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Alberta

The UnDad turns family life into art

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4 minute read

Trent Wilkie has been an actor, a writer, a producer, a journalist and a wilderness guide. But the hardest job he’s ever had is being a parent.

The UnDad Podcast gives the father of two a chance to explore the highs and lows of raising tiny humans, and the bigger topic of family and how it forms us.

Sometimes he interviews someone about being a parent or what it was like to be a kid; sometimes we get a piece of his endlessly creative mind with original stories and soundscapes; and sometimes we get a window into his home life through cameos by his wife Elizabeth and his children, ages two and four.

“My biggest influence is my wife,” he says. “She sets me straight and keeps me focused.”

The UnDad was named best podcast and best family blog in last year’s Best of Edmonton survey. Here’s a bit more about the father of the show:

Q. What will people get out of listening to your podcast?

A. It is not only a parenting podcast, it is an art piece. It is more about existing than selling a product. I create, and this is one of my favourite mediums.

Q. What podcasts do you listen to and why?

A. I listen to Revisionist History, Reply All, and The Last Podcast On The Left. They are entertaining. It isn’t so much the content, but the way it is served. That is the magic spot.

Q. What is the most interesting comment you’ve received from a listener?

A. “My husband was worried about being on your podcast, but I’d like to say thank you. He answered questions that were meaningful, that respected his position in life. You offered him an outlet, that is awesome.”

Q. Do you have any unusual hobbies or talents that would surprise your listeners?

A. I have been a canoe guide for 10 years. I’ve written for the CBC, Fangoria, and countless other high-profile publications. I’ve done a lot. It has made me who I am.

Q. If you could have any guest on your podcast, who would you choose?

A. I’d like to have Stephen King or Cormac McCarthy.

Q. Write your own epitaph — what would it say?

A. ‘Tis a fearful thing to love what death can touch.

Q. What has been your favourite episode so far?

A. I like two: the interview with Gaia Willis and one titled I Love The Rain. The interview with Gaia is my bread and butter. Pure journalistic anthropology. The other is an artistic soundscape that I conceptualized on my own and brought to life.

Be sure to connect with The UnDad on Facebook, Instagram and Twitter.

Each week Todayville will introduce you to members of the Alberta Podcast Network so you can learn more about the many podcasters in Alberta. You can find The UnDad and dozens of other shows at albertapodcastnetwork.com.

About Alberta Podcast Network

The Alberta Podcast Network, powered by ATB, is on a mission to:

Help Alberta-based podcasters create podcasts of high quality and reach larger audiences;
Foster connections among Alberta-based podcasters;
Provide a powerful marketing opportunity for local businesses and organizations.

Alberta Podcast Network Ltd. is pursuing this mission with funding from ATB Financial and support from other sponsors.

Todayville is a digital media and technology company. We profile unique stories and events in our community. Register and promote your community event for free.

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Alberta

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

Published on

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

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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