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Alberta Politics

is edmonton’s former capital health board being targeted by a calgary-led witch-hunt?

Witch Trial Alberta Health Services
The Alberta Health Services investigation into former Capital Health executives.

Are executives of the former Calgary Health Region, now comfortably occupying senior positions at Alberta Health Services, campaigning to discredit the work done by executives of Edmonton’s now-defunct Capital Health Region?

AHS President and CEO Chris Eagle announced earlier this week that, following the Allaudin Merali expense-claims scandal, an Ernst and Young audit would expand to include expense-claims from all former executives of Edmonton’s Capital Region Heath Authority. This expenses audit could include investigations into former Capital Health President and CEO Sheila Weatherhill, who recently resigned from the AHS Board of Directors, and potentially Ethics Commissioner Neil Wilkinson, who served as Capital Health’s board chairman until 2008.

Despite calls from critics to expand the expenses audit, it will not investigate former executives from Alberta’s other now-defunct regional health authorities.

Before it was dissolved, Capital Health was widely seen as an example of innovative regional health care in Alberta for its pioneering of Health Link and creation of the Mazankowski Alberta Heart Institute and the Edmonton Clinic at the University of Alberta. The targeting of only Capital Health officials in this expense-audit could be seen as a campaign to discredit their many successes of Capital Health by officials from the former Calgary Health Region, which was mired in a financial deficit.

Some current Alberta Health Services senior executives who were employed or connected with the former Calgary Health Region include President & CEO Mr. Eagle, Executive Vice President and Chief Development Officer Bill Trafford, Chief Operations Officer Chris Marzukowich, Chief Medical Officer David Megran, and Senior Vice President (Communications) Roman Cooney. Even the AHS senior vice-president in charge of the Edmonton zone, Mike Conroy, held several senior management positions with the Calgary Health Region.

For many years, the Calgary Health Region benefited from political proximity to both Premier Ralph Klein, and former Provincial Treasurer Jim Dinning, who later served as chairman of the health region’s board of directors. Prominent politically connected directors appointed to serve on the Calgary Health board included Premier Klein’s constituency president Skip MacDonald and Progressive Conservative Party vice-president Scobey Hartley.

In some circles, it is suspected that the creation of the provincial health superboard was a reaction to the political brazenness of former Calgary Health Region CEO Jack Davis, who was known to use media attention to leverage increased funding from the provincial government. As CEO of Capital Health, Ms. Weatherill used considerably more tact than her Calgary counterpart, relying on official channels to lobby the government.

In its final year of existence, the Calgary Health Region recorded a $85 million deficit and Mr. Davis went public to get more money from Premier Ed Stelmach’s government before the 2008 election, which threatened to make it an campaign issue. Shortly after the Tories were re-elected in 2008, the regional health authorities were dissolved and Health Minister Ron Liepert created Alberta Health Services. The dissolution of the Calgary Health Region led to Mr. Davis receiving a $4 million retirement package (Ms. Weatherill was paid about $2 million under her supplemental executive retirement plan).

Expanding the expense-claims audit beyond the Capital Health Region could reveal similarities and contrasts in expense-claims, but more dangerously for some, it could dive into the annals of PC Party patronage. The regional health boards across the province were notoriously stacked with appointees who also happened to be card-carrying members of the PC Party.

Among the prominent Tories appointed as chairman of the former regional health authorities included cabinet minister and PC election campaign manager Marvin Moore in the Peace Country Health Authority and former cabinet minister, Ernie Isley, who served as chairman of the Lakeland Health Authority, which posted a $4 million deficit in 2002.

Categories
Alberta Politics

allaudin merali’s extravagant expenses and severance package a blow to alberta health services, redford government.

The highest echelons of Alberta Health Services are once again being rocked by a firestorm of public criticism after it was revealed that AHS Chief Financial Officer Allaudin Merali had claimed more than $345,000 in expenses to the former Capital Health regional authority.

Allaudin Merali Alberta Health Services
Allaudin Merali

Mr. Merali was fired by AHS hours before the Canadian Boardcasting Corporation aired the story about how he claimed thousands of dollars on lavish meals at restaurants, bottles of wine, catering, and an expensive phone for his Mercedes Benz car. Shifting quickly into damage control mode, AHS soon after released Mr. Merali’s expense claims on their website.

Making the controversy even more outrageous, Mr. Merali is expected to receive a severance package from AHS after his employment was terminated with cause (even AHS CEO Chris Eagle does not have this provision included in his contract).

The story was uncovered by intrepid CBC reporter Charles Rusnell, who has become one of Alberta’s star investigative journalists after uncovering cases of pork-barrel politics and scores of illegal donations made by public institutions to the Progressive Conservative Party.

The controversy claimed a second high-ranking AHS official yesterday as former Capital Health CEO Shiela Weatherill resigned from the AHS board of directors. Seen as a voice of credibility after her successful time as the CEO of Capital Health until it was merged into AHS in 2008, Ms. Weatherill was appointed to the AHS board after the departure of controversial former AHS President and CEO Stephen Duckett in late 2010. Ms. Weatherill was Mr. Merali’s boss when he served as CFO of Capital Health, when many of the expense claims were made.

