Alberta Premier’s New Health Mandates Raise Private Care Concerns
Premier Danielle Smith’s latest health care directives are reigniting debate over privatization in Alberta’s medical system. The mandate letters for her health ministers outline priorities for what she calls a “new era of care,” but critics warn they open the door to more private delivery of publicly funded services.
Legislation signals shift toward private access
Primary and Preventative Health Services Minister Adriana LaGrange has been asked to introduce legislation allowing Albertans “more choice and access” to elective and diagnostic services such as MRIs and CT scans.
Advocates like Chris Gallaway of Friends of Medicare say this could mean for-profit testing gaining a foothold.
“We’re very worried when they talk about that,” Gallaway said. “Unless it’s enabling private, for-profit diagnostics, no new law should be required.”
University of Calgary expert Dr. Fiona Clement echoed concern, noting past failures with private lab initiatives.
“We already have experience with private surgical and lab facilities — neither went well,” she said.
LaGrange’s office maintains Alberta remains committed to a strong, publicly funded system and that the changes aim to reduce wait times and improve access.
Competitive funding model for surgeries
Hospitals and Surgical Health Services Minister Matt Jones is directed to fully implement a competitive, activity-based funding model for insured surgeries.
Alberta Medical Association president Dr. Brian Wirzba said the approach could increase private participation and further strain public hospitals.
“It could open the door to more private care,” he said, emphasizing the need for transparency and consistent outcomes.
The government says the model will reward efficiency and apply equally to public and private providers, with safeguards to prevent “skimming” — where providers favor low-risk patients.
Vaccine funding and broader reforms
The premier also directed a review of public vaccine coverage, ensuring free vaccines target those most at risk. The move follows controversy over the decision to charge most Albertans for COVID-19 shots this fall.
Other mandates include publishing surgical wait times, addressing staff shortages, and improving coordination across Alberta’s newly divided health ministries.
As Alberta’s government pushes ahead with its health system overhaul, experts and unions warn that strong guardrails and accountability will be essential to preserve the integrity of public care.
