Alberta Health Minister LaGrange says hospital transfer plan isn't 'hard and fast' | Canada News Media
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Alberta Health Minister LaGrange says hospital transfer plan isn’t ‘hard and fast’

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EDMONTON – Alberta Health Minister Adriana LaGrange says a plan to offload underperforming hospitals from Alberta Health Services to third-party operators is still up for discussion.

LaGrange says the province won’t transfer hospital operations so long as Alberta Health Services can provide reliable, quality health care.

“There’s nothing hard and fast,” LaGrange said Tuesday on the Shaye Ganam show on Corus radio in her first media comments on the plan since it was reported last week.

“They’re coming back to me with a strategy on how they can actually do that, and the discussion is also around — if you are unable to do that, and if you are unable to provide the service that Albertans expect, particularly in our rural locations, do we need to look at another service provider?”

Last month, Premier Danielle Smith told a United Conservative Party audience in Drayton Valley, Alta., that she would look to transfer authority of some hospitals to other providers, such as Convenant Health, to create competition and fear.

The policy shift would be part of a bigger plan announced last year by Smith to dismantle Alberta Health Services, or AHS, the provincial authority tasked with delivering front-line care.

LaGrange’s office has not provided The Canadian Press with details about how underperformance might be measured or how staffing shortages commonly cited as the reason for temporary rural closures, including those at Covenant Health, might be addressed.

Press secretary Jessi Rampton reiterated Tuesday in a statement that the government wants “better results” and would continue to prioritize recruitment and retention of health workers.

LaGrange said impromptu emergency room closures have become more common since the COVID-19 pandemic, in part due to “doctor scheduling.”

“We see it more on the AHS side, to tell you the truth,” she told the radio show.

AHS operates more than 100 facilities across the province, while Covenant Health’s website lists fewer than a dozen hospitals and rural health centres.

Organizations representing doctors and nurses in Alberta have expressed alarm over the plan, saying the UCP government needs to share its data and show why third-party providers might be better suited to run some facilities.

Alberta Medical Association president Dr. Paul Parks has said having multiple hospital authorities has already led to underperformance in the Edmonton zone and that competition among operators in a single-payer system would hurt efforts to recruit and retain key staff.

Parks and other critics have also said transferring hospital operations could limit access to some services not offered by Covenant Health and there are already barriers across the province based on where a person lives.

LaGrange’s office has said it’s exploring “all options” to make sure every Albertan can access the services they need and it has no intention to restrict access.

“There is no anticipated change to access women’s reproductive health,” LaGrange said on the radio show.

However, she didn’t promise to safeguard existing services.

“There is lots of access right across the province,” she said.

In Alberta, only clinics in Edmonton and Calgary provide surgical abortions.

A spokesperson for Covenant Health said in an email that it provides emergency pregnancy care and patients can access emergency contraception in cases of sexual assault.

“As faith-based providers in Alberta, we operate under agreements that acknowledge our right to operate according to our own ethics and beliefs,” the email said.

Opposition NDP Leader Naheed Nenshi said last week that while Covenant does good work, he doubted the premier had considered the public concerns her plan would raise before she announced it to party members.

“I’m willing to bet that (Smith) just looked for someone she thought could run a hospital. She had some friends that worked there. She mentioned them, and no one had even pointed out to her that that could restrict access to reproductive health for women across Alberta,” said Nenshi.

Covenant is also not funded to provide medical assistance in dying, which is available at AHS sites across the province, depending on whether there is an available practitioner.

LaGrange declined to offer details about how long the government has considered taking hospital authority away from AHS.

“This is a conversation that has been ongoing,” she said about the delivery of health care.

“From the time I took office, it was very clear to me and to all Albertans that we need to do better,” she said.

This report by The Canadian Press was first published Sept. 3, 2024.

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Ceiling high for Vancouver Whitecaps midfielder Ahmed: Canada coach

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VANCOUVER – Jesse Marsch issued Canada’s men’s soccer squad a challenge — get physical.

The edict came after the Canadians surprised many at this summer’s Copa America tournament, making it through to the semifinals. As his players departed for their professional clubs, the head coach wanted them thinking about continued growth.

