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Alberta

Alberta government should finally undo tax hikes and help restore province’s advantage

Published

8 months ago

4 minute read

From the Fraser Institute

By Tegan Hill

During the election campaign, Danielle Smith promised to create a new 8 per cent tax bracket for personal income below $60,000. While the Smith government’s 2024 budget delayed this tax cut, the premier recently said a “substantial” cut is coming soon. That’s good news, but Smith shouldn’t stop at introducing a new bottom rate. It’s time to finally undo the NDP tax hikes and restore Alberta’s tax advantage.

As recently as 2014, Alberta had the lowest top combined (that is, provincial and federal) personal income tax (PIT) rate in North America. Paired with a low business income tax rate and no sales tax, Alberta had a powerful tax advantage that made the province a very attractive place to work and invest.

Back in 2015, however, the NDP government replaced Alberta’s single personal income tax rate of 10 per cent with a five-bracket system including a top marginal rate of 15 per cent.

Now Alberta has the 10th-highest combined PIT rate in North America. And crucially, we’re less competitive than key U.S. energy jurisdictions such as Texas, Wyoming, Oklahoma, Colorado, Louisiana, North Dakota and Alaska, which compete with Alberta for talent and investment.

Again, Premier Smith plans to create a new 8 per cent tax bracket for personal income below $60,000, which would be lower than the current bottom rate of 10 per cent, and save Albertans earning $60,000 or more an estimated $760 annually. That’s an important first step. However, Alberta still has the higher income tax rates introduced by the NDP—12 per cent, 13 per cent, 14 per cent and the top rate of 15 per cent.

To truly undo the NDP tax hikes, Smith should replace Alberta’s current multi-bracket PIT system with a single rate of 8 per cent, which would be the lowest provincial rate in Canada and one of the lowest top combined PIT rates in North America. The change would help restore Alberta’s tax advantage while saving approximately 2.3 million Albertans $1,573 per year (on average).

The tax change would also help boost the Albertan economy because high tax rates discourage economic growth by reducing after-tax income from work, savings, investment and entrepreneurship  while lower tax rates help attract high-skilled workers and investment, which fuels innovation, job creation and strong economic growth, and ultimately higher incomes for Albertans.

Fortunately, this tax change may be more fiscally feasible than one might think. Based on 2023/24 data from the Smith government, replacing Alberta’s multi-bracket PIT system with a single rate of 8 per cent would lead to an estimated revenue loss of $3.8 billion (or approximately 5 per cent of total provincial government revenue that year). But after factoring in the positive effects of increased work, savings and investment, the amount of revenue lost could be significantly lower.

According to Premier Smith, Alberta’s long-awaited income tax cut is on its way—and that’s good news for Albertans. But to undo the NDP tax hikes and reap the benefits of tax reductions, Smith should go further and replace the current system with a single 8 per cent rate.

Author:

Tegan Hill
Director, Alberta Policy, Fraser Institute
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Alberta

Alberta takes big step towards shorter wait times and higher quality health care

Published on April 9, 2025

By

From the Fraser Institute

By Nadeem Esmail

On Monday, the Smith government announced that beginning next year it will change the way it funds surgeries in Alberta. This is a big step towards unlocking the ability of Alberta’s health-care system to provide more, better and faster services for the same or possibly fewer dollars.

To understand the significance of this change, you must understand the consequences of the current (and outdated) approach.

Currently, the Alberta government pays a lump sum of money to hospitals each year. Consequently, hospitals perceive patients as a drain on their budgets. From the hospital’s perspective, there’s little financial incentive to serve more patients, operate more efficiently and provide superior quality services.

Consider what would happen if your local grocery store received a giant bag of money each year to feed people. The number of items would quickly decline to whatever was most convenient for the store to provide. (Have a favourite cereal? Too bad.) Store hours would become less convenient for customers, alongside a general decline in overall service. This type of grocery store, like an Alberta hospital, is actually financially better off (that is, it saves money) if you go elsewhere.

The Smith government plans to flip this entire system on its head, to the benefit of patients and taxpayers. Instead of handing out bags of money each year to providers, the new system—known as “activity-based funding”—will pay health-care providers for each patient they treat, based on the patient’s particular condition and important factors that may add complexity or cost to their care.

This turns patients from a drain on budgets into a source of additional revenue. The result, as has been demonstrated in other universal health-care systems worldwide, is more services delivered using existing health-care infrastructure, lower wait times, improved quality of care, improved access to medical technologies, and less waste.

In other words, Albertans will receive far better value from their health-care system, which is currently among the most expensive in the world. And relief can’t come soon enough—for example, last year in Alberta the median wait time for orthopedic surgeries including hip and knee replacements was 66.8 weeks.

The naysayers argue this approach will undermine the province’s universal system and hurt patients. But by allowing a spectrum of providers to compete for the delivery of quality care, Alberta will follow the lead of other more successful universal health-care systems in countries such as Australia, Germany, the Netherlands and Switzerland and create greater accountability for hospitals and other health-care providers. Taxpayers will get a much better picture of what they’re paying for and how much they pay.

Again, Alberta is not exploring an untested policy. Almost every other developed country with universal health care uses some form of “activity-based funding” for hospital and surgical care. And remember, we already spend more on health care than our counterparts in nearly all of these countries yet endure longer wait times and poorer access to services generally, in part because of how we pay for surgical care.

While the devil is always in the details, and while it’s still possible for the Alberta government to get this wrong, Monday’s announcement is a big step in the right direction. A funding model that puts patients first will get Albertans more of the high-quality health care they already pay for in a timelier fashion. And provide to other provinces an example of bold health-care reform.

Nadeem Esmail

Senior Fellow, Fraser Institute
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Alberta

Alberta’s embrace of activity-based funding is great news for patients

Published on April 9, 2025

By

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.

* * *

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.

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