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Alberta

Albertans endure some of the longest health-care waits in Canada

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From the Fraser Institute

By Mackenzie Moir and Tegan Hill

Alberta’s long wait times come despite high levels of health-care spending. The province ranked second-highest on health-care spending per person (adjusted for age and sex) among provinces in 2021

Last week, the president of the Alberta Medical Association sounded the alarm about Alberta hospital wait times, saying they’re as “as bad as we’ve seen it in 25 years.”

But in fact, it’s worse than that.

According to a new study, in Alberta the median wait in 2023 between a family doctor’s referral for a specialist appointment and receipt of treatment was 33.5 weeks—that’s the longest total median wait outside the Maritime provinces and almost six weeks longer than the national median wait (27.7 weeks). And Albertans now wait 23 weeks longer than they did in 1993 when the wait for care was only 10.5 weeks.

Alberta’s long wait times come despite high levels of health-care spending. The province ranked second-highest on health-care spending per person (adjusted for age and sex) among provinces in 2021, the latest year of available data. In 2023/24, health-care spending will consume a projected 41.2 per cent of Alberta’s program spending.

Moreover, Canada itself is a relatively high spender among universal health-care countries, yet ranks poorly on the availability of hospital beds, doctors and key diagnostic technologies such as MRIs. In other words, Alberta is a comparatively high spender and poor performer in an already high spending and poorly performing country.

Of course, there are serious consequences from lengthy delays for medically necessary care including ongoing pain, worsening of health outcomes and psychological distress. Unfortunately for Albertans, the median wait for treatment after seeing a specialist was almost two months longer than what doctors in the province consider reasonable.

The unreasonableness of these waits also varied significantly depending on the specialty. For example, after seeing a specialist, Albertans who needed an orthopedic procedure, which includes knee replacements and spinal surgeries, could expect to wait 40.1 weeks for care—more than 28 weeks longer than what physicians deemed reasonable that year. For those needing care for ears, nose and throat, the wait for treatment was 13 weeks beyond what’s considered appropriate.

Regardless of the specialty, waiting for treatment has become the defining issue for health care in Alberta. And these waits have been increasing since at least the early ’90s. The president of the Alberta Medical Association is right to sound the alarm, but the province’s health-care system has been struggling for years. Albertans obviously deserve better than this, but without a fundamental departure from the status quo they’re unlikely to see any long-term relief from the unreasonable waits they endure for routine care.

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Alberta

Alberta government announces review of Trudeau’s euthanasia regime

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From LifeSiteNews

By Anthony Murdoch

The Conservative provincial government of Alberta is pushing back against the Canadian federal government’s continued desire to expand euthanasia in the nation, saying it will launch a review of the legislation and policies surrounding the grim practice, including a period of public engagement. 

The United Conservative Party (UCP) government under Premier Danielle Smith in a press release said the province needs to make sure that robust safeguards and procedures are in place to protect vulnerable people from being coerced into getting euthanatized under the MAiD (Medical Assistance in Dying) program.

“Alberta’s government is reviewing how MAID is regulated to ensure there is a consistent process as well as oversight that protects vulnerable Albertans, specifically those living with disabilities or suffering from mental health challenges,” said the government Monday.  

The government said a online survey regarding MAiD open to all Albertans who have opinions about the deadly practice will be available until December 20.  

“We recognize that medical assistance in dying is a very complex and often personal issue and is an important, sensitive and emotional matter for patients and their families,” said Alberta’s Minister of Justice and Attorney General Mickey Amery. 

Amery said it is important to ensure this process has the “necessary supports to protect the most vulnerable.” 

The government said that it will also be engaging with academics, medical associations, public bodies, as well as religious organizations and “regulatory bodies, advocacy groups” regarding MAiD  

The government said all information gathered through this consultation will “help inform the Alberta government’s planning and policy decision making, including potential legislative changes regarding MAID in Alberta.” 

When it comes to MAiD, Prime Minister Justin Trudeau’s Liberal government sought to expand it from the chronically and terminally ill to those suffering solely from mental illness. 

Alberta’s Minister of Mental Health and Addiction Dan Williams said that the UCP government has been “clear” that it does not “support the provision of medically assisted suicide for vulnerable Albertans facing mental illness as their primary purpose for seeking their own death.” 

“Instead, our goal is to build a continuum of care where vulnerable Albertans can live in long-term health and fulfilment. We look forward to the feedback of Albertans as we proceed with this important issue,” he noted.  

The Alberta government said that as MAiD is “federally legislated and regulated” it is main job will be to try and make sure that it protects “vulnerable individuals” as much as possible. 

