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Alberta

Pastor James Coates to be released from jail as Crown withdraws charges

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This post is from a news release by the Justice Centre

EDMONTON: The Justice Centre today announced that Crown Prosecutors have agreed to withdraw all but one of the Public Health Act offences that Pastor James Coates has been charged with. The Justice Centre expects Pastor Coates will be released from jail in the coming days, without any conditions, pending his May 3-5 trial in Provincial Court.

The Justice Centre will defend Pastor Coates on one remaining charge of violating an Order of the Chief Medical Officer of Health by challenging the lawfulness of the public health order that he is charged with violating.

The Pastor of Grace Life Church near Edmonton has been incarcerated in the Edmonton Remand Centre for a month, since February 16. It is expected that Pastor Coates could be released from jail as early as Friday, March 19.

Grace Life is a church of nearly 400 congregants who have exercised their Charter rights and freedoms normally since July of 2020, including their freedoms of assembly, association, expression, religion and conscience. Not one congregant has been lost to Covid, but, sadly, a congregant was lost to the Alberta Government lockdown in the first week of February when he died prematurely because he couldn’t get the cancer treatment he needed due to government lockdown restrictions.

Pastor Coates and Grace Life Church are represented by the Justice Centre in respect of tickets and court summons. The Pastor and his church have been taken to court by Alberta Health Services (AHS) and ordered to close by AHS for holding regular church services and refusing to turn congregants away.

The Justice Centre sent a letter to Premier Jason Kenney on February 17, 2021, challenging him to assume responsibility for protecting the Charter rights and freedoms of Albertans, and to cease allowing an unelected health official, Dr. Deena Hinshaw, to violate rights and freedoms with health orders that are not reviewed by, or approved by, the elected Members of the Legislative Assembly.

Pastor Coates has been jailed in the Edmonton Remand Centre since February 16, after he refused to sign a bail condition that required him to effectively promise to stop exercising his Charter freedoms of conscience, religion, expression, association and peaceful assembly.

On Sunday, February 7, after the morning worship service, two RCMP officers met with Pastor Coates and a few others in his office at the Church and told Pastor Coates that he was under arrest.

The officers imposed a condition on the Pastor that he only hold church if he followed all the public health restrictions, such as permitting only 15% of his congregants to attend a Sunday morning worship service. Pastor Coates explained to the officers that he could not agree to abide by Charter-violating public health orders that prevent him from fulfilling his duty as a minister to lead his congregation in worship. As Pastor Coates did not agree to the condition imposed on him, RCMP should have taken him before a Justice of the Peace, but they did not and, instead, left the church.

Pastor Coates again held church on Sunday February 14. On Monday, February 15, the RCMP asked Pastor Coates to attend at the RCMP station. When Pastor Coates arrived, the RCMP charged him with multiple Public Health Act offences and a criminal offence related to the bail condition imposed on February 7.

A bail hearing took place on Tuesday, February 16. Crown Prosecutor Karen Thorsrud asked the court to keep Pastor Coates in jail until he could appear for trial. A Justice of the Peace ordered Pastor Coates released on bail on the condition that he only hold church if he followed all the public health restrictions. Pastor Coates could not, in good conscience, agree to such a Charterrights-violating condition of release and was therefore detained at the Edmonton Remand Centre.

Crown prosecutors have now agreed that Pastor Coates can be released without conditions and will withdraw all but one of the Public Health Act charges against him. Prosecutors have also agreed to withdraw the criminal charge in connection with the condition imposed by RCMP on February 7, and instead have charged Pastor Coates $100 for breaching the condition, which Pastor Coates has agreed to pay.

The single charge remaining has not been withdrawn, as the Justice Centre and Pastor Coates want the matter heard at trial, to determine the constitutionality of the public health order that churches only hold worship services at 15% capacity, and to compel the government to produce scientific evidence that might support these violations of Charter freedoms. The trial is scheduled to take place beginning on May 3, 2021.

“The condition that Pastor Coates effectively stop doing his job as a pastor by adhering to unscientific and unconstitutional public health restrictions should never have been imposed on him by the RCMP, or by the Court. We are hopeful that he will finally be released from jail without conditions, and can resume pastoring Grace Life church,” states Justice Centre president John Carpay.

“We look forward appearing in court in May and demanding the government provide evidence that public health restrictions that violate the freedoms of religion, peaceful assembly, expression and association are scientific and are justifiable in a free and democratic country,” concludes Carpay.

After 15 years as a TV reporter with Global and CBC and as news director of RDTV in Red Deer, Duane set out on his own 2008 as a visual storyteller. During this period, he became fascinated with a burgeoning online world and how it could better serve local communities. This fascination led to Todayville, launched in 2016.

