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Coronavirus: What's happening in Canada and around the world on Wednesday – CBC News

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The latest:

Hospitals in New Brunswick are feeling the strain of the Omicron wave, with four hospitals at or near capacity.

“Our hospitals are caring for higher volumes of COVID-positive inpatients than at any other point in the pandemic,” a statement from the Horizon Health network said Tuesday.

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The hospital network said that the number of people in hospital combined with staff shortages is having an impact on how it delivers care. The province shifted to emergency and urgent hospital care only at the end of 2021 as it faced a mounting Omicron wave. 

According to the provincial update on Tuesday, a total of 138 people were hospitalized with COVID-19 — a pandemic high in the province — including 11 in intensive care. The province also reported three additional deaths and 350 additional lab-confirmed cases.

Dr. Jennifer Russell, chief medical officer of health, said in a statement Tuesday that while hospitalizations are rising, they are trending below the province’s projections.

“The data indicates that New Brunswickers have reduced their contacts by about 30 per cent,” she said in a statement. “This has made a tremendous difference to our acute care system, which has been heavily impacted by employees who are absent due to Omicron and the increasing number of patients.”

Tight restrictions are still in place in the Atlantic province, and students are expected to continue with remote learning until Jan. 31.

In Nova Scotia, health officials on Tuesday said 92 people were in the province’s designated COVID-19 units, including 15 people in intensive care. The provincial update showed a total of 304 people in hospital with COVID-19, including cases where people contracted the virus while in hospital. The province also reported five additional deaths and 492 additional lab-confirmed cases.

Health officials in Newfoundland and Labrador on Tuesday said COVID-19 hospitalizations stood at 20, with five people in critical care. The province, which sent students back to in-person learning Tuesday, also reported an additional 296 lab-confirmed cases.

Prince Edward Island health officials on Tuesday reported a ninth COVID-19-related death and 275 additional lab-confirmed cases. Health officials in the province said there were 10 people in hospital being treated for COVID-19 — including two in ICU. There were two others in hospital with COVID-19 being treated for other illnesses, the province said. 

-From CBC News, last updated at 10:05 a.m. ET


What’s happening across Canada

WATCH | Quebec premier talks about living with COVID-19 long-term and structural issues in the health-care system: 

Legault describes Quebec living with COVID-19 long-term

21 hours ago

Duration 1:22

Living with COVID-19 long-term means accepting hospitalizations and deaths, says Quebec Premier François Legault. 1:22

With lab-based testing capacity deeply strained and increasingly restricted, experts say true case counts are likely far higher than reported. Hospitalization data at the regional level is also evolving, with several provinces saying they will report figures that separate the number of people in hospital because of COVID-19 from those in hospital for another medical issue who also test positive for COVID-19.

For more information on what is happening in your community — including details on outbreaks, testing capacity and local restrictions — click through to the regional coverage below.

You can also read more from the Public Health Agency of Canada, which provides a detailed look at every region — including seven-day average test positivity rates — in its daily epidemiological updates.

In Central Canada, Ontario’s health minister on Wednesday reported a total of 4,016 hospitalizations, with 608 people in intensive care. The province, which saw 5,368 new lab-confirmed cases, also reported 89 additional deaths — though Christine Elliott’s office noted that the deaths occurred over the past 21 days.

Quebec on Wednesday reported 3,270 hospitalizations, with 252 people in intensive care. The province reported 73 additional deaths and 4,150 new lab-confirmed cases, according to the COVID-19 situation report posted daily by health officials.

The update comes a day after Premier François Legault said that the province will ease some COVID-19 restrictions in the weeks ahead. The initial shift, which is set for Jan. 31, will allow restaurants to open dining rooms with limited capacity. Some sports will return, with further easing expected in early February.

Quebec’s health system, however, is still feeling the strain, Legault said, noting that it will take time to build the capacity the province needs.

Across the North, Nunavut on Wednesday reported 48 new cases of COVID-19 and no additional deaths, while Yukon reported 25 additional cases and no new deaths.

Health officials in the Northwest Territories had not yet provided updated information for the day.

In the Prairie provinces, Manitoba on Tuesday reported a total of 729 COVID-19 hospitalizations — another pandemic high. Of those, 49 people were receiving intensive care. Health officials also reported six additional deaths and 637 additional lab-confirmed cases.

In Saskatchewan, the total number of COVID-19 hospitalizations stood at 291, with 33 people in the province’s intensive care units. The province also reported two additional deaths and 1,049 lab-confirmed cases.

Alberta on Tuesday said hospitalizations stood at 1,377 — a pandemic high — with 111 people in intensive care. The province also reported 13 additional deaths and 2,772 additional cases.

