Paula Simons – daveberta.ca – Alberta Politics and Elections

foster care fiasco.

For many reasons, so much about politics in Alberta’s Legislative Assembly reminds me of the above scene from The West Wing.

I used to believe that the toughest job in the Alberta cabinet was held by Health & Wellness Gene Zwozdesky, but lately I am starting to believe that it is actually held by Children and Youth Services Minister Yvonne Fritz. Following this week’s shenanigans and resignation over foster care funding, it is clear that something is not functioning properly in our government.

On Monday morning, NDP leader Rachel Notley held a media conference leaking a public document that outlined changes to foster care funding in the Edmonton region. Ms. Notley claimed that the plan was to cut foster funding, and called on Minister Fritz to rescuing the new funding formula. She did and insisted that she told department officials not to cut support. Paula Simons raised the issue in her Tuesday column: Was Minister Fritz sabotaged? Does the Minister actually have a handle on the decisions being made inside the Minister of Children & Youth Services?

Minister Fritz was appointed to the portfolio in January 2010, replacing Banff-Cochrane MLA Janis Tarchuk, who had not excelled when faced with challenges in that Department.

Yesterday, Premier Ed Stelmach undoubtably breathed new life into the foster care issue by accusing the NDP of playing politics with the issue. While he may have been trying to save face, his point is somewhat well taken. Should Ms. Notley have brought the issue directly to Minister Fritz? Ms. Notley claims that if she had brought the issue directly to the Minister, it would have been buried (not an unjust assumption). At what point does this kind of political gamesmanship become irresponsible? Like so many issues raised in the Assembly, what was really accomplished when they devolve into this kind of weekly round-robin?

not as rogue as you would believe.

Paula Simons makes some good points in her column “Alberta Health Services going rogue” but I have a difficult time believing that AHS CEO Stephen Duckett is as “rogue” as her article suggests. While a smart and well-educated man, Mr. Duckett is on the same page as Premier Ed Stelmach and Health Minister Ron Liepert in their haphazard reorganization of Alberta’s public health care system. As a friend of mine described it earlier today, “this could be a problem with make-it-up-as-you-go planning, especially in the disorganized budget mess AHS seems to be in.”

On May 29, 2008, the AHS Superboard and Minister Liepert signed a Memorandum of Understanding that explicitly gave control to the Health Minister to give any direction to the Board, including “priorities and guidelines”, “clinical and operating standards”, and “a provincial service delivery plan”. Central to the memo is the phrase “The Board shall comply with all directions of the minister.” This memo was leaked to Liberal MLA Hugh MacDonald, who then released it to the public.

The appearance of the arms-length AHS Superboard is a convenient political arrangement that has served the current government well during the dissolution of the regional health authorities and centralization that followed. Simply put, Mr. Duckett gets to make the unpopular decisions and the politicians get to make the popular ones.

Convenience aside, when political realities begin to interfere with the internal agendas, action comes from the top – as was witnessed when PC MLA Fred Horne challenged changes that would have seen psychiatric patients be charged for toiletries and snacks at Alberta Hospital Edmonton.

There is little doubt that Mr. Duckett holds powerful executive control over Albertans public health care system, but when reality hits, it is the Premier and the Health Minister who are responsible for the decisions made by AHS. And who are they responsible to?