Alberta Politics
Alberta Health Minister Tyler Shandro during yesterday’s embargoed news conference (Photo: Screenshot of news report).

Bill 30, the UCP’s health care omnibus bill, is bad, but not as bad as it could have been

Posted on July 07, 2020, 2:36 am
11 mins

The two most striking features of the health care omnibus bill introduced yesterday by the United Conservative Party are that it opens the door to a higher degree of privatization and two-tier health care and escalates Health Minister Tyler Shandro’s feud with the Alberta Medical Association.

Neither is a positive development if you want an effective, efficient and equally accessible health care system in Alberta. It’s likely bad news outside Alberta too, where all the usual suspects on the right are waiting to use developments like Bill 30, the Health Statutes Amendment Act, to wedge the door open to U.S.-style health care.

Alberta Premier Jason Kenney (Photo: David J. Climenhaga).

Still, Bill 30 could have been worse, and a lot of Albertans thought it would be.

According to the government’s press release, the act will improve public health care, reduce surgical wait times, and modernize the system. It is unlikely to do any of those things.

Mr. Shandro came a little closer to the mark in his description of the bill, saying it will “enable future innovation.” This is true, although not necessarily the kind of innovation a thoughtful observer would want to see in the middle of a global pandemic or the uncertain health care future that follows.

Thanks to the comfortable majority in the Legislature Albertans gave the UCP last year and the iron grip Premier Jason Kenney maintains on his caucus, Bill 30 will be the law of the land in a few weeks.

More privatization and the creation of a two-tier gap will be facilitated, in the cheerful words of the press release, by “enabling government to contract with a range of organizations to operate medical clinics so physicians can focus on providing patient care, rather than administration.”

What this means, presumably, is a proliferation of private, extra-fee clinics that offer both medical services listed for coverage under public health insurance and a variety of non-medical wellness services ranging from unneeded medical tests, to dietary advice, to New Age remedies. The clinics, which will not need to be owned by a physician, can charge whatever they wish for non-medical services, justifying up-front fees that are really for access to medical services.

In addition, the press release says, the changes will result in “streamlining the approval process for chartered surgical facilities to operate so they can provide more high-quality, publicly funded surgeries to help reduce surgical wait times without compromising patient safety or quality of care.”

Justice Minister Doug Schweitzer (Photo: David J. Climenhaga).

This is obviously the not-so-thin edge of the wedge of privatization and two-tier health care in Alberta. As everyone who seriously studies health policy understands, it is unlikely to either save money or reduce surgical lineups.

Indeed, it will have the opposite effect as doctors flee the public system to provide more profitable services and problem cases requiring higher-cost treatments are dumped back into the public system.

Arguably, the transfer of public health care to privately owned clinics is also part of the UCP’s long expected union-busting agenda. After all, the only unions Mr. Kenney likes are the ones whose members build pipelines in Montana. He’ll return their calls, at least, if they’re likely to help him lobby President Joe Biden should that become necessary to keep Keystone XL in play.

Then there’s the UCP’s War on the AMA, the venerable physicians’ association that collectively bargains doctors’ compensation.

Clearly, the Kenney Government with Mr. Shandro as its point man has targeted the AMA for irrelevance if not destruction. Bill 30, the news release says, will make it “easier for physicians to enter into alternative relationship plans for compensation.”

Ethics Commissioner Marguerite Trussler (Photo: Myles Peterman, Legal Education Society of Alberta).

What that really means is it will make it easier for the government of Alberta to undermine and ease the AMA toward irrelevance.

It’s been clear since the Kenney Government arbitrarily terminated its master agreement with the AMA in February that it’s been out to crush the association. Legislation passed last fall gave the government the right “to cancel any physician services agreement, without recourse,” said AMA President Christine Molnar at the time. “What is the value of an agreement when it can be revoked at any time with no public discussion?”

The UCP’s War on Doctors has been waged by the government through the COVID-19 pandemic and will now proceed with new legal teeth.

The government is obviously hoping there will always be someone who will break solidarity, fracturing and weakening the AMA a step at a time. But you have to wonder, given Mr. Shandro’s history with the association, why any doctor would sign an individual contract with this government.

The AMA, for its part, can be expected to push back vigourously. It sued the province in April, arguing the government violated its Charter rights and seeking $255 million in damages. Many doctors, particularly younger ones in rural practices, continue to pack their bags to leave the province.

Duff Conacher of Democracy Watch (Photo: Twitter).

The UCP doesn’t seem to care. Maybe they just plan to hook Albertans up with Babylon by Telus, the Canadian version of the controversial British virtual medicine smartphone app they were plugging in official news releases last March.

Other aspects of the bill seem like housekeeping, such as clarifying quarantine requirements for travellers, and some could even deliver minor improvements — raising the number of public representatives on professional colleges’ boards might help in the unlikely event the UCP didn’t try to pack them with their ideological allies.

Of course, if this doesn’t seem quite as bad as it might have been, you may only have to wait another day for the other shoe to drop.

Later today, the government is expected to introduce its package of labour law changes — which are likely to be designed to hamstring public sector health care unions, make collective bargaining and organizing more difficult for public and private sector workers, and make it harder for elected union leaders to speak up on behalf of their members.

Justice Minister off the hook after ethics complaint

Alberta’s ethics commissioner says no rules were broken when Justice Minister Doug Schweitzer asked Steve Allen to run the province’s dubious inquiry into the UCP’s nutty conspiracy theory that foreigners are funding “anti-Alberta” opposition to oilsands development for nefarious purposes.

CBC investigative reporter Charles Rusnell (Photo: David J. Climenhaga).

