Bill amending the Alberta Bill of Rights introduced. New provisions:
Right for individual with capacity not to be subjected to or coerced into receiving medical care, treatment, or procedures without consent unless likely to cause substantial harm to themselves or others. /1
Right to freedom of expression, broadening the scope of Albertans’ rights protected beyond written and spoken language to include other expressive activities.
Right to acquire, keep and use firearms in accordance with the law.
Expanded property rights. /2
Currently applies to laws but would now apply to all provincial gov action, including policies and programs, and to organizations that operate under extensive government control, such as municipalities, police services, and some activities of hospitals. /3
New statement would clarify that government may place reasonable limits on rights if it can demonstrate those limits are consistent with a “free and democratic Alberta”. /4
Preamble currently acknowledges principles "that honour & respect human rights & fundamental freedoms & the dignity & worth of the human person". Amendments would add "and the position of the family in a society of free people and free institutions." A nod to parental rights? /5
Preamble amendments would also add: "WHEREAS human rights and fundamental freedoms are of foundational importance to Albertan society, including during times of emergency." A nod to members of the gov's base who were opposed to covid measures? /6
The application of the Charter to pub institutions (eg unis, hospitals) is an open question. The Bill of Rights amendments use similar language. Applies to: "the Legislature and government of Alberta in respect of all matters within the authority of the Legislature of AB" /7
Bill currently grants right to "liberty, security of the person & enjoyment of property". Amendments spell out that property includes "right not to be deprived thereof except to the extent authorized by law and except by due process of law" & compensation for property takings /8
Bill currently protects freedom of speech. Amendments would read "freedom of speech and expression". Unclear what specifically the gov had in mind here, but freedom of expression arguments came up, for example, by those who were opposed to wearing masks. /9
"right of the individual with capacity not to be subjected to, or coerced into receiving, medical care, medical treatment or a medical procedure without the consent of that individual, unless that individual is likely to cause substantial harm to that individual or to others" /10
This leaves room for compelled treatment of those experiencing addiction under the gov's forthcoming compassionate care legislation and existing mental health legislation that was amended (in response to a court case that found Charter violations) from a couple of years ago. /11
Because the bill of rights doesn't offer further guidance, it is unclear whether a court would find that this forthcoming legislation or existing mental health laws are consistent with AB's bill of rights. /12
Right "not to be subjected to, or coerced into receiving, a vaccine" without consent. Unclear how courts will interpret coercion. Gov removed the power to compel vaccines from the Pub Health Act during covid. Would they find vax passports coercive? /13
Charter rights subject to limits "demonstrably justified in a free and democratic society". The rights in this bill subject to limits "demonstrably justified in a free and democratic AB." Will courts develop an Alberta-specific interpretation of rights or use Charter cases? /14
Those whose rights are violated can apply to court for remedy but not "a claim for damages in respect of an infringement or denial of rights and freedoms caused by the enactment of an Act, including this Act." Gov doesn't want to pay damages for rights violations. /15
Ultimately, the Charter right to security of the person already includes a right to be free from coercive medical treatment, so this is more about scoring political points than making real changes to individual legal rights. /16
It is unfortunate as we embark on cold/flu season that the gov would rather give anti-vaxxers a platform and speak about vaccines and coercion than to talk about vaccines being safe and effective and encourage people to get them. /fin
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Bill 22 (Health Statutes Amendment Act) now tabled. Broadly, will enable transition from Alberta Health Services to 4 new organizations, each responsible for a different silo of the health system (it remains unclear why gov is moving away from an integrated model) /1
4 agencies (primary, acute, continuing, mental health & addiction) will deliver or arrange delivery (contract out?) services, evaluate & adjust to meet needs, implement ministerial plans, ensure integrated transfers within & between sectors (will be a huge job!). /2
Minister of Health will be "oversight minister" and set strategic direction and sector ministers will be responsible for each of the 4 sectors /3
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
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
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
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
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