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A Publication of the
                                                                                                                                                                            Friends of Medicare

                                                               Strengthening and Expanding Public Healthcare


                                                                The coming Alberta Health Act

                                                                     Repealing Alberta’s
                                                                           Public Medicare laws?
                                                                   Alberta Health Act - Why now?
                                                                                   Possible major threat to public health care

     this                                                    T    he province’s new Alberta Health          came up with the plan in their report last   Friends of Medicare has been pushing for
INSIDE




                                                                  Act initiative is ringing alarm bells     fall. Now Fred Horne has been put in         full, public discussion and is hosting pub-
                                                             for many health care experts around the        charge of the public relations process and   lic meetings around the province to in-
     issue:                                                  province. Firstly, it’s unclear exactly why
                                                             the government needs to do this... and
                                                                                                            “consultation” on the Health Act.            form Albertans about the issues of a new
                                                                                                                                                         Health Act.
                                                             secondly, it has the potential to repeal Al-          Carefully controlled
     “Consultation on                                        berta’s core health laws that underpin our
                                                                                                                     “consultation”                                  Find out more
     Alberta Health Act”. . . . . . . . . . . . . Page 2     public health care system.
     Sailing around                                                                                  One of Fred Horne’s conclusions was                     is special issue of e Guardian is ex-
     Seniors issues . . . . . . . . . . . . . . . . Page 3       e Alberta Health Act plan seems to  that Albertans should be consulted about            panded to provide extra information about
     Parkland report                                                                                 changes, but the process announced for
                                                             be a carefully staged opportunity for the                                                   the Alberta Health Act. We urge you to
     on Health Act . . . . . . . . . . . . . .Page 4 & 5                                             the Health Act is tightly controlled. e
                                                             government to so -sell health care chang-                                                   consider it carefully, and get involved. e
     History of health care                                                                          web questionnaire is carefully framed and
                                                             es, with a “consultation” process to gently                                                 stakes of new health care legislation are
     privatization in Alberta . . . . . . .Page 4 & 5        persuade Albertans this is important forNO promoted fully-public meetings have              high. While we don’t know exactly what
     Government backs away                                   our health system.                      been announced. Instead Horne depu-                 the new Act will contain or its conse-
     from seniors’ pharmacy plan . . . . . . Page 6                                                  tized the newly appointed Health Ad-                quences yet, we do know this government
     Friends of Medicare activities                          Edmonton MLA Fred Horne and the visory Councils around the province to                      has a long history of attempting to disman-
     across province . . . . . . . . . . . . . . . Page 7    Minister’s Advisory Committee on Health host “invitation-only” meetings.                    tle and reduce public health care.
“Consolidation”
  or “Repeal”
      Health Act to replace
        existing Alberta
         Medicare laws
T     he recent Minister’s Advisory
      Committee on Health uses the
word consolidate when it talks about        A     lbertans should de nitely have their
                                                  say in the government’s “consulta-
                                                                                               e meetings are put on by Health Act
                                                                                            front man Edmonton MLA Fred Horne,
                                                                                                                                         important check and balance when regu-
                                                                                                                                         lations and policies are being developed.”
what will happen with Alberta’s cur-        tion” on the new Health Act – if they           but are hosted locally by the Health Ad-
rent laws: “Consolidation of core health    can. ere are two main avenues to par-           visory Councils. ese Councils were ap-           e problem is that the regulations, which
acts that deal with publicly funded ser-    ticipate, the government’s very carefully       pointed by the government last year a er     can be done secretly by cabinet, with NO
vices. is legislation includes:             structured on-line questionnaire, and           they abolished the former Community          public discussion, will be where the sub-
                                            meetings held in communities around             Health Councils. e government web-           stantive restrictions and content of Alber-
•   Alberta Health Care Insurance Act       the province. But the meetings are NOT          site says: “ e local will invite a diverse   ta’s health laws will reside.
•   Hospitals Act                           being well publicized and were rst an-          cross-section of the community to attend
•   Nursing Homes Act                       nounced as invitation-only events, but          the workshops, including youth, seniors,     For example, the Alberta Health Insur-
•   Health Care Protection Act              a er Friends of Medicare put on pressure,       Albertans with disabilities, and local       ance Act one of the laws the government
•   Health Insurance Premium Act”           they said “Spaces have also been reserved       health care providers, for example.”         says it will roll into the new Health Act,
                                            at each venue for members of the public.”                                                    clearly lays out that doctors can not work
   e point is these laws which currently                                                    In other words, the government’s hand- both in the public system and at the same
underpin our public health care sys-          e government’s meetings go on                 picked Advisory Councils will choose the time for private fees. If they can work both
tem will be GONE under the Alberta          until July, 2010. Find out about the            people to consult on the Health Act.         sided, they could bill the public system for
Health Act. at could remove the le-         meetings and how to “apply” at:                                                              some services and charge the patient for
gal basis that prevents the development     www.albertahealthact.ca                              After the consultations:                others, which would immediately open
of a parallel, for-pro t health care sys-                                                                                                the door for two tier, commercial health
tem with private insurance. A parallel         e website also has a guide to lling in                    the Act itself                  care. Legislation restricting this is in the
system could lure away the best doctors,    the on-line survey.                                e government is talking about the Al- LAW not the regulations now.
but be accessible only to those who can                                                     berta Health Act being “enabling” legisla-
pay extra for private insurance.                                                            tion that sets out principles “to provide an




                                                                                                         Learn more:
If the Alberta Health Act TRULY
consolidates the former laws, those pro-
tections would remain. But only very
detailed examination of the nal word-
ing of a new Act will be able to tell if


                                                    www.AlbertaHealthAct.ca
those protections are still in place.




                                                Friends of Medicare’s special website on the proposed Health Act.
                                                   Find out        •    Changes the new Alberta Health Act could make to medicare        Also, even more information is available on
                                                                                                                                         the Friends of Medicare’s usual website:
                                                more about:        •    How to join the public discussion about the Act
                                                                                                                                          www.FriendsofMedicare.org
                                                                   •    Analysis and tips on the government’s website “consultation”
                                                                   •    Events and activities about the Act
By Noel Somerville

