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Alberta

Health Care Update: Province will deliver health services regionally in seven “health corridors”

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Ensuring a successfully refocused health system

Alberta’s government continues to make progress refocusing the health care system to ensure all Albertans get the care they need.

Under Alberta’s refocused health care system, four fully integrated provincial health agencies are being created to oversee the priority sectors of primary care, acute care, continuing care, and mental health and addiction. Two of the provincial health agencies, Recovery Alberta and Primary Care Alberta, have been established with input from more than 30,000 health care professionals and Albertans.

Additionally, it was recently announced that Minister of Seniors, Community and Social Services Jason Nixon would become the sector minister for the new continuing care provincial health agency. He has now taken on this role and will oversee continuing care as the government works toward standing up the new continuing care agency.

“Refocusing the health care system is a complex process that needs to be done right. We’re committed to taking the time necessary to develop a better health care system for Albertans and the front-line workers who work tirelessly every day to serve their patients.”

Adriana LaGrange, Minister of Health

Acute Care Alberta transition

Acute Care Alberta

Acute care, which includes hospitals, emergency services and surgery care, is a significant part of the health care system, providing critical care to Albertans when they need it most. Alberta’s new acute care provincial health agency, Acute Care Alberta, will become a legal entity in early 2025 and begin operating in spring 2025. As work continues, Alberta’s government is committed to ensuring there are no interruptions to patient care while keeping front-line workers and all Albertans informed and supported.

The new acute care provincial health agency will work directly with service providers to speed up access to high-quality care, reduce wait times and ensure a patient’s journey through the acute care system is efficient and effective.

To support the standing up of Acute Care Alberta, the Acute Care Provincial Health Agency Executive Transition Team has been established. The team includes executive members from Alberta Health and an external special adviser, Dr. Chris Eagle. As a former CEO of Alberta Health Services, Dr. Eagle brings extensive experience in the delivery of acute care services in the province. He will provide valuable insight and expertise that will support the transition of Alberta Health Services from a health authority to a service delivery provider.

Throughout this work, Albertans will continue to access acute care services as they always have, and there will be no impact to front-line health care workers and their continued dedication to delivering health care to Albertans.

Primary Care Alberta now operational

Primary Care Alberta

As of Nov. 18, Primary Care Alberta is a legal entity under the leadership of Kim Simmonds, whose first task is to support the transition of operations by setting the agency’s vision and mission, implementing policies and processes, and developing plans. Simmonds and her leadership team will work closely with existing primary care teams at Alberta Health Services to establish the new agency.

“Every Albertan deserves to have a long-term, trusted connection with a family doctor or health care team. We are ready to work to ensure all Albertans have a primary health care home.”

Kim Simmonds, chief executive officer, Primary Care Alberta

Primary Care Alberta will coordinate and deliver primary health care services across the province, so all Albertans and their families are supported in their day-to-day health needs while avoiding visiting the emergency department and reducing pressures on acute care services.

Integrated approach to health system planning

As part of the refocusing work, Alberta’s government is also taking a new, regional approach to health system planning through seven integrated health corridors.

As a regional grouping within a health care system, a health corridor is designed to reflect how Albertans use health care services in the province based on factors such as travel patterns, access points and local population needs. The corridors consider data related to where Albertans access services and facilities, as well as feedback received during health care refocusing public engagement sessions.

As a result, these corridors will enable an evidence-based approach to planning that will inform decisions about services, workforce and infrastructure across the four new provincial health agencies. This new approach will connect care pathways and support seamless patient journeys throughout the health care system.

“New health care corridors present many opportunities within Alberta’s health care system. Further regionalization of services, in addition to a focus on rural needs and representation, will be essential to ensuring our communities get access to the care they need.”

Kara Westerlund, president, Rural Municipalities of Alberta

Health corridors will ensure Alberta’s government will be better able to determine current gaps in the health care system and inform investments in those areas, including operational dollars and funding for capital projects. Getting a better regional understanding of how the health care system is being used will ensure decision-making processes reflect the changing needs of Albertans.

Upcoming engagement opportunities

Alberta’s government remains committed to maintaining open lines of communication with Albertans as it stands up the new provincial health agencies that will form the backbone of Alberta’s refocused health care system.

The input, experiences and feedback Alberta’s government is gathering are helping to create a more effective and efficient health care system that meets the needs of Albertans today and for generations to come.

All Albertans are invited to participate in upcoming telephone town halls with Health Minister Adriana LaGrange to discuss the ongoing work to refocus the health system. Town halls will take place on:

  • Nov. 19, from 7:30 a.m. to 9 a.m.
  • Nov. 27, from 6:30 p.m. to 8 p.m.
  • Nov. 28, from 7:30 a.m. to 9 a.m.

Albertans can register to participate online.

In addition to telephone town halls, Albertans can provide feedback on the refocused health care system online until Dec. 5.

A second round of in-person public engagement is planned for winter/spring 2025 to share information and receive feedback about refocusing work. Those interested in keeping up to date on the health system refocusing work and new engagement opportunities can sign up for an e-newsletter.

