Alberta
K.D. Lang one of eight Albertans to receive province’s highest honour
Eight Albertans to receive Alberta’s highest honour
October 17, 2018
Lt.-Gov. Lois Mitchell will invest the newest members of the Alberta Order of Excellence during a one-hour ceremony on Oct. 18.
The Alberta Order of Excellence is the highest honour the province offers its citizens. Since the Order was created in 1979, 165 Albertans have been invested, not including this year’s new members.
The Albertans being invested into the Order for 2018 are:
Reg Basken, Sherwood Park:
Reg Basken, Sherwood Park: Reg Basken is one of Canada’s most respected labour leaders. He is known for his collaborative negotiating style, particularly in the energy sector, and for championing medicare. He supports the community through United Way and Edmonton Community Foundation.
Rosella Bjornson, Sherwood Park
Rosella Bjornson, Sherwood Park: Capt. Rosella Bjornson is an icon in Canadian aviation. As the first female airline jet pilot, she paved the way for women in aviation and was pivotal in changing the regulations to allow pregnant pilots the right to fly.
Wayne Chiu, Calgary
Wayne Chiu, Calgary: Wayne Chiu is a successful businessman and philanthropist with a passion for social entrepreneurship. He is an advocate for affordable housing, and has supported many community organizations through the creation of the Trico Charitable Foundation.
k.d. lang, Calgary:
k.d. lang, Calgary: k.d. lang is one of Canada’s most versatile and gifted singer-songwriters, who has earned multiple Juno and Grammy awards. She is a strong advocate for many causes, including LGBTQ rights, music education and animal protection.
David Manz, Calgary: Dr. David Manz is a world-renowned expert and educator in the fields of irrigation engineering and climate change. He invented the Manz BioSand Water Filter, an affordable technology that provides safe water for millions of people around the world.
Solomon Rolingher, Edmonton
Solomon Rolingher, Edmonton: Sol Rolingher is a lawyer and community leader who is recognized for his work with the Phoenix Multi-Faith Society for Harmony and the River Valley Alliance. He has also made significant contributions to Alberta’s education and health-care sectors.
Allan Wachowich, Edmonton
Allan Wachowich, Edmonton: Allan Wachowich has made significant contributions as a lawyer, justice and active citizen. With his work in the legal profession, and the greater community, his focus has been fairness and providing equal opportunities for all members of society.
Ralph Young, Edmonton
Ralph Young, Edmonton: Ralph Young is a community builder who has a reputation for integrity, insight and inspiring others. He works tirelessly to support and enhance the community in which he lives, with a focus on education and the preservation of Canadian history.
Click here to see interviews and in-depth biographies of each inductee.
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.
Nadeem Esmail
Senior Fellow, Fraser Institute
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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