H      aving sailed quite a bit, I have found
       it painful to watch the Alberta gov-
ernment beat upwind in its e orts to use
                                                                 mier Ed Stelmach promised in the last
                                                                 provincial election campaign. In fact, the
                                                                 chairman of Alberta Health Services re-
                                                                                                                government agrees to deregulate these
                                                                                                                rates and allows them to be set by the
                                                                                                                businesses that will build and operate the
privatized delivery to o -load much of its                       cently admitted that 70 long-term and          facilities, we will doubtless see some new
health-care costs onto those who need the                        palliative care beds had actually been         LTC spaces costing $3,000 a month plus
care -- particularly seniors.                                    closed. ere has been no e ort to rescind       care, nursing and medication costs for the
                                                                 the freeze in the number of long-term          few people who can a ord that.
We have been watching this tacking back                          care (LTC) beds announced by Liepert in                                                     50 years. We know that the percentage
and forth since Ralph Klein became Pre-                          December 2008.                                 More than half of the $105 million de- of Albertans over 65 will double in the
mier, with frequent changes of skippers.                                                                        voted to funding these new and upgraded next 20 years. We know that, discount-
Recently, former health minister Ron                                                                            spaces was raised through the Capital ing in ation and population growth, this
Liepert seemed to be making headway                                It would be a mistake, however,              Bonds issued by the government last year. will increase Alberta’s health-care costs
but, in the troubled waters of public op-                                                                       Why, one might ask, is the government by about 30 per cent. We also know that
position, he sailed too close to the wind.                            to assume this signifies a                 raising money from Albertans to give to increasing health spending by only 1.32
Gene Zwozdesky was brought on-board                                                                             private, for-pro t corporations?             per cent a year for the next 20 years can
and set about reversing some of his prede-                              real change in heading.                                                              accommodate this cost increase.
cessor’s decisions.                                                                                             Extendicare, a private operator that got
                                                                                                                more than $10 million from the Alberta          e Alberta economy is entirely capa-
It would be a mistake, however, to assume                        Clearly, the government still believes         government last year, recently announced ble of managing such increases. Yes, we
this signi es a real change in heading. e                        LTC facilities (where patients pay only          rst-quarter pro ts of $15.6 million, up might have to revert to progressive in-
government is still committed to priva-                          for accommodation and meals, and where         from $3.7 million a year ago. Does anyone come tax rates and deprive the wealthiest
tizing as much health care as possible to                        nursing, medications, rehab and other          think this is a prudent way to spend pub- Albertans of the huge tax break they have
achieve its minimalist, ideological vision                       services are provided free) are too expen-     lic dollars? Surely the folly of privatized enjoyed since 2001. We might even have
of what government should be.                                    sive a way to care for old people who are      delivery of health and care services, where to rethink our ridiculously low business
                                                                 cognitively impaired, chronically ill, or so   the secrecy of business arrangements pre- taxes. But that is in nitely preferable to
We are still waiting for the 600 new long-                       frail they need extensive nursing care.        vents oversight and accountability, is be- messing about with quick- x privatized
term care (nursing home) beds that Pre-                                                                         coming apparent.                             solutions that might reduce the strain on
                                                                    e government clearly intends to put                                                      public accounts but will ultimately cost
                                                                 such patients into privatized Assisted Liv-        e bankruptcy proceedings underway Alberta seniors, their families and baby
                                                                 ing facilities where, in addition to accom-    for the Club Sierra and Masterpiece se- boomers in nitely more.
                                                                 modation and meal costs, patients pay          niors’ care facilities in Red Deer, and Net-
                                                                 per-service charges to be toileted, bathed,    worc Health’s HRG surgical facility in Surely it is time the government set a new
                                                                 dressed, wheeled about and fed. ey will        Calgary are examples of the government, course toward health services that are not
                                                                 pay both for their medications and for         and Alberta taxpayers, being le holding just publicly nanced but also publicly de-
                                                                 having them dished out.                        the bag when private facilities fail.        livered -- services that do not deprive ail-
                                                                                                                                                             ing Alberta seniors, when they most need
                                                                 While the government recently an-              Rather than palming o its responsibilities it, of the medically necessary services they
                                                                 nounced a $105-million program to build        onto private operators, the government supported with their taxes all their work-
                                                                 1,000 new and upgraded continuing-care         needs to face up to its obligation to fund ing lives.
       Friends of Medicare raises awareness and educates         spaces, it is unwilling to say how many,       and deliver medically necessary care ser-
       Albertans about the bene ts of public health care.
                                                                 if any, will be LTC. at, presumably, is        vices to a growing population of seniors.    Noel Somerville is the chairperson of the
     Friends of Medicare is a coalition of individuals, social   awaiting the government’s decision on                                                       seniors task force of Public Interest Alberta.
    justice groups, unions, churches and other organizations
   dedicated to the strengthening and support of public health
                                                                 the nal report of the committee looking            is growth is not a “tsunami” or an un-
                 care in the pro ince of Alberta.                at ways of li ing the ceiling on accom-        foreseen event; it is a population bulge
                                                                 modation costs for LTC facilities. If the      that we have known about for more than
Undoing Medicare:
                                                                                                               Report 1
                                                                                                               Risks of the Alberta Health Act
  constant theme in Alberta politics                                                                              is is a summary of a report by Parkland Institute
                                                                                                               Research Director Diana Gibson and Vancouver-

F   rom the beginning there was strong commercial resistance to Alberta’s, and
    Canada’s, public health care system. Insurance corporations and other busi-
nesses have constantly tried to break in and break it up. In Alberta, there is a long
                                                                                                               based health care researcher Colleen Fuller. A full
                                                                                                               copy of the report is available on the Parkland Insti-
                                                                                                               tute website at www.ualberta.ca/parkland
history of attempts to commercialize health care, and of strong public support for
Medicare that has held back privatization.

           Premier Manning fights                         Health minister seeks
                                                                                           A     lberta’s government has undertaken
                                                                                                 to reform the existing health legisla-
                                                                                           tion and create a new Alberta Health Act.
                                                                                                                                                   For-profit delivery
                                                                                                                                                    does not deliver
1967                                          1986
           against Medicare                              to end extra-billing                 e initiative is summarized in “A Foun-           e research on for-pro t hospitals
                                                                                           dation for Alberta’s Health System” (sub-        reveals three main areas where they
Alberta’s Premier, Ernest Manning led a na-   Alberta Health Minister David Russell,       sequently referred to as the Foundation).        fall short:
tional campaign against compulsory public     (who had earlier claimed Alberta would                                                        i. uality and safety of health services.
insurance for physician fees, ghting the      accept cuts in federal medicare funding         e rhetoric in the Foundation document
idea every step of the way, along with the    rather than stop extra-billing by doctors)   heavily emphasizes individual responsibili-      ii. Costs of health services.
Canadian Health Insurance Association (a      gives in and negotiates an agreement         ty and exibility of delivery systems. It rep-
partnership of commercial insurance carri-    with the Alberta Medical Association         licates rhetoric seen in Ralph Klein’s ird       iii. uality of jobs.
ers and non-pro t insurance controlled by     to end extra-billing. Withheld federal       Way and the 2001 Mazankowski report.
doctors), the Chamber of Commerce and         health funding and public outcry against                                                      Findings include higher death rates
the Canadian Medical Association.             extra-billing force the change.              In this report we identify the potential         in private hospitals and dialysis clin-
                                                                                           risks associated with such an act. e re-         ics, more quality de ciencies and less
1982       Surveys reveal extent of           1991       22 Alberta Tory MPs back          port is based on reviews of materials avail-     nursing care in nursing homes and less
           extra-billing in Alberta.                     user fees for health care         able on the new health act initiative with       care to the dying in hospices. Investor-
                                                                                           input from a national working group and          owned hospitals spend much less on
Consumers’ Association of Canada tele-        Alberta Tories back user fees in a letter    a research symposium.                            nursing care than not-for-pro t hospi-
phone survey nds extra-billing by doc-        to Prime Minister Mulroney. Two of the                                                        tals, and their administrative costs are
tors is a problem for many families. More     MPs went on to careers in the insurance      1. risk of expanded for-profit delivery           6% higher. Privatization takes money
than one-quarter of the households re-        industry, Don Mazankowski with Great                                                          from the pockets of under-paid, mostly
ported they had been extra-billed and         West Life and Ken Hughes, now chair               e government’s main focus with              female health workers and gives it to
were reluctant to visit physicians because    of Alberta Health Services, who ran his        this initiative is to “reorganize and re-      investors and highly paid managers.
of the practice.                              own insurance agency.                          vamp the delivery system.” e Alberta
                                                                                             Health Services states it as, “Recognize 2. risks of merging the acts
1984       The Canada                         1994-95 Klein’s massive health cuts            role of private and non-governmental
           Health Act                                                                        organizations in service delivery within    One of the key priorities identi ed for
                                              Alberta Health budget goes from $4.3           the Canada Health framework.” e             the new Alberta Health Act is to make
   e Canada Health Act for federal fund-      billion in 1993 to $3.7 billion in 1995.       submission by the Calgary Chamber           de nitions standard across health care
ing of universal, comprehensive necessary     Over 5,000 nurses laid o . ree Cal-            of Commerce takes it one step further,      legislation in Alberta by merging a num-
hospital and doctor services is passed        gary hospitals sold or demolished.             stating that “Surgical facility operators   ber of the acts and standardizing de ni-
unanimously in Parliament supported by                                                       have commented that the system would        tions. is includes the Nursing Homes
the governing Liberals, Brian Mulroney’s      1998       Bill 37 The Health                  function at much higher level of e -        Act and the Hospitals Act. Protections in
Conservatives and the NDP.                               Statutes Amendment Act              ciency if AHS were stripped of its regu-    the Nursing Home Act include ratios for
                                                                                             latory function.” It also states that the   nursing sta , as well as a variety of other
                                                 e Act would have given the Health           Chamber has long advocated the repeal       regulations protecting quality or care.
                                              Minister the authority to allow private        of the Health Care Protection Act.
                                              hospitals. Also had a buried clause remov-                                                 Standardization may lead to the lowest
                                              ing ban on private insurance coverage for                                                  common denominator. It also may be
                                              auxiliary hospital services. Huge pressure                                                 used to get rid of wording that limits
                                              causes government to withdraw the Bill.
MLA Fred Horne
                                                                       chairs the committee
                                                                        holding hearings on
                                                                                     the Act
                                                                                                  Undoing Medicare: constant theme in Alberta politics