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Alberta

Province introducing “Patient-Focused Funding Model” to fund acute care in Alberta

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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.”

Danielle Smith, Premier

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.”

Adriana LaGrange, Minister of Health

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.”

Dr. Chris Eagle, interim president and CEO, Acute Care Alberta

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.”

Andre Tremblay, interim president and CEO, AHS

“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.”

Patrick Dumelie, CEO, Covenant Health

“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.”

Dr. Glen Sumner, clinical associate professor, University of Calgary

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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Alberta

Is Canada’s Federation Fair?

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The Audit David Clinton

Contrasting the principle of equalization with the execution

Quebec – as an example – happens to be sitting on its own significant untapped oil and gas reserves. Those potential opportunities include the Utica Shale formation, the Anticosti Island basin, and the Gaspé Peninsula (along with some offshore potential in the Gulf of St. Lawrence).

So Quebec is effectively being paid billions of dollars a year to not exploit their natural resources. That places their ostensibly principled stand against energy resource exploitation in a very different light.

You’ll need to search long and hard to find a Canadian unwilling to help those less fortunate. And, so long as we identify as members of one nation¹, that feeling stretches from coast to coast.

So the basic principle of Canada’s equalization payments – where poorer provinces receive billions of dollars in special federal payments – is easy to understand. But as you can imagine, it’s not easy to apply the principle in a way that’s fair, and the current methodology has arguably lead to a very strange set of incentives.

According to Department of Finance Canada, eligibility for payments is determined based on your province’s fiscal capacity. Fiscal capacity is a measure of the taxes (income, business, property, and consumption) that a province could raise (based on national average rates) along with revenues from natural resources. The idea, I suppose, is that you’re creating a realistic proxy for a province’s higher personal earnings and consumption and, with greater natural resources revenues, a reduced need to increase income tax rates.

But the devil is in the details, and I think there are some questions worth asking:

  • Whichever way you measure fiscal capacity there’ll be both winners and losers, so who gets to decide?
  • Should a province that effectively funds more than its “share” get proportionately greater representation for national policy² – or at least not see its policy preferences consistently overruled by its beneficiary provinces?

The problem, of course, is that the decisions that defined equalization were – because of long-standing political conditions – dominated by the region that ended up receiving the most. Had the formula been the best one possible, there would have been little room to complain. But was it?

For example, attaching so much weight to natural resource revenues is just one of many possible approaches – and far from the most obvious. Consider how the profits from natural resources already mostly show up in higher income and corporate tax revenues (including income tax paid by provincial government workers employed by energy-related ministries)?

And who said that such calculations had to be population-based, which clearly benefits Quebec (nine million residents vs around $5 billion in resource income) over Newfoundland (545,000 people vs $1.6 billion) or Alberta (4.2 million people vs $19 billion). While Alberta’s average market income is 20 percent or so higher than Quebec’s, Quebec’s is quite a bit higher than Newfoundland’s. So why should Newfoundland receive only minimal equalization payments?

To illustrate all that, here’s the most recent payment breakdown when measured per-capita:

Equalization 2025-26 – Government of Canada

For clarification, the latest per-capita payments to poorer provinces ranged from $3,936 to PEI, $1,553 to Quebec, and $36 to Ontario. Only Saskatchewan, Alberta, and BC received nothing.

And here’s how the total equalization payments (in millions of dollars) have played out over the past decade:

Is energy wealth the right differentiating factor because it’s there through simple dumb luck, morally compelling the fortunate provinces to share their fortune? That would be a really difficult argument to make. For one thing because Quebec – as an example – happens to be sitting on its own significant untapped oil and gas reserves. Those potential opportunities include the Utica Shale formation, the Anticosti Island basin, and the Gaspé Peninsula (along with some offshore potential in the Gulf of St. Lawrence).

So Quebec is effectively being paid billions of dollars a year to not exploit their natural resources. That places their ostensibly principled stand against energy resource exploitation in a very different light. Perhaps that stand is correct or perhaps it isn’t. But it’s a stand they probably couldn’t have afforded to take had the equalization calculation been different.

Of course, no formula could possibly please everyone, but punishing the losers with ongoing attacks on the very source of their contributions is guaranteed to inspire resentment. And that could lead to very dark places.

Note: I know this post sounds like it came from a grumpy Albertan. But I assure you that I’ve never even visited the province, instead spending most of my life in Ontario.

1

Which has admittedly been challenging since the former primer minister infamously described us as a post-national state without an identity.

2

This isn’t nearly as crazy as it sounds. After all, there are already formal mechanisms through which Indigenous communities get more than a one-person-one-vote voice.

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