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

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.”
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.”
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.”
“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.”
“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.”
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.”
“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.”
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.
Related information
Alberta
Alberta judge sides with LGBT activists, allows ‘gender transitions’ for kids to continue

From LifeSiteNews
‘I think the court was in error,’ Alberta Premier Danielle Smith has said. ‘There will be irreparable harm to children who get sterilized.’
LGBT activists have won an injunction that prevents the Alberta government from restricting “gender transitions” for children.
On June 27, Alberta King’s Court Justice Allison Kuntz granted a temporary injunction against legislation that prohibited minors under the age of 16 from undergoing irreversible sex-change surgeries or taking puberty blockers.
“The evidence shows that singling out health care for gender diverse youth and making it subject to government control will cause irreparable harm to gender diverse youth by reinforcing the discrimination and prejudice that they are already subjected to,” Kuntz claimed in her judgment.
Kuntz further said that the legislation poses serious Charter issues which need to be worked through in court before the legislation could be enforced. Court dates for the arguments have yet to be set.
READ: Support for traditional family values surges in Alberta
Alberta’s new legislation, which was passed in December, amends the Health Act to “prohibit regulated health professionals from performing sex reassignment surgeries on minors.”
The legislation would also ban the “use of puberty blockers and hormone therapies for the treatment of gender dysphoria or gender incongruence” to kids 15 years of age and under “except for those who have already commenced treatment and would allow for minors aged 16 and 17 to choose to commence puberty blockers and hormone therapies for gender reassignment and affirmation purposes with parental, physician and psychologist approval.”
Just days after the legislation was passed, an LGBT activist group called Egale Canada, along with many other LGBT organizations, filed an injunction to block the bill.
In her ruling, Kuntz argued that Alberta’s legislation “will signal that there is something wrong with or suspect about having a gender identity that is different than the sex you were assigned at birth.”
She further claimed that preventing minors from making life-altering decisions could inflict emotional damage.
However, the province of Alberta argued that these damages are speculative and the process of gender-transitioning children is not supported by scientific evidence.
“I think the court was in error,” Alberta Premier Danielle Smith said on her Saturday radio show. “That’s part of the reason why we’re taking it to court. The court had said there will be irreparable harm if the law goes ahead. I feel the reverse. I feel there will be irreparable harm to children who get sterilized at the age of 10 years old – and so we want those kids to have their day in court.”
READ: Canadian doctors claim ‘Charter right’ to mutilate gender-confused children in Alberta
Overwhelming evidence shows that persons who undergo so-called “gender transitioning” procedures are more likely to commit suicide than those who are not given such irreversible surgeries. In addition to catering to a false reality that one’s sex can be changed, trans surgeries and drugs have been linked to permanent physical and psychological damage, including cardiovascular diseases, loss of bone density, cancer, strokes and blood clots, and infertility.
Meanwhile, a recent study on the side effects of “sex change” surgeries discovered that 81 percent of those who have undergone them in the past five years reported experiencing pain simply from normal movements in the weeks and months that followed, among many other negative side effects.
Alberta
Why the West’s separatists could be just as big a threat as Quebec’s

