A recent bill introduced in Alberta aims to permit physicians to work in both private and public healthcare systems while excluding family doctors from the private system, at least for now. The Health Statutes Amendment Act, known as Bill 11, was presented in the Alberta legislature as part of the proposed implementation of a “dual practice system.”
Premier Danielle Smith had previously announced the dual model, indicating a potential shift in the healthcare landscape. However, Chris Gallaway, the executive director of Friends of Medicare, raised concerns about the inclusion of family physicians in this new system. The bill currently maintains emergency medicine and critical surgeries, such as cancer treatments, within the public healthcare domain.
The government clarified that the bill aligns with the Canada Health Act and could serve as a strategy for physician recruitment. Minister of hospital and surgical health services, Matt Jones, highlighted the competitive nature of attracting healthcare professionals in Alberta. He emphasized the benefits of allowing physicians to engage in private activities while retaining responsibilities within the public system.
The legislation also outlines considerations for the public-private system, including potential restrictions on surgeons and specialists transitioning to private practice. Physicians operating in both systems will be required to maintain separate records to prevent payment discrepancies by Alberta Health.
Additionally, the bill addresses various healthcare regulations, such as enhancing food safety oversight, preventing improper billing practices, and streamlining the health card renewal process. However, the Alberta Medical Association expressed concerns about the potential impact on public system access and stability, urging thorough planning and consultation with healthcare providers.
Critics like Gallaway raised apprehensions about creating a two-tiered healthcare system akin to the American model, raising questions about equitable access and transparency in decision-making processes. The call for a comprehensive health workforce plan to address system needs and shorten surgical wait times remains a key advocacy point for healthcare reform in Alberta.