Alberta
Alberta budget announces record high health spending including money for new and redeveloped hospitals
Alberta’s government is providing another year of record-high investment, with $24.5 billion in the Ministry of Health’s operating expense this year, an increase of 4.1 per cent from last year. This new funding will focus on addressing areas of priority in the Healthcare Action Plan to improve the health-care services Albertans expect and deserve. In addition, Alberta’s primary health-care system is being strengthened and modernized with a record investment of $243 million over three years.
Budget 2023 provides $3.1 billion in capital funding over three years to further build up Alberta’s valuable health-care infrastructure, an additional $529 million in capital maintenance and renewal for health facilities and a further $732 million in self-financed funding. The $3.1 billion includes funding for the redevelopment and expansion of the Red Deer Regional Hospital, increasing critical services and capacity in one of Alberta’s largest hospitals.
Additionally, $18 million over three years is for further planning for proposed health capital projects across the province, including the stand-alone Stollery Children’s Hospital in Edmonton, a north Calgary/Airdrie regional health centre, expansion of the Strathcona Community Hospital, and new or upgraded facilities in Bassano, Cardston and Whitecourt.
A total of $237 million over three years will go towards the Alberta Surgical Initiative Capital Program, with $120 million in new funding to expand and modernize operating rooms in 15 communities across the province and reduce wait times for surgeries.
The new Health Workforce Strategy will help get Albertans the care they need, when and where they need it. Budget 2023 includes $158 million in 2023-24 to retain and support, attract, grow, strengthen and evolve the health-care workforce, including physicians and nurses.
“Building a resilient and responsive health-care system that meets the needs of Albertans is essential to keeping our province healthy. This is why Budget 2023 includes another record-high health-care investment, so we can put the right health-care professionals, resources and services where they are needed most.”
Budget 2023 invests in emergency medical services (EMS) to improve ambulance response times. An increase of $196 million over three years will help hire more staff and implement recommendations from the Alberta EMS Provincial Advisory Committee. A new capital program will provide $15 million over three years to put more ambulances on the road.
As part of the initiative to improve primary health care, Alberta’s government is investing more than $2 billion in 2023-24. This includes $243 million over three years to strengthen the province’s primary care system, including implementing the recommendations from the three advisory panels of Modernizing Alberta’s Primary Health Care System (MAPS) established in fall 2022. These recommendations will inform the government’s immediate next steps and a path forward over the next five to 10 years.
“Investing in health care is not just a cost, it’s an investment in our future. By increasing critical health-care capacity, we can ensure that our health-care system is equipped to meet the needs of our citizens and provide the highest quality of care possible.”
“Over the next three years, Alberta’s government is investing $23 billion into public infrastructure through the 2023 Capital Plan. By building and revitalizing hospitals, schools, courthouses and other public facilities, we are investing in the critical infrastructure projects that Albertans need and help keep people working.”
Budget 2023 includes nearly $4.3 billion in combined operating support for community care, continuing care and home care programs, an increase of more than 15 per cent, or $570 million from the 2022-23 forecast. An investment of $1 billion over three years will support continuing care transformation that will shift care to the community, enhance workforce capacity, increase choice and innovation, and improve the quality of care within the sector. In addition, there is $310 million over three years for the Continuing Care Capital Program, which supports modernizing continuing care facilities, developing innovative small care homes, providing culturally appropriate care for Indigenous Peoples and building new spaces in priority communities having the greatest need.
Budget 2023 includes operating expense of $148 million in 2023-24 for the Ministry of Mental Health and Addiction. In addition, it supports Alberta Health Services with additional funding to reduce wait times for mental health and addiction services and address gaps in the system. Alberta spends more than $1 billion per year on mental health and addiction programs and services, excluding physician billings. Over the next three years, Alberta’s government will also invest $155 million in capital funding to continue building holistic, long-term recovery communities where Albertans will be able to access detox services, treatment medications, peer support, and help with skills and training.
“Alberta has emerged as a national leader in building out recovery-oriented systems of care for addiction and mental health. The historic investments included in Budget 2023 will help us further expand treatment and recovery services, enabling us to support more Albertans in their pursuit of recovery.”
Budget 2023 highlights
- $6.2 billion budgeted in 2023-24, increasing to more than $6.4 billion by 2025-26 for physician compensation and development programs.
- More than $250 million over four years (beginning in 2022-23) for recruitment and retention programs under the agreement with the Alberta Medical Association so more Albertans can access family doctors, and to provide more support to help physicians keep their clinics open and running.
- More than $2 billion per year for Drugs and Supplemental Health benefit programs. The Seniors Drug program budget is the largest component of this suite of programs, with $693 million budgeted in 2023-24, supporting more than 700,000 seniors.
