Alberta
Construction of Cancer Centre in Calgary on budget and on time

From the Province of Alberta
Calgary Cancer Centre creates jobs in Calgary
The Calgary Cancer Centre is creating more than 8,770 well-paying construction and construction-related jobs in the Calgary region.
This project is one of the largest job creators in Alberta and a key part of Alberta’s Recovery Plan to build and create jobs. Construction continues to be on budget and on time despite the challenges of the COVID-19 pandemic.
“Thank you to the construction workers who have closely followed COVID-19 guidelines to keep everyone safe, job sites open and this important project on schedule. These efforts will help get Albertans back to work and this much-needed project finished, delivering world-class cancer treatment for Calgarians.”
“The ongoing construction progress at the Calgary Cancer Centre means this 127,000 square metre facility will open to patients in 2023 to provide top-quality cancer care in a healing space. Thanks to all the workers for their hard work and adherence to public health guidelines.”
“The project is an enormous collaborative effort. More than 1,300 people are currently working on-site, including plumbers, electricians, drywallers, elevator installers, painters and inspectors. Dozens of Calgarians work off-site as well, including design consultants, suppliers, and those manufacturing millwork and doorframes and fabricating panels. We’re exceptionally proud of the progress so far.”
Project facts
- $1.42 billion project
- Average of 1,300 workers on-site per day
- Four million hours of accumulated on-site work (as of Aug. 31)
- Project construction – began in late 2017 and is expected to be completed in late 2022
- Operational commissioning (preparing for opening) – 2023
- Ready for clinical use 2023 (anticipated)
Infrastructure projects like the Calgary Cancer Centre are an integral part of the government’s economic recovery strategy to get Albertans back to work.
Alberta’s Recovery Plan is a bold, ambitious long-term strategy to build, diversify, and create tens of thousands of jobs now. By building schools, roads and other core infrastructure we are benefiting our communities. By diversifying our economy and attracting investment with Canada’s most competitive tax environment, we are putting Alberta on a path for a generation of growth.
Quick facts
- This project is part of the more than $10 billion infrastructure spending announced as part of Alberta’s Recovery Plan.
- This spending includes:
- $6.9 billion Budget 2020 capital spending
- $980 million accelerated for Capital Maintenance and Renewal
- $200 million for Strategic Transportation Infrastructure Program and water infrastructure projects
- $600 million in strategic infrastructure projects,
- $500 million in municipal infrastructure
- $1.5 billion for Keystone XL.
Alberta
Alberta takes big step towards shorter wait times and higher quality health care

From the Fraser Institute
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.
Alberta
Alberta’s embrace of activity-based funding is great news for patients

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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