Quick facts

  • Legislative amendments have been implemented to support the transition to the new health care system.
  • To support health service delivery, Alberta Health Services divided the province into five zones: Calgary, Edmonton, south, north and central. The new integrated health system plan will include seven regional health corridors:
    • North-West
    • North-East
    • Edmonton
    • Central
    • Calgary
    • South-West
    • South-East

Related information

Alberta

Free Alberta Strategy trying to force Trudeau to release the pension calculation

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Just over a year ago, Alberta Finance Minister Nate Horner unveiled a report exploring the potential risks and benefits of an Alberta Pension Plan.

The report, prepared by pension analytics firm LifeWorks – formerly known as Morneau Shepell, the same firm once headed by former federal Finance Minister Bill Morneau – used the exit formula outlined in the Canada Pension Plan Act to determine that if the province exits, it would be entitled to a large share of CPP assets.

According to LifeWorks, Alberta’s younger, predominantly working-class population, combined with higher-than-average income levels, has resulted in the province contributing disproportionately to the CPP.

The analysis pegged Alberta’s share of the CPP account at $334 billion – 53% of the CPP’s total asset pool.

We’ve explained a few times how, while that number might initially sound farfetched, once you understand that Alberta has contributed more than it’s taken out, almost every single year CPP has existed, while other provinces have consistently taken out more than they put in and technically *owe* money, it starts to make more sense.

But, predictably, the usual suspects were outraged.

Media commentators and policy analysts across the country were quick to dismiss the possibility that Alberta could claim such a significant portion. To them, the idea that Alberta workers had been subsidizing the CPP for decades seemed unthinkable.

The uproar prompted an emergency meeting of Canada’s Finance Ministers, led by now-former federal Finance Minister Chrystia Freeland. Alberta pressed for clarity, with Horner requesting a definitive number from the federal government.

Freeland agreed to have the federal Chief Actuary provide an official calculation.

If you think Trudeau should release the pension calculation, click here.

Four months later, the Chief Actuary announced the formation of a panel to “interpret” the CPP’s asset transfer formula – a formula that remains contentious and could drastically impact Alberta’s entitlement.

(Readers will remember that how this formula is interpreted has been the matter of much debate, and could have a significant impact on the amount Alberta is entitled to.)

Once the panel completed its work, the Chief Actuary promised to deliver Alberta’s calculated share by the fall. With December 20th marking the last day of fall, Alberta has finally received a response – but not the one it was waiting for:

“We received their interpretation of the legislation, but it did not contain a number or even a formula for calculating a number,” said Justin Brattinga, Horner’s press secretary.

In other words, the Chief Actuary did the complete opposite of what they were supposed to do.

The Chief Actuary’s job is to calculate each province’s entitlement, based on the formula outlined in the CPP Act.

It is not the Chief Actuary’s job to start making up new interpretations of the formula to suit the federal government’s agenda.

In fact, the idea that the Chief Actuary spent all this time working on the issue, and didn’t even calculate a number is preposterous.

There’s just no way that that’s what happened.

Far more likely is that the Chief Actuary did run the numbers, using the formula in the CPP Act, only for them – and the federal government – to realize that Alberta’s LifeWorks calculation is actually about right.

Cue panic, a rushed attempt to “reinterpret” the formula, and a refusal to provide the number they committed to providing.

In short, we simply don’t believe that the Chief Actuary didn’t, you know, “actuarialize” anything.

For decades, Alberta has contributed disproportionately to the CPP, given its higher incomes and younger population.

Despite all the bluster in the media, this is actually common sense.

A calculation reflecting this reality would not sit well with other provinces, which have benefited from these contributions.

By withholding the actual number, Ottawa confirms the validity of Alberta’s position.

The refusal to release the calculation only adds fuel to the financial firestorm already underway in Ottawa.

Albertans deserve to know the truth about their contributions and entitlements.

We want to see that number.

If you agree, and want to see the federal government’s calculation on what Alberta is owed, sign our petition – Tell Trudeau To Release The Pension Calculation:

Once you’ve signed, send this petition to your friends, family, and all Albertans.

Thank you for your support!

Regards,

The Free Alberta Strategy Team

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Alberta

Ford and Trudeau are playing checkers. Trump and Smith are playing chess

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By Dan McTeague

 

Ford’s calls for national unity – “We need to stand united as Canadians!” – in context feels like an endorsement of fellow Electric Vehicle fanatic Trudeau. And you do wonder if that issue has something to do with it. After all, the two have worked together to pump billions in taxpayer dollars into the EV industry.

There’s no doubt about it: Donald Trump’s threat of a blanket 25% tariff on Canadian goods (to be established if the Canadian government fails to take sufficient action to combat drug trafficking and illegal crossings over our southern border) would be catastrophic for our nation’s economy. More than $3 billion in goods move between the U.S. and Canada on a daily basis. If enacted, the Trump tariff would likely result in a full-blown recession.

It falls upon Canada’s leaders to prevent that from happening. That’s why Justin Trudeau flew to Florida two weeks ago to point out to the president-elect that the trade relationship between our countries is mutually beneficial.