- More than $2 billion in 2023-24 to support primary care in Alberta, including payments to family doctors.
- $125 million over three years as an initial investment, providing funding for early opportunities to improve primary care identified through the Modernizing Alberta’s Primary Health Care Systems (MAPS) initiative.
Budget 2023 secures Alberta’s bright future by transforming the health-care system to meet people’s needs, supporting Albertans with the high cost of living, keeping our communities safe and driving the economy with more jobs, quality education and continued diversification.
Canada’s wealth is based on its success as a trading nation. Canada is blessed with immense resources spread across a vast country. It has succeeded as a small, open economy with an enviable standard of living that has been able to provide what the world needs.
Canada has been stuck in a situation where it cannot complete nation‑building projects like the Canadian Pacific Railway that was completed in 1885, or the Trans Canada Highway that was completed in the 1960s. With the uncertainty of U.S. tariffs looming over our country and province, Canada needs to take bold action to revitalize the productivity and competitiveness of its economy – going east to west and not always relying on north-south trade. There’s no better time than right now to politically de-risk these projects.
A lack of leadership from the federal government has led to the following:
- Inadequate federal funding for trade infrastructure.
- A lack of investment is stifling the infrastructure capacity we need to diversify our exports. This is despite federally commissioned reports like the 2022 report by the National Supply Chain Task Force indicating the investment need will be trillions over the next 50 years.
- Federal red tape, like the Impact Assessment Act.
- Burdensome regulation has added major costs and significant delays to projects, like the Roberts Bank Terminal 2 project, a proposed container facility at Vancouver, which spent more than a decade under federal review.
- Opaque funding programs, like the National Trade Corridors Fund (NTCF).
- Which offers a pattern of unclear criteria for decisions and lack of response. This program has not funded any provincial highway projects in Alberta, despite the many applications put forward by the Government of Alberta. In fact, we’ve gone nearly 3 years without decisions on some project applications.
- Ineffective policies that limit economic activity.
- Measures that pit environmental and economic objectives in stark opposition to one another instead of seeking innovative win-win solutions hinder Canada’s overall productivity and investment climate. One example is the moratorium on shipping crude through northern B.C. waters, which effectively ended Enbridge’s Northern Gateway proposal and has limited Alberta’s ability to ship its oil to Asian markets.
In a federal leadership vacuum, Alberta has worked to advance economic corridors across Canada. In April 2023, Alberta, Saskatchewan and Manitoba signed an agreement to collaborate on joint infrastructure networks meant to boost trade and economic growth across the Prairies. Alberta also signed a similar economic corridor agreement with the Northwest Territories in July 2024. Additionally, Alberta would like to see an agreement among all 7 western provinces and territories, and eventually the entire country, to collaborate on economic corridors.
Through our collaboration with neighbouring jurisdictions, we will spur the development of economic corridors by reducing regulatory delays and attracting investment. We recognize the importance of working with Indigenous communities on the development of major infrastructure projects, which will be key to our success in these endeavours.
However, provinces and territories cannot do this alone. The federal government must play its part to advance our country’s economic corridors that we need from coast to coast to coast to support our economic future. It is time for immediate action.
Alberta recommends the federal government take the following steps to strengthen Canada’s economic corridors and supply chains by:
- Creating an Economic Corridor Agency to identify and maintain economic corridors across provincial boundaries, with meaningful consultation with both Indigenous groups and industry.
- Increasing federal funding for trade-enabling infrastructure, such as roads, rail, ports, in-land ports, airports and more.
- Streamlining regulations regarding trade-related infrastructure and interprovincial trade, especially within economic corridors. This would include repealing or amending the Impact Assessment Act and other legislation to remove the uncertainty and ensure regulatory provisions are proportionate to the specific risk of the project.
- Adjusting the policy levers that that support productivity and competitiveness. This would include revisiting how the federal government supports airports, especially in the less-populated regions of Canada.
To move forward expeditiously on the items above, I propose the establishment of a federal/provincial/territorial working group. This working group would be tasked with creating a common position on addressing the economic threats facing Canada, and the need for mitigating trade and trade-enabling infrastructure. The group should identify appropriate governance to ensure these items are presented in a timely fashion by relative priority and urgency.
Alberta will continue to be proactive and tackle trade issues within its own jurisdiction. From collaborative memorandums of understanding with the Prairies and the North, to reducing interprovincial trade barriers, to fostering innovative partnerships with Indigenous groups, Alberta is working within its jurisdiction, much like its provincial and territorial colleagues.
We ask the federal government to join us in a new approach to infrastructure development that ensures Canada is productive and competitive for generations to come and generates the wealth that ensures our quality of life is second to none.
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Devin Dreeshen
Devin Dreeshen was sworn in as Minister of Transportation and Economic Corridors on October 24, 2022.
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