“I challenged them to be more physically present in the matches that they played in,” Marsch said. “I’ve tried to encourage all the players to sprint more, to win more duels, to win more balls, to be more dynamic in matches.”

When Canada reconvened for a pair of friendlies last week, the coach saw some players had already heeded his call, including Vancouver Whitecaps product Ali Ahmed.

The 23-year-old midfielder started in both Canada’s 2-1 victory over the United States on Saturday and Tuesday’s 0-0 draw against Mexico.

“I’m really happy for him,” Marsch said. “I think he’s still young and still has a lot of room and potential to continue to grow.”

Playing under Marsch — who took over as head coach in May — has been a boon for the young athlete, currently in his second full season with Major League Soccer’s Whitecaps.

“Jesse has a very clear way of playing,” Ahmed said. “And I think the way we’ve been training and the way we’ve been growing as a group, it’s been helpful for me.”

The reward of getting minutes for a national team can spur a player’s growth, including Ahmed, said Whitecaps head coach Vanni Sartini.

“Of course that fuels him inside to say ‘Hey, I want to be a better player. I want to get to that stage,'” said Sartini.

Vancouver had six players — including Ahmed — away on international duty during its 0-0 draw against Dallas FC on Saturday. The absences are a good problem to have, Sartini said.

“Because we have players that are close to the national team, we have a lot of players that development is faster, better, bigger than it would have been if they hadn’t been called,” he said.

Born in Toronto, Ahmed came up through the Whitecaps’ academy system and played for Vancouver’s MLS Next Pro side before cementing his spot on the first team in 2023. He put up two goals and two assists across 22 regular-season games, and added another goal and another helper in 19 appearances this year.

Taking the next step will require the five-foot-11, 154-pound Ahmed to push himself physically, Marsch said.

“Tactically, he’s technically gifted,” the coach said. “I’ve told him he’s got to get in the gym more.

“There’s a lot of these little things where too many guys, they still look like kids and we need to help them look like men and play like men. And that’s what the high standards of the game are about.”

Marsch has quickly adjusted to recalibrating standards in his short time with Team Canada. Since taking over the squad in May, the coach said he’s learned the players are smarter and more capable than he originally thought, which forces the coach to constantly recalibrate his standards.

“That’s my job right now, to keep raising the level of the demands,” he said.

The way 40th-ranked Canada is viewed on the international stage is evolving, too.

“I think we’re changing the perception on the way we’re playing now,” he said. “I think beating the U.S. — it would have been nice to beat Mexico as well — the way we did, the way that we performed at Copa, I think teams are starting to look at us differently.

“Right now, I think we’re focused on ourselves. We’re definitely trying to be the best in CONCACAF and we have higher goals as well.”

This report by The Canadian Press was first published Sept. 12, 2024.



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Lawyer says Chinese doping case handled ‘reasonably’ but calls WADA’s lack of action “curious”

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An investigator gave the World Anti-Doping Agency a pass on its handling of the inflammatory case involving Chinese swimmers, but not without hammering away at the “curious” nature of WADA’s “silence” after examining Chinese actions that did not follow rules designed to safeguard global sports.

WADA on Thursday released the full decision from Eric Cottier, the Swiss investigator it appointed to analyze its handling of the case involving the 23 Chinese swimmers who remained eligible despite testing positive for performance enhancers in 2021.

In echoing wording from an interim report issued earlier this summer, Cottier said it was “reasonable” that WADA chose not to appeal the Chinese anti-doping agency’s explanation that the positives came from contamination.

“Taking into consideration the particularities of the case, (WADA) appears … to have acted in accordance with the rules it has itself laid out for anti-doping organizations,” Cottier wrote.

But peppered throughout his granular, 56-page analysis of the case was evidence and reminders of how WADA disregarded some of China’s violations of anti-doping protocols. Cottier concluded this happened more for the sake of expediency than to show favoritism toward the Chinese.

“In retrospect at least, the Agency’s silence is curious, in the face of a procedure that does not respect the fundamental rules, and its lack of reaction is surprising,” Cottier wrote of WADA’s lack of fealty to the world anti-doping code.

Travis Tygart, the CEO of the U.S. Anti-Doping Agency and one of WADA’s fiercest critics, latched onto this dynamic, saying Cottier’s information “clearly shows that China did not follow the rules, and that WADA management did nothing about it.”

