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Alberta

Province boosts funding to add almost 100,000 CT scans and MRI’s over the next year

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From the Province of Alberta

Improving access to MRIs and CT scans

A $33-million one-time commitment from Budget 2021 will drive down wait times for Albertans needing non-emergency CT scans and MRIs in public hospitals and spark innovation to provide the best patient care.

The commitment will support AHS to perform up to 50,000 additional CT (computerized tomography) scans and up to 45,000 additional MRI (magnetic resonance imaging) scans throughout the province in 2021-22.

This work is part of an aggressive action plan developed by Alberta’s government and AHS to reduce wait times to ensure that by 2023, all Albertans have their CT scans and MRIs done within appropriate wait times recommended by medical experts.

“Albertans need better results from our health-care system, including from MRIs and CT scans that can diagnose their health condition and set them on the path to recovery. This commitment is part of Alberta’s historic investment in health care. We will ensure that all health dollars are spent wisely to support patients and families.”

Jason Kenney, Premier

“Physicians have raised the alarm that long waits put patients at risk – and we couldn’t agree more. Reducing wait times for these medically necessary diagnostic tests is not negotiable. This is why I directed AHS to implement this action plan and to work in partnership with radiologists to find innovative solutions to provide the best patient care with the significant dollars dedicated to this work.”

Tyler Shandro, Minister of Health

The additional $33 million will augment the $1 billion Alberta spends each year on diagnostic imaging. This total spend includes ultrasounds, X-rays and mammography, as well as MRIs and CT scans for Albertans.

So far, AHS and its contracted radiologists’ focused work on the action plan has meant fewer people are waiting for CT and MRI scans now compared with March 2020, a trend that will continue over the next two years.

“AHS understands how important it is for patients to receive timely access to diagnostic testing and quick turnaround of results. We are listening to all concerns and are proactively working to improve this very important service for Albertans.”

Dr. Verna Yiu, president and CEO, Alberta Health Services

“Timely access to diagnostic imaging including CT and MRI is an essential component of quality patient care. Imaging plays an important role in the diagnosis and treatment of many medical conditions. Improved access to imaging should lead to improved care.”

Dr. Derek Emery, professor and chair, Department of Radiology and Diagnostic Imaging, University of Alberta and Zone Clinical Department Head, Diagnostic Imaging, Alberta Health Services

“Alberta’s Radiologists welcome this initiative to decrease waitlists for CT and MRI, two critical tools in the overall function of our health-care system. Timely access to all medical imaging and image-guided procedures is so important, now more than ever.”

Dr. Robert Davies, president, Alberta Medical Association Section of Diagnostic Imaging

Alberta Health and AHS developed the CT and MRI Action Plan to address increasingly long wait times, which peaked in 2019-20, and to decrease costs, better manage demand to reduce unnecessary tests, and to make sure the people who most need the tests for treatment decisions will get the scans sooner. The implementation plan uses data to more accurately estimate where demand pressures may occur so that resources can be deployed to respond efficiently.

AHS will reinvest any cost savings achieved through the plan to where they are most needed.

Budget 2021 protects lives and livelihoods with a historic investment in health care while laying the foundation for economic growth. Through the prudent management of tax dollars, Alberta’s government can continue to invest in priority areas to ensure Alberta emerges from COVID-19 stronger than ever.

Quick facts

  • Demand for CT scans in Alberta is increasing by five per cent annually, and for MRIs by 3.5 per cent annually.
  • If a patient is in an emergency department and needs an urgent scan, they are able to get one quickly. If a patient is in hospital, they are able to get a scan within 24 hours.
  • While wait times for patients in hospital or emergency departments are stable and within time frames recommended by medical experts, wait times for outpatients referred for a CT or MRI scan are longer than recommended.
  • As of December 2020:
    • 44,341 Albertans were waiting for a CT scan, down from 60,181 Albertans waiting in March 2020.
      • 79 per cent of urgent out-patients were able to get their CT scans within clinically appropriate wait times.
      • 41 per cent of routine out-patients were able to get their CT scans within clinically appropriate wait times.
    • 59,614 Albertans were waiting for an MRI, down from 66,183 Albertans waiting in March 2020.
      • 75 per cent of urgent out-patients were able to get their MRIs within clinically appropriate wait times.
      • 55 per cent of routine out-patients were able to get their CT scans within clinically appropriate wait times.

After 15 years as a TV reporter with Global and CBC and as news director of RDTV in Red Deer, Duane set out on his own 2008 as a visual storyteller. During this period, he became fascinated with a burgeoning online world and how it could better serve local communities. This fascination led to Todayville, launched in 2016.

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Alberta

Alberta Next Panel calls for less Ottawa—and it could pay off

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From the Fraser Institute

By Tegan Hill

Last Friday, less than a week before Christmas, the Smith government quietly released the final report from its Alberta Next Panel, which assessed Alberta’s role in Canada. Among other things, the panel recommends that the federal government transfer some of its tax revenue to provincial governments so they can assume more control over the delivery of provincial services. Based on Canada’s experience in the 1990s, this plan could deliver real benefits for Albertans and all Canadians.

Federations such as Canada typically work best when governments stick to their constitutional lanes. Indeed, one of the benefits of being a federalist country is that different levels of government assume responsibility for programs they’re best suited to deliver. For example, it’s logical that the federal government handle national defence, while provincial governments are typically best positioned to understand and address the unique health-care and education needs of their citizens.

