Alberta
Alberta government must further restrain spending to stabilize provincial finances

From the Fraser Institute
By Tegan Hill
This year, program spending will reach a projected $14,334 per Albertan, which is $1,603 more per person (inflation-adjusted) than the Smith government originally planned to spend this year as outlined in the 2022 mid-year budget update.
Despite recording a $4.3 billion surplus last year, Premier Danielle Smith remains committed to a new approach to Alberta finances that relies less heavily on resource revenue, which includes restraining spending levels below the rate of inflation and population growth. That’s a big step forward, but is it enough to stabilize Alberta’s boom and bust rollercoaster?
First, some background.
After nearly a decade and a half of routine budget deficits, Alberta swung to a budget surplus when resource revenue (which includes includes oil and gas royalties) skyrocketed from $3.1 billion in 2020/21 to $16.2 billion in 2021/22. In 2022/23, the government enjoyed the highest level of resource revenue on record and relatively high levels have continued in recent years. Correspondingly, Alberta’s surpluses have continued.
Alberta governments have a habit of increasing spending during times of high resource revenue, such as the province is currently experiencing, to levels that are unsustainable without incurring deficits when resource revenue inevitably declines. That’s why the Smith government’s commitment to spending restraint is an important one.
Unfortunately, however, due to the Smith government’s spending increases in previous years, this restraint won’t go as far in stabilizing provincial finances. Moreover, there are a number of limitations and exceptions to these new spending rules that may impede their effectiveness.
Consider that this year, program spending will reach a projected $14,334 per Albertan, which is $1,603 more per person (inflation-adjusted) than the Smith government originally planned to spend this year as outlined in the 2022 mid-year budget update.
As shown above, program spending (inflation-adjusted) will reach a projected $14,041 per person in 2025/26 and a projected $13,750 per person in 2026/27, which is equivalent to per-person increases of $1,571 and $1,538, respectively, compared to the original plan in 2022.
So while per-person (inflation-adjusted) spending is set to decline, which aligns with the Smith government’s commitment, this restraint is starting from a higher base level due to spending decisions thus far. That means more work needs to be done to rein in spending.
Indeed, for perspective, if the Smith government had simply stuck to its original plan, spending would be closely aligned with stable, more predictable sources of revenue. And ultimately, that’s the way to avoid deficits.
There’s also several limitations and exceptions for the government’s new spending rule. For example, the spending limit applies only to “operating expense,” which does not include longer-term spending, disaster and emergency assistance, spending related to dedicated revenue, or contingencies. As a result of various limits and exceptions, total program spending growth in 2023/24 exceeds inflation and population growth by 1.8 percentage points. Put simply, these limitations and exceptions add to the risk of budget deficits.
Sustainable finances have been impeded by increases in per person spending since 2022. So while the Smith government deserves credit for its commitment to restrain spending moving forward, Alberta’s fiscal challenges aren’t over.
Author:
Alberta
Medical regulator stops short of revoking license of Alberta doctor skeptic of COVID vaccine

From LifeSiteNews
The Democracy Fund has announced that COVID-skeptic Dr. Roger Hodkinson will retain his medical license after a successful appeal against allegations of ‘unprofessional conduct’ by the College of Physicians and Surgeons of Alberta.
A doctor who called for officials to be jailed for being complicit in the “big kill” caused by COVID measures will get to keep his medical license thanks to a ruling by a Canadian medical regulator.
The Democracy Fund (TDF) announced in an April 4 press release that one of its clients, Dr. Roger Hodkinson, will retain his medical license after filing an appeal with the College of Physicians and Surgeons of Alberta (CPSA) over allegations of “unprofessional conduct regarding 17 public statements made in November 2020 and April 2021.”
Hodkinson had routinely argued against the dictates of public health and elected officials and “presented an alternative perspective on COVID-19, including the efficacy of masking and vaccines,” TDF noted.
In 2021, Hodkinson and Dr. Dennis Modry publicly blasted the then-provincial government of Alberta under Premier Jason Kenney for “intimidating” people “into compliance” with COVID-19 lockdowns.
In 2022, Hodkinson said that leaders in Canada and throughout the world have perpetrated the “biggest kill ever in medicine’s history” by coercing people into taking the experimental COVID injections and subjecting them to lengthy lockdowns.
These statements, among others, led the CPSA to claim that Hodkinson had promoted inaccurate or misleading information. “However, following negotiations with lawyers for The Democracy Fund, the CPSA limited its claims to arguing that Dr. Hodkinson’s comments violated the ethical code and extended beyond the scope of a general pathologist.”
Thus, Hodkinson did not “concede that any of his statements were false,” but “acknowledged that his criticisms of other physicians technically breached the Code of Ethics and Professionalism,” the group explained. “He also admitted that he should have clarified that his views were outside the scope of a general pathologist.”
Instead of having his license revoked, TDF stated that Dr. Hodkinson received a “caution” and will have to “complete an online course on influence and advocacy.”
“However, he did not concede that any of his statements were misinformation, nor did the tribunal make such a determination,” noted lawyer Alan Honner.
While Hodkinson received a slap on the wrist, a number of Canadian doctors have faced much harsher sanctions for warning about the experimental vaccines or other COVID protocols such as lockdowns, including the revocation of their medical licenses, as was the case with Dr. Mark Trozzi and others.
Some of Hodkinson’s warnings seem to have been vindicated by the current Alberta government under Premier Danielle Smith, who commissioned Dr. Gary Davidson to investigate the previous administration’s handling of COVID-19.
Davidson’s report, which was made public earlier this year, recommended the immediately halt of the experimental jabs for healthy children and teenagers, citing the risks the shots pose.
Alberta
Province introducing “Patient-Focused Funding Model” to fund acute care in Alberta

