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Massive funding boosts kick off Alberta’s transition to fully comprehensive care

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Dr. Paul Parks, president, Alberta Medical Association

Canada signs more than $1 billion bilateral agreement with Alberta to improve health care over three years

This investment will increase access to a primary health provider, reduce wait times for mental health services, and provide greater access to health data.

Canadians want and deserve a health care system that provides timely access to health services whenever and wherever they are needed. That is why the Government of Canada is investing over $200 billion over 10 years, which includes $25 billion for tailored bilateral agreements with provinces and territories, to support the Working Together to Improve Health Care for Canadians plan.

Today, the Honourable Mark Holland, Canada’s Minister of Health, and the Honourable Adriana LaGrange, Alberta Minister of Health, announced a bilateral agreement to invest $1.06 billion over the next three years, marking a crucial step in a 10-year plan for collaboration. This includes $285 million per year in new funding by the Government of Canada and continuing $70 million per year in previously-announced mental health and substance use funding, which will help accelerate efforts already underway in Alberta to improve health care access and services.

Through this federal funding, Alberta has a three year action plan to deliver improvements to its health care system by 2026, including:

  • Increasing access to primary care providers for Albertans and reducing emergency department visits that could have been addressed by a family medicine office. This will be achieved by expanding team-based care and enhancing virtual care, and increasing the number of appointments available to patients.
  • Funding community providers to increase diagnostic imaging capacity in the province, reducing wait times for CT scans and MRIs.
  • Improving patient care by enhancing Albertans’ ability to access digital health services and their own health information by implementing e-referral services and accelerating the secure exchange of data across the health system.
  • Expanding integrated services for youth mental health services in the province through school-based and community day programs, and offering more supports for youth with complex needs as they transition into adult services.
  • Reducing median wait times for community mental health and substance use services by establishing new and improving existing treatment spaces, along with prioritizing culturally appropriate Indigenous community supports.
  • Ensuring that First Nations and Métis people have access to high-quality, culturally safe care that meets their unique health needs. This will be achieved through dedicated funding for initiatives to enhance access to primary care in Indigenous communities, and funding for communities to develop health workforce capacity and infrastructure to improve the collection and use of health information and data.
  • Improving access to health care for underserved Albertans, including through expanded community pilots that bring testing services to rural, remote and Indigenous communities, advancing French-language health services, and greater clinical care for women.

Progress on these initiatives and broader commitments will be measured against targets which Alberta will publicly report on annually.

Through this new agreement, Alberta will improve how health information is collected, shared, used and reported to Canadians; streamline foreign credential recognition for internationally educated health professionals; facilitate the mobility of key health professionals within Canada; and fulfill shared responsibilities to uphold the Canada Health Act to protect Canadians’ access to health care that is based on need, not the ability to pay.

Recognizing the significant disparities in Indigenous health outcomes, the Government of Canada and the Government of Alberta also commit to meaningfully engage and work together with Indigenous partners to support improved access to quality and culturally appropriate health care services. Alberta’s action plan is informed by continued engagement with its Indigenous partners and recent discussions involving the federal government. All orders of government will approach health decisions in their respective jurisdictions through a lens that promotes respect and reconciliation with Indigenous Peoples.

Alberta and the federal government will continue working together to improve access to health services and deliver tangible results to all residents across the province, including responding to the needs of Indigenous and other underserved and disadvantaged populations.

Quotes

“Our government is working together with provinces and territories to get Canadians the healthcare they need. This agreement is an important step in our collaboration with Alberta to take measurable actions to transform our health care system. The funding will help improve access to primary care and create better mental health services in Alberta. Together, we will continue working to achieve better health outcomes for all Canadians.”

The Honourable Mark Holland
Minister of Health of Canada

“Mental health is health, and through this agreement, we will be working with Alberta to integrate mental health and substance use care as a full and equal part of our universal health care system. This agreement will strengthen the capacity of family health providers, reduce substance use harms, and expand virtual care for youth to improve access to quality and timely mental health care and substance use supports. Together, we must ensure that all Canadians have access to supports and services for their mental health and well-being – when they need them, wherever they need them.”

The Honourable Ya’ara Saks
Minister of Mental Health and Addictions and Associate Minister of Health of Canada

“Alberta’s government is taking a serious look at the way health care is being delivered in our province. This is why we are refocusing our health care system to ensure Albertans have access to timely care, when and where they need it. This initial funding from the federal government is a good start and will support our shared health priorities of expanding access to primary care across the province and especially in our Indigenous communities, supporting our health care workers, improving access to quality mental health, and modernizing our health systems.”

