Send ‘a strong signal that Canada works’ NDP Opposition leader urges PM Mark Carney in letter

Opposition Leader Naheed Nenshi called yesterday on Ottawa to step in and use the Canada Health Act to force Alberta’s government to drop its plan to allow surgeons to practice in the public health care system while at the same time billing patients to jump to the front of the line for surgeries.

Prime Minister Mark Carney (Photo: Government of Canada).

It beats me whether this is a bold move by Mr. Nenshi to cut the Gordian knot surrounding the UCP’s constant sneaky efforts to undermine public health care or an unforced error in a province where residents have been indoctrinated for nearly a century to believe Ottawa is a malicious busybody. 

On Thursday, the United Conservative Party Government plunged ahead with a radical scheme to Americanize health care in Alberta by introducing what it calls “dual practice” in public hospital operating rooms, which opponents credibly argue presents an existential threat to public health care everywhere in Canada thanks to international trade agreements that guarantee foreign companies equal access to Canadian markets.

In her announcement, Alberta Hospital and Surgical Health Services Minister Adriana LaGrange said the province would start recruiting doctors for dual practice as soon as next week, and have the system operating by fall. In other words, as quickly as possible, even though the plan is obviously still only half baked. 

So in his letter to Prime Minister Mark Carney, which Mr. Nenshi posted on his social media accounts, the NDP leader said “Albertans are looking for someone to protect them and to protect public health care. If they see the federal government as having a consequential role in protecting the public health care they value, this will be a strong signal that Canada works.” 

“I implore you,” the letter to the PM continued, to ask federal Health Minister Marjorie Michel to immediately review the Alberta government’s decision – something the Carney Liberals are clearly reluctant to do. “At a minimum, any reforms must be demonstrably aligned with the Canada Health Act, include enforceable practice ratios, and prohibit measures that would allow inequitable access to care,” Mr. Nenshi said. 

Federal Health Minister Marjorie Michel (Photo: Canada.ca).

As for Ms. Michel, in a statement also published on social media, she tepidly promised to defend the principles of the Canada Health Act but sounded decidedly unenthusiastic when she noted that Health Canada has seen the regulations published by Alberta and would be “taking the time to review them carefully and engage with Alberta officials to better understand their components and potential impacts before they are implemented.”

For those praying for federal intervention, this is not exactly a cry of a las Barricadas!

The UCP reaction was predictable. “The NDP is literally requesting that the federal government intervene in an area of provincial jurisdiction,” chirped Premier Danielle Smith’s chief of staff, former Wildrose Party MLA Rob Anderson, in faux shocked tones. “Could you imagine having them in government ‘defending’ our provincial rights?”

Mr. Anderson, an author of the separatist “Free Alberta Strategy” who seems to grow more obnoxious by the day, continued: “If you don’t like the policy Naheed, explain why to Albertans and run your election campaign on it. We’ll beat you fair and square. But don’t whine to Ottawa and ask them to oversee and interfere in our provincial affairs. Grow a spine dude …”

Rob Anderson, the former Wildrose Party MLA who is now chief of staff to Premier Danielle Smith (Photo: Facebook/Rob Anderson).

Actually, whether or not it’s a smart strategy, I think Mr. Nenshi is pretty brave to try it given the risks. The UCP plan, after all, is to enact the policy before anyone can react – certainly before there will be an Alberta election – ensuring the damage can’t be undone.

That may or may not suit the federal government, but I doubt it suits most Canadians or most Albertans. 

In a news conference yesterday, Mr. Nenshi provided more insight into his thinking. Catherine Griwkowski of allAlberta.com asked how the federal government should thread the needle “when there are these people saying Ottawa’s stepping in a little bit too much in our business”?

Mr. Nenshi responded: “You know, that’s a question I hear from people in Ottawa all the time. ‘If we step in, will Albertans be offended?’ But here’s the thing: stop trying to be political about it! Stop trying to thread the needle! Just enforce the law.”

“And frankly, a hell of a lot more Albertans support public health care than support Danielle Smith,” he went on. “And a hell of a lot more Albertans support public health care than support separatism. So if the federal government actually steps in and says, ‘We are the defenders of public health care,’ that actually shows Albertans that Canada works and that there really is a role for the federal government. And I hope that’s the decision we take.”

