Alberta’s Bill 11 has sparked concerns over the potential establishment of a two-tier health-care system akin to the U.S., according to a recent report by the Canadian Centre for Policy Alternatives and the Parkland Institute. The Health Statutes Amendment Act, 2025 (No. 2), also known as Bill 11, was enacted on Dec 18.
The new legislation in Alberta, dubbed a “dual practice” model, permits doctors to practice in both the public and private health-care sectors. Proponents argue that this approach could alleviate strain on the public system and potentially reduce wait times.
The report released by the CCPA and Parkland Institute raises alarm about the implications of Bill 11, suggesting it could lead to a two-tier health-care system by directing medical professionals towards private practices like chartered surgical facilities (CSF).
Critics argue that such a system could result in faster access for those who can afford private payment, while prolonging wait times for those reliant on the public system. There are concerns that Bill 11 may contravene sections of the Canada Health Act, which could impact Alberta’s health budget dependent on federal funding.
Health Canada has vowed to safeguard the principles of the Canada Health Act and ensure equitable access to necessary medical care for all Canadians. The federal government is engaging with Alberta officials to comprehend the potential impacts of the proposed changes.
While some researchers advocate for the benefits of a dual health-care model, others caution about the challenges of implementing such a system in Alberta due to workforce shortages. The debate surrounding Bill 11 continues with diverging opinions on its potential impact on the health-care landscape in the province and beyond.