  for-pro t involvement, protects the         ii. responsibilities - e act as proposed
  public sector, or dictates higher quality       places strong emphasis on personal
  standards such as nursing ratios.               responsibility. e online survey in-
                                                  cludes a section on patient responsibil-
     e repeated commitments that the              ities such as: learn how to better access
  new Alberta Health Care Act will com-           health services; use services appropri-      2000       Bill 11 Health Care                  2008       New Premier Ed Stelmach
  ply with the Canada Health Act are              ately and wisely; and make healthy                      Protection Act                                  assures Albertans
  hardly reassuring. Alberta’s legislation        choices. is shi s responsibility from                                                                   “Third Way is DOA”
  already exceeds the CHA in impor-               health care providers and the govern-        Gives government the power to regulate
  tant areas. ese include limits on the           ment to individuals, and is a signi -        private “non-hospital surgical facilities”      But government announces “action plan
  evolution of a parallel private system          cant move away from universality.            and allows public health care to purchase       too make public health system more e -
  through bans on doctors working in                                                           services from private hospitals. A er ma-       cient”... “our new direction will build on
  both systems. ere is no indication          Emphasizing patient responsibility for           jor public rallies and nightly vigils at the    the Mazankowski report in 2001” and
  that these protections will not be lost.    health can lead to system biases against         Legislature, nal version of the law tight-      other reports including the 2006 ird
                                              people with unhealthy habits such as             ly restricts private hospitals. Bill 11 actu-   Way plan.
3. risks of the patient charter               smoking, poor diet or lack of exercise.          ally discourages the expansion of more
                                              Personal responsibility is important,            private facilities.
  A number of other jurisdictions have        but these issues should be dealt with
  experimented with the patient bill of       through public education and interven-           2002       Mazankowski’s
  rights. ese are very controversial. e       tion programs and policy initiatives.                       “Framework for Reform”
  online survey being conducted by the
  Advisory Committee contains a num- 3. conclusions and recommendations                        Report to Alberta government proposes
  ber of elements in the patient charter                                                       to reduce services covered by medicare
  that raise concerns.                      Considerable resources are required to             and greater reliance on private business
  i. rights to timeliness and access        create a new Alberta Health Act and                health services and private insurance,
     - ere is debate as to whether or not   important risks are associated with that           and calls Medicare “an unregulated mo-
     time guarantees should be included     scale of legislative change. is report             nopoly”. Because of strong public oppo-
     in a patient’s charter. Some legal and   nds that there is nothing to be gained           sition, nothing is publicly enacted by the 2009            Minister’s Advisory Committee
     policy experts argue it could be used  with the new legislation as proposed to            government based on the report.                            calls for new Health Act
     to improve accountability and out-     date that could not be done under the
     comes on wait times. Others suggest    current legislation and much that could            2005       Government announces                 Act will replace existing Medicare Leg-
     that it could be used as a vehicle for be lost. e initiative should not pro-                         “The Third Way”                      islation, and besides de ning principles,
     opening the door to more privatiza-    ceed as proposed.                                                                                  will look at: “publicly funded services
     tion in a Chaoulli-style lawsuit. e                                                       Premier Klein says “take the shackles           currently are de ned through various
     risk of this would depend very much        e legislation should only be changed           o the health authorities, open up the           terms, including insured services which
     on how those rights were articulat-    if the real objective is to strengthen the         system and see what works and what              has di erent meanings in di erent stat-
     ed. For example, uebec’s charter       public health system and better inte-              doesn’t.” Government document shows             utes, medically necessary services, basic
     includes timeliness and access pro-    grate the community sector within it,              planned amendments to Alberta Health            services, basic care services, basic health
     visions, but those are limited spe-    and to put a limit on any further for-             Care Insurance Act and Hospitals Act to         services, hospitalization bene ts and in-
     ci cally to the public system and by   pro t delivery. is is the topic of the             open market to private insurance and to         sured surgical services.”
     caveats related to the limits imposed  forthcoming second report in this series.          private health delivery.
     on the public system.
Seniors Pharmaceutical Strategy NOT OUT OF THE WOODS YET
By David Eggen


                                             O     n Tuesday, March 30th Friends of
                                                   Medicare met with the provincial
                                             health minister to discuss issues concern-
                                                                                          Like us, the government must have been
                                                                                          getting a similar message of anger and
                                                                                          frustration on this issue, and they were
                                                                                                                                       and phoned the government to tell them
                                                                                                                                       to “cease and desist” with their plans to
                                                                                                                                       dismantle and privatize our public health
                                             ing Albertans’ health. Our number one        in no mood to defend yet another poorly      system.      ey did not cease and desist yet,
                                             concern at that time was to compel the       conceived and unpopular health care pol-     but we did jolt them su ciently to compel
                                             government to scrap the controversial and    icy. On Wednesday, March 30th, the very      them to remove and replace the health min-
                                             regressive plan to charge senior’s monthly   next day a er our meeting, the govern-       ister and to pay back some of the billions of
                                             premiums as well as co-payments for their    ment announced that they would “post-        dollars in outstanding debt that had piled
                                             prescription drug needs.                     pone” their senior’s drug insurance plan     up from years of government neglect.
                                                                                          until further notice.
                                              We told the minister in no uncertain                                                    Senior’s do not appreciate being targeted,
                                             terms that we were launching an aggres-         is is welcome news, and it speaks to the due to their age, with an extra tax on their
                                             sive campaign to “can the plan” and to       power of the population when they speak health care.         ey planned and saved for
                                             come up with a overall senior’s health       up against bad policy from the provincial their retirement and then the government
                                             strategy that did not discriminate accord-   government. In the previous year more changes the rules, with middle income se-
                                             ing to age and income, and that did not      than 30 000 Albertans signed petitions, niors being targeted to make some small
                                             unfairly target seniors with extra fees.     attended meetings and rallies, and wrote saving to the government’s general rev-
                                                                                                                                      enues. Many senior were suspicious that
                                                                                                                                      the change would not save any money
                                                                                                                                      anyway, since the plan would require bu-
                                                                                                                                      reaucrats and audits to determine how
                                                                                                                                      much money senior’s had, and how much
                                                                                                                                      more they should pay for their drugs.
                                                                                                                                      Once the government set levels of income
                                                                                                                                      for payment, what would stop them from
                                                                                                                                      changing the categories to force people to
                                                                                                                                      pay even more?

