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Alberta

The Government of Alberta’s Report on Their COVID-19 Pandemic Response: Bryam Bridle

Published

3 months ago

7 minute read

From COVID Chronicles

By Dr. Byram W. Bridle 
@viralimmunologist
Dr. Bridle is an Associate Professor of Viral Immunology in the Department of Pathobiology at the University of Guelph.

It confirms big problems with public health and provides a roadmap for how to do it right the next time around; let justice and healing begin.

The Government of Alberta has released a report following an investigation into the province’s response to the declaration of the COVID-19 pandemic.

The announcement can be found in this X post from, Eric Bouchard, a member of Alberta’s legislative assembly.

The report itself can be found here.

This is a report that is well-worth reading from beginning to end. The government identified numerous major problems with the handling of the pandemic response by Alberta Health Services. It is important to note that the current government in Alberta is not responsible for how the province responded to COVID-19. That responsibility falls upon the shoulders of the previous government. Thankfully, the current government is interested in knowing the truth, the whole truth and nothing but the truth. They also believe in being transparent with the public that they serve.

One of my biggest concerns from the report is identified in the opening letter where it states, “Our quest for answers was impeded by barriers, including reluctance from key stakeholders to engage with the Task Force’s mandate“. Shame on those involved with developing and implementing COVID-19 policies that failed to cooperate with officials from a sitting government that launched this investigation for the wellbeing of the public. The lack of transparency from whomever these key stakeholders are is unacceptable.

What I appreciate most about the report is that it is constructively critical, providing a path forward, that includes refocusing the mandate of public health services back onto the public as the primary clientele, as opposed to acting in the service of pharmaceutical companies. It serves as a blueprint to guide future responses. The path forward is based largely on traditional best practices that were established by truly following the science and forged in the successful management of historical outbreaks. It is highly reminiscent of the national pandemic response plans that existed in 2020; the ones that were supposed to be implemented for COVID-19 but that were thrown out within days of the pandemic being declared.

I can’t help but wonder how many lives could have been saved, how many hospitalizations could have been prevented, and how much healthier our population and current economies would be if this far more appropriate, science-based plan would have been implemented back in 2020.

This report from the Government of Alberta provides a precedent for the world as overwhelming numbers of people wake up and realize the need for massive reforms within public health.

Further, the report validates many of the concerns that a lot of people had about the response to COVID-19. The totality of evidence highlights how egregious it was to have vilified critical thinkers who simply wanted to engage in robust discussions out of genuine concerns for others and not fall victim to propaganda. Firing people who didn’t want to be coerced into having experimental medical interventions and debatable policies thrust upon them, de-licensing and disciplining independent-thinking health care professionals, and censoring experts under the nefarious disguise of ‘combating misinformation’ and ‘fact checking’; THEY WERE ALL EGREGIOUS WRONGS.

There should be fallout from a damning report like this. The gross mismanagement of COVID-19 has created a huge hot mess. The path forward starts with acknowledging this. Then we need to plot a course to navigate through this mess and thoroughly clean it up. These are essential if there is ever to be healing for all those that were victimized by power brokers that blindly followed propaganda and bought into the hatred and divisive tactics that were passionately modelled by the prime minister on down.

Building on this report, I am honoured to have been invited to speak at an upcoming event in Alberta. It is An Injection of Truth: Healing Humanity.

My talk will dovetail with this report from the Government of Alberta. The event is going to focus on the four pillars of healing. My presentation will start with ripping off the scab and exposing lies from public health agencies that contributed to a myriad of problems within the pandemic response. It will transition into providing some practical recommendations with respect to where we go from here.

Please consider posting your thoughts about this report in the comments section. Do you agree with aspects? Disagree with others? Were criticisms too light or too harsh? Were key issues missed? What do you think about the ideas for moving forward? This is opportunity to provide feedback. You have a sitting government that is showing a willingness to listen to all parties and perspectives. I will share feedback with the Members of the Legislative Assembly that I will be meeting in Alberta on March 3rd.

COVID Chronicles is a reader-supported publication.

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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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