The Honourable Adriana LaGrange
Minister of Health of Alberta

“Alberta’s government is supporting Albertans to improve their mental health and recover from the deadly disease of addiction as we build out the Alberta Recovery Model and refocus our provincial healthcare system. We are doing this by increasing access to CASA Mental Health Classrooms across the province, building more bed based mental health treatment capacity for youth, and improving access to mental health and addiction treatment services in communities. This initial funding from the federal government will offer some support to these made in Alberta initiatives as we build a better system of mental health and addiction care for Albertans.”

The Honourable Dan Williams
Minister of Mental Health and Addiction of Alberta

Quick facts

  • The Working Together investment includes $25 billion for tailored bilateral agreements with provinces and territories, a guaranteed 5% Canada Health Transfer (CHT) increase for the next five years—amounting to $17.5 billion—and a one time CHT $2 billion top-up to address urgent needs of emergency rooms and paediatric hospitals delivered in June 2023. Combined, these investments provide provinces and territories the flexibility to address the unique needs of their populations and geography, and accelerate health care system improvements.
  • Budget 2023 outlined the Government of Canada’s plan to invest over $200 billion over 10 years, including $46.2 billion in new funding for provinces and territories, to improve health care for Canadians. Within this funding, $25 billion is allocated through tailored bilateral agreements to address the unique needs of their populations and geography in four shared health priorities:
    • expanding access to family health services, including in rural and remote areas;
    • supporting health workers and reducing backlogs;
    • increasing mental health and substance use support; and
    • modernizing health care systems with health data and digital tools.
  • All provinces and territories are already making considerable investments to advance progress in all four of these priority areas, and the new federal funding is complementing and expanding those efforts.
  • As part of these bilateral agreements, provinces and territories are developing action plans that outline how funds will be spent and how progress will be measured to demonstrate to Canadians that improvements are occurring in Canada’s health care system. Alberta’s initial 3-year Action Plan can be found here.
  • Budget 2017 committed $11 billion over 10 years in federal funding to provinces and territories to improve access to home and community care, and mental health and addictions services for Canadians. Bilateral agreements were signed with provinces and territories to access the first six years of funding. The final four years of funding for mental health and addictions are included in the new Working Together bilateral agreements.
  • The Government is also working with provinces and territories to implement a second bilateral agreement focused on helping Canadians age with dignity close to home, with access to home care or care in a safe long-term care facility. This agreement will include the remaining $2.4 billion over four years to improve access to home and community care from Budget 2017; and the $3 billion over five years for long-term care from Budget 2021 to apply standards of care in long-term care facilities and help support workforce stability.

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From the Province of Alberta

This funding will be an essential transitional step to ensure doctors can continue to provide this care as we rapidly transition to a funding model that supports fully comprehensive care.”

Dr. Paul Parks, president, Alberta Medical Association

New funding to stabilize primary health care

Stabilization funding is coming soon as Alberta’s government continues working to improve primary health care across the province.

The government is pulling out all the stops to stabilize, strengthen and improve Alberta’s primary health care system. Additional funding of $200 million over two years will improve access to family physicians and help ensure primary health care is available for every Albertan when and where they need it.

This funding is enabled through the new Canada-Alberta Health Funding Agreement with the federal government. The agreement represents a total of approximately $1.1 billion in additional health care funding over three years for shared priorities.

“We have been clear: Albertans must be able to access the primary care they need, and family physicians are critical to that care. We are prepared to do the hard work necessary to close the gap between Albertans needing care and those who are able to provide it, and this is one more step forward. We will continue to work with the AMA and all our partners to ensure that our health care system is one Albertans can be proud of.”

Danielle Smith, Premier

Stabilization funding is an important transitional measure identified through work under the memorandum of understanding (MOU) between the minister of health and the Alberta Medical Association (AMA), signed earlier this fall. The AMA has been advocating for family physicians and rural generalists through its work under the MOU. Alberta’s government will continue to engage with the AMA as it works to develop a new, sustainable physician comprehensive care model, which will also dictate how this additional funding will be distributed.

In addition to work between the government and the AMA, the Comprehensive Care Task Force will, in the new year, provide a first draft of recommendations that will include additional short-term stabilization actions to help family doctors continue to practise comprehensive care and bridge the gap until a new physician comprehensive care model is developed.