                                                                                                                                       Many seniors know the Senior’s phar-
                                                                                                                                       maceutical strategy was nothing more

  Government powerpoint unveils motive for changing laws                                                                               than an expensive insurance scheme that
                                                                                                                                       would develop a market to expanded pri-
                                                                                                                                       vate insurance. Once the government

  I  n 2005, when the Alberta govern-
     ment was prepping for the        ird
  Way, one of the discussion papers was
                                             A federal study discusses parallel pri-
                                             vate health care in Canada and refer-
                                             ences the Alberta presentation. Part of
                                                                                          parallel private system for health care in
                                                                                          these three countries…. Duplicate pri-
                                                                                          vate health care insurance has brought
                                                                                                                                       cracked the concept of universal coverage,
                                                                                                                                       what would stop them from applying this
                                                                                                                                       to other areas?
  a powerpoint which is still on the gov-    Economics researcher Odette Madore’s         two substantial bene ts: a wider choice
  ernment’s website (www.health.alberta.     conclusion is: “Duplicate private in-        of providers and faster access to care       So the senior’s pharmaceutical strategy is
  ca/documents/Removing-Barriers-            surance is currently permitted in Aus-       for those who can a ord private insur-       postponed, for now, but the structure is so
  PPT-2005.pdf)                              tralia, New Zealand and the United           ance; and additional funding for capac-      deeply awed it must be cancelled and re-
                                             Kingdom. Such insurance, combined            ity development in the hospital sector.      placed.      e time has come for a universal
     e report couldn’t be more clear – the   with doctors’ ability to engage in dual      At the same time, however, it has raised     prescription drug plan for all Albertans
  Alberta Health Insurance Act and Hos-      practice (that is, to work in the publicly   concerns about inequity of access and        that is a ordable to all. Senior’s deserve a
  pitals Act must be amended or repealed     funded system while at the same time         length of waiting times.”                    plan that includes prescription drugs, but
  to make way for private insurance for      practising in the private sector), has en-                                                as part of an overall health strategy that
  medical services in the province.          couraged the development of a viable                                                      focuses on preventative health and qual-
                            http://www2.parl.gc.ca/Content/LOP/ResearchPublications/prb0571-e.pd                                       ity of life.
AHS stands for Amateur, Hidden, and Secretive
                                                                                                               A     ll the corporate management buzz
                                                                                                                     words in the world could not give
                                                                                                               full justice to the chaos, turmoil, and low-
                                                                                                                                                                were running around the province. Al-
                                                                                                                                                                most overnight AHS had moved from re-
                                                                                                                                                                cruiting nurses worldwide because of the
                                                                                                               morale that was directly caused by the re-       shortage, to the opposite opinion, that
                                                                                                               disorganization of Alberta’s health care         Alberta had too many nurses. Frontline
                                                                                                               system two years ago. e forced merger            sta – trying to keep up with extra beds
                                                                                                               of the nine regional health authorities          doubled up in rooms and lining corri-
                                                                                                               may have been based in the management-           dors – were well aware of the reality that
                                                                                                               speak of “synergizing” governance and            Alberta’s health care system had not yet
                                                                                                               “incentivizing” good intentions, but the         recovered from the massive layo s of the
                                                                                                               result has been a disaster.                      1990s.

                                                                                                                   e creation of the Alberta Health Ser-        In April a survey of AHS employees and
                                                                                                               vices superboard has led to the removal of       volunteers showed only 18 percent of phy-
                                                                                                               local leadership in the health care system.      sicians and 41 percent of nurses, techni-
                                                                                                                   is resulted in a secretive board of direc-   cians and other employees are proud to
                                                                                                               tors running the show, many of whom              work for AHS. Only 29 percent of em-
                                                                                                               have little connection to front-line health      ployees and 19 percent of physicians said
                                                                                                               workers or communities. e AHS board              they were optimistic about the future of
                                                                                                               is dominated by political appointees with        AHS. ese survey results highlight the
                                                                                                               strong connections to private health care        poor morale levels and low trust in the se-
                                                                                                               providers and the private insurance in-          nior leadership of AHS.
                                                                                                               dustry. eir lack of health care experi-
                                                                                                               ence may have contributed to a long series          e uncertain future of Alberta Hospital
                                                                                                               of missteps and misinformation.                  Edmonton has caused great concern for
                                                                                                                                                                sta and families of patients. Changes
                   Friends of Medicare held it's pro incial Annual General Meeting in Edmonton recently.       Economic mis-management has to be one            to ‘assisted living’ and reduced care in
                 Members travelled om across the pro ince to join in the discussion of issues and campaigns.
                                                                                                               of the big blunders. In 2007-2008, the           the province’s Long-Term Care facilities
                                                                                                               year before the twelve health authorities        have made many Albertans question why
    “Publicly-funded” services are NOT                                                                         were merged, the authorities had a com-
                                                                                                               bined de cit of $97 million. In 2008-09,
                                                                                                                                                                they can not get care provided in their
                                                                                                                                                                own communities. e confusion caused
    the same as full public health care                                                                        the year health authorities were amalgam-
                                                                                                               ated, the de cit more than tripled to $343
                                                                                                                                                                around cataract surgery contracts and
                                                                                                                                                                their centralization in a few facilities or

P    remier Stelmach and recent health
     ministers make a careful point of
talking about “publicly-funded health
                                                     livery: “ e Alberta Health Act should ad-
                                                     dress the much broader range of health ser-
                                                     vices within the province, both those that
                                                                                                               million. And in just one more year, Al-
                                                                                                               berta Health Services managed to again
                                                                                                               more than triple that de cit, to over $1
                                                                                                                                                                the closure of helicopter ambulance land-
                                                                                                                                                                ing pads raises questions about whether
                                                                                                                                                                the members of the AHS superboard even
services”. But many concerned citizens               receive public funding and others within                  billion. AHS went on, in a most unusal           consider smaller cities and rural commu-
point out that “publicly-funded” and full            the overall continuum of services that en-                move, to borrow $220 million from the            nities in their decisions.
“public health care” are NOT necessar-               able healthy people and communities.”                     Royal Bank.
ily the same. “Publicly-funded” could be                                                                                                                           e number of stories of poor decisions
contracted out to medical corporations,              Albertans know they depend on public                      AHS CEO Stephen Duckett took it upon             and chaos in AHS is too long to list in
something the government is doing al-                Medicare for ALL necessary medical ser-                   himself to pick a high school style ght          one article. e reality is that two years
ready with the costly HRC surgical con-              vices. at is the full security of a public                with the Nurses. In November 2009,               a er the forced merger and creation of the
tracts in Calgary.                                   health care system. Albertans don’t want                  Duckett told nurses that “the future of          AHS superboard, our health care system
                                                     a system with private insurance where this                nursing is not in nursing’s hands.” At           is arguably less e cient due to the ama-
   e Minister’s Advisory Committee on                is covered, this is not, or with this limit,              the time Duckett made this statement,            teur, hidden, and secretive leadership of
Health suggests publicly-funded health               or that limit. Albertans want full public                 rumours of layo s and facility closures          the AHS superboard and their CEO Ste-
services coulc be just part of health care de-       health care. You’re covered!                                                                               phen Duckett.
Edmonton
                                                                                               ACTIVE IN YOUR                                 David Eggen – 780 423 4581