In her report yesterday, Marguerite Trussler wrote that “just because Mr. Allan made political donations to Minister Schweitzer in the past does not make the subsequent appointment of Mr. Allan as inquiry commissioner a private interest for the minister.”

As for Mr. Allan’s award of a $905,000 sole-source contract to a law firm where his son and a good friend worked, Ms. Trussler said she had no jurisdiction to look into that.

She also suggested media reports of the situation were not factual.

“This is a first,” responded CBC investigative reporter Charles Rusnell, who broke the original story. “Alberta’s ethics commissioner Marguerite Trussler slags media as not being concerned about facts — after her report verifies all our reporting.”

The biggest glaring error is that the ethics commissioner sets out all the different things that Steve Allan did for Doug Schweitzer to help him get elected and then she ignores almost all of those things when concluding that he did not cross the line and it was not enough to create a conflict of interest for Schweitzer,” said Duff Conacher of Democracy Watch, the organization that made the original complaint last year.

You can’t just ignore facts in your own report when making your ruling,” he said in a statement.

But this is Alberta, so I guess you can. Nothing to see here folks. Please move along.

10 Comments to: Bill 30, the UCP’s health care omnibus bill, is bad, but not as bad as it could have been

  1. Abs

    July 7th, 2020

    “What is the value of an agreement when it can be revoked at any time with no public discussion?”

    Exactly. Who would trust the Alberta government for anything, when they have a proven track record of breaking contracts?

    As for MT, the initials say it all. MT.

    Reply
  2. Jim

    July 7th, 2020

    President Biden… so by lobbying would that mean Hunter is in need of a board position? What was it about 80k a month in the Ukraine I don’t think Kenney’s panels pay that much so that isn’t going to work, need the private sector to step up on this one.

    Doctors as employees that can be used and abused I’m sure that will go over well. Given that being an MD doesn’t provide much mobility I am sure they will stick around.

    “We are living in a world so corrupt”

    Reply
  3. Bruce Turton

    July 7th, 2020

    The Stealth Statutes Amendment Act and the departure of doctors’ services from Westlock and Sundre and the ‘escape’ of newly educated doctors from two big multiversities in Calgary and Edmonton should augur well for most Albertans, but especially for those who cannot afford to participate, for their continued health, in the new private system under construction. Warning to Albertans – do not become unemployed (good luck with that!) nor expect quality health services on fixed or low incomes.

    Reply
  4. David Bridger

    July 7th, 2020

    What makes us as Canadians different from Americans is our publicly funded Medicare. Americans often have no medical insurance or go bankrupt and lose their homes. Canadians don’t have to worry about insurance companies denying coverage or losing their homes to pay for costly medical treatment. But the UCP is trying to lead them there.

    Do Albertans want that kind of uncertainty? I don’t think so.

    In 1959 my father was treated for diabetes and kept in hospital for three weeks with his doctor attending to him every day. I am not sure what it cost was but it was enough for his health insurance company to decline to insure him in 1960. Fortunately our CCF government ran an election campaign on providing Medicare and won the 1960 election on that promise. Then in 1962 after a big fight with insurance companies and the medical association as well as provincial opposition parties Medicare in Saskatchewan became a reality and in 1967 was implemented in the whole country.

    Now no political party will openly campaign to take it away. So the UCP are trying to end it through back door tactics and chipping away piece by piece. Only the NDP stands in their way.

    If we don’t want to gradually lose Medicare we better stop electing the UCP and their ilk. This is just a reward for past corporate donations to the UCP. We have the same trouble in Saskatchewan with the Sask Party accepting corporate donations. Different tactics but the same principle.

    Reply
    • Death and Gravity

      July 7th, 2020

      David, you ask “Do Albertans want that kind of uncertainty?”

      I see no reason whatsoever to doubt that this is exactly what (a large majority of) Albertans want, and want ardently. I will gladly revise my opinion when their voting behaviour reveals different preferences. I don’t expect to live that long, sadly. Been waiting 50 years already.

      Reply
  5. barry derby

    July 7th, 2020

    Alberta needs this BEST NEWS EVER.

    Reply
  6. Phill

    July 7th, 2020

    Hi,
    What can be done to stop the healthcare bullshit?

    Reply
    • Murphy

      July 12th, 2020

      Nothing can be done. This is a province in which about 65% of the population is made up of a combination of superstitious kooks, ignorant yokels, and grifters. They are all united in their embrace of a fictitious concept of how our economy works, and together they support the tiny, albeit relatively large for a province this size, cabal of super-grifter oligarchs.

      Reply
  7. Just Me

    July 7th, 2020

    Omnibus bills are effective as smoke-screens to hide what really is going on. Effectively, this bill is the first step to full-on private healthcare in Alberta.

    The march to fascism never happens in one jump; rather, it’s a slow creep that no one notices until it is too late. While Bill 30 is loaded with flowery and soothing language about making things better, it’s a document filled with right-wing zealotry that must be decoded to fully reveal the perilous path the public interest in being forced to take. And once that path is taken, there is no stopping what else is coming.

    Reply
  8. jerrymacgp

    July 9th, 2020

    So, who investigates the Ethics Commissioner’s ethics? Your fellow blogger, Kim Siever, has just published a story that Ms Trussler’s spouse & several of his law firm partners & associates have made generous — albeit completely legal — donations to the UCP and its predecessor parties, the PCs & Wildrose: https://kimsiever.ca/2020/07/08/ethics-commissioners-spouse-and-his-partners-donated-78k-to-ucp-and-pcs/.

    Now, spouses don’t have to share political leanings — mine doesn’t fully share mine, for instance — but they often do; so, you have to wonder, how non-partisan & neutral is Ms Trussler?

    Reply

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