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37 Comments

  1. Any Albertan wanting to spend a bunch of cash can go to the US. That would solve a bunch of problems. That individual would stop whining The Alberta treasury would benefit by paying for one less surgery. Another patient with fewer resorses ( or more patience ) would move up the list.

  2. ‘Tread’ the needle. That does accurately describe the setup the federal government would step into if they chose. I maintain they won’t. About time Nenshi joined the NDP, so there is that at least. Better late than never I suppose.
    Speaking of foreign contracts; do you know anything about the disability employment contracts Andy Sytsema describes on Substack and X?
    “The UCP just handed $98 million in contracts for disability employment services to two foreign private companies:
    · AKG Canada (North) — $47 million (Australian-owned)
    · Serco Canada (South) — $51 million (British-owned)
    Both are for-profit corporations that specialize in government outsourcing. While severely disabled Albertans are forced through stressful bureaucratic hoops, public dollars are flowing to foreign corporations. This is privatization, not compassion.”

    1. Thanks, Emily. You know, I spotted that missing H last night re-reading this post in the dark on my telephone and was too tired to get out of bed and fix it. Then I forgot about it this morning. It’s now been corrected. DJC

  3. It’s pretty clear by now that Danielle Smith is Pinky to Rob Anderson’s Brain. In case Mr. Anderson is reading, as I’m sure he is, this is not a compliment to either of you.

    The Brain: “There are some days where I think I’d be better off with a pliant corn dog as my sidekick.”

  4. It appears that management in Ottawa has decided to allow the American style privatization of health care in Alberta. Despite Mr. Nenshi’s cries for help, there is not a lot standing between Smith and what she wants to do with this province. I wonder how many Albertans are doing the mental calculation of when to leave the province. If anyone is wondering, yep, the UCP are still leading in the polls.

    Mr. Mencken seems to have hit the nail on the head when he said democracy is the theory that the people know what they want and deserve to get it good and hard, Unfortunately, for those of us capable of reasoned thought, this is not good.

  5. Brave or foolish? Sometimes there isn’t a lot of distance between them.

    The UCP will certainly be able to politicize this. Since their argument for their dual role is to shorten wait times for surgeries, they can then claim the NDP is trying to make wait times longer. I can’t help but notice the irony of Mr. Nenshi urging the federal government to ‘stop being political about it’, when, after sending his letter to the prime minister, he then posted it on social media.

    All of that said, I really hope the federal government will step in and put a stop to this dangerous scheme.

    1. Bob: Very good points. You have to be really stupid or utterly hopeless to qualify for a Victoria Cross. Like you, it would seem, I am also irritated by the constant pleas by politicians for their opponents not to be “political” when politics is basically the only way to solve any problem in this world. “Of course I’m being #%$@in’ political, you jerks! This is politics!” DJC

      1. Naheed Nenshi could announce that he’s in favour of puppies, kittens, healthy babies, and sunshine and the UCP would politicize it.

      2. Let’s remind that, contrasting with currently common misuse of the term, “political” is not the same things as partisanship.

        Naturally politics is how public policy gets done (there are other kinds of politics—“family politics,” “workplace politics,” &c, not necessarily to do with public policy). Too often we hear people–usually politicians criticizing rival politicians—complaining that so-and-so representative or such-and-such party is making an issue “political” or accusing with a tone of disgust that, “That [name] party is trying to politicize this [name] issue!” —by which they properly mean “partisan” or the more clumsy “making this issue too partisan,”—that is, pushing policy which unfairly favours one party over others, or which dismisses other parties’ inputs, criticisms or protests out-of-hand, or which repeals a former-governing party’s legislation purely for partisan reasons as both UCP leaders swore to do to any and all of Alberta’s single-term NDP government simply as a matter of partisan course.

        Identifying Danielle Smith and the UCP as extreme partisans, or chauvinists, is an understatement of ridiculous proportion, but as such they provide further illustration by way of pipeline policy which is so chauvinistically dismissive of the federally-owned TMX pipeline to the West Coast that they don’t recognize its existence at all in order to argue that Ottawa is unfairly stifling Alberta’s bitumen industry, an illustration with a bonus example that “Ottawa” is TBA-code for “Trudeau” (père ou fils), thence “francophone” (“Quebec,” bilingual labelling, &c), thence “Liberal” (or “woke,” &c), thence “Canada” (“sheeple,” &c)—proof that chauvinism, despite its primitiveness, is capable of evolving.

