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Alberta gov’t mulls plan to allow doctors to work publicly, privately or both, according to reporting

Alberta plans a unique model letting doctors work publicly, privately, or both, sparking debate over equity and possible longer wait times, says Canadian Medical Association.

  • Premier Danielle Smith's government has prepared draft amendments creating three physician categories—public, private, and toggling—while draft 11 dated Nov. 5 shows plans to permit parallel private services.
  • Just last week, Alberta announced plans to expand private surgical centres to shorten wait lists, with the Montreal Economic Institute urging replication of Denmark's model to ease access and retain doctors.
  • The draft says the new 'flexibly-participating' doctors would decide case-by-case to provide public or private care and require private-practice doctors to disclose charges and obtain written patient consent.
  • Family physician Danyaal Raza warned that the draft changes would violate the Canada Health Act and could risk Canada Health Transfer funding, while Health Canada and Marjorie Michel's office engage with Alberta Tuesday.
  • No other Canadian province allows physicians to toggle between systems, and critics including Friends of Medicare and Naheed Nenshi warn the plan risks 'two-tiered' care and longer waits, with Burnell stating, `The evidence from around the world is clear: where a parallel private health system operates, both health outcomes and access to care are worse`.
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redaccionmedica.com broke the news in on Tuesday, November 18, 2025.
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