In the new era the Alberta premier is ushering in, Alberta’s monolithic superagency is broken into separate organizations by function.
What’s going on Canada?
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For someone who’s ideologies are libertarian she sure as fuck likes to make decisions for us as a government.
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Seems dumb. Care is provided through collaboration of those entities and is generally local. This sounds like it will function fine for the areas of the province without access issues, but throw those with access issues under the bus.
I think a lot of private health care-related companies often revolve around a single function (or just a few). I mean, they can’t really do the whole thing because it’s public.
Pretty sure this is just making it easier to eventually carve out. Like removing the wish bone from your Thanksgiving turkey before roasting it.
In the states, it’s actually usually integrated except for nursing homes(continuing care in this model) and to a lesser extent behavioral and addiction (though that’s often integrated with acute care). In many places a single metro organization (like hopkins, frederick health, and meritus in maryland) will have all the other legs.
Being spread out just makes it harder to administer when private because you don’t have the whole pipeline to control.
You see this all the time after a buyout.
Reorg to silo-ize, then outsource/sell/shutter by silo
This is the best summary I could come up with:
If there was a health-care system structure that guaranteed better patient care, lower surgical wait times, and impartial and accountable decision-making, then it would be in place everywhere.
“This backward-looking UCP plan will stuff patients and providers back into ineffective silos,” NDP Leader Rachel Notley said.
But she hasn’t much shied away from her animus toward AHS, which appeared to harden in the pandemic; consider that the mass ouster of the agency’s board was one of this premier’s first actions.
With LaGrange’s Health Ministry assuming new oversight of infrastructure projects and facility planning, is it no longer a given that AHS will run a new Red Deer hospital?
In this vein, this reform is at the same time a decentralization and a recentralization in the ministries of LaGrange, Mental Health and Addictions Minister Dan Williams — and, ultimately, the premier’s office.
“If something goes wrong with AHS and the government pays the price for it politically, you can see why that’s a bad bargain,” health systems expert Steven Lewis told CBC colleague Janet French.
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