Alberta
Province encouraging Alberta Doctors to see more patients by lifting daily cap
Improving Albertans’ access to doctors
To help increase patient access to physicians, there will no longer be a daily cap on the number of visits a physician can fully bill.
During the negotiations with the Alberta Medical Association (AMA), Alberta’s government heard that Alberta’s doctors could safely see more patients than the current cap allowed.
Albertans want to know that they can see a doctor when they need one, and physicians want to be able to provide Albertans with the health-care services they need. By changing the daily cap policy, some of the immediate pressures for services provided by general practitioners and specialists, including pediatricians and ophthalmologists, will be addressed. By lifting the cap, physicians will be fully compensated for every visit rather than receiving a discounted rate if they provide more than 50 visit services in one day, which is the current practice.
“We’re moving forward to implement the new agreement, starting with ending the daily visit services cap policy and working to put rate increases in place. We’ve heard from some physicians that the daily visit cap was having a negative impact on patient access, so this change addresses those concerns. It is also part of the new agreement with the AMA where we are listening to physicians and working with them as partners moving forward.”
“The AMA agreement allows physicians and government to work together on challenges facing patients and physicians in the health-care system. This early step to remove the services cap is an important example that will allow more physicians to care for more patients while helping to stabilize physician practices.”
Lump sum payment
The agreement between the AMA and the province also includes a one per cent rate increase in each of the next three years and a one per cent recognition lump sum payment in 2022-23.
Alberta physicians were at the forefront of the pandemic and the one-time payment for eligible practising physicians is in recognition of that work during the 2021-22 fiscal year. This lump sum payment is approximately $45 million and will go to the AMA to distribute to their members by the end of 2022.
In addition to the lump sum payment, the government is working with the AMA to implement the one per cent rate increase for 2022-23. The increase applies to fee-for-service and alternative relationship plan rates, providing an additional $46 million to physicians.
As outlined in the AMA agreement, the rate increase is heavily weighted to specialties facing the greatest pressures, such as family medicine. Alberta’s government and the AMA are working together to distribute these increases across and within specialties. Increases will be effective April 1, 2022, and are expected to be finalized by March 31, 2023.
Quick facts
- The daily visit services cap policy was introduced as part of the Physician Funding Framework in 2020.
- The intent of the policy was to support quality patient care by reducing physician burnout while addressing fiscal constraint for the province.
- It applies to all physician services that are defined in the Schedule of Medical Benefits (SOMB) as “visits” with a “V” category code that physicians provide to patients in person, including physician office visits, consultations and counselling services. Procedures and tests that physicians provide are not billed as visits.
- Under the current policy, physicians are compensated 100 per cent for up to 50 visit services billings in a day, 50 per cent for between 51 and 65 visit services, and there is no compensation for visit services billings greater than 66.
- Physicians working in rural and remote areas, hospital visits and virtual care are exempt from the current policy.
- The policy change (to lift the cap) aligns Alberta with most other jurisdictions.
- Alberta Health is working on updating the SOMB and billing system to operationalize this change. A Medical Bulletin and a new SOMB will be posted when information technology changes are complete.
- The daily visit services cap policy change will be reviewed and its impacts assessed before determining the future policy beyond the current fiscal year.
Alberta
Why U.S. tariffs on Canadian energy would cause damage on both sides of the border
Marathon Petroleum’s Detroit refinery in the U.S. Midwest, the largest processing area for Canadian crude imports. Photo courtesy Marathon Petroleum
From the Canadian Energy Centre
More than 450,000 kilometres of pipelines link Canada and the U.S. – enough to circle the Earth 11 times
As U.S. imports of Canadian oil barrel through another new all-time high, leaders on both sides of the border are warning of the threat to energy security should the incoming Trump administration apply tariffs on Canadian oil and gas.
“We would hope any future tariffs would exclude these critical feedstocks and refined products,” Chet Thompson, CEO of the American Fuel & Petrochemical Manufacturers (AFPM), told Politico’s E&E News.
AFPM’s members manufacture everything from gasoline to plastic, dominating a sector with nearly 500 operating refineries and petrochemical plants across the United States.
“American refiners depend on crude oil from Canada and Mexico to produce the affordable, reliable fuels consumers count on every day,” Thompson said.
The United States is now the world’s largest oil producer, but continues to require substantial imports – to the tune of more than six million barrels per day this January, according to the U.S. Energy Information Administration (EIA).
Nearly 70 per cent of that oil came from Canada.
Many U.S. refineries are set up to process “heavy” crude like what comes from Canada and not “light” crude like what basins in the United States produce.
“New tariffs on [Canadian] crude oil, natural gas, refined products, or critical input materials that cannot be sourced domestically…would directly undermine energy affordability and availability for consumers,” the American Petroleum Institute, the industry’s largest trade association, wrote in a recent letter to the United States Trade Representative.
More than 450,000 kilometres of oil and gas pipelines link Canada and the United States – enough to circle the Earth 11 times.
The scale of this vast, interconnected energy system does not exist anywhere else. It’s “a powerful card to play” in increasingly unstable times, researchers with S&P Global said last year.
Twenty-five years from now, the United States will import virtually exactly the same amount of oil as it does today (7.0 million barrels per day in 2050 compared to 6.98 million barrels per day in 2023), according to the EIA’s latest outlook.
“We are interdependent on energy. Americans cutting off Canadian energy would be like cutting off their own arm,” said Heather Exner-Pirot, a special advisor to the Business Council of Canada.