These short-term actions will:

  • Address key issues or pressures in the system such as doctor retention, administrative burden and inflationary costs.
  • Be implemented quickly and efficiently.
  • Be transitional until the new payment model is ready.

“We are committed to securing primary health care as the foundation of the entire health care system, and family physicians are fundamental to our plan. I committed to work with the AMA to identify immediate measures to improve primary health care and this is exactly what we are doing through this funding. It will help stabilize the system as we transition to a new physician comprehensive care model, so Albertans can receive the health care they need and deserve.”

Adriana LaGrange, Minister of Health

Alberta’s government is committed to finalizing a sustainable physician comprehensive care model that will address the concerns of family physicians and rural generalists and ensure Albertans can access the care they need.

“Our doctors want to provide comprehensive, lifelong care for patients and we are encouraged to have the opportunity to work collaboratively with our provincial government. The reality is family physicians and rural generalists have truly been struggling to maintain viable practices. This funding will be an essential transitional step to ensure doctors can continue to provide this care as we rapidly transition to a funding model that supports fully comprehensive care.”

Dr. Paul Parks, president, Alberta Medical Association

Other recently announced supports for primary health care include:

  • Ongoing base compensation for primary care physicians is expected to be $1.76 billion in the current fiscal year.
  • Committing to create a primary care organization within the refocused provincial health care system to coordinate primary health care services and provide transparent provincial oversight, with the goal of ensuring every Albertan will be attached to a family physician or primary care provider.
  • Investing $57 million over three years to provide family doctors and nurse practitioners with support to help manage their increasing number of patients.
  • Investing $40 million over two years to support Primary Care Networks.
  • Investing $12 million for the Community Information Integration and Central Patient Attachment Registry, enabling doctors and their teams to share patient information from their electronic medical record to Alberta Netcare.
  • Committing to implement recommendations from the Modernizing Alberta’s Primary Health Care System initiative through a phased approach.
  • Creating a primary health care division within Alberta Health.

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Alberta

Ottawa’s oil and gas emissions cap will hit Alberta with a wallop

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From the Fraser Institute

By Kenneth P. Green

Even if Canada eliminated all its GHG emissions expected in 2030 due to the federal cap, the emission reduction would equal only four-tenths of one per cent of global emissions—a reduction unlikely to have any impact on the trajectory of the climate in any detectable manner or produce any related environmental, health or safety benefits.

After considerable waiting, the Trudeau government released on Monday draft regulations to cap greenhouse gas (GHG) emissions from Canada’s oil and gas producers.

The proposed regulations would set a cap on GHG emissions equivalent to 35 per cent of the emissions produced in 2019 and create a GHG emissions “cap and trade” system to enable oil and gas producers (who cannot reduce emissions enough to avoid the cap) to buy credits from other producers able to meet the cap. Producers unable to meet the cap will also be able to obtain emission credits (of up to 20 per cent of their needed emission reductions) by investing in decarbonization programs or by buying emission “offsets” in Canada’s carbon markets.

According to the government, the cap will “cap pollution, drive innovation, and create jobs in the oil and gas industry.” But in reality, while the cap may well cap pollution and drive some innovation, according to several recent analyses it won’t create jobs in the oil and gas industry and will in fact kill many jobs.

For example, the Conference Board of Canada think-tank estimates that the cap would reduce Canada’s GDP by up to $1 trillion between 2030 and 2040, kill up to 151,300 jobs across Canada by 2030, and national economic growth from 2023 to 2030 would slow from 15.3 per cent to 14.3 per cent.

Not surprisingly, Alberta would be hardest hit. According to the Board, from 2023 to 2030, the province’s economic growth would fall from an estimated 17.8 per cent to 13.3 per cent and employment growth would fall from 15.8 per cent to 13.6 per cent over the same period. Alberta government revenues from the sector would decline by 4.5 per cent in 2030 compared to a scenario without the cap. As a result, Alberta government revenues would be $4.5 billion lower in nominal terms in fiscal year 2030/31. And between 54,000 to 91,500 of Canada’s job losses would occur in Alberta.

Another study by Deloitte estimates that, due to the federal cap, Alberta will see 3.6 per cent less investment, almost 70,000 fewer jobs, and a 4.5 per cent decrease in the province’s economic output (i.e. GDP) by 2040. Ontario would lose more than 15,000 jobs and $2.3 billion from its economy by 2040. And Quebec would lose more than 3,000 jobs and $0.4 billion from its economy during the same period.