Fred Horne Alberta Health Minister
Fred Horne

Questions are also being raised about the role of Alberta’s current Ethics Commissioner, Neil Wilkinson, who served as chair of the Capital Health board of directors during Mr. Merali’s time as CFO of the former regional health authority.

The controversy is a blow for Premier Alison Redford‘s PC government, which was swept into office earlier this year after promising to breath new life into the four decade old government. To his credit, Health Minister Fred Horne responded quickly to the controversy and promised that future expenses for public officials at that level will be made public on a quarterly basis. With the damage already done, the largest measure of response the government has is to ensure this does not happen again.

As others have already pointed out, public funds used to fill these types of extravagant expense claims only take money away from where it belongs – on the front-lines of our public health care system.

Categories
Alberta Politics

catching up on health care politics in alberta.

I sure picked an interesting time to leave the province for a few days. After a short absence, it has been exhausting catching up on all the political games and intrigue that happened over the weekend and earlier this week.

Leaked Private Health Care Agenda
The Liberals released an internal government document (pdf) showing a drive towards increased privatization of health care in Alberta through private insurance. The document was presented to the Minister’s Advisory Committee on Health and also reported that the months-long province-wide consultation spearheaded by Edmonton-Rutherford PC MLA Fred Horne encountered a “high level of skepticism.” This skepticism was widely reported in the media and was not reflected in the committee’s final report released in September 2010.

Liberal leader David Swann

I was surprised to read Liberal leader David Swann‘s quote that this was the first time he had seen any evidence that the government was even considering a more private approach to health care, especially since he spoke at a rally in front of the now bankrupt private-for-profit Health Resource Centre only a few months ago (HRC sits across the street from his constituency office in Calgary-Mountain View). I am willing to believe that Dr. Swann may have been misquoted, but if not he should have a chat with his caucus colleague Kevin Taft, who co-authored the book “Clear Answers: The Economics and Politics of For-Profit Medicine” in 2000.

Earlier this year, former Premier Ralph Klein admitted that he had tried and failed to privatize Alberta’s health care system:

“I tried it twice — the Third Way and the Mazankowski report — and I failed.”
– Former Premier Ralph Klein (Source: “Klein urges two-tired health system,” Edmonton Journal, January 26, 2010)

Emergency Room wait-times amendment fails
Now Independent Edmonton-Meadowlark MLA Dr. Raj Sherman‘s amendment to enshrine emergency room wait times in Bill 17: The Alberta Health Act has failed. After a long debate that started last Wednesday, continued overnight until Thursday, and resumed this week Dr. Sherman, members of the three opposition parties, Independent MLA Dave Taylor, and St. Albert PC MLA Ken Allred voted in favor of the amendment (it failed). I understand the intention of Dr. Sherman’s motion and his good intentions in general, but I have to agree with the Tories that enshrining wait-times may create more problems than solutions (or more lawsuits).

After the amendment failed, the Alberta Health Act quickly passed third reading by the PC MLA majority in the Assembly. This new law concentrates a concerning amount of authority over our health care system into the hands of the Minister of Health & Wellness, instead of the elected Assembly.

In five years time we could be walking round a zoo…
Only a week after he was appointed as Acting-CEO of AHS, Dr. Chris Eagle and Health Minister Gene Zwozdesky released a 5-year plan for health care. If you are questioning how a newly appointed Acting-CEO could come up with a five-year plan so quickly, you win the prize. According to Gordon Bontje, one of four recently resigned members of the AHS Superboard, the “new” plan is really a re-marketed version of an old plan.

The plan sets out some goals for emergency room targets and continuing care spaces, but does not address some of the key capacity issues that are creating the problems in the health care system. With this government’s habit of constantly tinkering and re-announcing projects and plans, Albertans should not be blamed for being skeptical about politically convenient re-announcements and health care policy created on the fly.

Stand by your man…
Terri Jackson, wife of now former AHS President and CEO Stephen Duckett, has written a letter to the Edmonton Journal defending her husband and criticizing the government for how it has handled health care.

PC MLA Fred Horne

Was Fred Horne just being “Fred friendly”?
Rumours began to emerge late last week questioning Dr. Sherman’s mental health. The whispering began after MLA Mr. Horne placed a phone call to the head of the Alberta Medical Association, Dr. Patrick White, concerning the state of Dr. Sherman’s mental health. A self-described friend of Dr. Sherman’s, Mr. Horne held a media conference last Friday clarifying that he did make the call, but it was not to discredit the Doctor.

It might just be me, but am pretty sure that calling up the head of your friend’s professional association to question the state of his mental health and then talking to the media about it does not make you a good friend (especially when this friend is an MLA and medical doctor who has just been suspended from your party’s caucus for being highly critical of their health care policies).

December 4 Rally for Public Healthcare
In response to the months-long political frenzy around health care, the Friends of Medicare are organizing a rally at the Legislature on Saturday, December 4 at 1:00pm. Speakers include Dr. Sherman, United Nurses of Alberta President President Heather Smith, the Whitemud Citizens for Public Health‘s Elaine Fleming, and the Friends of Medicare’s David Eggen.