Alberta
Province freezes funds for doctors and launches process to work out a new funding formula

New physician funding framework announce
Alberta will maintain physician funding at $5.4 billion, the highest level ever, and implement its final offer to the Alberta Medical Association (AMA) to avoid $2 billion in cost overruns.
Existing terms will remain in place until March 31, 2020. A new funding framework will then be introduced, in a multi-year process that will require consultation with the AMA at all stages. The new framework will make changes proposed during negotiations to prevent cost overruns, align benefit programs and administrative fees with those of comparable provinces, and improve services for patients.
The eleven consultation proposals will also be implemented on March 31. This includes phasing in changes to complex modifiers, reducing the rate physicians can charge for this billing code to $9 from $18, for a period of one year before the code is removed in 2021-22. In summer 2020, at the direction of the Minister of Health, the Government of Alberta will also introduce a new alternative relationship plan (ARP) with built-in transition benefits to encourage physicians to move from fee-for-service to a three-year contract.
“Our province is facing cost overruns of $2 billion in the next three years due solely to physician compensation. If left unaddressed, these costs would impede efforts to reduce surgical wait times, improve mental health and addiction services, and expand the number of continuing care beds. Despite repeated efforts, the AMA failed to put forward alternatives that would hold the line on physician compensation. The new framework announced today will prevent cost overruns, allow our province to improve services for patients, and still ensure that Alberta’s doctors are amongst the highest paid physicians in all of Canada.”
Background
- The new funding framework will maintain government’s current level of spending on physicians at $5.4 billion.
- The new funding framework avoids anticipated cost overruns of $2 billion over the next three years.
- Alberta has been spending more on physician salaries than other provinces, yet most of its health outcomes are below national averages.
- A doctor in Alberta earns approximately $90,000 more than a doctor in Ontario and physicians’ fees have almost tripled since 2002.
Elements of the new funding framework
- Changes to Alberta’s complex modifier billing system. The rate physicians are able to charge for complex modifiers will be reduced to $9 from $18 for a period of one year before this billing code is removed in 2021-22. Once the new framework is fully phased in, physicians will be able to bill an additional fee after spending 25 minutes with a complex patient case. Alberta remains the only province in Canada that allows for a top-up payment for complex visits.
- Removal of the comprehensive annual care plan from the list of insured services. Currently, physicians can also bill for a similar consultation called a comprehensive annual visit. No other province in Canada compensates physicians twice for annual care consultation.
- Implementation of a new daily cap, modelled after a cap in place in British Columbia, of 65 patients per day. Large patient loads can contribute to physician burnout and may compromise patient safety and quality of care.
- Removing physician overhead subsidies from all hospital-based services. Physicians who work in AHS facilities should not be billing for overhead costs that their community physician colleagues face, such as leases, hiring staff and purchasing equipment.
- Ending of clinical payments, or stipends, by AHS to physicians. This change ends duplication of payments to contracted physicians.
Timeline
- In September 2019, government provided notice to the AMA that it intended to begin negotiations on the AMA Agreement. The notification provided time for the AMA to prepare its proposals.
- In November 2019, negotiations began with the AMA to reach a new agreement; government began consultations on 11 proposed changes to the schedule of medical benefits (SOMB, or “insured services”).
- In January 2020, negotiations and consultations proceeded with no agreement reached. Mediation, on both the negotiation and consultation proposals, began January 31 and continued into February.
- The parties were not able to reach an agreement during mediation.
- Government will implement its final offer from the negotiating table, including the 11 consultation proposals, on March 31.
Alberta
Preston Manning: Canada is in a unity crisis