                                                                                                COMMUNITY                                     Calgary
                                                                                                                                              Ted Woynillowicz – 403 286 9283

                                                                                                                                              Palliser
                                                                                               F    riends of Medicare have a
                                                                                                    number of chapters and af-                Jan Bunney – 403 526 0332

        Talking about the                                                                       liates supporting public health-
                                                                                               care across the province.
                                                                                               chapters and a liates act as lo-
                                                                                                                                e             Hinton
                                                                                                                                              Lynda Jonson – 780 865 2360
        Alberta Health Act                                                                     cal representatives for Friends of
                                                                                               Medicare and help to organize                  Peace Country
   Albertans need to hear about the Alberta                                                    around local health issues .                   Health Coalition
   Health Act and its implications. You can help:                                                                                             peace-health-care-coalition@googlegroups.com
                                                                                               For example, in Medicine Hat
   •    distribute copies of this paper to friends and                                         the Palliser chapter hosts Medi-               Canmore
        neighbours                                                                             care Mondays at various local                  Anne Wilson – 403 688 5325
   •    call your MLA to express your concern                                                  co ee shops and restaurants to
   •    go to the Horne Committee hearings                                                     discuss health care with mem-                  Lethbridge
   •    come to a Friends of Medicare event                                                    bers of the public.        e Peace             Michael Cormican – 403 381 7635
   •    organize a co ee party or a discussion time                                            country chapter has rallied more
                                                                                               than 6 communities together                    Red Deer
   Call Friends of Medicare if you would like a                                                to ght for their local hospitals.              Brenda Corney – 403 347 9108
   speaker to come and talk, or get extra copies of                                            Many chapters host educational
   materials. Keep in touch!                                                                   speakers and sessions as well as               Pincher Creek
                                                                                               social events and rallies.                     Joan Turcott – 403 627 3602



Our public health care system is the most valuable public asset we own together as a so-       is the provincial government’s bias to expand private health care and diminish our
ciety. Public health care is there for everyone, and is part of what makes us a strong, car-   public Medicare system. Public health care is more economical, more equitable, and
ing and just nation. ere will always be individuals who seek to privatize our health           certainly more e cient than private-for-pro t medicine. Countries around the world
care system for nancial gain, so it is up to us to stand up and ght for a strong public        look enviously at what Canada has achieved. It is up to the public to push for a stronger,
health system. Private-for-pro t business interests are gaining in uence in Alberta. It        expanded system for the 21st century. - David Eggen- Executive Director, Friends of Medicare

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Alberta Health Act - Why Now?

