Why would Alberta allow for attrition of #abhealth nurses rather than just lay them off?

Well, #AbLeg. Let me introduce to you former Premier Mike Harris, mid-1990's Ontario and the economic costs of hospital restructuring.
Shortly after assuming office in 1995, `Mike the Knife` moved swiftly to close several hospitals, lay off hundreds of nurses and dramatically reduce health care costs.

(Image Source: @macleans) MacLean's cover following election of Mike Harris (1995)
In response to public antipathy, Mike said:
"Just as Hula-Hoops went out & those workers had to have a factory...that would manufacture something else... governments have put off these decisions for so many years that restructuring sometimes is painful."
-@globeandmail (1997)
Yes. Mike compared hospital nurses to workers in hula-hoop factories.

His 'Common Sense Revolution' established Ontario's first Health Services Restructuring Commission to immediately cut health-care spending.
It is estimated that nearly $2 billion was spent by the Commission just to close Ontario hospitals and fire hospital workers at the time.

Source:
policyalternatives.ca/sites/default/…
But, Ontario's hospital restructuring didn't go to plan. Ontario became sicker than anticipated and desperately needed skilled nursing care.

By 2000, Ontario was the epicentre of national healthcare crisis.

bmj.com/content/320/72…
Enter @AllanMRock... then Federal Minister of Health. Allan was gravely concerned that permanent cuts to nursing would tank Canadian healthcare.

He proposed massive, immediate investment in home care.

dx.doi.org/10.1503%2Fcmaj…
Around this time, @picardonhealth also published a highly-influential book called "Critical Care" which was a rallying call for Canada to rapidly invest in it's nursing workforce.

longwoods.com/content/16287/…
Of course, Mike Harris balked at home care investments.... saying it was a 'boutique' program.

Meanwhile, @AllanMRock noted how he couldn't invest in Ontario health-care while it was being systematically destroyed by Harris' thousand cuts.

cbc.ca/news/canada/ro…
Ontario's health-care crisis ultimately cost Mike Harris his job as Premier. He was voted out in a landslide by 2002.

By 2012, Mike Harris bought a private home care franchise. He has supported the privatization of community care services ever since.

thestar.com/news/canada/20…

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More from @TheHenleyShift

17 Jul
Why would #abhealth nurses quit a well-paying job?

Well, #AbLeg... let me briefly explain the link between nurse-sensitive outcomes, moral distress and burnout (with links to health sciences literature)...
Despite what @Alberta_UCP thinks, adequately staffed nursing units unequivocally prevent death.

One @TheLancet study found:
"An increase in a nurses' workload by 1 patient increased the likelihood of an inpatient dying within 30 days of admission by 7%"

doi.org/10.1016/S0140-…
This same study also found a moderating effect from highly-educated nurses on the units. That is, for every 10% increase in bachelor's degree prepared nurses the likelihood of mortality dropped by 7%.
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