Overall, according to Deloitte, Canada would experience an economic loss equivalent to 1.0 per cent of GDP, translating into lower wages, the loss of nearly 113,000 jobs and a 1.3 per cent reduction in government tax revenues. (For context, Canada’s economic growth in 2023 was only 1.1 per cent.)

And what will Canadians get for all that economic pain?

In my study published last year by the Fraser Institute, I found that, even if Canada eliminated all its GHG emissions expected in 2030 due to the federal cap, the emission reduction would equal only four-tenths of one per cent of global emissions—a reduction unlikely to have any impact on the trajectory of the climate in any detectable manner or produce any related environmental, health or safety benefits.

Clearly, the Trudeau government’s new proposed emissions cap on the oil and gas sector will impose significant harms on Canada’s economy, Canadian workers and our quality of life—and hit Alberta with a wallop. And yet, as a measure intended to avert harmful climate change, it’s purely performative (like many of the government’s other GHG regulations) and will generate too little emission reductions to have any meaningful impact on the climate.

In a world of rational policy development, where the benefits of government regulations are supposed to exceed their costs, policymakers would never consider this proposed cap. The Trudeau government will submit the plan to Parliament, and if the cap becomes law, it will await some other future government to undo the damage inflicted on Canadians and their families.

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Alberta

Edmonton public school board takes action in defiance of Alberta’s proposed pro-family policies

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From LifeSiteNews

By Clare Marie Merkowsky

The Edmonton Public School Board filed a motion against Alberta’s new policies requiring parents to opt in rather than opt out of sex-ed classes and mandating that parental permission is obtained before a student uses a different pronoun.

An Edmonton school board submitted a motion to defy Alberta’s policy requiring parental knowledge if a child goes by different pronouns at school.

On November 5, the Edmonton Public School Board filed a motion against Alberta’s new pro-family policies requiring parents to opt in rather than opt out of sex-ed classes and mandating that parental permission is obtained before a student uses a different pronoun.

“The Division’s current policy on sexual orientation, gender identity and gender expression is part of our mandate to provide a safe, welcoming and healthy school environment for students, staff and families,” the board claimed in the motion sent to the Board of Trustees.

“The policy changes being proposed by Premier Smith will contradict what our Board, and previous Boards of Trustees, have worked hard to ensure: the safety and well being of all children in Edmonton Public schools,” it continued.

The new policies, introduced last week by Alberta Premier Danielle Smith under Bill 27, will mean that sex-education classes will not be included in a child’s education, and teachers or school staff will no longer be allowed to conceal whether a student begins to use different pronouns or names.

Once Bill 27 becomes law, schools must notify parents of what is being taught at least “30 days in advance and be given the opportunity to opt in rather than opt out of this instruction.”

However, while Alberta is working to keep parents informed and children safe from the radical LGBT agenda, the Edmonton board has argued parents must be kept in the dark to prevent them from stopping their children from accepting the falsehoods of the LGBT agenda.

“For transgender youth who choose a name different from the one given at birth, use of their chosen name in multiple contexts affirms their gender identity and reduces mental health risks, which are known to be high in this group,” the board claimed.

However, significant body of evidence shows that “affirming” gender confusion carries serious harms, especially when done with impressionable children who lack the mental development, emotional maturity, and life experience to consider the long-term ramifications of the decisions being pushed on them, or full knowledge about the long-term effects of life-altering, physically transformative, and often irreversible surgical and chemical procedures.

Additionally, as LifeSiteNews previously reported, many Ontario parents revealed that public schools did not ask for parental consent before “gender transitioning” their children, resulting in child-parent relationships being destroyed.

Furthermore, many teachers struggle to keep secret from parents. A Saskatchewan teacher who wished to remain anonymous previously told LifeSiteNews that she feels guilty about keeping secrets from parents and supports the decision to keep parents informed.

“I fear that we are not supporting students or parents when we keep secrets,” she explained. “We have many students using alternate names, which sometimes changes frequently during the year, and then are asked by parents if we were aware of the changes after the fact. I feel responsible for keeping the secret and I don’t think it’s fair. I think schools are already taking on too many ‘parent roles’ and it’s important that parents play the ‘parent role’ not teachers!”

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