But there’s currently a mismatch between the share of taxes the provinces collect and the cost of delivering provincial responsibilities (e.g. health care, education, childcare, and social services). As such, Ottawa uses transfers—including the Canada Health Transfer (CHT)—to financially support the provinces in their areas of responsibility. But these funds come with conditions.

Consider health care. To receive CHT payments from Ottawa, provinces must abide by the Canada Health Act, which effectively prevents the provinces from experimenting with new ways of delivering and financing health care—including policies that are successful in other universal health-care countries. Given Canada’s health-care system is one of the developed world’s most expensive universal systems, yet Canadians face some of the longest wait times for physicians and worst access to medical technology (e.g. MRIs) and hospital beds, these restrictions limit badly needed innovation and hurt patients.

To give the provinces more flexibility, the Alberta Next Panel suggests the federal government shift tax points (and transfer GST) to the provinces to better align provincial revenues with provincial responsibilities while eliminating “strings” attached to such federal transfers. In other words, Ottawa would transfer a portion of its tax revenues from the federal income tax and federal sales tax to the provincial government so they have funds to experiment with what works best for their citizens, without conditions on how that money can be used.

According to the Alberta Next Panel poll, at least in Alberta, a majority of citizens support this type of provincial autonomy in delivering provincial programs—and again, it’s paid off before.

In the 1990s, amid a fiscal crisis (greater in scale, but not dissimilar to the one Ottawa faces today), the federal government reduced welfare and social assistance transfers to the provinces while simultaneously removing most of the “strings” attached to these dollars. These reforms allowed the provinces to introduce work incentives, for example, which would have previously triggered a reduction in federal transfers. The change to federal transfers sparked a wave of reforms as the provinces experimented with new ways to improve their welfare programs, and ultimately led to significant innovation that reduced welfare dependency from a high of 3.1 million in 1994 to a low of 1.6 million in 2008, while also reducing government spending on social assistance.

The Smith government’s Alberta Next Panel wants the federal government to transfer some of its tax revenues to the provinces and reduce restrictions on provincial program delivery. As Canada’s experience in the 1990s shows, this could spur real innovation that ultimately improves services for Albertans and all Canadians.

Tegan Hill

Director, Alberta Policy, Fraser Institute
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Alberta

Alberta Next Panel calls to reform how Canada works

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From the Fraser Institute

By Tegan Hill

The Alberta Next Panel, tasked with advising the Smith government on how the province can better protect its interests and defend its economy, has officially released its report. Two of its key recommendations—to hold a referendum on Alberta leaving the Canada Pension Plan, and to create a commission to review programs like equalization—could lead to meaningful changes to Canada’s system of fiscal federalism (i.e. the financial relationship between Ottawa and the provinces).

The panel stemmed from a growing sense of unfairness in Alberta. From 2007 to 2022, Albertans’ net contribution to federal finances (total federal taxes paid by Albertans minus federal money spent or transferred to Albertans) was $244.6 billion—more than five times the net contribution from British Columbians or Ontarians (the only other two net contributors). This money from Albertans helps keep taxes lower and fund government services in other provinces. Yet Ottawa continues to impose federal regulations, which disproportionately and negatively impact Alberta’s energy industry.

Albertans were growing tired of this unbalanced relationship. According to a poll by the Angus Reid Institute, nearly half of Albertans believe they get a “raw deal”—that is, they give more than they get—being part of Canada. The Alberta Next Panel survey found that 59 per cent of Albertans believe the federal transfer and equalization system is unfair to Alberta. And a ThinkHQ survey found that more than seven in 10 Albertans feel that federal policies over the past several years hurt their quality of life.

As part of an effort to increase provincial autonomy, amid these frustrations, the panel recommends the Alberta government hold a referendum on leaving the Canada Pension Plan (CPP) and establishing its own provincial pension plan.

Albertans typically have higher average incomes and a younger population than the rest of the country, which means they could pay a lower contribution rate under a provincial pension plan while receiving the same level of benefits as the CPP. (These demographic and economic factors are also why Albertans currently make such a large net contribution to the CPP).

The savings from paying a lower contribution rate could result in materially higher income during retirement for Albertans if they’re invested in a private account. One report found that if a typical Albertan invested the savings from paying a lower contribution rate to a provincial pension plan, they could benefit from $189,773 (pre-tax) in additional retirement income.

Clearly, Albertans could see a financial benefit from leaving the CPP, but there are many factors to consider. The government plans to present a detailed report including how the funds would be managed, contribution rates, and implementation plan prior to a referendum.

Then there’s equalization—a program fraught with flaws. The goal of equalization is to ensure provinces can provide reasonably comparable public services at reasonably comparable tax rates. Ottawa collects taxes from Canadians across the country and then redistributes that money to “have not” provinces. In 2026/27, equalization payments is expected to total $27.2 billion with all provinces except Alberta, British Columbia and Saskatchewan receiving payments.

Reasonable people can disagree on whether or not they support the principle of the program, but again, it has major flaws that just don’t make sense. Consider the fixed growth rate rule, which mandates that total equalization payments grow each year even when the income differences between recipient and non-recipient provinces narrows. That means Albertans continue paying for a growing program, even when such growth isn’t required to meet the program’s stated objective. The panel recommends that Alberta take a leading role in working with other provinces and the federal government to reform equalization and set up a new Canada Fiscal Commission to review fiscal federalism more broadly.

The Alberta Next Panel is calling for changes to fiscal federalism. Reforms to equalization are clearly needed—and it’s worth exploring the potential of an Alberta pension plan. Indeed, both of these changes could deliver benefits.

Tegan Hill

Director, Alberta Policy, Fraser Institute
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