Alberta
Province freezes funds for doctors and launches process to work out a new funding formula
New physician funding framework announce
Alberta will maintain physician funding at $5.4 billion, the highest level ever, and implement its final offer to the Alberta Medical Association (AMA) to avoid $2 billion in cost overruns.
Existing terms will remain in place until March 31, 2020. A new funding framework will then be introduced, in a multi-year process that will require consultation with the AMA at all stages. The new framework will make changes proposed during negotiations to prevent cost overruns, align benefit programs and administrative fees with those of comparable provinces, and improve services for patients.
The eleven consultation proposals will also be implemented on March 31. This includes phasing in changes to complex modifiers, reducing the rate physicians can charge for this billing code to $9 from $18, for a period of one year before the code is removed in 2021-22. In summer 2020, at the direction of the Minister of Health, the Government of Alberta will also introduce a new alternative relationship plan (ARP) with built-in transition benefits to encourage physicians to move from fee-for-service to a three-year contract.
“Our province is facing cost overruns of $2 billion in the next three years due solely to physician compensation. If left unaddressed, these costs would impede efforts to reduce surgical wait times, improve mental health and addiction services, and expand the number of continuing care beds. Despite repeated efforts, the AMA failed to put forward alternatives that would hold the line on physician compensation. The new framework announced today will prevent cost overruns, allow our province to improve services for patients, and still ensure that Alberta’s doctors are amongst the highest paid physicians in all of Canada.”
Background
- The new funding framework will maintain government’s current level of spending on physicians at $5.4 billion.
- The new funding framework avoids anticipated cost overruns of $2 billion over the next three years.
- Alberta has been spending more on physician salaries than other provinces, yet most of its health outcomes are below national averages.
- A doctor in Alberta earns approximately $90,000 more than a doctor in Ontario and physicians’ fees have almost tripled since 2002.
Elements of the new funding framework
- Changes to Alberta’s complex modifier billing system. The rate physicians are able to charge for complex modifiers will be reduced to $9 from $18 for a period of one year before this billing code is removed in 2021-22. Once the new framework is fully phased in, physicians will be able to bill an additional fee after spending 25 minutes with a complex patient case. Alberta remains the only province in Canada that allows for a top-up payment for complex visits.
- Removal of the comprehensive annual care plan from the list of insured services. Currently, physicians can also bill for a similar consultation called a comprehensive annual visit. No other province in Canada compensates physicians twice for annual care consultation.
- Implementation of a new daily cap, modelled after a cap in place in British Columbia, of 65 patients per day. Large patient loads can contribute to physician burnout and may compromise patient safety and quality of care.
- Removing physician overhead subsidies from all hospital-based services. Physicians who work in AHS facilities should not be billing for overhead costs that their community physician colleagues face, such as leases, hiring staff and purchasing equipment.
- Ending of clinical payments, or stipends, by AHS to physicians. This change ends duplication of payments to contracted physicians.
Timeline
- In September 2019, government provided notice to the AMA that it intended to begin negotiations on the AMA Agreement. The notification provided time for the AMA to prepare its proposals.
- In November 2019, negotiations began with the AMA to reach a new agreement; government began consultations on 11 proposed changes to the schedule of medical benefits (SOMB, or “insured services”).
- In January 2020, negotiations and consultations proceeded with no agreement reached. Mediation, on both the negotiation and consultation proposals, began January 31 and continued into February.
- The parties were not able to reach an agreement during mediation.
- Government will implement its final offer from the negotiating table, including the 11 consultation proposals, on March 31.
Alberta
Media melts down as Danielle Smith moves to end ‘transitioning’ of children in Alberta
From LifeSiteNews
After Alberta’s Danielle Smith put forth legislation to protect kids from being gender ‘transitioned,’ the Canadian media went on a predictable melt down, citing ‘experts’ who blatantly lie to advance the LGBT agenda.
A year after announcing her intention to combat transgender ideology and protect children, Alberta Premier Danielle Smith has tabled three pieces of UCP (United Conservative Party) government legislation:
- The Education Amendment Act 2024 will require parental consent for “socially transitioning” children under the age of 16 (changing a child’s name or “preferred pronouns”). The bill also gives parents an “opt-in” option for any sexual or content at school. Smith has emphasized that the Alberta Teaching Profession Commission has the power to discipline teachers if they decide to break the law.
- The Health Statues Amendment Act 2024 will ban the use of puberty blockers and cross-sex hormones for minors, as well as prohibit sex change surgeries on minors.
- The Fairness and Safety in Sport Act will ban trans-identifying men from female sports teams.
Together, these three bills represent the most definitive pushback against gender ideology in Canada by any premier. Smith’s decision to announce her intent to pursue such legislation and then wait has turned out to be politically savvy—it has given the UCP government a good look at the LGBT response, and during that time the U.K.’s Labour government has successfully fought to maintain a similar ban in the courts and publicly rebutted many of the scare tactics used by LGBT activists.