  • 1. A Publication of the Friends of Medicare Strengthening and Expanding Public Healthcare The coming Alberta Health Act Repealing Alberta’s Public Medicare laws? Alberta Health Act - Why now? Possible major threat to public health care this T he province’s new Alberta Health came up with the plan in their report last Friends of Medicare has been pushing for INSIDE Act initiative is ringing alarm bells fall. Now Fred Horne has been put in full, public discussion and is hosting pub- for many health care experts around the charge of the public relations process and lic meetings around the province to in- issue: province. Firstly, it’s unclear exactly why the government needs to do this... and “consultation” on the Health Act. form Albertans about the issues of a new Health Act. secondly, it has the potential to repeal Al- Carefully controlled “Consultation on berta’s core health laws that underpin our “consultation” Find out more Alberta Health Act”. . . . . . . . . . . . . Page 2 public health care system. Sailing around One of Fred Horne’s conclusions was is special issue of e Guardian is ex- Seniors issues . . . . . . . . . . . . . . . . Page 3 e Alberta Health Act plan seems to that Albertans should be consulted about panded to provide extra information about Parkland report changes, but the process announced for be a carefully staged opportunity for the the Alberta Health Act. We urge you to on Health Act . . . . . . . . . . . . . .Page 4 & 5 the Health Act is tightly controlled. e government to so -sell health care chang- consider it carefully, and get involved. e History of health care web questionnaire is carefully framed and es, with a “consultation” process to gently stakes of new health care legislation are privatization in Alberta . . . . . . .Page 4 & 5 persuade Albertans this is important forNO promoted fully-public meetings have high. While we don’t know exactly what Government backs away our health system. been announced. Instead Horne depu- the new Act will contain or its conse- from seniors’ pharmacy plan . . . . . . Page 6 tized the newly appointed Health Ad- quences yet, we do know this government Friends of Medicare activities Edmonton MLA Fred Horne and the visory Councils around the province to has a long history of attempting to disman- across province . . . . . . . . . . . . . . . Page 7 Minister’s Advisory Committee on Health host “invitation-only” meetings. tle and reduce public health care.
  • 2. “Consolidation” or “Repeal” Health Act to replace existing Alberta Medicare laws T he recent Minister’s Advisory Committee on Health uses the word consolidate when it talks about A lbertans should de nitely have their say in the government’s “consulta- e meetings are put on by Health Act front man Edmonton MLA Fred Horne, important check and balance when regu- lations and policies are being developed.” what will happen with Alberta’s cur- tion” on the new Health Act – if they but are hosted locally by the Health Ad- rent laws: “Consolidation of core health can. ere are two main avenues to par- visory Councils. ese Councils were ap- e problem is that the regulations, which acts that deal with publicly funded ser- ticipate, the government’s very carefully pointed by the government last year a er can be done secretly by cabinet, with NO vices. is legislation includes: structured on-line questionnaire, and they abolished the former Community public discussion, will be where the sub- meetings held in communities around Health Councils. e government web- stantive restrictions and content of Alber- • Alberta Health Care Insurance Act the province. But the meetings are NOT site says: “ e local will invite a diverse ta’s health laws will reside. • Hospitals Act being well publicized and were rst an- cross-section of the community to attend • Nursing Homes Act nounced as invitation-only events, but the workshops, including youth, seniors, For example, the Alberta Health Insur- • Health Care Protection Act a er Friends of Medicare put on pressure, Albertans with disabilities, and local ance Act one of the laws the government • Health Insurance Premium Act” they said “Spaces have also been reserved health care providers, for example.” says it will roll into the new Health Act, at each venue for members of the public.” clearly lays out that doctors can not work e point is these laws which currently In other words, the government’s hand- both in the public system and at the same underpin our public health care sys- e government’s meetings go on picked Advisory Councils will choose the time for private fees. If they can work both tem will be GONE under the Alberta until July, 2010. Find out about the people to consult on the Health Act. sided, they could bill the public system for Health Act. at could remove the le- meetings and how to “apply” at: some services and charge the patient for gal basis that prevents the development www.albertahealthact.ca After the consultations: others, which would immediately open of a parallel, for-pro t health care sys- the door for two tier, commercial health tem with private insurance. A parallel e website also has a guide to lling in the Act itself care. Legislation restricting this is in the system could lure away the best doctors, the on-line survey. e government is talking about the Al- LAW not the regulations now. but be accessible only to those who can berta Health Act being “enabling” legisla- pay extra for private insurance. tion that sets out principles “to provide an Learn more: If the Alberta Health Act TRULY consolidates the former laws, those pro- tections would remain. But only very detailed examination of the nal word- ing of a new Act will be able to tell if www.AlbertaHealthAct.ca those protections are still in place. Friends of Medicare’s special website on the proposed Health Act. Find out • Changes the new Alberta Health Act could make to medicare Also, even more information is available on the Friends of Medicare’s usual website: more about: • How to join the public discussion about the Act www.FriendsofMedicare.org • Analysis and tips on the government’s website “consultation” • Events and activities about the Act
  • 3. By Noel Somerville H aving sailed quite a bit, I have found it painful to watch the Alberta gov- ernment beat upwind in its e orts to use mier Ed Stelmach promised in the last provincial election campaign. In fact, the chairman of Alberta Health Services re- government agrees to deregulate these rates and allows them to be set by the businesses that will build and operate the privatized delivery to o -load much of its cently admitted that 70 long-term and facilities, we will doubtless see some new health-care costs onto those who need the palliative care beds had actually been LTC spaces costing $3,000 a month plus care -- particularly seniors. closed. ere has been no e ort to rescind care, nursing and medication costs for the the freeze in the number of long-term few people who can a ord that. We have been watching this tacking back care (LTC) beds announced by Liepert in 50 years. We know that the percentage and forth since Ralph Klein became Pre- December 2008. More than half of the $105 million de- of Albertans over 65 will double in the mier, with frequent changes of skippers. voted to funding these new and upgraded next 20 years. We know that, discount- Recently, former health minister Ron spaces was raised through the Capital ing in ation and population growth, this Liepert seemed to be making headway It would be a mistake, however, Bonds issued by the government last year. will increase Alberta’s health-care costs but, in the troubled waters of public op- Why, one might ask, is the government by about 30 per cent. We also know that position, he sailed too close to the wind. to assume this signifies a raising money from Albertans to give to increasing health spending by only 1.32 Gene Zwozdesky was brought on-board private, for-pro t corporations? per cent a year for the next 20 years can and set about reversing some of his prede- real change in heading. accommodate this cost increase. cessor’s decisions. Extendicare, a private operator that got more than $10 million from the Alberta e Alberta economy is entirely capa- It would be a mistake, however, to assume Clearly, the government still believes government last year, recently announced ble of managing such increases. Yes, we this signi es a real change in heading. e LTC facilities (where patients pay only rst-quarter pro ts of $15.6 million, up might have to revert to progressive in- government is still committed to priva- for accommodation and meals, and where from $3.7 million a year ago. Does anyone come tax rates and deprive the wealthiest tizing as much health care as possible to nursing, medications, rehab and other think this is a prudent way to spend pub- Albertans of the huge tax break they have achieve its minimalist, ideological vision services are provided free) are too expen- lic dollars? Surely the folly of privatized enjoyed since 2001. We might even have of what government should be. sive a way to care for old people who are delivery of health and care services, where to rethink our ridiculously low business cognitively impaired, chronically ill, or so the secrecy of business arrangements pre- taxes. But that is in nitely preferable to We are still waiting for the 600 new long- frail they need extensive nursing care. vents oversight and accountability, is be- messing about with quick- x privatized term care (nursing home) beds that Pre- coming apparent. solutions that might reduce the strain on e government clearly intends to put public accounts but will ultimately cost such patients into privatized Assisted Liv- e bankruptcy proceedings underway Alberta seniors, their families and baby ing facilities where, in addition to accom- for the Club Sierra and Masterpiece se- boomers in nitely more. modation and meal costs, patients pay niors’ care facilities in Red Deer, and Net- per-service charges to be toileted, bathed, worc Health’s HRG surgical facility in Surely it is time the government set a new dressed, wheeled about and fed. ey will Calgary are examples of the government, course toward health services that are not pay both for their medications and for and Alberta taxpayers, being le holding just publicly nanced but also publicly de- having them dished out. the bag when private facilities fail. livered -- services that do not deprive ail- ing Alberta seniors, when they most need While the government recently an- Rather than palming o its responsibilities it, of the medically necessary services they nounced a $105-million program to build onto private operators, the government supported with their taxes all their work- 1,000 new and upgraded continuing-care needs to face up to its obligation to fund ing lives. Friends of Medicare raises awareness and educates spaces, it is unwilling to say how many, and deliver medically necessary care ser- Albertans about the bene ts of public health care. if any, will be LTC. at, presumably, is vices to a growing population of seniors. Noel Somerville is the chairperson of the Friends of Medicare is a coalition of individuals, social awaiting the government’s decision on seniors task force of Public Interest Alberta. justice groups, unions, churches and other organizations dedicated to the strengthening and support of public health the nal report of the committee looking is growth is not a “tsunami” or an un- care in the pro ince of Alberta. at ways of li ing the ceiling on accom- foreseen event; it is a population bulge modation costs for LTC facilities. If the that we have known about for more than
