The actual announcement itself isn't problematic. Exploring whether Stollery should be a freestanding hospital. Now I'm just waiting for the grilling about yesterday's announcement.
Question time. Dr Joffe (from AHS) asked about lifting of restrictions. He is asked whether they were consulted and whether they endorse the changes. He answers the first part on consultation, but doesn't answer the part on endorsement.
Shandro serves up a total word salad about shifting to endemic and the "amazing" work done by Hinshaw. He mentions her "independence", which is highly puzzling given them constantly saying that she is only an advisor.
Shandro says it is Hinshaw's decision to move to an endemic phase and not his. Now he is complaining about people undermining CMOHs. And again, more on CMOHs being independent. More word salad on how we should commend Hinshaw.
Shandro throws in a "lives and livelihoods" for good measure. He's asked about schools and dodges the question, instead talking about "deference" to Hinshaw and her "credibility" and "independence". He says their approach is evidence-based.
Shandro asked about post-secondary. Asked about mandatory vaccines for students and instead talks about proof of vaccine. He mentions the Health Information Act and vaguely says that he would be concerned about compelled disclosure. He punts the question to Minister Advanced Ed.
Asked about whether endemic messaging undermines efforts to get more people vaccinated. Great question. Shandro doesn't really answer the question about undermining and instead just says that people should get vaccinated.
Again asked about schools. Says that people around kids should get vaccinated and school transmission not significant. Says Hinshaw will monitor schools (unclear how this will be done given yesterday's changes).
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"the collection and use of individuals’ government-issued ID and selfie photos through the app for identity verification and fraud prevention by using facial recognition technology was not compliant with PIPA and HIA"
"collecting (recording) and using audio and video consultations through the Babylon app goes beyond what is essential to provide a health service and, again, is not consistent with provincial and national guidelines for providing virtual health care"
It's been a while since I've looked at the lobbying records to see who is knocking on Shandro's door. Apart from the usual visits from big pharma, Shopper's Drug Mart and Loblaws, here's who else has been paying him a visit.... /1
Telus has been lobbying re: "enhanced access to virtual healthcare" and "determin[ing] possible new and/or next iteration of existing AB Gov/TELUS programming...to ensure TELUS maximizes its reach to support...mobile healthcare access" /2
Alberta Surgical Group Ltd. lobbying re: "To achieve contracted arrangements with Alberta
Health and Alberta Health Services" /3
Secret public health meeting recordings. Kenney & Shandro micromanaged civil servants, overruled expert advice, & pushed an early relaunch that focused on the economy & avoiding the appearance of curtailing freedoms over safeguarding public health: cbc.ca/news/canada/ed…
Kenney wanted "evidence-based thresholds for mandatory restrictions that [were] effectively impossible to meet."
"[W]e put our best public health advice forward" and Kenney is "more concerned about the economy."
The gov used Hinshaw "as a shield to deflect criticism."
Although AHS "is responsible for enforcing public health orders" and "is supposed to operate at arm's length from gov", Shandro exerted control over enforcement. He didn't want them to enforce anything, just to educate. 29,000 complaints and only 62 enforcement orders.
The first public health order is out (a full day after coming into effect...it is problematic to be bound by legal obligations that you don't yet have access to). This one doesn't address businesses, even though they will be bound by restrictions starting on the 27th. /1
So they have little time to understand their legal obligations and prepare. Notably, many people seemed to think that the business restrictions apply across the province. They don't. They apply in purple areas. /2
A person in a private residence can't permit a person who doesn't normally reside there to enter, with a bunch of reasonable exceptions (health care, co-parenting, housekeeping, child care, repairs, etc). /3
I'm seeing disturbing accounts of Shandro's appearance at a UCP meeting in Peace River yesterday. These accounts suggest that the province's strategy has very little to do with public health evidence and a reliance on discredited experts.
To summarize the privacy commissioner's thoughts re: bill 46. Netcare will now be managed and operated by the gov. This is not necessarily a concern but a "significant departure" with uncertain benefits. She wonders what consultation w/ health service providers occurred. 1/6
Rules around duties/responsibilities of gov will be elaborated on in regulations. She strongly advises consultation with her on this (which didn't happen pre-bill 46). This bill creates a situation where the gov has "the ability to significantly broaden access to Netcare" 2/6
This includes access out of AB or even CAN. Beyond drs in Lloydminster, she's unsure of the gov's intent but says this will make it difficult for her to "effectively investigate or hold accountable" those out of province and may limit the recourse available to Albertans 3/6