This is true, but Trudeau isn’t the best person to make that case to Trump, since he has been trashing the once and future president, and his supporters, both in public and private, for years. He did so again at an appearance just the other day, in which he implied that American voters were sexist for once again failing to elect the nation’s first female president, and said that Trump’s election amounted to an assault on women’s rights.

Consequently, the meeting with Trump didn’t go well.

But Trudeau isn’t Canada’s only politician, and in recent days we’ve seen some contrasting approaches to this serious matter from our provincial leaders.

First up was Doug Ford, who followed up a phone call with Trudeau earlier this week by saying that Canadians have to prepare for a trade war. “Folks, this is coming, it’s not ‘if,’ it is — it’s coming… and we need to be prepared.”

Ford said that he’s working with Liberal Finance Minister Chrystia Freeland to put together a retaliatory tariff list. Spokesmen for his government floated the idea of banning the LCBO from buying American alcohol, and restricting the export of critical minerals needed for electric vehicle batteries (I’m sure Trump is terrified about that last one).

But Ford’s most dramatic threat was his announcement that Ontario is prepared to shut down energy exports to the U.S., specifically to Michigan, New York, Wisconsin, and Minnesota, if Trump follows through with his plan. “We’re sending a message to the U.S. You come and attack Ontario, you attack the livelihoods of Ontario and Canadians, we’re going to use every tool in our toolbox to defend Ontarians and Canadians across the border,” Ford said.

Now, unfortunately, all of this chest-thumping rings hollow. Ontario does almost $500 billion per year in trade with the U.S., and the province’s supply chains are highly integrated with America’s. The idea of just cutting off the power, as if you could just flip a switch, is actually impossible. It’s a bluff, and Trump has already called him on it. When told about Ford’s threat by a reporter this week, Trump replied “That’s okay if he does that. That’s fine.”

And Ford’s calls for national unity – “We need to stand united as Canadians!” – in context feels like an endorsement of fellow Electric Vehicle fanatic Trudeau. And you do wonder if that issue has something to do with it. After all, the two have worked together to pump billions in taxpayer dollars into the EV industry. Just over the past year Ford and Trudeau have been seen side by side announcing their $5 billion commitment to Honda, or their $28.2 billion in subsidies for new Stellantis and Volkswagen electric vehicle battery plants.

Their assumption was that the U.S. would be a major market for Canadian EVs. Remember that “vehicles are the second largest Canadian export by value, at $51 billion in 2023 of which 93% was exported to the U.S.,”according to the Canadian Vehicle Manufacturers Association, and “Auto is Ontario’s top export at 28.9% of all exports (2023).”

But Trump ran on abolishing the Biden administration’s de facto EV mandate. Now that he’s back in the White House, the market for those EVs that Trudeau and Ford invested in so heavily is going to be much softer. Perhaps they’d like to be able to blame Trump’s tariffs for the coming downturn rather than their own misjudgment.

In any event, Ford’s tactic stands in stark contrast to the response from Alberta, Canada’s true energy superpower. Premier Danielle Smith made it clear that her province “will not support cutting off our Alberta energy exports to the U.S., nor will we support a tariff war with our largest trading partner and closest ally.”

Smith spoke about this topic at length at an event announcing a new $29-million border patrol team charged with combatting drug trafficking, at which said that Trudeau’s criticisms of the president-elect were, “not helpful.” Her deputy premier Mike Ellis was quoted as saying, “The concerns that president-elect Trump has expressed regarding fentanyl are, quite frankly, the same concerns that I and the premier have had.” Smith and Ellis also criticized Ottawa’s progressively lenient approach to drug crimes.

(For what it’s worth, a recent Léger poll found that “Just 29 per cent of [Canadians] believe Trump’s concerns about illegal immigration and drug trafficking from Canada to the U.S. are unwarranted.” Perhaps that’s why some recent polls have found that Trudeau is currently less popular in Canada than Trump at the moment.)

Smith said that Trudeau’s criticisms of the president-elect were, “not helpful.” And on X/Twitter she said, “Now is the time to… reach out to our friends and allies in the U.S. to remind them just how much Americans and Canadians mutually benefit from our trade relationship – and what we can do to grow that partnership further,” adding, “Tariffs just hurt Americans and Canadians on both sides of the border. Let’s make sure they don’t happen.”

This is exactly the right approach. Smith knows there is a lot at stake in this fight, and is not willing to step into the ring in a fight that Canada simply can’t win, and will cause a great deal of hardship for all involved along the way.

While Trudeau indulges in virtue signaling and Ford in sabre rattling, Danielle Smith is engaging in true statesmanship. That’s something that is in short supply in our country these days.

As I’ve written before, Trump is playing chess while Justin Trudeau and Doug Ford are playing checkers. They should take note of Smith’s strategy. Honey will attract more than vinegar, and if the long history of our two countries tell us anything, it’s that diplomacy is more effective than idle threats.

Dan McTeague is President of Canadians for Affordable Energy.

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