By Mark Milke
It is a mistake to dismiss the movement as too small
In light of the poor showing by separatist candidates in recent Alberta byelections, pundits and politicians will be tempted to again dismiss threats of western separatism as over-hyped, and too tiny to be taken seriously, just as they did before and after the April 28 federal election.
Much of the initial skepticism came after former Leader of the Opposition Preston Manning authored a column arguing that some in central Canada never see western populism coming. He cited separatist sympathies as the newest example.
In response, (non-central Canadian!) Jamie Sarkonak argued that, based upon Alberta’s landlocked reality and poll numbers (37 per cent Alberta support for the “idea” of separation with 25 per cent when asked if a referendum were held “today”), western separation was a “fantasy” that “shouldn’t be taken seriously.” The Globe and Mail’s Andrew Coyne, noting similar polling, opined that “Mr. Manning does not offer much evidence for his thesis that ‘support for Western secession is growing.’”
Prime Minister Mark Carney labelled Manning’s column “dramatic.” Toronto Star columnist David Olive was condescending. Alberta is “giving me a headache,” he wrote. He argued the federal government’s financing of “a $34.2-billion expansion of the Trans Mountain pipeline (TMX)” as a reason Albertans should be grateful. If not, wrote Olive, perhaps it was time for Albertans to “wave goodbye” to Canada.
As a non-separatist, born-and-bred British Columbian, who has also spent a considerable part of his life in Alberta, I can offer this advice: Downplaying western frustrations — and the poll numbers — is a mistake.
One reason is because support for western separation in at least two provinces, Alberta and Saskatchewan, is nearing where separatist sentiment was in Quebec in the 1970s.
In our new study comparing recent poll numbers from four firms (Angus Reid Institute, Innovative Research Group, Leger, and Mainstreet Research), the range of support in recent months for separation from Canada in some fashion is as follows, from low to high: Manitoba (6 per cent to 12 per cent); B.C. (nine per cent to 20 per cent); Saskatchewan (20 per cent to 33 per cent) and Alberta (18 per cent to 36.5 per cent). Quebec support for separation was in a narrow band between 27 per cent and 30 per cent.
What such polling shows is that, at least at the high end, support for separating from Canada is now higher in Saskatchewan and Alberta than in Quebec.
Another, even more revealing comparison is how western separatist sentiment now is nearing actual Quebec votes for separatism or separatist parties back five decades ago. The separatist Parti Québécois won the 1976 Quebec election with just over 41 per cent of the vote. In the 1980 Quebec referendum on separation, “only” 40 per cent voted for sovereignty association with Canada (a form of separation, loosely defined). Those percentages were eclipsed by 1995, when separation/sovereignty association side came much closer to winning with 49.4 per cent of the vote.
Given that current western support for separation clocks in at as much as 33 per cent in Saskatchewan and 36.5 per cent in Alberta, it begs this question: What if the high-end polling numbers for western separatism are a floor and not a ceiling for potential separatist sentiment?
One reason why western support for separation may yet spike is because of the Quebec separatist dynamic itself and its impact on attitudes in other parts of Canada. It is instructive to recall in 1992 that British Columbians opposed a package of constitutional amendments, the Charlottetown Accord, in a referendum, in greater proportion (68.3 per cent) than did Albertans (60.2 per cent) or Quebecers (56.7 per cent).
Much of B.C.’s opposition (much like in other provinces) was driven by proposals for special status for Quebec. It’s exactly why I voted against that accord.
Today, with Prime Minister Carney promising a virtual veto to any province over pipelines — and with Quebec politicians already saying “non” — separatist support on the Prairies may become further inflamed. And I can almost guarantee that any whiff of new favours for Quebec will likely drive anti-Ottawa and perhaps pro-separatist sentiment in British Columbia.
There is one other difference between historic Quebec separatist sentiment and what exists now in a province like Alberta: Alberta is wealthy and a “have” province while Quebec is relatively poor and a have-not. Some Albertans will be tempted to vote for separation because they feel the province could leave and be even more prosperous; Quebec separatist voters have to ask who would pay their bills.
This dynamic again became obvious, pre-election, when I talked with one Alberta CEO who said that five years ago, separatist talk was all fringe. In contrast, he recounted how at a recent dinner with 20 CEOs, 18 were now willing to vote for separation. They were more than frustrated with how the federal government had been chasing away energy investment and killing projects since 2015, and had long memories that dated back to the National Energy Program.
(For the record, they view the federal purchase of TMX as a defensive move in response to its original owner, Kinder Morgan, who was about to kill the project because of federal and B.C. opposition. They also remember all the other pipelines opposed/killed by the Justin Trudeau government.)
Should Canadians outside the West dismiss western separatist sentiment? You could do that. But it’s akin to the famous Clint Eastwood question: Do you feel lucky?
Mark Milke is president and founder of the Aristotle Foundation for Public Policy and co-author, along with Ven Venkatachalam, of Separatist Sentiment: Polling comparisons in the West and Quebec.
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