Alberta’s government is introducing a new acute care funding model, increasing the accountability, efficiency and volume of high-quality surgical delivery.
Currently, the health care system is primarily funded by a single grant made to Alberta Health Services to deliver health care across the province. This grant has grown by $3.4 billion since 2018-19, and although Alberta performed about 20,000 more surgeries this past year than at that time, this is not good enough. Albertans deserve surgical wait times that don’t just marginally improve but meet the medically recommended wait times for every single patient.
With Acute Care Alberta now fully operational, Alberta’s government is implementing reforms to acute care funding through a patient-focused funding (PFF) model, also known as activity-based funding, which pays hospitals based on the services they provide.
“The current global budgeting model has no incentives to increase volume, no accountability and no cost predictability for taxpayers. By switching to an activity-based funding model, our health care system will have built-in incentives to increase volume with high quality, cost predictability for taxpayers and accountability for all providers. This approach will increase transparency, lower wait times and attract more surgeons – helping deliver better health care for all Albertans, when and where they need it.”
Activity-based funding is based on the number and type of patients treated and the complexity of their care, incentivizing efficiency and ensuring that funding is tied to the actual care provided to patients. This funding model improves transparency, ensuring care is delivered at the right time and place as multiple organizations begin providing health services across the province.
“Exploring innovative ways to allocate funding within our health care system will ensure that Albertans receive the care they need, when they need it most. I am excited to see how this new approach will enhance the delivery of health care in Alberta.”
Patient-focused, or activity-based, funding has been successfully implemented in Australia and many European nations, including Sweden and Norway, to address wait times and access to health care services, and is currently used in both British Columbia and Ontario in various ways.
“It is clear that we need a new approach to manage the costs of delivering health care while ensuring Albertans receive the care they expect and deserve. Patient-focused funding will bring greater accountability to how health care dollars are being spent while also providing an incentive for quality care.”
This transition is part of Acute Care Alberta’s mandate to oversee and arrange for the delivery of acute care services such as surgeries, a role that was historically performed by AHS. With Alberta’s government funding more surgeries than ever, setting a record with 304,595 surgeries completed in 2023-24 and with 310,000 surgeries expected to have been completed in 2024-25, it is crucial that funding models evolve to keep pace with the growing demand and complexity of services.
“With AHS transitioning to a hospital-based services provider, it’s time we are bold and begin to explore how to make our health care system more efficient and manage the cost of care on a per patient basis. The transition to a PFF model will align funding with patient care needs, based on actual service demand and patient needs, reflecting the communities they serve.”
“Covenant Health welcomes a patient-focused approach to acute care funding that drives efficiency, accountability and performance while delivering the highest quality of care and services for all Albertans. As a trusted acute care provider, this model better aligns funding with outcomes and supports our unwavering commitment to patients.”
“Patient-focused hospital financing ties funding to activity. Hospitals are paid for the services they deliver. Efficiency may improve and surgical wait times may decrease. Further, hospital managers may be more accountable towards hospital spending patterns. These features ensure that patients receive quality care of the highest value.”
Leadership at Alberta Health and Acute Care Alberta will review relevant research and the experience of other jurisdictions, engage stakeholders and define and customize patient-focused funding in the Alberta context. This working group will also identify and run a pilot to determine where and how this approach can best be applied and implemented this fiscal year.
Final recommendations will be provided to the minister of health later this year, with implementation of patient-focused funding for select procedures across the system in 2026.
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