From the Montreal Economic Institute

Alberta’s move to fund acute care services through activity-based funding follows best practices internationally, points out an MEI researcher following an announcement made by Premier Danielle Smith earlier today.

“For too long, the way hospitals were funded in Alberta incentivized treating fewer patients, contributing to our long wait times,” explains Krystle Wittevrongel, director of research at the MEI. “International experience has shown that, with the proper funding models in place, health systems become more efficient to the benefit of patients.”

Currently, Alberta’s hospitals are financed under a system called “global budgeting.” This involves allocating a pre-set amount of funding to pay for a specific number of services based on previous years’ budgets.

Under the government’s newly proposed funding system, hospitals receive a fixed payment for each treatment delivered.

An Economic Note published by the MEI last year showed that Quebec’s gradual adoption of activity-based funding led to higher productivity and lower costs in the province’s health system.

Notably, the province observed that the per-procedure cost of MRIs fell by four per cent as the number of procedures performed increased by 22 per cent.

In the radiology and oncology sector, it observed productivity increases of 26 per cent while procedure costs decreased by seven per cent.

“Being able to perform more surgeries, at lower costs, and within shorter timelines is exactly what Alberta’s patients need, and Premier Smith understands that,” continued Mrs. Wittevrongel. “Today’s announcement is a good first step, and we look forward to seeing a successful roll-out once appropriate funding levels per procedure are set.”

The governments expects to roll-out this new funding model for select procedures starting in 2026.

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The MEI is an independent public policy think tank with offices in Montreal, Ottawa, and Calgary. Through its publications, media appearances, and advisory services to policymakers, the MEI stimulates public policy debate and reforms based on sound economics and entrepreneurship.

From LifeSiteNews

Editor’s note: The following text is taken from a speech delivered by radiologist and political commentator Scott Atlas to the Independent Medical Alliance conference in Atlanta, Georgia, on April 5, 2025. Transcription provided by Dr. Robert Malone.

ATLANTA (Robert Malone) — First, thank you to the organizers, and to my many friends and supporters here. It’s great to be here – surrounded by people who believe in personal freedom!

At the recent international Alliance for Responsible Citizenship (ARC) forum in London, I was invited to address the question, “Can Institutions be Reformed?” Begun with Jordan Peterson, ARC joins voices from all over the world to discuss how to refresh the institutions and best values of Western heritage, values that provided the world with history’s most successful societies, particularly the commitment to freedom.

I asked that audience to first consider:

Why, at this moment in history, are we finally focusing on how institutions should be reformed, or if institutions can even be reformed?

After all, for decades we have been aware that our institutions were failing – editorialized, dishonest journalism; wasteful, corrupt government; and agenda-driven schools and universities increasingly unbalanced toward the left, with many conservative faculty and students often self-censoring, afraid to offer unpopular views.

The answer? It is COVID, the pandemic mismanagement specifically – the most tragic breakdown of leadership and ethics that free societies have seen in our lifetimes.

COVID fully exposed the massive, across-the-board, institutional failure – including the shocking reality of overt censorship in our country, the loss of freedoms and the frank violation of human rights – in this country, one explicitly founded on a commitment to freedom.

Yet, oddly, the pandemic remained invisible at the ARC conference, unmentioned by dozens of speakers addressing freedom. It was the elephant in the room – just as explaining the truth about lockdowns, the pseudoscience mandates on masks and social distancing, closing churches and businesses, prohibiting visits to elderly parents in nursing homes while they die – all are missing from post-election discussions today in the United States, including, notably, any of the very public statements and proclamations from the new administration about health care today.

Today, in the wake of COVID, we are left with an undeniable crisis in health. Trust in health guidance has plummeted more rapidly since 2019 than any other government institution, with almost two-thirds now rating the FDA and the CDC as “only fair or poor.”

Half of America no longer has much confidence in science itself. Trust in our doctors and hospitals dropped from 71 percent in 2019 to 40 percent in 2024. The loss of trust is part of the disgraceful legacy of those who held power, who were relied upon to use critical thinking and an ethical compass on behalf of the public, who were handed the precious gift of automatic credibility and almost blind trust.

To understand how to move forward to restore trust, it’s important to first acknowledge basic facts about the pandemic, and keep repeating them, because truth serves as the starting point of all rational discussion. And we must live in a society where facts are acknowledged.

Remember – lockdowns were not caused by the virus. Human beings decided to impose lockdowns.

Indeed, lockdowns were widely instituted, they failed to stop the dying, and they failed to stop the spread – that’s the data: Bjornskov, 2021; Bendavid, 2021; Agarwal, 2021; Herby, 2022; Kerpen, 2023; Ioannidis, 2024; Atlas, 2024.