        There is of course a political aspect of pipeline policy or policy proposal which fairly involves debate whether pipelines are a good idea or if there might be a better, or more economical way or better route or more propitious time to do it, but the radicalized UCP position is totally partisan—indeed, chauvinistic—for the obvious reason that it’s a public policy that’s already done.

        Ignoring TMX so assiduously is the same kind of intransigent denialism as anti-vaxxerism which, with respect Covid, was more than nonpolitical, but actually anti-political: implementing epidemiological response was definitely fraught with political problems—that is, the problems of persuasion, facilitating, enforcing, &c—, but the policy itself of responding to life-threatening epidemics is so straightforward as to hardly need explanation.

        That’s how Nenshi uses the term “political”—not to mean “too partisan” but rather to say that it’s unnecessary to do politics—or “thread the needle”—with respect the Canada Health Act because it’s public policy for which the requisite politics is already done, it already exists. Rather, Nenshi points out, implementing the already-done-policy is an administrative question, not a political one. And since the policy is a federal one with which the provinces agreed to the terms of implementation, it falls to the federal government administration to make sure it is implemented as designed and agreed.

        At one time universal public healthcare was public policy only in Saskatchewan, one of whose federal MPs, Progressive Conservative leader John Diefenbaker, during his final terms as Prime Minister, commissioned the white paper that recommended extending the public system to the rest of Canada; after WWII, Saskatchewan CCF Premier Tommy Douglas first implemented the policy in his own province; then, in the early 60s, as leader of the federal NDP which held the balance of power during the Liberal minority which replaced Diefenbaker’s government, agreed to confidence and supply in return for PM Lester Pearson’s implementation of a national public healthcare policy. The policy got done, without doubt politically done, but, by way of Conservative, Socialist, and Liberal cooperation, with a notable lack of partisan contention.

        Federal politics is more complicated than provincial and, for whatever reason PM Carney might be reticent to wade into the Alberta healthcare issue, there are probably reasons that can be rightly called political—that is, other policy objectives might affect or be affected by whatever response he might make about the administration of healthcare in a province. Carney plays a lot of ‘inside ball’—particularly with respect the pipeline MoU with the reliably petulant Smith government, but Nenshi is well within political bounds in making his plea that the feds respond to the UCP’s apparent abrogation of the Canada Health Act.

        Naturally Nenshi might have partisan calculation in mind but it would be difficult to prove his request isn’t simply about encouraging the feds to take administrative responsibility for federal policy to which provinces are signatory. And doubtless he has psephological calculation as well, again difficult to discern through his common sense position.

        We should all try to avoid using the terms “politics,” “politicization,” “politician,” and “politicization” as pejorative substitutes for “partisanship” or its extreme, chauvinism. Politics is absolutely needed to get public policy done. Chauvinism, on the other hand, is handmaiden to charlatanism which ultimately cannot produce good public policy by any means.

        1. Mr. Nenshi wants to do politics in complete sentences, which is all very well and certainly his right, exccept that it makes it much harder to win. Since the things the NDP fight for, at least is supposed to – this is a problem. DJC

  6. I think Nenshi is doing the right thing as Dingy Smith refuses to listen to anyone. While she keeps chirping about get out of our lane, she does need to follow Federal laws if she likes it or not. It appears as though it is going to be an interesting summer with all the push back she is getting and her insistance to keep going forward regardless of the response.

    1. Nenshi is doing the right thing imo and the response or lack thereof will tell us what we need to know about the Federal Liberal govt with regards to universal healthcare in Canada. That’s important for all Canadians to know. I’m sure Avi Lewis will lead the discussion if it is ignored or handled obscurely by the Liberals.

      1. We’re already essentially two-tier in Quebec. My dermatologist recently went to private practice, and I now find myself paying $300 for appointments that used to be free (it’s either that or long, long wait on the public list for a new doctor). I have the choice between paying $35 for a blood test and waiting two months to have one done at a public facility. My older friends are routinely paying $30k for hip and knee replacements in a clinic across the street from where I work. And I see a lot of new private “health clinics” (e.g., UnionMD) popping up in downtown Montreal where there used to be public walk-in clinics. I think it might be the same situation in Ontario. In other words, the battle might already be lost.

