08/21/2026
Alberta’s two-tier health care law is becoming policy.
Canadian Doctors for Medicare is calling on the federal government to act now to protect equitable access to medically necessary care for everyone in Canada.
Alberta’s Health Statutes Amendment Act, 2025 (No. 2) enables physicians to choose between billing the public system and charging patients directly for medically necessary services. We are concerned that this will:
• Undermine equitable access by making access increasingly dependent on ability to pay
• Contravene the Canada Health Act and its commitment to access on uniform terms and conditions
• Exacerbate workforce shortages in the publicly funded system through dual practice
• Set a dangerous national precedent for the future of Medicare across Canada
Guardrails are not enough. Evidence from jurisdictions that have permitted dual practice shows that parallel private-pay streams can draw capacity away from publicly funded care.
We are calling on the federal government to apply mandatory dollar-for-dollar deductions to the Canada Health Transfer, initiate a Section 14 notice of concern, and urge Alberta to pause implementation while the federal review is underway.
Medicare should be based on medical need, not ability to pay.