Alberta’s health system is under extraordinary pressure. Physicians are feeling that pressure across the system, but the fundamental question for Albertans remains simple: can patients get the care they need, when they need it?
Primary care – The foundation we cannot afford to weaken
The AMA's second annual State of Health Care report shows Albertans are confident in the quality and skill of their physicians and health care teams, but have less confidence in the system's ability to provide timely access to care when and where it's needed.
Today, government announced a $172.3 million investment in physician compensation as part of the final year of the current Master Agreement (2022-26).
Last week, you should have received a link to complete the latest AMA Member Tracking Survey. I encourage you to take a few minutes to share your experience. Your feedback gives us timely insight into the realities you are facing in practice and helps ensure our advocacy, priorities and member support reflect what physicians are experiencing right now.
Over the past several months, many of you have raised important questions about what expanded dual practice could mean for patients, physicians and the future of our publicly funded health care system — especially since Bill 11 (Health Statutes Amendment Act, 2025 (No. 2)) was introduced.
Below you will find previous issues of The President's Letter. For older issues no longer on the website, contact us.
On January 31, I wrote to inform members that our negotiations with government were moving to mediation. Unfortunately, that voluntary mediation process was not successful.
In my President’s Letter last Friday, I shared our negotiations objectives and what we consider to be key requirements for reaching a deal with government: Better information – government is using misleading physician payment figures Clear vision required – a lot of ideas out there, they need to be brought into focus; Provincial physician compensation strategy – essential for true system improvement; A way to deal fairly with physician supply and control practitioner ID numbers. Today I would like to focus on the first requirement: better information.
As reported last week, Alberta Health and the AMA have brought in a mediator to assist with negotiations. There is still a long way to go, but I believe it is positive that both parties are doing what they can to reach an agreement.
The 57 recommendations in the Alberta Health Services Performance Review are a compendium of cost-cutting opportunities that purport to improve value in health care by either reducing cost with no impact on quality of care, or by reducing cost and improving quality. It’s an interesting concept. We can understand the exercise of looking at the current state and seeking efficiencies; the report provides many ideas to consider. The picture is still incomplete, though, if we don’t also look at what the health care system needs to deliver for patients today and in the future.
Today government released the long-awaited Ernst & Young summary report of Alberta Health Services Performance Review. We have had a little time to review it, but much more time will be required given the scope and the potential implications.
Our negotiations with government are moving to a new stage. We have been at the negotiating table since November 2019. While we have seen some advances in recent weeks, both sides have agreed that discussions would benefit from mediation. A mutually agreed upon mediator has been appointed this week with the first mediated discussion occurring today. Meetings are currently scheduled to the end of February.
Within the set of 11 insured services consultation proposals that Alberta Health provided to the AMA on November 14, proposal 8 plans to eliminate some stipends that are currently paid to physicians practicing in AHS programs.
I will provide you with updates on discussions with government and negotiations frequently in the weeks ahead.
Last Friday you will have received a copy of the AMA’s final response document for government’s Insured Services Consultation. The December 20, 2019 President’s Letter is on our website if you missed it. It contains our perspective on the consultation items.
On November 14, the Alberta government tabled several proposals, which they considered to be outside of negotiations, and gave the AMA until today (December 20) to formally respond. We received feedback from over 1500 physicians and I am writing today to provide members with the AMA’s response to the Alberta Health and Alberta Health Services Insured Services Consultation proposals.