Health
Province & Doctors Ratify New Agreement
By Sheldon Spackman
The Alberta Government has announced the ratification of an amending agreement between the province and it’s physicians that aims to improve patient care. However, the amending agreement still needs to be signed by both parties.
Government officials say the voting process for Alberta Medical Association (AMA) members started six weeks ago with the final count showing that 74 per cent of voting physicians were in favour of amending the existing 2011-18 master agreement.
Minister of Health Sarah Hoffman says āWe thank Albertaās physicians for their support of these amendments and their dedication and commitment to improving the health and well-being of all Albertans. As shared stewards of our health system, we now look forward to working together on changes that will improve accessibility to high-quality care and keep the health system sustainable in the long term.ā
Alberta Medical Association President Dr. Padriac Carr says āIn ratifying this agreement, physicians and government are moving in positive new directions. We will work to moderate the rate of expenditure growth while maintaining quality care and providing greater value for patients. The amending agreement will also contribute to a higher level of integration and increased efficiency in the system in the long term.ā
The ratified amendments come after six months of negotiations and are based on a tentative agreement announced Aug. 31. The agreement, which recognizes a shared responsibility to provide quality health care in a financially sustainable framework, is expected to improve patient care and significantly slow the growth of health-care spending by the end of 2018.
Highlights of the amending agreement include a needs-based Physician Resource Plan that will help place doctors in the communities that need them. Primary care improvements, including new information technology and data-sharing. New compensation models for some primary-care physicians, as well as academic physicians, to reward time and quality of care given to patients rather than just the number of services provided. New physician peer review and accountability mechanisms and the linking of certain benefits and compensation increases to performance on other cost-saving measures.
The current master agreement with physicians will now be amended. The government and the AMA will immediately start negotiations on the overall master agreement that expires in 2018.
Mental Health
Headline that reads ‘Ontario must pay for surgery to give trans resident both penis and vagina: appeal court’ a sign of the times in Canada

From LifeSiteNews
Gender ideology so entrenched, surgical mutilation is no longer considered fringe
If youād like a glimpse of what 10 years of progressive rule has done to Canada in a single sentence, I submit to you this April 24 headline: āOntario must pay for surgery to give trans resident both penis and vagina: appeal court.ā
Imagine reading a headline like that in, say, 2010. Youād wonder what country you were living in ā that is, if you werenāt trying to figure out what you just read. But in Canada in 2025, this stuff isnāt fringe. Itās establishment.
The Ontario Court of Appeal, the provinceās top court, issued a ruling this week stating that the province must pay for a āpenile-sparing vaginoplastyā for a resident who identifies as transgender but does not identify āexclusivelyā as either male or female and thus would like to possess both a penis and a vagina.
According to theĀ Post, āa three-judge panel of the Ontario Court of Appeal confirmed a lower courtās ruling that the novel phallus-preserving surgery qualifies as an insured service under the Ontario Health Insurance Plan.ā In case youāre tempted to write this off as an aberration at the hands of a handful of activist judges, this ruling is the thirdĀ unanimousĀ decision in favor of the āpatient,ā identified in court records as āK.S.ā
āK.S. is pleased with the Court of Appealās decision, which is now the third unanimous ruling confirming that her gender affirming surgery is covered under Ontarioās Health Insurance Act and its regulation,ā K.S.ās lawyer, John McIntyre, told theĀ Post. K.S., as it turns out, identifies as neither male nor female ⦠but uses female pronouns:
The legal battle between K.S., whose sex at birth was male, dates to 2022, when the Ontario Health Insurance Plan (OHIP) refused her request to pay for the cost of surgery at a Texas clinic to construct a vagina while sparing the penis, a procedure this is not available in Ontario, or anywhere else in Canada. K.S. uses female pronouns but does not identify as either fully female or fully male.
Previously, saner generations would have no idea how to interpret the preceding paragraph, but gender ideology has made fools of us all. OHIP attempted to argue that ābecause the vaginoplasty would not be accompanied by a penectomy, the procedure isnāt one specifically listed in OHIPās Schedule of Benefits and therefore shouldnāt be publicly fundedā and also that the surgery is āexperimentalā in Ontario and thus canāt be covered.
