06/24/2026
Alberta Health - It shouldn’t be a gamble
Let’s begin by stating that this UCP government has no mandate to privatize our public systems. Yet they are.
Before Alberta moves toward dual billing, our government should be asking a simple question: does our healthcare system have the capacity to support it?
Over the past several years, the UCP government has expanded the role of privately delivered healthcare services, contracted out more surgeries to private facilities, increased the use of chartered surgical centres, and signaled interest in greater private-sector involvement in healthcare delivery. Supporters argue these measures can reduce wait times. Critics warn they may pull scarce healthcare workers out of the public system.
Germany is often cited as an example of a successful mixed healthcare system. However, Germany’s model is supported by roughly 4.5 physicians and 7.7 hospital beds per 1,000 people—far more capacity than Alberta currently has. Their system works because both the public and private streams are well resourced, not because patients can pay extra for care.
Alberta has about 2.5 physicians per 1,000 people and significantly less hospital capacity. If we are already struggling to staff the public system, diverting scarce healthcare workers into a parallel private stream risks making wait times worse, not better.
The debate is no longer primarily about ideology. The government has already set Alberta on a path toward a more mixed model of healthcare delivery. The debate now is about realism, capacity, and whether the necessary foundations are in place to make that model succeed.
If Alberta wants to point to Germany as a model, then we should also ask whether we have Germany’s doctors, nurses, and hospital beds. Right now, that remains an open question.
Before changing how healthcare is financed, government should first demonstrate that Alberta has the capacity to deliver it. Prudence demands that we strengthen the foundation before adding another storey to the house.
Conservatives should conserve institutions that work, strengthen those that do not, and resist undermining public trust for political gain.