Lockdowners ignored Henderson’s classic review 15 years earlier showing lockdowns were both ineffective and extremely harmful. They rejected the alternative, targeted protection, first recommended on national media in March 2020 independently by Ioannidis, by Katz, and by me (Atlas) – and then repeatedly for months – based on data already known back then, in spring of 2020. It was not learned 7 months later in 2020, when the Great Barrington Declaration reiterated it, or in 2021, or 2022, or more recently.

And the Birx-Fauci lockdowns directly inflicted massive damage on children and literally killed millions, especially, sinfully, the poor. “The U.S. alone would have had 1.6 million fewer deaths (through July 2023) if it had the performance of Sweden,” according to a review of 34 countries.  Bianchi calculates that over the next 15-20 years, the unemployment alone will cause another million additional American deaths – from the economic shutdown, not the virus.

Beyond a reckless disregard for foreseeable death from their policies, America’s leaders imposed sinful harms and long-lasting damage on our children, the totality of which may not be realized for decades. Mandatory school closings, forced isolation of teens and college students, and required injections of healthy children with experimental drugs attempting to shield adults will be a permanent black mark on America.

It is also worth remembering that this was a health policy problem.

While credentials are not the sole determinant of expertise, I was the only health policy scholar on the White House Task Force and advising the president. Virology is not health policy; epidemiology is not health policy. And while physicians are important in contributing, they are not inherently expert in health policy. Those are only pieces of a larger, more complex puzzle. The stunning fact is – I was the only medical expert there focused on stopping both the death and destruction from the virus and the death and destruction from the policy itself.

As Hannah Arendt observed in “Eichmann in Jerusalem”:

What has come to light is neither nihilism nor cynicism, as one might have expected, but a quite extraordinary confusion over elementary questions of morality.

More than massive incompetence, more than a fundamental lack of critical thinking, we saw the disappearance of society’s moral compass, so pervasive that we have rightfully lost trust in our institutions, leaders, and fellow citizens, trust that is essential to the function of any free and diverse society.

Why did free people accept these draconian, unprecedented, and illogical lockdowns?

This is the question. And the answer reveals the reason for today’s silence on the pandemic.

Clearly, censorship and propaganda are key parts of the explanation, tools of control that convinced the public of two fallacies – that a consensus of experts on lockdowns existed, and dissenters to that false consensus were highly dangerous.

Censorship first was done by the media companies themselves – when it counted most:

• In 2020, before the Biden administration, when school closures and lockdowns were being implemented;
• May 2020, YouTube bragged about its “aggressive policies against misinformation”;
• August 2020, Facebook shamelessly admitted to the Washington Post it had already taken down 7 million posts on the pandemic;
• My interviews as advisor to the president were pulled down by YouTube on September 11, 2020, by Twitter blocking me on October 18, 2020.

You might think the public – in a free society – should know what the advisor to the president was saying?

And what was the response to truth at America’s universities, our centers for the free exchange of ideas, including Stanford, my employer?

Censorship: character assassination, intimidation, and to me, formal censure.

Why is censorship used? To shut someone up, yes; but more importantly, to deceive the public – to stop others from hearing, to convince a naïve public there is a “consensus on truth.”

Truth is not a team sport.

Truth is not determined by consensus, or by numbers of people who agree, or by titles. It is discovered by debate, proven by critical analysis of evidence. Arguments are won by data and logic, not by personal attack or censoring others.

I am proud to be an outlier – happily proven right when the inliers are so wrong – but Cancel Culture is effective because it stops others from speaking. I received hundreds of emails from doctors and scientists all over the country, including from Stanford, from other professors, and from inside the NIH, saying, “Keep talking, Scott, you’re 100 percent right, but we’re afraid for our families and our jobs.”

And indeed, no one at Stanford Medical School – not a single faculty member there – spoke publicly against their attack on me. Only Martin Kulldorff, then a Harvard epidemiologist, wrote in and publicly challenged the 98 signatories at Stanford to debate on whether I was correct or not (none accepted that challenge!).

But that alone doesn’t explain today’s silence about that extraordinary collapse. It is not simply “issue fatigue.”

It is also that so many smart people, including many claiming to support the new “disruptors,” bought into the irrational measures when it counted most, when our kids and particularly the poor were being destroyed in 2020, uncomfortable to discuss and admit, but far more fundamental than the Sars2 origin, or Fauci, or the vaccine. That acquiescence, that silence, that cowardice, and that failure to grasp reality are inconvenient truths that no one wants to admit.

Today, disruption is sorely needed, and many are basking in the resounding victory of history’s most disruptive politician, President Donald J. Trump.

As promised, his new administration is moving quickly, disrupting on several fronts: national security, energy, trade, justice, immigration, and perhaps most importantly with Elon Musk’s effort to eliminate government waste and fraud, and protect our money. After all, the government has no money – it’s all our money, taxpayers’ money!