Trump’s threat to apply a 25 per cent tariff on imports from Canada, including energy, would likely “result in lower production in Canada and higher gasoline and energy costs to American consumers while threatening North American energy security,” Canadian Association of Petroleum Producers CEO Lisa Baiton said in a statement.
“We must do everything in our power to protect and preserve this energy partnership.”
Energy products are Canada’s single largest export to the United States, accounting for about a third of total Canadian exports to the U.S., energy analysts Rory Johnston and Joe Calnan noted in a November report for the Canadian Global Affairs Institute.
The impact of applying tariffs to Canadian oil would likely be spread across Canada and the United States, they wrote: higher pump prices for U.S. consumers, weaker business for U.S. refiners and reduced returns for Canadian producers.
“It is vitally important for Canada to underline that it is not just another trade partner, but rather an indispensable part of the economic and security apparatus of the United States,” Johnston and Calnan wrote.
Alberta
Trudeau’s Tariff Retaliation Plan: Alberta Says “No Thanks”
After years of neglect and exploitation, Alberta refuses to back Trudeau’s countermeasure plan against Trump’s tariffs, exposing the cracks in Canada’s so-called unity.
Let’s take a moment to appreciate Justin Trudeau’s brilliant strategy for handling Trump’s latest stunt: tariffs. Trump, in true Trump fashion, threatens to slap a 25% tariff on Canadian goods, because apparently, Canada is responsible for all of America’s problems—from border security to fentanyl. And Trudeau’s response? A $150 billion countermeasure plan that includes the possibility of crippling Alberta’s energy sector. Genius! Except one small problem: Alberta said, ‘No thanks.’
Why wasn’t Alberta there? Because Premier Danielle Smith isn’t an idiot. Trudeau’s plan includes export levies on Canadian oil, a move that would essentially tell Alberta to torch its own economy to help Trudeau look tough on Trump. Alberta exports $13.3 billion of energy to the U.S. every month, making it the lifeblood of this country’s economy. But sure, let’s just gamble that away because Trudeau needs a distraction from his sinking legacy.
But Alberta’s refusal isn’t just about this plan. It’s about years—years—of Ottawa treating Alberta like the black sheep of Confederation. Remember the Northern Gateway Pipeline? Trudeau killed it. Energy East? Dead, too. Those projects could’ve given Alberta access to global markets. Instead, Trudeau left the province landlocked, dependent on the U.S., and completely vulnerable to economic extortion like this. And now, after all that sabotage, he expects Alberta to ‘unite’ behind his plan? Please.
And don’t even get me started on Bill C-69. They call it the ‘Impact Assessment Act,’ but Albertans know it as the ‘No More Pipelines Bill.’ This masterpiece of legislation basically made it impossible to build anything that moves oil. And just to twist the knife, Trudeau slapped on a carbon tax—because nothing says ‘we care about your economy’ like making it more expensive to run it.
And then there’s Quebec. Oh, Quebec. The province that’s spent years wagging its finger at Alberta, calling its oil sands ‘dirty energy’ and blocking pipeline projects that could’ve helped the whole country. Meanwhile, Quebec gleefully cashes billions in equalization payments, heavily subsidized by Alberta’s oil wealth. That’s right—the same people who call Alberta the bad guy are more than happy to take their money. And now Trudeau wants Alberta to step up and take one for the team? Give me a break.
Danielle Smith saw this nonsense for what it is: exploitation. She flatly refused to sign onto any plan that includes export levies or energy restrictions. And you know what? Good for her. She said, ‘Federal officials are floating the idea of cutting off energy supply to the U.S. and imposing tariffs on Alberta energy. Until these threats cease, Alberta cannot support the federal government’s plan.’ Translation: Alberta is done being Ottawa’s doormat.
Let’s not forget why Alberta is even in this mess. For nine years, Trudeau’s government has treated Alberta like its personal piggy bank, siphoning billions through equalization payments while doing absolutely nothing—zero—to support its economy. When oil prices collapsed and families were struggling, what did Alberta get? Crickets. Trudeau was too busy virtue-signaling to his globalist pals to care. And now, with Trump threatening a 25% tariff that could cripple Alberta’s economy, Trudeau has the audacity to turn around and ask Alberta to make the ultimate sacrifice. You can’t make this stuff up.
And then Danielle Smith does what any rational leader would do—she heads to Mar-a-Lago to defend her province’s interests. And what does Trudeau’s cabinet do? They lose their minds, clutch their pearls, and call her ‘unpatriotic.’ Unpatriotic? Are you kidding me? This is coming from the same government that has spent nearly a decade treating Alberta like the annoying little sibling of Confederation—good enough to bankroll Quebec’s luxurious equalization payments, but not important enough to actually listen to. And now, after years of kicking Alberta to the curb, they expect Smith to roll over, play nice, and ‘work together’? Please.
Doug Ford says, ‘United we stand, divided we fall.’ Great soundbite, Doug. But unity doesn’t mean asking one province to carry the load while others reap the rewards. Quebec Premier François Legault says, ‘Nothing’s off the table.’ Of course not—Quebec isn’t paying the price. This isn’t unity; it’s a shakedown.
Here’s the reality: Alberta isn’t at the table because Ottawa hasn’t earned the right to ask them to be. You don’t treat a province like an ATM for nearly a decade and then expect them to roll over when you need a favor. Danielle Smith stood up and said, ‘Enough.’ And frankly, good for her.
So here’s the real question: how long does Ottawa think it can keep exploiting Alberta before the province decides it’s had enough? Because let me tell you, when Alberta’s done, it’s not just the energy sector that’s going to feel it—it’s the entire country.
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