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Alberta

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

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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.”

Tyler Shandro, Minister of Health

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.

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Alberta

Red Deer Doctor critical of Alberta’s COVID response to submit report to Danielle Smith this May

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From LifeSiteNews

By Anthony Murdoch

Leading the task force is Dr. Gary Davidson, who was skeptical of mandates at the time.

Alberta Premier Danielle Smith will soon be receiving a little-known report she commissioned which tasked an Alberta doctor who was critical of the previous administration’s handling of COVID to look into how accurate the province’s COVID data collection was, as well as the previous administration’s decision-making process and effectiveness. 

As noted in a recent Globe and Mail report, records it obtained show that just less than one month after becoming Premier of Alberta in November of 2022, Smith tasked then-health minister Jason Copping to create the COVID data task force. 

Documents show that the Alberta government under Smith gave the new task force, led by Dr. Gary Davidson – who used to work as an emergency doctor in Red Deer, Alberta – a sweeping mandate to look at whether the “right data” was obtained during COVID as well as to assess the “integrity, validity, reliability and quality of the data/information used to inform pandemic decisions” by members of Alberta Health Services (AHS).  

As reported by LifeSiteNews in 2021, Davidson said during the height of COVID that the hospital capacity crisis in his province was “created,” was not a new phenomenon, and had nothing to do with COVID.

“We have a crisis, and we have a crisis because we have no staff, because our staff quit, because they’re burned out, they’re not burnt out from COVID,” Davidson said at the time. 

Davidson also claimed that the previous United Conservative Party government under former Premier Jason Kenney had been manipulating COVID statistics.  

In comments sent to the media, Smith said that in her view it was a good idea to have a “contrarian perspective” with Davidson looking at “everything that happened with some fresh eyes.” 

“I needed somebody who was going to look at everything that happened with some fresh eyes and maybe with a little bit of a contrarian perspective because we’ve only ever been given one perspective,” she told reporters Tuesday. 

“I left it to [Davidson] to assemble the panel with the guidance that I would like to have a broad range of perspectives.” 

After assuming her role as premier, Smith promptly fired the province’s top doctor, Deena Hinshaw, and the entire AHS board of directors, all of whom oversaw the implementation of COVID mandates. 

Under Kenney, thousands of nurses, doctors, and other healthcare and government workers lost their jobs for choosing to not get the jabs, leading Smith to say – only minutes after being sworn in – that over the past year the “unvaccinated” were the “most discriminated against” group of people in her lifetime. 

As for AHS, it still is promoting the COVID shots, for babies as young as six months old, as recently reported by LifeSiteNews.  

Task force made up of doctors both for and against COVID mandates  

In addition to COVID skeptic Dr. Gary Davidson, the rather secretive COVID task force includes other health professionals who were critical of COVID mandates and health restrictions, including vaccine mandates.  

The task force was given about $2 million to conduct its review, according to The Globe and Mail, and is completely separate from another task force headed by former Canadian MP Preston Manning, who led the Reform Party for years before it merged with another party to form the modern-day Conservative Party of Canada. 

Manning’s task force, known as the Public Health Emergencies Governance Review Panel (PHEGRP), released its findings last year. It recommend that many pro-freedom policies be implemented, such as strengthening personal medical freedoms via legislation so that one does not lose their job for refusing a vaccine, as well as concluding that Albertans’ rights were indeed infringed upon. 

The Smith government task force is run through the Health Quality Council of Alberta (HQCA) which is a provincial agency involved in healthcare research.  

Last March, Davidson was given a project description and terms of reference and was told to have a final report delivered to Alberta’s Health Minister by December of 2023. 

As of now, the task force’s final report won’t be available until May, as per Andrea Smith, press secretary to Health Minister Adriana LaGrange, who noted that the goal of the task force is to look at Alberta’s COVID response compared to other provinces.  

According to the Globe and Mail report, another person working on the task force is anesthetist Blaine Achen, who was part of a group of doctors that legally challenged AHS’s now-rescinded mandatory COVID jab policy for workers. 

Some doctors on the task force, whom the Globe and Mail noted held “more conventional views regarding the pandemic,” left it only after a few meetings. 

In a seeming attempt to prevent another draconian crackdown on civil liberties, the UCP government under Smith has already taken concrete action.

The Smith government late last year passed a new law, Bill 6, or the Public Health Amendment Act, that holds politicians accountable in times of a health crisis by putting sole decision-making on them for health matters instead of unelected medical officers. 

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Alberta

Alberta’s baby name superstar steals the show again

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Olivia and Noah continue to reign as top baby names in 2023.