In health care, important changes in the status quo have also begun, first with Elon Musk’s much needed DOGE, streamlining tens of thousands of Department of Health and Human Services (HHS) bureaucrats while exposing massive fraud and waste in programs like Medicaid.

And Secretary of HHS Bobby Kennedy has also provoked an important, new national dialogue with his “Make America Healthy Again” mantra focused on wholesome foods to achieve the goal everyone readily supports – good health for themselves and their children. And no doubt, ensuring safety of all drugs and eliminating corruption in pharma and the food industry are also crucial to health. I am a strong supporter of those ideas.

We also have two excellent appointments in health – my friends and colleagues, Marty Makary to FDA and Jay Bhattacharya to NIH. Both Marty and Jay are highly knowledgeable, have top training and expertise, and are committed to critical thinking, to legitimate science, and most importantly to free scientific debate.

But I am concerned that most are simultaneously eager to “turn the page” on the human rights violations, the censorship, the true “constitutional crisis” – no setting the record straight, no official recognition of facts, no accountability? The ultimate disruptor won, and his disruptor appointees will now be in charge – so all is well?

Silently turning the page on modern history’s most egregious societal failure would be extraordinarily harmful. Failure to issue official statements of truth by the new government health agency leaders about the pandemic management would prevent closure for the millions who lost loved ones and whose children suffered such harms. And it would completely eliminate all accountability. Remember, only public accountability will prevent recurrence, and accountability is necessary to restore trust in institutions, leadership, and among fellow citizens.

My second concern: the era of trusting experts based solely on credentials must be over. But will that backlash against the failed “expert class” usher in a different wave of false belief? We cannot forget that legitimate expertise is still legitimate; that known, solid medical science is still valid; that unfounded theories based on simple correlations are not scientifically sound.

And we do not want to inadvertently replicate the cancel culture that harmed so many, with another wave of demonizing anyone who doesn’t 100 percent support the new narratives. It’s already begun – that if you disagree with any of the incoming opinions, then you must be “bought by pharma!” Blind support is just as bad as blind opposition; critical thinking must prevail.

What reforms are needed now?

• The first step to restore trust is formal, official statements of truth on the COVID lockdowns, masks, and other pseudoscience mandates from new HHS, NIH, FDA, CDC, CMS leaders.
• We need to forbid – by law – all shutdowns and reset that the CDC and other health agencies are (only) advisory. They recommend; they give information – they don’t set laws. They don’t have the power to set mandates. And if our guaranteed freedoms are not always valid, especially during crises, then they are not guaranteed at all.
• We need to add term limits (5 years?) to all mid- and top-level health agency positions. We cannot continue the perverse incentives of career bureaucrats accruing personal power, like Anthony Fauci and Deborah Birx with their 30-plus years in government.
• All new heads of HHS, FDA, NIH, CDC, and CMS should be prohibited from post-government company board positions in health sectors they regulate for ~5 years. It’s unethical, an overt conflict-of-interest. Why hasn’t that been announced?
• We need to forbid drug royalty sharing by employees of the NIH, the FDA, and the CDC. $325 million of royalties were shared with pharma by those people over the 10 years prior to the pandemic. That’s a shocking conflict of interest.
• We should forbid all mandates forcing people to take drugs. First, the essence of all ethical medical practice is informed consent. And what kind of a “free country” requires you to inject a drug into your child or yourself? No – that’s antithetical to freedom. In public health, you give the information… you shouldn’t need to force anything legitimate, but you do need to prove the case.
• We need to require the immediate posting of discussions in all FDA, CDC, and NIH meetings. They work for us. What are they saying? We should know in real-time.
• We need accountability for all government funding. We have 15+ universities getting >$500M/year from NIH alone. The essence of research is free debate. If they’re thwarting that with intimidation, like faculty censures, why would they be entitled to U.S. taxpayers’ money?

More broadly, I and others are working on policies to ensure the free exchange of ideas – the essence of all legitimate science, the basis for the mission of education.

Ideological gatekeeping in public discourse has no place in free societies, especially in science and health.

Here’s the point – the solution to misinformation is more information. No one should be trusted to be the arbiter of truth.

Ultimately, most solutions come from individuals, and ultimately, it is individuals, not institutions, who will save freedom.

I fear we still have a disastrous void in courage in our society today.

To quote CS Lewis, “Courage is not simply one of the virtues, but the form of every virtue at the testing point.”

We cannot have a peaceful, free society if it’s filled with people who lack the courage to speak and act with certainty on Hannah Arendt’s “elementary questions of morality.”

Finally, to the young people here, never forget what GK Chesterton said:

Right is right, even if nobody does it. Wrong is wrong, even if everybody is wrong about it.

Reprinted with permission from Robert Malone.