Thread by @Crackmacs

From /r/Alberta on reddit - redd.it/e61lxt

Title: "AHS bloat debunked (aka I am tired of seeing UCP hand wavy bullshit)"

As regards AHS bloat and salary issues - prepare to be crushed by math.

#yyc #ableg #UCP #ABhealth

1/17

alberta.ca/public-sector-… Download the csv, turn to table, ensure you only have AHS, sort for 2018, format the 'compensation' and 'other' columns to $; use autosum at the bottoms for totals.

2/

Sort by job, wage, title, whatever. Once you have a real feel for numbers, then we can probably have an informed chat.

That's the AHS sunshine list. Total for 2018 is 2187 people making more than 132k. AHS total staff is 102,000. Or about 2% of staff make it onto the list.

3/

168 people make more than 200k, and 53 make more than 300k. again, that's out of the 102,000 AHS employs.

The ENTIRE sunshine list is 400 million in total compensation. OMG you say! Yeah. AHS budget is 22 billion. So the sunshine list is 1.8% of total budget.

4/

Most of the people making over 200k are doctors. Either in their practice, or, tapped as leaders. The ones tapped as leaders are typically high priced specialists in their own practices. You really think they will take a pay cut to run the AHS? How about a huge fuck no.

​5/

Now top heavy – average admin burden in Canada (managers etc) runs 4.6%, AHS runs with about 3%. that is about the lowest in Canada.

​albertahealthservices.ca/assets/about/p…

6/

That’s the annual report, and it is vetted by GOA. So it is accurate and reality. Around page 61 they go into costs and such. Have a look. What ‘fat’? Go look at page 24 of the PDF.

7/

Now if you come back and say lies, you are calling the GOA liars too (especially the Auditor general), since their staff vet this report before publishing it.

8/

"CIHI reports administration expense as a financial performance indicator calculated based on administration expense and total expenses 4. In 2017-18 AHS’ indicator was 3.3% which was among the lowest of all the provinces.

9/

For 2018-19 AHS’ indicator was 3.5 per cent. Since 2014-15, AHS’ administration expenses have remained relatively constant averaging 3.3 per cent of total expenses over the period.

10/

Higher than budgeted costs of liability insurance increased the administration indicator by 0.3 per cent in 2018-19."

11/

The head of AHS is a specialist doctor with 12 years of school and 20 years experience. Her private practice would earn her 450k ish (based on similar doctors) or millions in the US;

12/

getting rid of her and not replacing her (this assumes she stays in AB and continues her medical work) would save about 1 to 2 nurses and leave a giant hole in leadership.

13/

People scream about salary, but 100% fail to look at who is there, and their qualifications. This is not like the head of WCB (a person with zero odds of making that much in the private sector) making almost a million a year till the NDP kneecapped top pay at ABCs;

14/

this is a highly skilled, experienced and trained person running an org that employs 102,000 people.

15/

UCP added 220 million to a budget of 22.4 billion. Inflation alone means that is a 1% cut. Add in an expanding and aging population, and this actually works out to something like a 17% cut in practical terms. This is not how to run an effective healthcare system.

16/

Blaming AHS for the UCP budget is just wrong.

Honestly this is all publicly available data.

AHS is not top heavy, nor bloated. There isn’t fat to cut. 70% of their budget is staff. What did anyone expect?

The top of the AHS org chart is the Minister. The buck stops there.

17/