Dr Norlaine Thomas (She/Her) Profile picture
May 27 15 tweets 4 min read Twitter logo Read on Twitter
How can I explain why Danielle Smith's "public delivery" through for-profit suppliers is not a good thing?

Ok. Let's say a procedure costs $1,000. It's a nice round, easy to work with number. The procedure costs $1,000, which includes wages of doctors, nurses and other
1/15
healthcare professionals as well as support staff. It also includes any medications, materials (like sutures), and that fraction of depreciation on equipment. And it includes general overhead like building maintenance and keeping the lights and heat and water on.
2/15
$1,000 is what it costs. That is, as they say, "at cost". Now, this doesn't include any profit for anyone. There are no investors waiting for dividends. At cost, no profit involved, in-house. Are you still with me here?
3/15
When the UCP signs a contract with a for-profit provider, they are not going to charge $1,000. They are not going to do it without a profit, because they DO have shareholders waiting for dividends. So, what happens?
4/15
The UCP believes so passionately that there should be profit created from healing the sick and injured, that they sign contracts where they agree to pay more than the in-house, public delivery cost. The for-profit is saying, "Oh dear, well we can't do it for $1,000...
5/15
We need to show a profit. This is not a charity, you know! We can do it for $1,200." And the UCP, because they really believe in this say, "Sure, that sounds fair!" and they sign the contract. And then there is $200 that is coming out of the pool of money for healthcare
6/15
for Albertans and going directly into the pockets of investors who may not even live in Alberta, or Canada. So that is taking that money out of the Alberta economy and sending it somewhere else. And it is depleting the money available in the healthcare budget.
7/15
Now, $200 doesn't seem like a lot, does it? But what if there are 10,000 procedures where a for-profit takes an extra $200 off the top, to make their profit?

That's $2 million.

That's $2 million less available for helping Albertans.
8/15
That's $2 million just given away for ideological reasons, taken out of Alberta's economy. And that's not a good thing for Albertans. It's great for the investors. But it is not good for us.

Additionally, the UCP has signed at least 1 contract with a volume floor.
9/15
That means they have promised the for-profit company that they will send a set minimum number of patients to them or, presumably, pay some penalty. So they have locked in this continuous gift of our money to investors.
10/15
Now, $2 million is just what I used to explain the concept. In fact, the current contracts the UCP has with for-profit surgical facilities include $167 Million as that "profit" part of the bill. That's $167 million coming out
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of the healthcare budget for Albertans and effectively just given away. Because Danielle Smith doesn't believe in public health care. This is her backdoor way to make sure the profits flow to private sector.
Read about it here: susanonthesoapbox.com/2023/03/26/a-s…
12/15
But not only is it misuse of public money, but it means there could come a time where the cupboard is empty and there is no money to pay in-house or for profit, and the only way to access healthcare is Albertans will have to dig into their own bank accounts. Which was the
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end goal all along. Danielle Smith likes to talk as though it's the government's money. "Is a trip to the doctor really something the government has to pay for?"
She wants you to forget that it's not her money. It's OUR money. We paid in taxes & we get back in healthcare.
14/15
Please, think about this when you to vote today or Monday. Danielle Smith and the UCP are giving our money away, giving YOUR money away. Not to save lives, but to make investors richer. Is that good fiscal management? Is that good for Albertans?
15/15
#FireTheUCP #Vote

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More from @Norlaine

May 26
It's a funny thing. We now have "pundits", folks presented as having a superior understanding of politics, who comment on the day's events through the lens of their own biases, telling us what to think.
1/7 #cdnpoli #cdnpolitics
I suggest this is not at all useful to society.

What would be useful is journalists who
a) say what happened or what was said by whom
b) explain how things actually work in the Canadian system or the facts of the situation at hand
c) point out any inconsistencies in
2/7
what was said by politicians (i.e. where they are lying to the public)

That's it.
That should be the job.
We are smart enough to figure out what to think of it ourselves.
Politicians might be much more concerned with getting their facts straight, if they knew they would
3/7
Read 7 tweets
May 25
The past 4 years of UCP rule, and especially the past ~8 months of Danielle Smith as premier, have been exhausting and stressful. The almost daily outragous events can't have been good for anyone's blood pressure....
1/
Can't we just have a nice boring government that works for the public and good things get done? Where we don't have to pay close attention all the time, braced against the next fiasco?
2/
We need a government we can trust to just do good things like build schools, fix up healthcare, support municipalities, create programs to combat poverty, racism, etc.

So we can all relax and get back to our lives.

3/
Read 5 tweets
May 20
I know that there are a bunch of Albertans who look at what Danielle Smith and the UCP want to do, even the parts they don't want to talk about, and they agree with all of it. There are Albertans who think the healthcare system should be privatized.
#AlbertaElection2023 1/21
Maybe they feel somehow that sick or injured people should have to pay to show them the error of their ways so they smarten up and don't do whatever it was again. Maybe it galls them to think that some of their tax dollars are helping someone else, maybe even
2/21
someone they would disapprove of. Albertans secure in the knowledge that they, and those they care about, will never be in the position of being denied medical treatment because they haven't got enough money. Because those things only happen to bad people, right?
3/21
Read 21 tweets
May 18
"Food quality is down and the price is up" This was the news this morning about how privatizing AB hospital cafeterias has impacted food delivery. This is the exact and predictable effect of adding a profit motive to anything. Minimize costs and maximize revenue.
This works the same for healthcare. The profit motive means that for-profit companies will do things as cheaply as possible and charge as much as possible. They are in the business of making profit. That's what they do. And it doesn't matter if they are manufacturing tires or
replacing hips, or providing food. The profit is the point. Not traveler safety, or patient wellness, or making sure medical staff working long shifts have something good and nutritious to eat to help them get through the hours. It is all about the profit.
Read 7 tweets
Apr 20
In December 2018, the NDP Government of Alberta passed the Mental Health Services Protection Act to ensure that counsellors and people providing mental health treatment were certified. Prior to this, just anyone could take people's money and "treat" them. 1/9 #abpoli
The Association of Counselling Therapy of Alberta came into being. However, the UCP stalled the process of accrediting the professional organization, so it is still the case that anyone can claim to provide counselling services, without oversight. 2/9
cbc.ca/news/canada/ed…
People have puzzled over why the UCP hasn't acted to prevent charlatans from taking people for a ride while claiming to treat mental illness and addiction. And now, perhaps, we have the answer...
3/9
Read 9 tweets
Apr 20
So, Stephen Harper has issued a video statement wherein he urges Albertans to vote UCP. One must assume he is onside with the TBA agenda. He has never liked Canada, but it seems almost traitorous to urge Albertans to vote for a separatist group. As we have discovered 1/6 #abpoli
the Take Back Alberta organization is, and as we have also learned, TBA pretty much controls the UCP from the inside. The UCP is effectively run by the same people who blocked the border at Coutts and occupied Ottawa. And Harper thinks they are A-OK. This speaks volumes 2/6
about him. I always suspected he was a corporate raider, back when he was PM. His job was to break Canada up so corporate interests could swoop in and harvest whatever might be of value. Oil, lumber, minerals, water. Even the cost of healing the sick. And now, with his rabid 3/6
Read 6 tweets

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