  7. It’s a bold move, and the right one (although the begging tone is the wrong one. Nenshi should be demanding, not imploring). The next step if Ottawa does not enforce the Canada Health Act is to go to court. What the UCP is doing is finally get to the end game, something that they have been building up to for many years, which is to build a firewall around Alberta so that federal law and regulations are not enforced, and so in practice do not apply. It is telling that Rob Anderson is speaking up, being one of the main authors of the agenda, made very explicit in the Free Alberta Strategy (which I would encourage everyone to read). Anderson, who long ago positioned himself as Danielle Smith’s Rasputin, is behind the idea of “sovereignty “, which is very different from independence. Nenshi’s big mistake was to confuse the two, and push the erroneous claim that Smith is a separatist. She is not that stupid. — This is a key battle. The corporations are going for broke, attacking the very foundations of the Canada Health Act. I hope everyone who signed the Forever Canadian petition understands that universal health care is an essential part of what it means to be Canadian, and steps up to defend it. It’s not just about boycotting American products.

  8. It has come to a point where the smart people are afraid to say anything over fear of offending the stupid people.

  9. Good for Nenshi! Finally taking some risks. Milquetoast caution gets you nowhere when dealing with these sociopaths.

    1. I think a lot of Albertans (especially rural ones) are upset because:
      They are not a homogeneous blob as the the political assumptions on both sides would have it.
      And as “they” see it, everybody talks down to them and nobody stands up for them.
      However if Carney and co. sell us out, this will have an impact on healthcare all across Canada. No place to hide — due to free trade agreements.
      A harsh reminder that we are all in the same country, and the UCP wants us to push us into the arms of a nation that is, in many respects, much worse.

      1. Patricia and Cool: rural Alberta voters are mostly former oil workers with a sprinkling of farmers/ranchers. So of course, for their own reasons many of them are terrified of the much over-hyped energy transition.

        There is no longer much of a rural Alberta left. All you need to do is drive through America’s farm belt to see Alberta’s rural future. Rural America is full of 1980s and 1990s vintage farmsteads abandoned by the dozens along with empty towns. Thanks to Canada and Alberta’s war on cooperatives and marketing boards, rural Alberta is heading that way as well. Both the UCP and Carney know it. That is why the UCP’s plan is to Gerrymander the next election. It is also why Ottawa is continuing Harper’s policy of giving away our agricultural research assets to the oligarchs and abandoning our food sovereignty while lying about it. Add in the wrathful and dispossessed being created in the urban areas and you have the foundation for Trumpism in Canada.

      2. @Patricia

        I agree with you on this. Nobody is standing up for the working class Albertans.

        Nenshi has checked out. The Libs are nowhere to be found. Where are the activists and social reformers organizing a groundswell? Is the Alberta working class so Americanized that they don’t see the power of collective action?

        Colour me, baffled.

    2. Heartily agree. The best case for separation is for urban areas to separate from rural Alberta!

  10. Bold move, not a mistake. Federal health transfers will top $7 billion this budget year. The federal government has the leverage to put a stop to this clear-cut violation of the Canada Health Act. What’s lacking is the political will at the federal level.

    1. John K: Nenshi’s call for the Liberals to save public health care while previously musing about withdrawing from the Federal NDP certainly demonstrates a bold naivety about the value of solidarity. Without the Federal NDP in Parliament, Liberals are just Conservatives in a hurry.

  11. Meanwhile in Ottawa: not a peep out of newly-elected Toronto Liberal MP, Dr. Danielle Martin, who first came to public attention when she gave a spirited defense of Canadian healthcare in testimony to the U.S. Congress in 2014. Her campaign advertising in the recent byelection campaign reminded us of this: https://www.instagram.com/reel/DWPElX3ETKC/?hl=en

    Since her victory … crickets.

    Just another careerist.

  12. If I remember correctly when Klein tried this stupidity Ottawa threatened to cut our health care funding and he was forced to back down. I hope Ottawa does with this fool Smith don’t you.
    A doctor who grew up in Rural Alberta told me yesterday that she agreed with me that it will destroy healthcare services in rural Alberta and create a nightmare for people, why wouldn’t it?