“Our hospitals are under strain, especially in the larger urban centres,” said Jason Copping, the province’s health minister. “Staff are tired, not just from the current wave of cases, but from five waves over two years.”

Copping said there are signs Omicron transmission may be slowing, but he had cautious words about the weeks ahead, saying they will be the “toughest yet for many Albertans.”

In British Columbia, total COVID-19 hospitalizations stood at 985, health officials said Tuesday, with 144 in intensive care units. The province also reported one additional death and 1,446 additional lab-confirmed cases. 

People in the province will need to bring their vaccine card with them through to the end of June if they want to access indoor spaces, restaurants or most events, says the provincial health officer. Dr. Bonnie Henry said Tuesday the vaccine card is specifically designed to mitigate the risks of spreading COVID-19, allowing certain businesses and activities to remain open.

“As we move through this period, it will, I expect, no longer be necessary,” Henry told a news conference. “But right now, it is one of those important tools that we have.”

-From CBC News and The Canadian Press, last updated at 12:30 p.m. ET


What’s happening around the world

The Australian Navy’s HMAS Adelaide docked at Vuna Wharf in Tonga’s capital Nukualofa to deliver aid following the Jan. 15 eruption of the nearby Hunga Tonga-Hunga Ha’apai underwater volcano. (Mary Lyn Fonua/Matangi Tonga/AFP/Getty Images)

As of early Wednesday afternoon, more than 359.3 million cases of COVID-19 had been reported worldwide, according to Johns Hopkins University’s coronavirus tracker. The reported global death toll stood at more than 5.6 million.

In the Asia-Pacific region, the Australian navy’s largest ship docked at disaster-stricken Tonga on Wednesday and was allowed to unload humanitarian supplies in the South Pacific nation despite crew members being infected with COVID-19, officials said.

Nearly two-dozen sailors aboard HMAS Adelaide were reported infected on Tuesday, raising fears the mission could bring the coronavirus to the small archipelago devastated by an undersea volcanic eruption and a tsunami on Jan. 15. Supplies were to be delivered without contact with the local population to avoid infections, the Australian government said in a statement.

Since the pandemic began, Tonga has reported just a single case of COVID-19 and has avoided any outbreaks. It’s one of the few countries in the world currently completely virus free. About 61 per cent of Tongans are fully vaccinated, according to Our World in Data.

South Korea’s daily new cases exceeded 13,000 for the first time, as the government seeks to revise its anti-virus response scheme to focus on Omicron.

Shoppers look at plants at a flower market ahead of the Lunar New Year in Hong Kong on Tuesday. Current physical distancing rules will be extended to cover Lunar New Year as the semi-autonomous region continues to see a number of COVID-19 infections linked to imported cases. (Anthony Kwan/Getty Images)

In Europe, Austria’s lockdown for people not fully vaccinated will end on Monday because the pressure on hospitals has eased, the government said.

Sweden will extend several restrictions for another two weeks, while neighbouring Denmark was expected to announce that it no longer considers COVID-19 as “a socially critical disease” as of next month and will remove most restrictions.

Sweden’s Social Affairs Minister Lena Hallengren said the country was seeing “an extremely record-high spread of infection,” so the existing measures “need to remain in place for another two weeks.” It was not immediately clear what restrictions will end in Denmark. But a letter from the health minister to lawmakers said the “categorization of COVID-19 as a socially critical disease will be abolished as of Feb. 1.”

Russia, meanwhile, has expanded a domestically developed coronavirus vaccine for children aged 12-17 to include more regions, amid the country’s biggest infection surge yet due to the spread of the highly contagious Omicron variant.

In Africa, Uganda wants to curb its borrowing and boost exports in sectors such as meat and dairy as the East African country lifts restrictions triggered by the pandemic, President Yoweri Museveni and government officials told Reuters.

In South Africa, health officials on Tuesday reported 3,197 new cases of COVID-19 and 132 additional deaths.

LISTEN | What can Canada learn from South Africa’s experience with the Omicron variant: 

The Current19:49What can Canada learn from South Africa’s bout with Omicron?

South Africa’s bout with Omicron is slowing down — offering other countries a glimpse of what might be coming next in the pandemic. Matt Galloway discusses what Canada might learn, with Dr. Shabir Madhi, a professor of vaccinology at Johannesburg’s University of the Witwatersrand; and Jason Kindrachuk, a virologist at the University of Manitoba. 19:49

In the Middle East, Kuwait on Tuesday reported more than 5,742 additional cases and one additional death. 

In the Americas, the United States has shipped 400 million COVID-19 vaccine doses as part of its earlier pledge to donate about 1.2 billion doses to low-income countries, the White House said on Wednesday.

