Door opening for fan increase for minor-sports?

No surprise that the COVID pandemic has eliminated many high-profile sports in the last 100 days or so, and that promoters are struggling to get back to work. What may be a shock is that many officials tied to low-profile sports see an opportunity to fill the gap with events that normally receive only limited space on the back pages – if they get any media attention at all.

One of those who sees the opening, and welcomes it, is a man intimately connected with university, junior and age-class versions of his sport at all levels.

Enthusiastic comments are part of the Tim Enger personality; he played and coached this game before stepping into administration and ultimately becoming executive director of Football Alberta. It’s a big plus that he tempers his optimism with the basic understanding that the NHL, NFL, NBA, MLB and others are sure to draw the bulk of fan and media support as soon as massive problems with border access, real or feared boosts in infection totals and growing disputes between players and ownership are settled. The Canadian Football League cannot be added to this list because there has been no clear indication that any games will be played in 2020.

The timing of Enger’s comments is commendable. So is his understanding that a lot of professional supporters are reluctant to watch unknown amateurs do their thing. “We know that not every game is a thriller,” he conceded. “But most of our games provide a good level of excitement.”

Obviously, the major difficulty right now is tied to coronavirus reduction. Grid schedules will not be settled for quite awhile. “In Alberta (Step 2 of the recovery process), junior teams have permission to practice in cohorts of 50. Basically, that’s an offensive group and a defensive group. They haven’t been approved for larger numbers, so there are no full-team workouts at this point.

“We (Football Alberta) stay in contact with the health minister and Alberta Health Services,” said Enger, happy that his small staff is back at headquarters in the Percy Page Centre after two months of working almost exclusively at home. “There has been no sign of when Tier 3 will go into effect, so all we can do is wait.”

Tentative schedules have been designed. Obviously they’ll be adjusted as necessary.

He anticipates at least a partial junior schedule this season, perhaps starting in August with the Edmonton Huskies, Edmonton Wildcats and Calgary Colts filling some dates. Clashes with Saskatchewan and Manitoba teams are iffy these days because provincial rules vary on border access and possible isolation.

“There has been talk of a Manitoba-Saskatchewan connection, with a possible playoff between the two groups. We’ll have to wait and see.”

The Prairie Junior Conference outlook changes radically from high school programs,” he said. They deal with school boards, principals and the ASAA (Alberta Schools Athletic Association.) Their road to competition might be quite a bit longer than ours.”

Already, the University of Alberta decision to give the Golden Bears a year off has negatively affected provincial football. For those concerned that they may be done for good, it’s pleasant to recall what happened when athletic director Dale Schula announced the sport had been chopped in 1991. The Bears alumni stepped up to raise enough money to keep the program alive. Two years later, then-coach Tom Wilkinson – one of Canada’s leading sports heroes, in many opinions — led a drive to raise another $400,000 when tight university economics threatened a final end to Golden Bears football.

Our sports history has value

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

Published on April 9, 2025

Todayville Content Team

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

Alberta

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

Published on April 9, 2025

Todayville

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.