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Alberta

Front-line paramedics will soon have access to Connect Care

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Expanding Connect Care access for paramedics

Alberta’s government is committed to making sure front-line health care workers have the tools necessary to deliver the highest quality of care, especially in emergencies where every second counts. By improving access to critical patient information, this initiative will strengthen the efficiency and quality of emergency care for all Albertans.

Starting Jan. 30, paramedics providing front-line care will have view-only access to Connect Care. They will be able to look up the most up-to-date health information, including medication lists, lab results, electrocardiograms and medical imaging. Allowing paramedics to view patient records on site will empower them to make informed clinical decisions and improve patient outcomes during critical moments.

“The introduction of Connect Care view-only access is a crucial advancement for our emergency medical services. This initiative reflects our commitment to equipping our paramedics with the necessary tools to deliver timely and informed care, ensuring the safety and well-being of Albertans in their most vulnerable moments.”

Adriana LaGrange, Minister of Health

From June to August 2024, Alberta Health Services (AHS) piloted Connect Care view-only access with fixed-wing air ambulance paramedics stationed in Calgary and Medicine Hat. The pilot assessed the training, access and use of Connect Care, with paramedics providing positive feedback. The trial demonstrated improvements in clinical decision-making and patient safety, leading to the decision for a provincewide rollout.

“Paramedics have a multitude of abilities that make them a valuable part of the health care system. Having swift access to additional tools/data will notably assist them in providing enhanced care to all Albertans.”

Len Stelmaschuk, president, Alberta Paramedic Association

Connect Care operates with rigorous oversight, including a 24-hour Smart Audit system, which flags any unusual activities for immediate review by the AHS privacy breach team. Comprehensive training and support will be provided to ensure a smooth transition, including user guides and other resources to help paramedics access the system.

“Paramedics are highly skilled health professionals who deliver exceptional care, relying both on their clinical expertise and information gathered from patients and bystanders. The expansion of Connect Care view-only access represents a transformative advancement in emergency medical services, enhancing their ability to deliver even higher levels of care.”

Anne MacDonald, acting senior program officer, EMS, Alberta Health Services

Alberta’s government recognizes the essential role a fully integrated clinical documentation system plays in promoting collaboration among health care providers. This expansion of Connect Care access is a significant step forward in ensuring paramedics have timely access to patient health information when it’s most crucial for Albertans.

Quick facts

  • Connect Care view-only access will be provided to both AHS emergency medical services paramedics as well as contract service providers delivering front-line care.

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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Alberta

Big win for Alberta and Canada: Statement from Premier Smith

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Premier Danielle Smith issued the following statement on the April 2, 2025 U.S. tariff announcement:

“Today was an important win for Canada and Alberta, as it appears the United States has decided to uphold the majority of the free trade agreement (CUSMA) between our two nations. It also appears this will continue to be the case until after the Canadian federal election has concluded and the newly elected Canadian government is able to renegotiate CUSMA with the U.S. administration.

“This is precisely what I have been advocating for from the U.S. administration for months.

“It means that the majority of goods sold into the United States from Canada will have no tariffs applied to them, including zero per cent tariffs on energy, minerals, agricultural products, uranium, seafood, potash and host of other Canadian goods.

“There is still work to be done, of course. Unfortunately, tariffs previously announced by the United States on Canadian automobiles, steel and aluminum have not been removed. The efforts of premiers and the federal government should therefore shift towards removing or significantly reducing these remaining tariffs as we go forward and ensuring affected workers across Canada are generously supported until the situation is resolved.

“I again call on all involved in our national advocacy efforts to focus on diplomacy and persuasion while avoiding unnecessary escalation. Clearly, this strategy has been the most effective to this point.

“As it appears the worst of this tariff dispute is behind us (though there is still work to be done), it is my sincere hope that we, as Canadians, can abandon the disastrous policies that have made Canada vulnerable to and overly dependent on the United States, fast-track national resource corridors, get out of the way of provincial resource development and turn our country into an independent economic juggernaut and energy superpower.”

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