Alberta’s Minister of Health Adriana LaGrange reaffirmed that the Alberta government “does not support expanding MAID eligibility to include those facing depression or mental illness and continues to call on the federal government to end this policy altogether.” 

The number of Canadians killed by lethal injection under the nation’s MAiD program since 2016 stands at close to 65,000, with an estimated 16,000 deaths in 2023 alone. Many fear that because the official statistics are manipulated the number may be even higher.

To combat Canadians being coerced into MAiD, which LifeSiteNews has covered, the combat pro-life Delta Hospice Society (DHS) is offering a free “Do Not Euthanize Defense Kit” to help vulnerable people “protect themselves” from any healthcare workers who might push euthanasia on the defenseless. 

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Alberta

Early Success: 33 Nurse Practitioners already working independently across Alberta

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Nurse practitioners expand primary care access

The Alberta government’s Nurse Practitioner Primary Care program is showing early signs of success, with 33 nurse practitioners already practising independently in communities across the province.

Alberta’s government is committed to strengthening Alberta’s primary health care system, recognizing that innovative approaches are essential to improving access. To further this commitment, the Nurse Practitioner Primary Care Program was launched in April, allowing nurse practitioners to practise comprehensive patient care autonomously, either by operating their own practices or working independently within existing primary care settings.

Since being announced, the program has garnered a promising response. A total of 67 applications have been submitted, with 56 approved. Of those, 33 nurse practitioners are now practising autonomously in communities throughout Alberta, including in rural locations such as Beaverlodge, Coaldale, Cold Lake, Consort, Morley, Picture Butte, Three Hills, Two Hills, Vegreville and Vermilion.

“I am thrilled about the interest in this program, as nurse practitioners are a key part of the solution to provide Albertans with greater access to the primary health care services they need.”

Adriana LaGrange, Minister of Health

To participate in the program, nurse practitioners are required to commit to providing a set number of hours of medically necessary primary care services, maintain a panel size of at least 900 patients, offer after-hours access on weekends, evenings or holidays, and accept walk-in appointments until a panel size reaches 900 patients.

With 33 nurse practitioners practising independently, about 30,000 more Albertans will have access to the primary health care they need. Once the remaining 23 approved applicants begin practising, primary health care access will expand to almost 21,000 more Albertans.

“Enabling nurse practitioners to practise independently is great news for rural Alberta. This is one more way our government is ensuring communities will have access to the care they need, closer to home.”

Martin Long, parliamentary secretary for rural health

“Nurse practitioners are highly skilled health care professionals and an invaluable part of our health care system. The Nurse Practitioner Primary Care Program is the right step to ensuring all Albertans can receive care where and when they need it.”

Chelsae Petrovic, parliamentary secretary for health workforce engagement

“The NPAA wishes to thank the Alberta government for recognizing the vital role NPs play in the health care system. Nurse practitioners have long advocated to operate their own practices and are ready to meet the growing health care needs of Albertans. This initiative will ensure that more people receive the timely and comprehensive care they deserve.”

Jennifer Mador, president, Nurse Practitioner Association of Alberta

The Nurse Practitioner Primary Care program not only expands access to primary care services across the province but also enables nurse practitioners to practise to their full scope, providing another vital access point for Albertans to receive timely, high-quality care when and where they need it most.

Quick facts

  • Through the Nurse Practitioner Primary Care Program, nurse practitioners receive about 80 per cent of the compensation that fee-for-service family physicians earn for providing comprehensive primary care.
    • Compensation for nurse practitioners is determined based on panel size (the number of patients under their care) and the number of patient care hours provided.
  • Nurse practitioners have completed graduate studies and are regulated by the College of Registered Nurses of Alberta.
  • For the second consecutive year, a record number of registrants renewed their permits with the College of Registered Nurses of Alberta (CRNA) to continue practising nursing in Alberta.
    • There were more than 44,798 registrants and a 15 per cent increase in nurse practitioners.
  • Data from the Nurse Practitioner Primary Care Program show:
    • Nine applicants plan to work on First Nations reserves or Metis Settlements.
    • Parts of the province where nurse practitioners are practising: Calgary (12), Edmonton (five), central (six), north (three) and south (seven).
  • Participating nurse practitioners who practise in eligible communities for the Rural, Remote and Northern Program will be provided funding as an incentive to practise in rural or remote areas.
  • Participating nurse practitioners are also eligible for the Panel Management Support Program, which helps offset costs for physicians and nurse practitioners to provide comprehensive care as their patient panels grow.

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