Preston Manning
A Canada West Assembly would investigate why
The election of a minority Liberal government on Monday, and the strong showing of the Conservative party under Pierre Poilievre, cannot mask the fact that Canada remains seriously fractured on many fronts. Thus, one of the primary tasks of the Carney government will be to unite us for the sake of our own national well-being — not simply for the sake of presenting a strong front in future dealings with the United States.
But how is that to be done? When parliament meets as scheduled on May 26, will the government’s throne speech acknowledge the main sources of national disunity and propose the immediate adoption of remedial measures? Or will it ignore the problem entirely, which will serve to further alienate Quebec and the West from Ottawa and the rest of Canada, and weaken Canada’s bargaining position vis a vis the United States?
The principal tactic employed by the Liberal party to unite Canadians behind it in the recent election was to employ the politics of fear — fear of U.S. President Donald Trump trying to “break us so that America can own us,” as Liberal Leader Mark Carney has repeatedly said.
But if the only way to unite Canadians is through the promotion of anti-Americanism fostered by fear of some alleged American takeover — if reaction to the erratic musings of an American president is the only way to motivate more Canadians to vote in a federal election — then not only national unity, but Canadian democracy itself, is in critical condition.
We need to pinpoint what actually is fracturing the country, because if we can clearly define that, we can begin the process of removing those divisive elements to the largest extent possible. Carney and the Liberals will of course declare that it is separatist agitations in Quebec and now the West that is dividing us, but these are simply symptoms of the problem, not the cause.
Here, then, is a partial list of what underpins the division and disunity in this country and, more importantly, of some positive, achievable actions we can take to reduce or eliminate them.
First and foremost is the failure to recognize and accommodate the regional character of this country. Canada is the second-largest country by area on the planet and is characterized by huge geographic regions — the Atlantic, Central Canada, the Prairies, the Pacific Coast and the Northern territories.
Each of these regions — not just Quebec — has its own “distinctive” concerns and aspirations, which must be officially recognized and addressed by the federal government if the country is to be truly united. The previous Liberal government consistently failed to do this, particularly with respect to the Prairies, Pacific and Northern regions, which is the root of much of the alienation that even stimulates talk of western separation.
Second is Ottawa’s failure to recognize and treat the natural resources sector as a fundamental building block of our national economy — not as a relic from the past or an environmental liability, as it was regarded by the government of former prime minister Justin Trudeau.
Will the throne speech announce another 180-degree turn for the Liberal government: the explicit recognition that the great engine of the Canadian economy and our economic recovery is not the federal government, as Carney has implied, but Canada’s agricultural, energy, mining, forestry and fishery sectors, with all the processing, servicing, manufacturing and knowledge sectors that are built upon them?
A third issue we’ve been plagued with is the division of Canadian society based on race, gender, sexual preferences and other identity traits, rather than focusing on the things that unite us as a nation, such as the equality of all under the law. Many private-sector entities are beginning to see the folly of pursuing identity initiatives such as diversity, equity and inclusion that divide rather than unite, but will the Liberal government follow suit and will that intention be made crystal clear in the upcoming throne speech?
A final issue is the federal government’s intrusion into areas of provincial jurisdiction — such as natural resources, health, municipal governance, along with property and civil rights — which is the principal cause of tension and conflict between the federal and provincial governments.
The solution is to pass a federal “act respecting provincial jurisdiction” to repeal or amend the statutes that authorize federal intrusions, so as to eliminate, or at least reduce, their intrusiveness. Coincidentally, this would be a legislative measure that both the Conservatives and the Bloc could unite behind if such a statute were to be one of the first pieces of legislation introduced by the Carney government.
Polling is currently being done to ascertain whether the election of yet another Liberal government has increased the growing estrangement of western Canada from Ottawa and the rest of Canada, notwithstanding Carney’s assurances that his minority government will change its policies on climate change, pipelines, immigration, deficit spending and other distinguishing characteristics of the discredited Trudeau government.
The first test of the truthfulness of those assurances will come via the speech from the throne and the follow-up actions of the federal government.
Meanwhile, consultations are being held on the merits and means of organizing a “Canada West Assembly” to provide a democratic forum for the presentation, analysis and debate of the options facing western Canada (not just Alberta) — from acceptance of a fairer and stronger position within the federation based on guarantees from the federal government, to various independence-oriented proposals, with votes to be taken on the various options and recommendations to be made to the affected provincial governments.
Only time will tell whether the newly elected Carney government chooses to address the root causes of national disunity. But whether it does so or not will influence the direction in which the western provinces and the proposed Canada West Assembly will point.
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Alberta
Premier Danielle Smith hints Alberta may begin ‘path’ toward greater autonomy after Mark Carney’s win

From LifeSiteNews
Alberta’s premier said her government will be holding a special caucus meeting on Friday to discuss Alberta’s independence.
Alberta Premier Danielle Smith hinted her province could soon consider taking serious steps toward greater autonomy from Canada in light of Mark Carney and the Liberal Party winning yesterday’s federal election.
In a statement posted to her social media channels today, Smith, who is head of Alberta’s governing United Conservative Party, warned that “In the weeks and months ahead, Albertans will have an opportunity to discuss our province’s future, assess various options for strengthening and protecting our province against future hostile acts from Ottawa, and to ultimately choose a path forward.”
“As Premier, I will facilitate and lead this discussion and process with the sincere hope of securing a prosperous future for our province within a united Canada that respects our province’s constitutional rights, facilitates rather than blocks the development and export of our abundant resources, and treats us as a valued and respected partner within confederation,” she noted.
While Smith stopped short of saying that Alberta would consider triggering a referendum on independence from Canada, she did say her government will be holding a “special caucus meeting this Friday to discuss this matter further.”
“I will have more to say after that meeting is concluded,” she noted.
Smith’s warning comes at the same time some pre-election polls have shown Alberta’s independence from Canada sentiment at just over 30 percent.
Monday’s election saw Liberal leader Mark Carney beat out Conservative rival Pierre Poilievre, who also lost his seat. The Conservatives managed to pick up over 20 new seats, however, and Poilievre has vowed to stay on as party leader, for now.
In Alberta, almost all of the seats save two at press time went to conservatives.
Carney, like former Prime Minister Justin Trudeau before him, said he is opposed to new pipeline projects that would allow Alberta oil and gas to be unleashed. Also, his green agenda, like Trudeau’s, is at odds with Alberta’s main economic driver, its oil and gas industry.
The federal government under Trudeau pushed since 2015 a radical environmental agenda similar to the agendas being pushed the World Economic Forum’s “Great Reset” and the United Nations “Sustainable Development Goals.”
The Carney government has also pledged to mandate that all new cars and trucks by 2035 be electric, effectively banning the sale of new gasoline- or diesel-only powered vehicles after that year.
The reduction and eventual elimination of the use of so-called “fossil fuels” and a transition to unreliable “green” energy has also been pushed by the World Economic Forum (WEF) – the globalist group behind the socialist “Great Reset” agenda – an organization in which Trudeau and some of his cabinet are involved.
Smith: ‘I will not permit the status quo to continue’
In her statement, Smith noted that she invited Carney to “immediately commence working with our government to reset the relationship between Ottawa and Alberta with meaningful action rather than hollow rhetoric.”
She noted that a large majority of Albertans are “deeply frustrated that the same government that overtly attacked our provincial economy almost unabated for the past 10 years has been returned to government.”
Smith then promised that she would “not permit the status quo to continue.”
“Albertans are proud Canadians that want this nation to be strong, prosperous, and united, but we will no longer tolerate having our industries threatened and our resources landlocked by Ottawa,” she said.
Smith praised Poilievre for empowering “Albertans and our energy sector as a cornerstone of his campaign.”
Smith was against forced COVID jabs, and her United Conservative government has in recent months banned men from competing in women’s sports and passed a bill banning so-called “top and bottom” surgeries for minors as well as other extreme forms of transgender ideology.
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