Smith and the UCP are thus walking into this debate with eyes wide open, and are clearly certain that the public is on their side (it is) and that the legislation can survive the court challenges surely coming from LGBT activists. The policies are clearly popular with the UCP party’s base, who handed Smith a staggering 91.5% approval rating in her leadership review at UCP gathering in Red Deer last Saturday.
The party also passed 35 policy resolutions, including several that indicate the UCP’s willingness to go further in fighting transgender ideology, with resolutions that would restrict “exclusively female spaces” like bathrooms and changerooms to females and designating transgender surgeries as “elective cosmetic procedures” not funded by the taxpayer. The motions received near-unanimous support.
The Canadian press, unsurprisingly, is working hard to present policies that the vast majority of Canadians support as an attack on fundamental norms (albeit norms that only surfaced in the last few years and were never presented to voters). Global News ran the headline: “Alberta unveils 3 sweeping bills affecting trans and gender-diverse youth.” It is important to note that the press accepts the premises of transgender ideology as the starting point for their reporting, with heavy usage of nonsensical phrases like “gender-diverse youth,” which implies that there are many genders.
In fact, Global News and other Canadian outlets trotted out talking points that have been definitively rebutted by the U.K.’s Cass Review and multiple medical studies—in fact, even the New York Times has been reporting on the permanent harms of puberty blockers over the past several years. An example from Global News:
Alberta parents of gender-diverse youth like Haley Wray believe the new laws will give kids less choice — especially when it comes to health-care that is not permanent but instead, gives kids time to work through their identity struggles.
‘Hormone blockers are a very valuable tool,’ Wray said, explaining they have a very small window of effectiveness to pause, but not prevent, puberty. ‘It is reversible because nothing changes. And what that does is it allows youth and families to have that that pause, that break to explore further, validate, understand what this means and know that permanent changes aren’t happening.’
Wray believes the proposed legislation will make the province a less safe place for tens of thousands of Alberta kids who aren’t straight. It’s why, Wray says, a growing number of families with transgender children are now grappling with whether Alberta is a place they can stay. ‘I know people who have, and I know people who genuinely feel like there is likely nowhere to go,’ she said.
This is incorrect. Puberty blockers cause permanent damage, and children may be rendered permanently sterile after taking them for a relatively short period of time. Puberty is not something that can be “paused,” and it frequently causes irreversible rather than reversible damage. Smith and her government understand this, which is why they have decided to pass this legislation—not, as nearly every press outlet claimed, to “target trans youth,” but to protect them.
The CBC chimed in with sentences like this one:
Terms like ‘biological female’ and ‘biological male’ can be used to imply that transgender people are still their assigned sex at birth, despite their identity.
To translate: a scientifically accurate and precise statement is now an ideological one, but inherently ideological language invented by the transgender movement over the past decade is, in fact, technically accurate. People can identify as anything they want; it is irrelevant to their biology. The CBC presents pointing this out as some sort of propagandistic attack on vulnerable people.
Fortunately, Smith appears to know what she’s doing here. She’s taken her time to ensure that the legislation she has put forward will pass, and that it is defensible in court. Saskatchewan Premier Scott Moe, who has just led the Saskatchewan Party to its fifth straight majority government, is of a similar mind—he’s promised to put forward legislation protecting female spaces as a matter of first priority. It took long enough, but Canada’s conservatives are finally starting to move.
Alberta
Alberta calling for federal election! Premier Smith demands feds scrap dangerous oil and gas production caps
Premier Danielle Smith, Minister of Environment and Protected Areas Rebecca Schulz and Minister of Energy and Minerals Brian Jean issued the following statement on the proposed federal oil and gas production cap:
“This production cap will hurt families, hurt businesses and hurt Canada’s economy. We will defend our province, our country and our Constitutional rights.
“Make no mistake, this cap violates Canada’s constitution. Section 92A clearly gives provinces exclusive jurisdiction over non-renewable natural resource development yet this cap will require a one million barrel a day production cut by 2030.
“The evidence is overwhelming. Three reports from reputable firms have shown that these regulations will sucker-punch Canada’s economy, a million barrels cut every day according to S&P Global, $28 billion a year in lost GDP according to Deloitte, and up to 150,000 lost jobs according to the Conference Board of Canada.
“The losses to GDP mean billions a year will disappear from the economy. Billions that won’t be going towards new schools, hospitals and roads, all for a reckless ideological scheme that will not reduce global emissions.
“Ultimately, this cap will lead Alberta and our country into economic and societal decline. The average Canadian family would be left with up to $419 less for groceries, mortgage payments and utilities every month. Canadian parents and workers will suffer while Justin Trudeau outsources the duty to provide safe, affordable, reliable and responsibly produced oil and gas to dictators and less clean producers around the world. We could be the solution. Instead, Ottawa would rather sacrifice our ability to lead.
“Tweaks won’t work. This cap must be scrapped. Alberta’s government is actively exploring the use of every legal option, including a constitutional challenge and the use of the Alberta Sovereignty within a United Canada Act. We will not stand idly by while the federal government sacrifices our prosperity, our constitution and our quality of life for its extreme agenda.”
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