Wednesday, June 19, 2013

You say "tow-MAY-tow", I say "tow-MAH-tow"...

Never a shortage of things to talk about, is there, Nation?

Just a shortage of time in which to do so.

  • Health Care has been a big topic of discussion in Alberta as of late (yes, bigger than usual), with the announcement (re-announcement? re-re-re-announcement?) of 24 locations for Family Care Clinics to be set up...  eventually. I'm sure there will be an announcement.
  • Cuts to programming for Persons with Developmental Disabilities (or "PDD", for people who prefer to frame those cuts as attacks against the people rather than programs) have drawn a lot of ire from opposition politicians looking to draw media attention during the dry summer months.
  • Fred Horne went all "Chuck Norris" on the board of Alberta Health for their refusal to follow his instructions regarding pay-out of contractual bonuses to non-union executives. Critics have decried this as political interference in the management of the system. My father would call it a study in "the Golden Rule": He who controls the gold, makes the rules. And since it's MY gold - and yours - I'm glad someone is finally showing a willingness to say "No. Health - you've had enough cookies. No more. You'll spoil your dinner."

The last Health Care-related bit I wanted to touch on today is the insane argument I'm hearing about whether certain services should be delivered by not-for-profit entities, for-profit corporations, local organizations, out-of-province outfits... you know the one I mean.

Are we seriously debating this?

The service should be provided by the organization that can provide the best service with the greatest value to taxpayers. All stop.

To borrow a phrase from the late Ralph Klein, I don't give a tinker's damn if it's the local Shriners club or a giant health care company with headquarters in Chicoutimi or Cincinnati... can they provide the service, and can they provide value for our tax dollars?

It's that simple.

The front-line staff - the people on the ground, providing service - live in Alberta. Nobody's driving from Kelowna to Calgary every morning to work as a nurse. So the argument about keeping tax dollars in Alberta is a red herring - the people getting paychecks to perform these tasks DO live here. Beyond which, it's also a complete and utter distraction from what the real issue should be: Are people getting the quality health care they need, as quickly as is feasible? I don't care if the money goes to Drayton Valley or Abu Dhabi... the health system isn't a wealth distribution mechanism. It's a system built to provide medical services to the people of Alberta. Where the money goes is so secondary a concern as to be laughable.

I understand that people are concerned about their jobs, and the jobs of their loved ones. I would be too. But as a province, we have to accept that the health care system is broken. The days of it swallowing up every job even remotely related to health provision and making it a full-time, salaried government position are long past.

Can you provide the service, and can you do so in a cost-effective way, respecting that every dollar spent is a dollar that belongs to the people of Alberta?

If your answer to both questions is "yes", I couldn't care less what area code your CEO's business card has on it.

Let's get to work.


Anonymous said...

It's unfortunate the AHS Bonuses will still have to be paid out as it would cost more in legal fees to not pay the contractual bonuses. Nice political maneuvering though.

Enlightened Savage said...

Anon: I'm not a legal expert, but that's my understanding as a layperson as well.

At least someone's been held accountable for the contracts in the first place.

OilsandsKen said...

I can't understand why the AHS Board at least did not accept the refusal of the bonuses by the execs who volunteered. Contracts must be honoured but can be changed by mutual subsequent agreement.