But K.S., who has a male member but would also like a neo-vagina, appealed to the Health Services Appeal and Review Board, which overturned OHIPās decision. OHIP appealed to the Divisional Court but lost; the latest appeal, heard November 26, was also rejected because a āpenectomy,ā the removal of the penis, was āneither recommended by K.S.ās health professionals nor desired by K.S.,ā according to the courtās decision.
I wonder if the judges thought that theyād be ruling on whether a man who identifies as neither a man or a woman was entitled to obtain a vagina while retaining his penis when they were going to law school.
The court stated that K.S., who is in his early 30s, āhas experienced significant gender dysphoria since her teenage years, as well as physical, mental and economic hardships to transition her gender expression to align with her gender identity.ā Of course, K.S. isnāt ātransgender,ā per se ā because he doesnāt identify as the opposite sex, even though he uses the pronouns of the opposite sex. He wants to be ⦠both, somehow. And he wants the taxpayer to pay for it.
As theĀ Post reported:
K.S.ās doctor submitted a request to OHIP for prior funding approval for the surgical creation of a vaginal cavity and external vulva. The request made it clear that K.S. wasnāt seeking a penectomy. In a letter accompanying the request, her doctor said that because K.S. is ānot completely on the āfeminineā end of the spectrumā it was important for her to have a vagina while maintaining her penis, adding that the Crane Center for Transgender Surgery in Austin, Tx.,ā has an excellent reputationā for gender-affirming surgery, āand especially with these more complicated procedures.ā
The surgeries, depending on which are performed, range in cost āfrom US $10,000 to $70,000.ā The court also ordered Ontario to pay K.S. $23,250 after dismissing OHIPās appeal; the province has until June 23 to seek leave to the Supreme Court of Canada.
Mental Health
Suspect who killed 11 in Vancouver festival attack IDād

Ā MxM News
Quick Hit:
Authorities have identified the driver responsible for the devastating attack at Vancouverās Lapu Lapu Day festival that killed at least 11 and injured dozens more. The suspect, Kai-Ji Adam Lo, 30, had a well-documented history of mental illness, and his family sought help just hours before the tragic event.
Key Details:
- Kai-Ji Adam Lo, 30, was identified as the driver who plowed into a crowd, killing 11 and injuring dozens more.
- Loās family sought psychiatric help for him hours before the attack; he was already known to law enforcement.
- Police believe the attack was not terror-related, citing Loās extensive mental health struggles.
At least 9 dead in mass casualty event after driver crashes into crowd at Vancouver street festival.
The 30 year old driver was taken into custody by festival goers then arrested.
According to law enforcement āthe suspect was known to police for certain circumstancesā. pic.twitter.com/slG7LsZNFG
— Kevin Dalton (@TheKevinDalton) April 27, 2025
Diving Deeper:
The city of Vancouver isĀ grappling with unspeakable tragedy following the deadly assault that unfolded during the Lapu Lapu Day festival, a vibrant celebration honoring the Filipino community. Authorities have identified the man behind the wheel as 30-year-old Kai-Ji Adam Lo, who was apprehended at the scene Saturday night.
Lo, whose troubled history with mental illness was well known to local authorities and mental health professionals, faces eight counts of second-degree murder, with additional charges expected as the investigation continues. According to reports, Loās family had reached out to a hospital psychiatric ward just hours before the incident, desperately seeking help for him amid his escalating paranoia and delusions. It remains unclear whether any intervention was made in response to the familyās call.
Vancouver Police Chief Steve Rai confirmed that Lo had no interactions with law enforcement immediately prior to the event, but acknowledged that the city is reeling from its ādarkest day.ā Investigators emphasized that, because of Loās mental state, they do not believe the attack was terror-related.
Adding to the complex portrait of the suspect, Lo was mourning profound personal loss. His brother, Alexander Lo, was murdered in January 2024. Following the death, Lo had penned heartbreaking posts online, sharing how his brotherās death and his mother’s subsequent suicide attempt shattered their family.
Tragically, among the 11 killed during Saturdayās carnage was a 5-year-old child. Dozens more were wounded when Lo drove his SUV into the densely packed crowd gathered for the festivities. Lo has since appeared in court and will remain in custody as prosecutors prepare to bring additional charges.
The horror that unfolded in Vancouver serves as a stark reminder of the broader systemic failures surrounding mental health interventions. While Canadian authorities attempt to grapple with the aftermath, this tragedy sadly echoes similar stories in other nations where warnings about individuals in crisis have gone unheededāwith catastrophic results.
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