Alberta
Premier Danielle Smith says federal EV mandate doesn’t work for Albertans

Federal electric vehicle mandate: Premier SmithPremier Danielle Smith issued this response to the federal zero-emission vehicle mandate: “Alberta’s government supports reducing emissions from the transportation sector and supporting Albertans who wish to drive lower-emissions vehicles. However, these efforts must be led by and support consumers and businesses, and the federal government has no legal or moral authority to tell Albertans what vehicles they can and cannot buy. “Alberta has already purchased and is working with municipalities and industry to explore the use of hydrogen-powered vehicles in our provincial transportation fleet and evaluating options to increase hydrogen fuelling stations across Alberta. We’re funding pilots that are testing long-range hydrogen trucks for industry and buses in major cities. We’re working with the same partners to improve access to EV charging stations. The federal government should rein back its failed command economy tactics and work with us on a consumer-based market approach that is achievable and doesn’t hurt people. “And yet, in another show of total disregard for the well-being of Canadians, the federal government has unilaterally imposed an unconstitutional edict with a bizarrely impossible timeline that will result in massive increases in the cost of vehicles and utility bills, vehicle rationing and wait lists, increased costs to businesses and elevated difficulty and safety risk for hundreds of thousands of Albertans and Canadians just trying to get to work and family activities in our unpredictable, and often cold, climate. “The sheer hypocrisy of this announcement is astounding. To date, the federal government’s EV approach has been a disaster. The independent federal commissioner of the environment and sustainable development found Ottawa is failing to meet its current target of making 80 per cent of the federal government’s fleet vehicles net zero by 2030. The federal commissioner found that if progress continues at the current rate, the federal government will reach only one per cent of its target by 2030. Not only are there not enough electric vehicle chargers, Ottawa doesn’t even know where EV chargers are needed. The federal government will fail to hit its target even where it has complete discretion, and yet it plans to mandate similar targets on consumers throughout all of Canada. “Although it seems rather obvious to say, emissions targets and regulations must be realistic, achievable, and cannot result in multiple severe harms to millions of Canadians. A federal government that can’t transition its own fleet to EVs should not be telling Albertans and Canadians to do what even it is unable to do. “It’s also deeply concerning that Ottawa is trying to force increased demands on the electricity grid while simultaneously weakening Alberta’s and other provinces’ grids through their federal electricity regulations. Our electric grids are not equipped to handle the massive demand surge that a forced full-scale transition to EVs would need to accommodate the delusional timelines in Ottawa’s regulations, and the federal government has not provided remotely enough financial assistance to assist provincial grids to meet this mandated electricity demand. “Further, these new regulations will result in a shortage and rationing of traditional vehicles starting in 2026 and even earlier, as millions of consumers in need of combustion engine vehicles, especially those living in smaller municipalities that commute long distances, will be unable to power or afford an EV but also won’t be able to find an appropriate vehicle to drive in their circumstances. Apparently, the federal government doesn’t understand that freezing with their families in -30 C on the side of a rural road is not an option for Albertans. “There is a way to encourage Canadians to drive more EVs, hydrogen-powered cars and other low-emission vehicles. Instead of telling Canadians how to spend their money and lining up for the right to purchase what they need, the federal government should focus on helping provinces develop infrastructure and advance technologies that are more suitable to Canada’s long distances and cold weather. “Canadians deserve more than destructive virtue-signalling regulations and unachievable targets. Unfortunately, this federal government continues to show that it is all rhetoric and no substance. This approach does not serve Canadians and it won’t protect the environment. “The Government of Alberta will do everything within its legal jurisdiction to thwart implementation of these unconstitutional regulations in our province.” |
Alberta
Alberta takes big step towards shorter wait times and higher quality health care

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.
Alberta
Alberta’s embrace of activity-based funding is great news for patients

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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