“Today, we will hit a major milestone in our global effort: 400 million vaccine doses shipped to 112 countries … for free, no strings attached,” White House COVID-19 co-ordinator Jeff Zients told reporters at a briefing.

President Joe Biden’s administration had previously said it would donate a second tranche of 500 million doses to the COVAX global vaccine sharing program, raising its total pledge to some 1.2 billion COVID vaccine doses, with the latest batch expected to start shipping this month.

Global health experts have said at least five billion to six billion doses are needed by poorer countries to help protect them against the coronavirus amid the ongoing pandemic.

Overall COVAX, backed by the World Health Organization and the Global Alliance for Vaccines and Immunization, has delivered more than a billion doses to 144 countries and aims to achieve 70 per cent COVID-19 immunization coverage by mid-2022.

-From Reuters, CBC News and The Associated Press, last updated at 12:25 p.m. ET

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Just bought a used car? There’s a chance it’s stolen, as thieves exploit weakness in vehicle registrations

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The fight against Canada’s worst-ever auto theft epidemic has largely focused on ramping up inspections at shipping ports, where organized crime groups have exported the overwhelming majority of stolen vehicles.

But criminals are adapting, police say, by increasingly selling hot vehicles in Canada to unsuspecting buyers with little protection, exploiting a weakness in provincial registration systems that veteran investigators argue needs to be fixed.

“The market is so lucrative it’s easy cash,” said Det. Sgt. Greg O’Connor of Peel Regional Police, west of Toronto.

While it is impossible to know what criminals do with all stolen cars and difficult to track shifting trends, police now estimate nearly one-third of stolen vehicles are being resold in Canada, marking a significant increase from just six months ago when the vast majority of vehicles were believed to have been exported.

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And often, buyers have no idea.

Derek Crocker bought a used Ford F-150 pickup truck from a dealership in Toronto in 2022. Just a few months later, his own investigation revealed the truck’s vehicle identification number — or VIN — had been replaced, mirroring the VIN of a similar truck registered in Utah.

Two photos of VIN stickers highlight two identical VINs to show how the identification number can be faked.
VIN stickers from two different vehicles show the same vehicle identification numbers. The original and authentic sticker, top, is from a vehicle registered in Utah. The lower number, a fake, is from the used Ford F150 purchased by Crocker in Ontario. (CBC)

“The whole reason you buy it from a dealership is so you don’t have to worry about dealing with that sort of thing,” he said.

In retrospect, there were small tells.

After Crocker entered what should have been the truck’s unique VIN in Ford’s app, the function to remotely start the vehicle never worked. The app also listed the vehicle as being located in the United States and indicated a different amount of fuel than his own vehicle tank was holding.

But it wasn’t until his F-150 was in an accident and required body work that the problem with the VIN was revealed. The repair shop ordered parts based on the VIN it saw on the dash. But the parts did not match.

“So I Googled the VIN number that was on my truck, and I found a truck for sale in Utah,” said Crocker.

A Ford F-150 in an outdoor parking lot.
This Ford F-150 truck cost Crocker almost $60,000 at a dealership. His own investigation revealed it had been reported stolen and had a new VIN sticker mirroring one from a similar truck already registered in Utah. Because the truck had been reported stolen, his insurance policy was immediately voided, as police seized the vehicle. (Submitted by Derek Crocker)

It turns out that was the true VIN, which thieves had cloned, placing fake VIN stickers with the Utah truck’s VIN on top of the true number for the truck Crocker bought.

VINs are most prominently displayed on a vehicle’s dashboard, as well as on the ownership title. When a vehicle is stolen, the VIN is flagged across North America to prevent it being sold.

But criminals are replacing the VIN plate, often with one from a comparable vehicle that has been totalled, legally exported or one registered in another province or U.S. state. They may go through junkyards, export records or simply walk through a mall parking lot to find a VIN to clone.

In doing so, they re-VIN or “wash” the vehicle of its stolen status.

A police officer stands in front of a recovered stolen car.
Det. Sgt. Greg O’Connor of Peel Regional Police stands with stolen luxury vehicles recovered by the auto theft squad he leads. The vehicles included a Porsche, Maserati, Land Rover and other cars that had each been ‘re-VINed.’ (Mia Sheldon/CBC)

Crocker called police, who seized the vehicle and returned it to the insurance company of the original owner.

Crocker’s own insurance would not cover his loss because he’d — albeit unknowingly — purchased a stolen vehicle. After a long discussion with the dealership that sold him the stolen truck, his money was returned.

“They did nothing extra,” Crocker said. “They didn’t help me at all.”

How could 2 cars with the same VIN be registered?

Provincial centres that administer vehicle registration, such as ServiceOntario, do not have a system that checks if VINs already exist in other jurisdictions.

