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Alberta leads the country in eliminating surgery backlog

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Surgery volumes exceed pre-pandemic levels

Alberta is now exceeding 100 per cent capacity for surgical volumes and is leading the country in eliminating the COVID-19 surgical backlog.

While all provinces delayed surgeries during the pandemic, Alberta delayed fewer surgeries than other provinces. For example, in the second wave, five to 10 per cent of surgeries were delayed in Alberta compared with between 30 and 60 per cent of surgeries postponed in Ontario, British Columbia and Quebec.

“As the pandemic recedes, Alberta’s government will be pushing as hard as we can to ensure that any delayed surgeries are completed as fast as possible. Thanks to the incredible dedication of surgical teams in AHS and at chartered surgical facilities, we are getting closer and closer to that goal.”

Tyler Shandro, Minister of Health

Through its surgical recovery plan, Alberta expects to recover faster than many other provinces.

The surgical recovery plan is now integrated into the Alberta Surgical Initiative, which will provide all Albertans the surgeries they need within recommended wait times. The initiative is improving and standardizing the entire surgical system from the time patients seek advice from their family doctor, to when they are referred to a specialist, to their surgery and rehabilitation.

“By carefully reducing the number of surgeries being performed in response to the pandemic, we were able to increase capacity in our intensive care units and ensure people with COVID-19 who needed ICU care could receive it. Now, we are able to focus on our surgical recovery plan. I am so proud of our teams who continue to work hard to ensure Albertans have high-quality care.”

Dr. Verna Yiu, president and CEO, Alberta Health Services

Quick facts

  • Throughout the 2020-21 fiscal year, surgical teams were able to support surgical activity at about 92 per cent of pre-COVID levels, with more than 268,000 surgeries completed compared with approximately 290,000 in the previous fiscal year.
  • About 40,000 surgeries were delayed in Alberta over the past 16 months:
    • 25,000 surgeries were delayed in the first wave in the spring of 2020. All delayed surgeries from the first wave have been completed.
    • 5,000 surgeries were delayed in the second wave during fall 2020 and early winter 2021. Another 10,000 surgeries were delayed in the third wave beginning in April 2021.
    • 95 per cent, approximately 12,000, of these surgeries have been rebooked.
  • No emergency or urgent surgeries were delayed or postponed during the pandemic.
  • Most cancer surgeries continued during Alberta’s pandemic response.

This is a news release from the Government of Alberta.

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Alberta

Federal taxes increasing for Albertans in 2025: Report

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From the Canadian Taxpayers Federation

By Kris Sims 

The Canadian Taxpayers Federation released its annual New Year’s Tax Changes report today to highlight major tax changes in 2025.

The key provincial tax change expected for Alberta is a reduction in the income tax rate.

“The Alberta government promised to reduce our lowest income tax bracket from 10 down to eight per cent and we expect the government to keep that promise in the new year,” said Kris Sims, CTF Alberta Director. “The United Conservatives said this provincial income tax cut would save families about $1,500 each and Alberta families need that kind of tax relief right now.

“Premier Danielle Smith promised to cut taxes and Albertans expect her to deliver.”

Albertans will see several federal tax hikes coming from Ottawa in 2025.

Payroll taxes: The federal government is raising the mandatory Canada Pension Plan and Employment Insurance contributions in 2025. These payroll tax increases will cost a worker up to an additional $403 next year.

Federal payroll taxes (CPP and EI tax) will cost a worker making $81,200 or more $5,507 in 2025. Their employer will also be forced to pay $5,938.

Carbon tax: The federal carbon tax is increasing to about 21 cents per litre of gasoline, 25 cents per litre of diesel and 18 cents per cubic metre of natural gas on April 1. The carbon tax will cost the average household between $133 and $477 in 2025-26, even after the rebates, according to the Parliamentary Budget Officer.

Alcohol taxes: Federal alcohol taxes will increase by two per cent on April 1. This alcohol tax hike will cost taxpayers $40.9 million in 2025-26, according to Beer Canada.

Following Budget 2024, the federal government also increased capital gains taxes and imposed a digital services tax and an online streaming tax.

Temporary Sales Tax Holiday: The federal government announced a two month sales tax holiday on certain items like pre-made groceries, children’s clothing, drinks and snacks. The holiday will last until Feb. 15, 2025, and could save taxpayers $2.7 billion.

“In 2025, the Trudeau government will yet again take more money out of Canadians’ pockets with payroll tax hikes and will make life more expensive by raising carbon taxes and alcohol taxes,” said Franco Terrazzano, CTF Federal Director. “Prime Minister Justin Trudeau should drop his plans to take more money out of Canadians’ pockets and deliver serious tax relief.”

You can find the CTF’s New Year’s Tax Changes report HERE.

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Alberta

Fraser Institute: Time to fix health care in Alberta

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From the Fraser Institute

By Bacchus Barua and Tegan Hill

Shortly after Danielle Smith was sworn in as premier, she warned Albertans that it would “be a bit bumpy for the next 90 days” on the road to health-care reform. Now, more than two years into her premiership, the province’s health-care system remains in shambles.

According to a new report, this year patients in Alberta faced a median wait of 38.4 weeks between seeing a general practitioner and receiving medically necessary treatment. That’s more than eight weeks longer than the Canadian average (30.0 weeks) and more than triple the 10.5 weeks Albertans waited in 1993 when the Fraser Institute first published nationwide estimates.

In fact, since Premier Smith took office in 2022, wait times have actually increased 15.3 per cent.

To be fair, Premier Smith has made good on her commitment to expand collaboration with the private sector for the delivery of some public surgeries, and focused spending in critical areas such as emergency services and increased staffing. She also divided Alberta Health Services, arguing it currently operates as a monopoly and monopolies don’t face the consequences when delivering poor service.

While the impact of these reforms remain largely unknown, one thing is clear: the province requires immediate and bold health-care reforms based on proven lessons from other countries (e.g. Australia and the Netherlands) and other provinces (e.g. Saskatchewan and Quebec).

These reforms include a rapid expansion of contracts with private clinics to deliver more publicly funded services. The premier should also consider a central referral system to connect patients to physicians with the shortest wait time in their area in public or private clinics (while patients retain the right to wait longer for the physician of their choice). This could be integrated into the province’s Connect Care system for electronic patient records.

Saskatchewan did just this in the early 2010s and moved from the longest wait times in Canada to the second shortest in just four years. (Since then, wait times have crept back up with little to no expansion in the contracts with private clinics, which was so successful in the past. This highlights a key lesson for Alberta—these reforms are only a first step.)

Premier Smith should also change the way hospitals are paid to encourage more care and a more patient-focused approach. Why?

Because Alberta still generally follows an outdated approach to hospital funding where hospitals receive a pre-set budget annually. As a result, patients are seen as “costs” that eat into the hospital budget, and hospitals are not financially incentivized to treat more patients or provide more rapid access to care (in fact, doing so drains the budget more rapidly). By contrast, more successful universal health-care countries around the world pay hospitals for the services they provide. In other words, by making treatment the source of hospital revenue, hospitals provide more care more rapidly to patients and improve the quality of services overall. Quebec is already moving in this direction, with other provinces also experimenting.

The promise of a “new day” for health care in Alberta is increasingly looking like a pipe dream, but there’s still time to meaningfully improve health care for Albertans. To finally provide relief for patients and their families, Premier Smith should increase private-sector collaboration, create a central referral system, and change the way hospitals are funded.

Bacchus Barua

Director, Health Policy Studies, Fraser Institute

Tegan Hill

Director, Alberta Policy, Fraser Institute
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