Olivia and Noah are once again topping the lists in Alberta, highlighting the enduring appeal of the names. Olivia maintains a record setting streak as the most popular girls name in Alberta for the 11th year in a row, while Noah remains top pick for boys’ names for a fifth consecutive year.

“Congratulations to those who welcomed a new addition to their family in 2023. Bringing a child into the world is a truly momentous occasion. Whether the name you chose was in the top 10 or one of a kind, these names are only the beginning of the endless possibilities that lie ahead for each child. I look forward to supporting this generation by ensuring Alberta remains a place where they can thrive.”

Dale Nally, Minister of Service Alberta and Red Tape Reduction

In choosing names for their new arrivals, parents appear to have found inspiration in a variety of places. Some parents may have been inspired by plants like Ivy, Rose, Juniper, Poppy, Azalea or in nature like Wren, River, Meadow and Flora.

Others may have taken a literary approach with names like Bennett, Sawyer, Juliet and Atticus or been inspired by notable names from religious texts like Eve, Noah, Mohammed and Gabriel.

As always, popular culture may have had an influence through famous musicians (Aretha, Lennon, Presley, Hendrix), athletes (Beckham, Crosby, Evander), and even fairytale princesses (Tiana, Jasmine, Aurora, Ariel, Belle).

Quick facts

  • A total of 47,263 births were registered in Alberta in 2023
  • Notable changes to the early 2020s lists:
  • Evelyn rose to seventh place on the girls’ names list after tying for 19th place in 2022.
  • Emily returned to the top 10 list for girls after taking a short break in 2021 and 2022 after a 10-year stretch in the top 10 that started in 2010.
  • Violet has cracked the top 10 list for the first time in at least four decades, tying with Ava and Emily in ninth place.
  • The top 10 boys’ names remain the same as last year but with a slight change in order.
  • Historically, girls’ names that held the No. 1 spot for the longest consecutive time period include:
  • Olivia: 11 years (2013-2023)
  • Jessica: six years (1990-1995)
  • Emily: five years (1998-2002)
  • Historically, boys’ names that held the No. 1 spot for the longest consecutive time period include:
  • Ethan: nine years (2001-2009)
  • Liam: seven years (2010-2016)
  • Matthew: five years (1995-1999)
  • Noah: five years (2019-2023)
  • Parents have up to one year to register their child’s birth. As a result, the list of 2023 baby names and birth statistics may change slightly.

Boys’ names and frequency – top 10 names 2018-23

(In brackets is the number of babies with each name)

Place Boy Names (2023) Boy Names

(2022)

Boy Names (2021) Boy Names (2020) Boy Names (2019) Boy Names (2018)
1 Noah (276) Noah (229) Noah (274) Noah (239) Noah (275) Liam (225)
2 Liam (181) Liam (176) Jack (220) Oliver (229) Liam (234) Oliver (212)
3 Oliver (178) Theodore (173) Oliver (208) Liam (206) Oliver (225) Noah (199)
4 Theodore (173) Oliver (172) Liam (198) Benjamin (182) Ethan (213) Ethan (188)
5 Jack (153) Jack (159) Theodore (191) William (178) Jack (198) Logan (182)

Lucas (182)

6 Henry (146) William (146) William (174) Jack (169) William (185) Jacob (181)
7 Lucas (140) Benjamin (138) Ethan (162) Lucas (163) Lucas (174) William (178)

Girls’ names and frequency – top 10 names 2018-2023

(In brackets is the number of babies with each name)

Place Girl Names (2023) Girl Names

(2022)

Girl Names (2021) Girl Names (2020) Girl Names (2019) Girl Names (2018)
1 Olivia (210) Olivia (192) Olivia (210) Olivia (236) Olivia (229) Olivia (235)
2 Amelia (145) Sophia (152) Charlotte (166) Emma (184) Charlotte (188) Emma (230)
3 Sophia

(138)

Emma (149) Ava (165) Charlotte (161) Sophia (181) Charlotte (175)
4 Charlotte

(135)

Amelia (133) Emma (164) Ava (159) Emma (178) Emily (164)
5 Emma (133) Harper (125) Amelia (161) Sophia (151) Ava (161) Ava (161)
6 Isla (120) Charlotte (117) Sophia (137) Amelia (145) Amelia (159) Abigail (153)
7 Evelyn (114) Ava (115) Isla (135) Isla (133) Emily (150) Harper (150)
8 Chloe (101)

Violet

(101)

Isla (101) Abigail (120)

Chloe (120)

Emily (127) Abigail (141) Sophia (146)
9 Ava (99)
Emily (99)
Lily (100) Evelyn (119) Lily (123) Hannah (137) Amelia (145)
10 Hannah (98)

Hazel

(98)

Chloe (92) Aria (112) Abigail (114) Elizabeth (124) Elizabeth (130)

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