  • 4. Undoing Medicare: Report 1 Risks of the Alberta Health Act constant theme in Alberta politics is is a summary of a report by Parkland Institute Research Director Diana Gibson and Vancouver- F rom the beginning there was strong commercial resistance to Alberta’s, and Canada’s, public health care system. Insurance corporations and other busi- nesses have constantly tried to break in and break it up. In Alberta, there is a long based health care researcher Colleen Fuller. A full copy of the report is available on the Parkland Insti- tute website at www.ualberta.ca/parkland history of attempts to commercialize health care, and of strong public support for Medicare that has held back privatization. Premier Manning fights Health minister seeks A lberta’s government has undertaken to reform the existing health legisla- tion and create a new Alberta Health Act. For-profit delivery does not deliver 1967 1986 against Medicare to end extra-billing e initiative is summarized in “A Foun- e research on for-pro t hospitals dation for Alberta’s Health System” (sub- reveals three main areas where they Alberta’s Premier, Ernest Manning led a na- Alberta Health Minister David Russell, sequently referred to as the Foundation). fall short: tional campaign against compulsory public (who had earlier claimed Alberta would i. uality and safety of health services. insurance for physician fees, ghting the accept cuts in federal medicare funding e rhetoric in the Foundation document idea every step of the way, along with the rather than stop extra-billing by doctors) heavily emphasizes individual responsibili- ii. Costs of health services. Canadian Health Insurance Association (a gives in and negotiates an agreement ty and exibility of delivery systems. It rep- partnership of commercial insurance carri- with the Alberta Medical Association licates rhetoric seen in Ralph Klein’s ird iii. uality of jobs. ers and non-pro t insurance controlled by to end extra-billing. Withheld federal Way and the 2001 Mazankowski report. doctors), the Chamber of Commerce and health funding and public outcry against Findings include higher death rates the Canadian Medical Association. extra-billing force the change. In this report we identify the potential in private hospitals and dialysis clin- risks associated with such an act. e re- ics, more quality de ciencies and less 1982 Surveys reveal extent of 1991 22 Alberta Tory MPs back port is based on reviews of materials avail- nursing care in nursing homes and less extra-billing in Alberta. user fees for health care able on the new health act initiative with care to the dying in hospices. Investor- input from a national working group and owned hospitals spend much less on Consumers’ Association of Canada tele- Alberta Tories back user fees in a letter a research symposium. nursing care than not-for-pro t hospi- phone survey nds extra-billing by doc- to Prime Minister Mulroney. Two of the tals, and their administrative costs are tors is a problem for many families. More MPs went on to careers in the insurance 1. risk of expanded for-profit delivery 6% higher. Privatization takes money than one-quarter of the households re- industry, Don Mazankowski with Great from the pockets of under-paid, mostly ported they had been extra-billed and West Life and Ken Hughes, now chair e government’s main focus with female health workers and gives it to were reluctant to visit physicians because of Alberta Health Services, who ran his this initiative is to “reorganize and re- investors and highly paid managers. of the practice. own insurance agency. vamp the delivery system.” e Alberta Health Services states it as, “Recognize 2. risks of merging the acts 1984 The Canada 1994-95 Klein’s massive health cuts role of private and non-governmental Health Act organizations in service delivery within One of the key priorities identi ed for Alberta Health budget goes from $4.3 the Canada Health framework.” e the new Alberta Health Act is to make e Canada Health Act for federal fund- billion in 1993 to $3.7 billion in 1995. submission by the Calgary Chamber de nitions standard across health care ing of universal, comprehensive necessary Over 5,000 nurses laid o . ree Cal- of Commerce takes it one step further, legislation in Alberta by merging a num- hospital and doctor services is passed gary hospitals sold or demolished. stating that “Surgical facility operators ber of the acts and standardizing de ni- unanimously in Parliament supported by have commented that the system would tions. is includes the Nursing Homes the governing Liberals, Brian Mulroney’s 1998 Bill 37 The Health function at much higher level of e - Act and the Hospitals Act. Protections in Conservatives and the NDP. Statutes Amendment Act ciency if AHS were stripped of its regu- the Nursing Home Act include ratios for latory function.” It also states that the nursing sta , as well as a variety of other e Act would have given the Health Chamber has long advocated the repeal regulations protecting quality or care. Minister the authority to allow private of the Health Care Protection Act. hospitals. Also had a buried clause remov- Standardization may lead to the lowest ing ban on private insurance coverage for common denominator. It also may be auxiliary hospital services. Huge pressure used to get rid of wording that limits causes government to withdraw the Bill.
  • 5. MLA Fred Horne chairs the committee holding hearings on the Act Undoing Medicare: constant theme in Alberta politics for-pro t involvement, protects the ii. responsibilities - e act as proposed public sector, or dictates higher quality places strong emphasis on personal standards such as nursing ratios. responsibility. e online survey in- cludes a section on patient responsibil- e repeated commitments that the ities such as: learn how to better access new Alberta Health Care Act will com- health services; use services appropri- 2000 Bill 11 Health Care 2008 New Premier Ed Stelmach ply with the Canada Health Act are ately and wisely; and make healthy Protection Act assures Albertans hardly reassuring. Alberta’s legislation choices. is shi s responsibility from “Third Way is DOA” already exceeds the CHA in impor- health care providers and the govern- Gives government the power to regulate tant areas. ese include limits on the ment to individuals, and is a signi - private “non-hospital surgical facilities” But government announces “action plan evolution of a parallel private system cant move away from universality. and allows public health care to purchase too make public health system more e - through bans on doctors working in services from private hospitals. A er ma- cient”... “our new direction will build on both systems. ere is no indication Emphasizing patient responsibility for jor public rallies and nightly vigils at the the Mazankowski report in 2001” and that these protections will not be lost. health can lead to system biases against Legislature, nal version of the law tight- other reports including the 2006 ird people with unhealthy habits such as ly restricts private hospitals. Bill 11 actu- Way plan. 3. risks of the patient charter smoking, poor diet or lack of exercise. ally discourages the expansion of more Personal responsibility is important, private facilities. A number of other jurisdictions have but these issues should be dealt with experimented with the patient bill of through public education and interven- 2002 Mazankowski’s rights. ese are very controversial. e tion programs and policy initiatives. “Framework for Reform” online survey being conducted by the Advisory Committee contains a num- 3. conclusions and recommendations Report to Alberta government proposes ber of elements in the patient charter to reduce services covered by medicare that raise concerns. Considerable resources are required to and greater reliance on private business i. rights to timeliness and access create a new Alberta Health Act and health services and private insurance, - ere is debate as to whether or not important risks are associated with that and calls Medicare “an unregulated mo- time guarantees should be included scale of legislative change. is report nopoly”. Because of strong public oppo- in a patient’s charter. Some legal and nds that there is nothing to be gained sition, nothing is publicly enacted by the 2009 Minister’s Advisory Committee policy experts argue it could be used with the new legislation as proposed to government based on the report. calls for new Health Act to improve accountability and out- date that could not be done under the comes on wait times. Others suggest current legislation and much that could 2005 Government announces Act will replace existing Medicare Leg- that it could be used as a vehicle for be lost. e initiative should not pro- “The Third Way” islation, and besides de ning principles, opening the door to more privatiza- ceed as proposed. will look at: “publicly funded services tion in a Chaoulli-style lawsuit. e Premier Klein says “take the shackles currently are de ned through various risk of this would depend very much e legislation should only be changed o the health authorities, open up the terms, including insured services which on how those rights were articulat- if the real objective is to strengthen the system and see what works and what has di erent meanings in di erent stat- ed. For example, uebec’s charter public health system and better inte- doesn’t.” Government document shows utes, medically necessary services, basic includes timeliness and access pro- grate the community sector within it, planned amendments to Alberta Health services, basic care services, basic health visions, but those are limited spe- and to put a limit on any further for- Care Insurance Act and Hospitals Act to services, hospitalization bene ts and in- ci cally to the public system and by pro t delivery. is is the topic of the open market to private insurance and to sured surgical services.” caveats related to the limits imposed forthcoming second report in this series. private health delivery. on the public system.
