Lorian Hardcastle Profile picture
Aug 22, 2020 5 tweets 2 min read Read on X
Given that several recent opinions have come under fire for the authors' affiliations and conflicts of interest, I would like to disclose my own and encourage others to do the same... calgaryherald.com/opinion/column…
My only sources of income this year have been 1) my salary at the UofC, and 2) book royalties likely totaling less than $1000. The only contact that I have ever had with any politicians of any party has been after the publication of my opinions on bill 30 and privatization....
In fact, I only moved to Alberta three years ago and published pieces that were critical of privatization well before ever coming to Alberta.
Possible ghost-writing of opinions has also been raised. To be clear, I've written every single word of any of the opinions I've written and @UbakaOgbogu and I have written every single word of the ones that we've co-authored.
The nature of that contact was 1) emails to schedule my appearance on a publicly-available facebook live and podcast, and 2) a zoom call to briefly discuss bill 30 in advance of a press release that quoted me and a meeting where members of the press could ask me about bill 30.

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More from @Lorian_H

Nov 15, 2023
Manning report on covid has dropped. Notably, the panel's mandate wasn't to look broadly into the management of covid, but more narrowly to look at governance in a public health emergency. /1
I'm not going to disparage any specific person, but it is fair to say that the panel's composition seems designed to reach particular conclusions on the issues. /2
Report immediately mischaracterizes who makes decisions in a pub health emergency by putting Cabinet at the top of the list and saying cmoh is merely "highly relevant". Although that's what happened during covid, the law is quite different (for now...see bill 6). /3
Read 30 tweets
Nov 8, 2023
Watching the presser on changes to the health system...

Smith highlights challenges with staffing and surgical wait times, but unclear how their proposed reforms will fix any of this. Says that current system lacks accountability and falls short on putting patients 1st /1
Delivery system will now focus on 4 areas, each with their own organization: primary care, acute care, continuing care, mental health & addiction. Calls current AHS structure "scattered" and "rigid". Will apply province-wide to avoid pre-AHS regional fragmentation. /2
Smith says this new model will be more responsive to issues, better able to mange performance, more accountable, more adaptable to innovation, and responsive to make space for local input. Unclear how the new model will facilitate these goals. /3
Read 20 tweets
Nov 2, 2023
Gov announced forthcoming changes to the Public Health Act today that will give cabinet greater power over decisions during a public health emergency. Some thoughts... /1
First, clarity over the role of the CMOH was much needed. This should have been fixed much, much sooner when it became clear that what was happening during covid (i.e. cabinet making decisions) was out of step with the law (i.e. CMOH making decisions). /2
Two questions required attention. First, who ought to make decisions during a health emergency (CMOH, cabinet, combo)? And second, how much independence should the CMOH have (e.g. a bureaucrat reporting to the Minister of Health or able to disclose recommendations publicly)? /3
Read 10 tweets
Aug 1, 2023
Much anticipated decision in Ingram v Alberta (CMOH) is out! This case addresses the legality of covid public health orders. A summary and some thoughts... /1
As discussed ad nauseam during covid, this decision clarifies that the authority to issue public health orders is that of the CMOH and not cabinet. Despite this, Hinshaw repeatedly said that she was merely an advisor, thereby improperly delegating her power to cabinet. /2
Specifically, the Act "requires that decisions with respect to public health orders must be made by the CMOH" or her delegate. Instead, decisions here "were made by cabinet" or its committees. This delegation was "not permitted" by the Act. /3
Read 19 tweets
Nov 17, 2022
Catching up on the Smith/Copping presser...
Smith commends front line staff and scapegoats AHS. Appoints administrator to replace AHS board. 4 priorities: EMS response times, ER waits, surgery waits, develop long-term reforms through consultation with health professionals. /1
Copping also commends front line staff and talks about the need for more capacity (doesn't address preventing people from needing hospital services in the first place). Claims a temporary administrator is preferable to board because they can work on these issues full time. /2
Administrator will work with CEO and will report to Minister of Health/Premier.
EMS: fast track transfers, use other modes of transport for non-urgent cases, empower EMS to step down calls from 911, empower paramedic to triage and determine need for ER transfer by ambulance. /3
Read 13 tweets
Oct 27, 2022
Hot off the press! The Court of KB releases its decision in the school masking case. Some thoughts to follow... /1
The applicants challenged the chief medical officer's order rescinding masking in schools and the Minister of Ed's direction that schools not impose their own masking requirements. /2
Notably, and as @UbakaOgbogu and I have said many times, the Court finds that the authority to make public health orders rests with the CMOH, not cabinet. Because the masking decision came from cabinet and not her, it was unreasonable. /3 Image
Read 9 tweets

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