One of the chief complaints over the handling of this case was that neither WADA nor the Chinese gave any public notice upon learning of the positive tests for the banned heart medication Temozolomide, known as TMZ.

The athletes also were largely kept in the dark and the burden to prove their innocence was taken up by Chinese authorities, not the athletes themselves, which runs counter to what the rulebook demands.

Despite the criticisms, WADA generally welcomed the report.

“Above all, (Cottier) reiterated that WADA showed no bias towards China and that its decision not to appeal the cases was reasonable based on the evidence,” WADA director general Olivier Niggli said. “There are however certainly lessons to be learned by WADA and others from this situation.”

Tygart said “this report validates our concerns and only raises new questions that must be answered.”

Cottier expanded on doubts WADA’s own chief scientist, Olivier Rabin, had expressed over the Chinese contamination theory — snippets of which were introduced in the interim report. Rabin was wary of the idea that “a few micrograms” of TMZ found in the kitchen at the hotel where the swimmers stayed could be enough to cause the group contamination.

“Since he was not in a position to exclude the scenario of contamination with solid evidence, he saw no other solution than to accept it, even if he continued to have doubts about the reality of contamination as described by the Chinese authorities,” Cottier wrote.

Though recommendations for changes had been expected in the report, Cottier made none, instead referring to several comments he’d made earlier in the report.

Key among them were his misgivings that a case this big was largely handled in private — a breach of custom, if not the rules themselves — both while China was investigating and after the file had been forwarded to WADA. Not until the New York Times and German broadcaster ARD reported on the positives were any details revealed.

“At the very least, the extraordinary nature of the case (23 swimmers, including top-class athletes, 28 positive tests out of 60 for a banned substance of therapeutic origin, etc.), could have led to coordinated and concerted reflection within the Agency, culminating in a formal and clearly expressed decision to take no action,” the report said.

WADA’s executive committee established a working group to address two more of Cottier’s criticisms — the first involving what he said was essentially WADA’s sloppy recordkeeping and lack of formal protocol, especially in cases this complex; and the second a need to better flesh out rules for complex cases involving group contamination.

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AP Summer Olympics:



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Shapovalov, Auger-Aliassime lift Canada over Finland 3-0 in Davis Cup tie

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MANCHESTER, United Kingdom – Canada’s top male tennis players have defeated Finland 3-0 in the group stage of the Davis Cup Final.

Denis Shapovalov of Richmond Hill, Ont., beat Eero Vasa 7-6 (2), 6-2 in Tuesday’s first singles match. Montreal’s Felix Auger-Aliassime then dispatched Otto Virtanen 6-2, 6-3 in the second singles match.

With the tie already won thanks to the two singles victories, Shapovalov and Auger-Aliassime teamed up to best Virtanen and Harri Heliovaara 6-2, 7-5 in doubles play.

There was an element of revenge after Canada lost to Finland in last year’s quarterfinals.

“Everybody’s in good spirits, so it’s very good,” Auger-Aliassime said. “Any motivation is good, but I think it’s a different year, a different time, and (last year’s loss) was behind us. This year we have a full team and everybody’s playing better than last year. Everybody’s improved.”

It’s the second consecutive group-stage tie Canada has won after beating Argentina 2-1 on Tuesday. Canada, the lone seeded team in Group D, will face host Great Britain on Sunday.

Four groups of teams are playing in four cities this week to qualify for the eight-team Finals in Malaga, Spain, in November. The top two countries in each four-team group advance.

Since Canada’s undefeated after two opponents in the group stage, it is set to advance to the Davis Cup Finals.

“Couldn’t ask for more today, super proud of the team,” said captain Frank Dancevic. “Great team spirit, amazing bench team spirit, and fans pushing us through the day.”

It is Canada’s fifth consecutive appearance in the Davis Cup Finals, having won its only title in 2022. The Canadians defeated South Korea 3-1 in February’s Davis Cup qualifiers in Montreal to reach the group stage of the finals.

— With files from The Associated Press.

This report by The Canadian Press was first published Sept. 12, 2024.

The Canadian Press. All rights reserved.



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