  • 6. Seniors Pharmaceutical Strategy NOT OUT OF THE WOODS YET By David Eggen O n Tuesday, March 30th Friends of Medicare met with the provincial health minister to discuss issues concern- Like us, the government must have been getting a similar message of anger and frustration on this issue, and they were and phoned the government to tell them to “cease and desist” with their plans to dismantle and privatize our public health ing Albertans’ health. Our number one in no mood to defend yet another poorly system. ey did not cease and desist yet, concern at that time was to compel the conceived and unpopular health care pol- but we did jolt them su ciently to compel government to scrap the controversial and icy. On Wednesday, March 30th, the very them to remove and replace the health min- regressive plan to charge senior’s monthly next day a er our meeting, the govern- ister and to pay back some of the billions of premiums as well as co-payments for their ment announced that they would “post- dollars in outstanding debt that had piled prescription drug needs. pone” their senior’s drug insurance plan up from years of government neglect. until further notice. We told the minister in no uncertain Senior’s do not appreciate being targeted, terms that we were launching an aggres- is is welcome news, and it speaks to the due to their age, with an extra tax on their sive campaign to “can the plan” and to power of the population when they speak health care. ey planned and saved for come up with a overall senior’s health up against bad policy from the provincial their retirement and then the government strategy that did not discriminate accord- government. In the previous year more changes the rules, with middle income se- ing to age and income, and that did not than 30 000 Albertans signed petitions, niors being targeted to make some small unfairly target seniors with extra fees. attended meetings and rallies, and wrote saving to the government’s general rev- enues. Many senior were suspicious that the change would not save any money anyway, since the plan would require bu- reaucrats and audits to determine how much money senior’s had, and how much more they should pay for their drugs. Once the government set levels of income for payment, what would stop them from changing the categories to force people to pay even more? Many seniors know the Senior’s phar- maceutical strategy was nothing more Government powerpoint unveils motive for changing laws than an expensive insurance scheme that would develop a market to expanded pri- vate insurance. Once the government I n 2005, when the Alberta govern- ment was prepping for the ird Way, one of the discussion papers was A federal study discusses parallel pri- vate health care in Canada and refer- ences the Alberta presentation. Part of parallel private system for health care in these three countries…. Duplicate pri- vate health care insurance has brought cracked the concept of universal coverage, what would stop them from applying this to other areas? a powerpoint which is still on the gov- Economics researcher Odette Madore’s two substantial bene ts: a wider choice ernment’s website (www.health.alberta. conclusion is: “Duplicate private in- of providers and faster access to care So the senior’s pharmaceutical strategy is ca/documents/Removing-Barriers- surance is currently permitted in Aus- for those who can a ord private insur- postponed, for now, but the structure is so PPT-2005.pdf) tralia, New Zealand and the United ance; and additional funding for capac- deeply awed it must be cancelled and re- Kingdom. Such insurance, combined ity development in the hospital sector. placed. e time has come for a universal e report couldn’t be more clear – the with doctors’ ability to engage in dual At the same time, however, it has raised prescription drug plan for all Albertans Alberta Health Insurance Act and Hos- practice (that is, to work in the publicly concerns about inequity of access and that is a ordable to all. Senior’s deserve a pitals Act must be amended or repealed funded system while at the same time length of waiting times.” plan that includes prescription drugs, but to make way for private insurance for practising in the private sector), has en- as part of an overall health strategy that medical services in the province. couraged the development of a viable focuses on preventative health and qual- http://www2.parl.gc.ca/Content/LOP/ResearchPublications/prb0571-e.pd ity of life.
  • 7. AHS stands for Amateur, Hidden, and Secretive A ll the corporate management buzz words in the world could not give full justice to the chaos, turmoil, and low- were running around the province. Al- most overnight AHS had moved from re- cruiting nurses worldwide because of the morale that was directly caused by the re- shortage, to the opposite opinion, that disorganization of Alberta’s health care Alberta had too many nurses. Frontline system two years ago. e forced merger sta – trying to keep up with extra beds of the nine regional health authorities doubled up in rooms and lining corri- may have been based in the management- dors – were well aware of the reality that speak of “synergizing” governance and Alberta’s health care system had not yet “incentivizing” good intentions, but the recovered from the massive layo s of the result has been a disaster. 1990s. e creation of the Alberta Health Ser- In April a survey of AHS employees and vices superboard has led to the removal of volunteers showed only 18 percent of phy- local leadership in the health care system. sicians and 41 percent of nurses, techni- is resulted in a secretive board of direc- cians and other employees are proud to tors running the show, many of whom work for AHS. Only 29 percent of em- have little connection to front-line health ployees and 19 percent of physicians said workers or communities. e AHS board they were optimistic about the future of is dominated by political appointees with AHS. ese survey results highlight the strong connections to private health care poor morale levels and low trust in the se- providers and the private insurance in- nior leadership of AHS. dustry. eir lack of health care experi- ence may have contributed to a long series e uncertain future of Alberta Hospital of missteps and misinformation. Edmonton has caused great concern for sta and families of patients. Changes Friends of Medicare held it's pro incial Annual General Meeting in Edmonton recently. Economic mis-management has to be one to ‘assisted living’ and reduced care in Members travelled om across the pro ince to join in the discussion of issues and campaigns. of the big blunders. In 2007-2008, the the province’s Long-Term Care facilities year before the twelve health authorities have made many Albertans question why “Publicly-funded” services are NOT were merged, the authorities had a com- bined de cit of $97 million. In 2008-09, they can not get care provided in their own communities. e confusion caused the same as full public health care the year health authorities were amalgam- ated, the de cit more than tripled to $343 around cataract surgery contracts and their centralization in a few facilities or P remier Stelmach and recent health ministers make a careful point of talking about “publicly-funded health livery: “ e Alberta Health Act should ad- dress the much broader range of health ser- vices within the province, both those that million. And in just one more year, Al- berta Health Services managed to again more than triple that de cit, to over $1 the closure of helicopter ambulance land- ing pads raises questions about whether the members of the AHS superboard even services”. But many concerned citizens receive public funding and others within billion. AHS went on, in a most unusal consider smaller cities and rural commu- point out that “publicly-funded” and full the overall continuum of services that en- move, to borrow $220 million from the nities in their decisions. “public health care” are NOT necessar- able healthy people and communities.” Royal Bank. ily the same. “Publicly-funded” could be e number of stories of poor decisions contracted out to medical corporations, Albertans know they depend on public AHS CEO Stephen Duckett took it upon and chaos in AHS is too long to list in something the government is doing al- Medicare for ALL necessary medical ser- himself to pick a high school style ght one article. e reality is that two years ready with the costly HRC surgical con- vices. at is the full security of a public with the Nurses. In November 2009, a er the forced merger and creation of the tracts in Calgary. health care system. Albertans don’t want Duckett told nurses that “the future of AHS superboard, our health care system a system with private insurance where this nursing is not in nursing’s hands.” At is arguably less e cient due to the ama- e Minister’s Advisory Committee on is covered, this is not, or with this limit, the time Duckett made this statement, teur, hidden, and secretive leadership of Health suggests publicly-funded health or that limit. Albertans want full public rumours of layo s and facility closures the AHS superboard and their CEO Ste- services coulc be just part of health care de- health care. You’re covered! phen Duckett.
  • 8. Edmonton ACTIVE IN YOUR David Eggen – 780 423 4581 COMMUNITY Calgary Ted Woynillowicz – 403 286 9283 Palliser F riends of Medicare have a number of chapters and af- Jan Bunney – 403 526 0332 Talking about the liates supporting public health- care across the province. chapters and a liates act as lo- e Hinton Lynda Jonson – 780 865 2360 Alberta Health Act cal representatives for Friends of Medicare and help to organize Peace Country Albertans need to hear about the Alberta around local health issues . Health Coalition Health Act and its implications. You can help: peace-health-care-coalition@googlegroups.com For example, in Medicine Hat • distribute copies of this paper to friends and the Palliser chapter hosts Medi- Canmore neighbours care Mondays at various local Anne Wilson – 403 688 5325 • call your MLA to express your concern co ee shops and restaurants to • go to the Horne Committee hearings discuss health care with mem- Lethbridge • come to a Friends of Medicare event bers of the public. e Peace Michael Cormican – 403 381 7635 • organize a co ee party or a discussion time country chapter has rallied more than 6 communities together Red Deer Call Friends of Medicare if you would like a to ght for their local hospitals. Brenda Corney – 403 347 9108 speaker to come and talk, or get extra copies of Many chapters host educational materials. Keep in touch! speakers and sessions as well as Pincher Creek social events and rallies. Joan Turcott – 403 627 3602 Our public health care system is the most valuable public asset we own together as a so- is the provincial government’s bias to expand private health care and diminish our ciety. Public health care is there for everyone, and is part of what makes us a strong, car- public Medicare system. Public health care is more economical, more equitable, and ing and just nation. ere will always be individuals who seek to privatize our health certainly more e cient than private-for-pro t medicine. Countries around the world care system for nancial gain, so it is up to us to stand up and ght for a strong public look enviously at what Canada has achieved. It is up to the public to push for a stronger, health system. Private-for-pro t business interests are gaining in uence in Alberta. It expanded system for the 21st century. - David Eggen- Executive Director, Friends of Medicare