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Alberta

New deal sees Alberta aggressively recruiting resident physicians from across Canada

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Competitive compensation for resident physicians

A new compensation agreement for resident physicians has been reached, which will help to retain and recruit more physicians throughout Alberta.

Alberta’s government, in partnership with Alberta Health Services (AHS), the University of Alberta, University of Calgary and the Professional Association of Resident Physicians of Alberta has reached a four-year agreement that provides competitive and fair-market compensation for physicians in training.

The negotiated agreement provides wage increases of three per cent in each of the first two years, and two per cent in each of the last two years. It also includes market adjustments that put Alberta on par with other western Canadian medical schools.

Ensuring resident physicians receive competitive, fair-market compensation while they train and provide services across the province will help stabilize and strengthen acute health care today while bringing medical students and ultimately more physicians to the province to support the province’s future health needs.

“Alberta’s government is grateful for all the hard work resident physicians put in as they complete their training. We are pleased to see that a new agreement has been reached and look forward to more physicians calling Alberta home.”

Adriana LaGrange, Minister of Health

“We are extremely grateful to all of our resident physicians, who play a vital role in caring for Albertans and supporting our front-line physicians and health care teams. This agreement will help us recruit medical students and encourage them to practise in this province.”

Athana Mentzelopoulos, president and CEO, AHS

Rural and Remote Family Medicine Resident Physician Bursary Pilot Program

The agreement builds on actions Alberta’s government is taking to make the province a more attractive place for medical students and resident physicians to study and practise. On Oct. 3, Alberta’s government announced measures to improve health care in rural and remote communities through the new Rural and Remote Family Medicine Resident Physician Bursary Pilot Program. The bursary program is part of the province’s Rural Health Action Plan.

The pilot program will provide up to $8 million annually for the next two years to medical students in their final year of an undergraduate medical program when they are matched with a family medicine residency program at the University of Alberta or University of Calgary, or to residents currently completing a family medicine residency at either university regardless of their year of study. In return, bursary recipients will commit to delivering comprehensive patient care in eligible communities for three years after completing their residency.

“With this agreement, Alberta strengthens its position as an attractive destination for resident physicians across Canada. By enhancing compensation, training and working conditions, we ensure Alberta recruits and retains the brightest medical talent to serve our communities and shape the future of health care.”

Dr. Pauwlina Cyca, president, Professional Association of Resident Physicians of Alberta (PARA)

“The University of Alberta is pleased collaborations with our partners have resulted in an agreement that reflects the critical impact resident physicians make in our health care system so all Albertans receive the care they need.”

Brenda Hemmelgarn, dean and vice-provost, College of Health Sciences, and dean, faculty of medicine & dentistry, University of Alberta

“Remuneration, respect, retention and recruitment of rural generalists are key to elevating rural hospitals to becoming rural centres of excellence. With this agreement and bursary pilot program, the Alberta government is recognizing rural health as being different, requiring separate and unique solutions for our communities that are mutually beneficial in enhancing the health of rural Albertans.”

Dr. Rithesh Ram, president, section of rural medicine, Alberta Medical Association

Quick facts

  • Resident physicians have graduated medical school but are completing post-graduate training in a residency program to obtain their licence to practise. With residency programs requiring an additional two to seven years of post-graduate training, most resident physicians spend more than 10 years training to become fully licensed physicians and surgeons.
  • The Professional Association of Resident Physicians of Alberta represents more than 1,660 resident physicians in Alberta.
  • The current agreement between AHS, the University of Alberta, University of Calgary and the association ended on June 30, 2024.
  • The resident physician agreement is funded by Alberta Health through a grant to AHS and the universities.

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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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