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The Alberta government in 2025 completed the final legal foundations of its new health-care system, and Premier Danielle Smith says she’ll be working in 2026 to prove it was worth it.<\/p>\n
The massive reorganization saw Smith dismantle Alberta Health Services as the provincial health authority and relegate it to a hospital service provider.<\/p>\n
Smith said with one major piece of legislation passed in the fall sitting, the restructuring effort “is pretty much done.”<\/p>\n
New health agencies now govern hospital care, continuing care, mental health and addiction, and primary health \u2014 under the direction of Smith’s four health ministries.<\/p>\n
“So now it’s a matter of each one of those areas optimizing,” Smith said.<\/p>\n
The premier acknowledged the challenges. She promised a new public-facing dashboard that would show wait times for emergency rooms, ambulance rides and surgeries, along with 1,500 new spaces per year in continuing care.<\/p>\n
“People will start being able to watch and see \u2014 on all of those fronts \u2014 the progress that we’re making,” she said.<\/p>\n
More nurse practitioners<\/p>\n
She said her government’s move to allow more nurse practitioners to open practices in the province is part of why more Albertans now have access to a primary-care provider.<\/p>\n
Smith has long been critical of what she called the bureaucratic bloat of AHS, promising during her successful UCP leadership campaign to clean house.<\/p>\n
When asked if her government will take full accountability for health care once the pieces fall into place, the premier nodded.<\/p>\n
“Yeah, and we’ll hold our providers to account as well,” she said, noting the agency still accounts for the lion’s share of the health budget.<\/p>\n
She also pushed back on the idea that she had used the organization as a scapegoat.<\/p>\n
“Is it a scapegoat to say that people expect to have better service? I’m not the one delivering the service at the hospital.”<\/p>\n
Other challenges in 2025<\/p>\n
Smith’s ongoing effort to remake, reassemble and reanimate the pieces of the system hasn’t been her only challenge this past year. It began under the cloud of tariff threats from U.S. President Donald Trump.<\/p>\n
Smith took flak for posing for photos with Trump amid a surge of Canadian patriotism, but stood by her diplomatic approach.<\/p>\n
“I think it has worked for us. We ended up with 97 per cent of our goods going across the border tariff free,” she said, while acknowledging those provinces reliant on steel, aluminum, vehicle or lumber exports did not fare as well as Alberta’s oil and gas industry.<\/p>\n
After months of making demands of Prime Minister Mark Carney, she inked a preliminary agreement with Ottawa to work toward building a new oil pipeline to the West Coast.<\/p>\n
Smith also made her mark on democratic norms.<\/p>\n
Her government invoked the Charter’s notwithstanding clause four times in the fall sitting, forcing striking teachers back to work and shielding from court challenge her government’s laws affecting transgender and gender-diverse Albertans.<\/p>\n
Critics, including Alberta’s Opposition NDP, have said Smith’s use of the clause runs roughshod over the courts, the rule of law and democracy.<\/p>\n
But Smith said her government needed to act in exceptional circumstances to protect the children in Alberta.<\/p>\n
Smith’s UCP twice changed the law to help pave the way for citizen-led referendums, including a ballot question on pulling Alberta out of Confederation.<\/p>\n