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Alberta

Clear Answers Required

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5 minute read

Clear Answers Required

Of all the discouraging messages inundating the worldwide sports arena these days, it’s entirely likely that the most lamentable — about Canadian football, at least —  was issued this week by Alberta Golden Bears head coach Chris Morris. “The CFL’s probably not going to have a season,” he said.

Other qualified observers have said similar things, quite often, but Morris’s words carried a little extra weight because they were also tied directly to the long- and short-term future of young athletes who normally would be chomping at the bit for this season, or the next one, to get under way.
His comments came quickly when he was asked about the surprising decision by USports decision-makers to solidify their stand against allowing 25-year-old players to compete if and when there is a 2021 season in national university football. No explanation has been made by this same group when asked why the regulation caused by COVID-19 will apply only to gridders and not to those who play volleyball, basketball or any other sport at that level, but the favoured.status of these younger competitors is better to be discussed at another time and in another space.
The bar that has been placed against the planning, commitment and potential professional development of Golden Bears, Calgary Dinos and similar athletes on campuses across the nation must be discussed promptly.
Essential in the Morris words was his reference to about 300 athletes who will have their careers ended immediately, along with more than 1,000 others who almost surely will have their planned university careers shortened by at least one year.
Severe budget realities are almost a clear declaration certain that some universities will be forced to erase programs due to the coronavirus pandemic. When and if such a decision is required, some players would of course have no team to join (or rejoin) for the anticipated 2021 season.
Morris has pointed out that the anti-25-year-old was devised to prevent abuse of rules that vary between Canada’s university leagues, including the powerful Canada West that links rivals and allies from Manitoba to British Columbia.
His last formal act as president of the Canadian University Football Coaches Association was to sign an open letter under the CUFCA banner which “strongly denounces the ruling.”
Another unfortunate message was delivered to members of the Edmonton Huskies Alumni Society by veteran administrator Mike Eurchuk, who attended a scheduled meeting of Prairie Football Conference officials. One of the major issues, yet again, was the difficulty of practicing at this highly-combative junior level when only 50 individuals are allowed on the field at one time.
“Not 50 players,” Eurchuk pointed out. “Fifty individuals, coaches, trainers, equipment people.”
As part of an “action plan” required by concerned government officials, “showers would be a definite no-no.” Assuming equipment could be kept in satisfactory anti-COVID condition, “we still can’t get on the field and actually knock heads with another team” because the 50-person limit would be seriously exceeded.
Two other major issues exist, said Eurchuk: transportation and different provincial rules: “only 22 riders can be permitted on a team bus — “To take our normal contingent, we would need four buses to transport us anyplace; (in addition), “Saskatchewan and Manitoba health departments probably wouldn’t allow (Edmonton Huskies, Edmonton Wildcats, Calgary Colts) to play in their provinces.”
At one point, the WFC now admits, consideration was given to seven- or nine-man football. This plan has been nixed.
At this point, key league meetings are scheduled for the first week in August. The possibility of a Canadian Bowl for the national junior crown will be debated in September. A modified season (perhaps six games) could be started, hypothetically, in mid-October.
In his lengthy note, Eurchuk found an apt summary of the entire situation: “At this point, there is no certainty on anything.” It seems certain that Golden Bears coach Martin and others throughout Canadian football, could be comfortable saying exactly the same thing.

Alberta

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

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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

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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.

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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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