    1. Alan Spiller: You are right. If you have any experience living in rural Alberta, you will see how Ralph Klein’s cuts to public healthcare, created problems for them (as well as for urban areas). These places lack hospitals, because he shut them down, and the others that remained, lacked what they needed to properly function. Under a hybrid healthcare system, where will these doctors, nurses and medical staff go to? The cities, of course. Many of these rural Albertans would vote for a fence post painted blue, if it ran as a Conservative. The UCP and Danielle Smith are continuing where Ralph Klein had left off. They want private for profit, USA style healthcare, which isn’t good.

  13. Bold move or mistake? I suppose it could turn out to be either, but what other choice do we have? Will the mayor of St. Albert force the Alberta government to follow the Canada Health Act? The Feds are the only ones with the power to do so.

    Of course if they do so or even hint at it, the UCP will quickly go into full victim mode and Smith who is at best non committal on Federalism may go back to covertly stoking separatism. It is amazing how quickly bullies can transform themselves into victims and just before a referendum is not great timing for all this, but this is exactly why the UCP is holding all these referendums, to continue to distract and delay dealing with other important issues they want to avoid.

    So it is not surprising the Feds will tread lightly here for now in what could be a political minefield, but that does not mean Smith will get away with it. The Federal government is certainly aware it is in power because of people who support public health care and not from the votes of those who want Alberta to do what it wants. Likewise, Nenshi is not going to get the votes of the separatists in the next provincial election either. The UCP has already tried to tie the Alberta NDP to its less popular Federal colleagues, so I don’t think at this point there is much to lose for standing up for health care and asking the Feds enforce the rules on it.

  14. Mr. Nenshi is taking the position that more Albertans support our health care system than support separation. Yet there may be another angle which goes something like – Hey Mark, do you really support Canada’s public health care or not? If so I’ll give Naheed a tip of my hat.

    I’m not sure that our PM is on our side on this issue, hence the weak response from Ms. Michel. She says Health Canada is “taking the time to review them carefully and engage with Alberta officials to better understand their components and potential impacts before they are implemented.” Taking the time? Bill 11 was introduced more than a year ago with Royal Accent more than 6 months ago, how long do they need to think about this? As DJC said in his blog post earlier this year – is someone in the public going to have to step up and challenge this in court? Probably.

  15. Naheed Nenshi is right, once again. However, no matter who the Alberta NDP get as their leader, the media will continue to lie about them, while not taking the UCP and Danielle Smith to task for their major mistakes.

  16. Trudeau tried this by withholding funds from Ontario for not proving that Ford spent the money on healthcare (we still don’t know where it went)

    All it wound up with was even less hospital funding as Dougie held ground.

    Ford was the innovator on this crap. Sorry ‘Berta.

    Nenshi should not only be demanding this–he should be screaming from the rooftops about the healthcare scandals AND the lack of funding.

    Instead of this Mulcair-lite middleweight, can Alberta find an NDPer with some conviction? Like, marching in the street, bullhorn-diatribe-in-front-of-the-parliament, conviction?

  17. It would be a bold movie for Ottawa to step up and defend the Canada Health Act against provincial shennanigans. They haven’t done so with Quebec, so why should they anywhere else?

    The position of the feds has always seen this as an Alberta problem, going back to the halcyon days of Chretien/Marleau days. Marleau lost her head and Chretien could still claim that dictators liked him. Alberta really is on its own.

  18. The Carny Banker’s accomplices are not too sure whether or not their public healthcare is actually worth a fight with Derpbertans, and public healthcare is the cornerstone of the sales pitch for Derpberta to stay in Canada? There’s something funny about a scenario in which a policy that only benefits the small minority of citizens who could afford private care is to be enacted by a government that purportedly represents the will of the people. How can such a thing be possible with a reasoning and informed population? What’s the total taxpayer tab going to be for the new rink in Calgary? Murray Edwards was worth $4.7 billion in March, up some 50% from this time last year. Which brings to mind a tale my father once told me. He was living in artist’s colony in Guanajuato, Mexico in the late fifties. Apparently sensing the young man’s innate wisdom and understanding of the world, a local campesina asked him if the Pope was an actual physical being or existed only in a supernatural, spiritual realm. One day, Albertans will hopefully reach that level of sophistication.

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