As of Nov. 18, Primary Care Alberta is a legal entity under the leadership of Kim Simmonds, whose first task is to support the transition of operations by setting the agency’s vision and mission, implementing policies and processes, and developing plans. Simmonds and her leadership team will work closely with existing primary care teams at Alberta Health Services to establish the new agency.

“Every Albertan deserves to have a long-term, trusted connection with a family doctor or health care team. We are ready to work to ensure all Albertans have a primary health care home.”

Kim Simmonds, chief executive officer, Primary Care Alberta

Primary Care Alberta will coordinate and deliver primary health care services across the province, so all Albertans and their families are supported in their day-to-day health needs while avoiding visiting the emergency department and reducing pressures on acute care services.

Integrated approach to health system planning

As part of the refocusing work, Alberta’s government is also taking a new, regional approach to health system planning through seven integrated health corridors.

As a regional grouping within a health care system, a health corridor is designed to reflect how Albertans use health care services in the province based on factors such as travel patterns, access points and local population needs. The corridors consider data related to where Albertans access services and facilities, as well as feedback received during health care refocusing public engagement sessions.

As a result, these corridors will enable an evidence-based approach to planning that will inform decisions about services, workforce and infrastructure across the four new provincial health agencies. This new approach will connect care pathways and support seamless patient journeys throughout the health care system.

“New health care corridors present many opportunities within Alberta’s health care system. Further regionalization of services, in addition to a focus on rural needs and representation, will be essential to ensuring our communities get access to the care they need.”

Kara Westerlund, president, Rural Municipalities of Alberta

Health corridors will ensure Alberta’s government will be better able to determine current gaps in the health care system and inform investments in those areas, including operational dollars and funding for capital projects. Getting a better regional understanding of how the health care system is being used will ensure decision-making processes reflect the changing needs of Albertans.

Upcoming engagement opportunities

Alberta’s government remains committed to maintaining open lines of communication with Albertans as it stands up the new provincial health agencies that will form the backbone of Alberta’s refocused health care system.

The input, experiences and feedback Alberta’s government is gathering are helping to create a more effective and efficient health care system that meets the needs of Albertans today and for generations to come.

All Albertans are invited to participate in upcoming telephone town halls with Health Minister Adriana LaGrange to discuss the ongoing work to refocus the health system. Town halls will take place on:

  • Nov. 19, from 7:30 a.m. to 9 a.m.
  • Nov. 27, from 6:30 p.m. to 8 p.m.
  • Nov. 28, from 7:30 a.m. to 9 a.m.

Albertans can register to participate online.

In addition to telephone town halls, Albertans can provide feedback on the refocused health care system online until Dec. 5.

A second round of in-person public engagement is planned for winter/spring 2025 to share information and receive feedback about refocusing work. Those interested in keeping up to date on the health system refocusing work and new engagement opportunities can sign up for an e-newsletter.

Quick facts

  • Legislative amendments have been implemented to support the transition to the new health care system.
  • To support health service delivery, Alberta Health Services divided the province into five zones: Calgary, Edmonton, south, north and central. The new integrated health system plan will include seven regional health corridors:
    • North-West
    • North-East
    • Edmonton
    • Central
    • Calgary
    • South-West
    • South-East

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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

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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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Alberta

Albertans need clarity on prime minister’s incoherent energy policy

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From the Fraser Institute

By Tegan Hill

The new government under Prime Minister Mark Carney recently delivered its throne speech, which set out the government’s priorities for the coming term. Unfortunately, on energy policy, Albertans are still waiting for clarity.

Prime Minister Carney’s position on energy policy has been confusing, to say the least. On the campaign trail, he promised to keep Trudeau’s arbitrary emissions cap for the oil and gas sector, and Bill C-69 (which opponents call the “no more pipelines act”). Then, two weeks ago, he said his government will “change things at the federal level that need to be changed in order for projects to move forward,” adding he may eventually scrap both the emissions cap and Bill C-69.

His recent cabinet appointments further muddied his government’s position. On one hand, he appointed Tim Hodgson as the new minister of Energy and Natural Resources. Hodgson has called energy “Canada’s superpower” and promised to support oil and pipelines, and fix the mistrust that’s been built up over the past decade between Alberta and Ottawa. His appointment gave hope to some that Carney may have a new approach to revitalize Canada’s oil and gas sector.

On the other hand, he appointed Julie Dabrusin as the new minister of Environment and Climate Change. Dabrusin was the parliamentary secretary to the two previous environment ministers (Jonathan Wilkinson and Steven Guilbeault) who opposed several pipeline developments and were instrumental in introducing the oil and gas emissions cap, among other measures designed to restrict traditional energy development.

To confuse matters further, Guilbeault, who remains in Carney’s cabinet albeit in a diminished role, dismissed the need for additional pipeline infrastructure less than 48 hours after Carney expressed conditional support for new pipelines.

The throne speech was an opportunity to finally provide clarity to Canadians—and specifically Albertans—about the future of Canada’s energy industry. During her first meeting with Prime Minister Carney, Premier Danielle Smith outlined Alberta’s demands, which include scrapping the emissions cap, Bill C-69 and Bill C-48, which bans most oil tankers loading or unloading anywhere on British Columbia’s north coast (Smith also wants Ottawa to support an oil pipeline to B.C.’s coast). But again, the throne speech provided no clarity on any of these items. Instead, it contained vague platitudes including promises to “identify and catalyse projects of national significance” and “enable Canada to become the world’s leading energy superpower in both clean and conventional energy.”

Until the Carney government provides a clear plan to address the roadblocks facing Canada’s energy industry, private investment will remain on the sidelines, or worse, flow to other countries. Put simply, time is up. Albertans—and Canadians—need clarity. No more flip flopping and no more platitudes.

Tegan Hill

Tegan Hill

Director, Alberta Policy, Fraser Institute
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