Alberta
What My Brother’s Suicide Taught Me About Living

My brother Brett died 3,285 days ago today. 9 years. It feels like a hundred. It also feels like yesterday. But whereas others have moved on with their lives, I am one of the few left counting. Please don’t get me wrong, I am glad others have moved on. He would be glad too. But my life and how I see it has changed forever.
The morning I learned of my brother’s passing was a day I will never forget. I miss him very much and at times I am still overwhelmed with enormous grief and paralyzing sadness. All these year later when I think about him, warm tears instantly well up in my eyes and roll down my cheeks.
Typically, those feelings catch me off guard: a song, a memory, a family event like our Uncle’s 70th birthday last year where for me his absence is always felt. Or a wedding or the birth of a baby, events that bring so much joy and happiness, yet I always remember that my brother will never experience two of those life’s greatest moments.
It may not make sense to some but my most of my hardest hitting moments are at times when I am happy, not times when I am sad. I am forever left with the feeling of “I wish my brother was here.”
The last time I saw my brother is etched forever in my mind.
A surprise 43rd birthday party for me in December of 2011 filled with love and laughter. That cold, snowy evening ended as usual—a hug, a kiss on the cheek.
“I love you,” I whispered in my brother’s ear.
“I love you, too,” Brett replied to me, like a thousand times before.
That was the last time I would ever see my brother.
Nine years ago, a little after 3 a.m., on March 19, 2012, I was awoken by my husbands’ words, “Jodee, I think someone is here.” I still remember vividly the image of four black pant legs with yellow stripes on the doorstep as my husband opened the front door.
My brother had taken his own life.
The World Health Organization estimates that each year approximately 800,000 people die from suicide, which accounts for one death every 40 seconds. Some sources predict that by 2021 that will increase to one death every 20 seconds.
These deaths are our sons, daughters, moms, dads, husbands, wives, brothers, sisters, aunts, uncles, friends, neighbors, and co-workers. And in the approximately five minutes it takes you to read this article, seven people will have taken their life. Seven families, friends and loved ones will very shortly feel a pain like no other, their lives changed forever.
My brother’s death taught me so much, not about dying but about living. I try to remember to cherish life every day, to be open-minded, empathetic, and understanding, and to tell the ones I care about that I love them. I strive and am successful in not being bitter, angry and blaming as those emotions serve no purpose other than to break my spirit and keep me stuck. I work hard to remember that not everyone has the same opinion, that we all experience life and the circumstances surrounding it differently. So, I never get argumentative when others do not agree with my perspective. They have not lived my life, nor I theirs. Without realizing it, my brother and his complicated journey taught me that you never know what someone else may be going through, so I try to be kind.
Because of my brother and his absence, the beauty of life is always fresh in my mind.
It doesn’t mean that I don’t wish he was here, or that I don’t love him. It doesn’t mean I’m not feeling an underlying sense of sadness. But in his memory, I try to appreciate and enjoy life everyday.
I have made a conscious choice to celebrate how precious life is. That it is filled with so much beauty at the same time can be filled with heartache, challenges and hardship. I am blessed to live in the small town of Sylvan Lake; the water brings me joy and peace. It always has, which I believe stems from my childhood with my brother. Family vacations where we were blissfully happy and constantly in the water.
As much as I can I breathe the fresh Alberta air; I swim in the water and feel the warmth of sunshine on my face. I love the sand between my toes. Because of my brother, I remember how short life is and you can’t take any day for granted. You never know what tomorrow may bring. In fact, you never know if there will be a tomorrow at all.
Today, I celebrate the lives and memory of everyone who has lost their lives to suicide and the families that love them.
Today, my sweet brother, I celebrate the memory and love I have for you.
Jodee Prouse is a sister, wife, mom, and author of the powerful memoir, The Sun is Gone: A Sister Lost in Secrets Shame & Addiction & How I Broke Free. She is an outspoken advocate to help eliminate the shame & stigma surrounding addiction & Mental Illness. Follow her on facebook @jodeetisdaleprouse
If you or someone you know needs help, call the Canadian Suicide Prevention Service at 1-833-456-4566. If you think someone is in immediate danger, do not leave them alone, stay with them and call 911.
Alberta
Alberta takes big step towards shorter wait times and higher quality health care

From the Fraser Institute
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.
Alberta
Alberta’s embrace of activity-based funding is great news for patients

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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