“You can have a vehicle registered in one province and the same VIN on a different vehicle registered in another and we need to stop that,” David Adams, president and CEO of Global Automakers of Canada, told a recent auto theft summit in the Greater Toronto Area.

Neither Canada nor the United States has a national vehicle registry. Multiple police agencies are urging federal and provincial governments to create one.

“The reality is this is a national issue. And that’s why a national registry that moves itself beyond any sort of provincial jurisdiction is important in all capacities,” Nick Milinovich, deputy chief of Peel Regional Police, said in an interview.

CBC News asked Ontario’s Ministry of the Solicitor General why the province’s database can’t detect whether the same VIN is actively being used in another province or state.

“If changes to the provincial registration process are required, we won’t hesitate to make them,” it responded in a statement.

How to spot a potentially stolen car for sale

While it is impossible to know precisely how many fraudulently registered stolen vehicles are back on the road, recoveries have surged.

“The number of re-VINS is just blowing through the roof right now,” said O’Connor. “It’s costing drivers, banks, insurance companies big money. It’s a massive problem.”

It is impossible to know the full extent of the illegal economy and the proportion of vehicle exported versus those kept in the country. But police forces across southern Ontario have reported a surge in recoveries of vehicles that have had their VINs altered.

Car buyers are being advised to look at the VIN on the dashboard and the pillar between the front and back driver’s side doors to see if the numbering is bubbling, a sign there may be a sticker on top of the real VIN.

A fake vehicle identification number on a blue Porsche.
A fake VIN sticker on a police-recovered stolen Porsche Cayenne. Investigators point to bubbling and a slight discolouration as suspicious. The sticker, on the driver’s side pillar between the front and back seats, is one of two locations where a VIN is most prominently displayed. The other, on the front dash, is visible from outside the vehicle. Both had been altered by criminals. (Mia Sheldon/CBC)

Running the VIN through a paid service like Carfax could also yield key warning signs. For example: a vehicle that records show has been declared salvage after a crash later reappearing undamaged. Or a VIN with a sales and registration history almost exclusively in one province or state suddenly being for sale in another.

If an insurance company discovers a vehicle has a fraudulent VIN, the policy is voided. When police seized Crocker’s truck, insurance would not pay to replace it. He was only able to recover his money when the dealership that sold the stolen truck paid him out.

But police and insurance investigators have begun to warn of a proliferation of re-VINed vehicles being sold exclusively through social media platforms like Instagram.

“If you’re paying cash for that vehicle [in a private sale] or you do a bank transfer,” said O’Connor, “there’s no recourse.”

WATCH | A stolen car is found in Ghana: 

CBC finds Toronto man’s stolen car in West Africa

8 months ago

Duration 2:00

CBC’s David Common informs Len Green that his stolen car has been found in Ghana, 8,500 kilometres from Toronto, where it first went missing a year ago.

Registry employees alleged to be in on the crime

Police also allege organized crime has recruited employees at ServiceOntario, the registration centres operated on behalf of the province that offer an array of services, including issuing licences and managing the database of registered vehicles.

At the end of 2023, Toronto police charged seven ServiceOntario employees with a collective 73 charges, including fraud over $5,000, tampering with a vehicle identification number, breach of trust by a public officer and trafficking in identity information.

They allegedly provided an auto theft ring with registered addresses for specific vehicle models. Once stolen, the same employees assisted the ring in “re-VINing” the vehicles.

Fraudulent VINs may never be detected, although Peel police alone have seized more than 50 such vehicles in 2024 alone.

At other times, employees at ServiceOntario have flagged suspicious activity, such as when the same person shows up dozens of times to register different vehicles. That was allegedly the case with Milton Hylton, who was charged with 168 counts of various Criminal Code offences in March.

He was released on bail, pending trial. No charges are yet proven.

WATCH | An alleged repeat re-VINer is arrested:

Police arrest man for alleged serial re-VINing

1 day ago

Duration 0:29

CBC News takes you inside a police surveillance operation, witnessing an auto theft takedown connected to a growing aspect of the billion-dollar crime. Criminal rings are increasingly selling stolen cars in Canada to car buyers who often have no idea.

According to the warrant used to search his home and requested by Peel Regional Police Const. Gurinder Athwal, the 24-year-old travelled to “multiple ServiceOntario locations throughout the province and fraudulently registered vehicles.” Police say more than 100 vehicles were involved, and describe stolen Dodge Rams, Dodge Durangos and BMWs among them.

CBC News was present at the moment of Hylton’s arrest in Mississauga as multiple undercover police vehicles conducting surveillance moved in.

As investigators searched and then towed his silver Mazda, they say they found documents to register even more vehicles inside.

Hylton had just a few weeks earlier been banned from entering ServiceOntario locations without an appointment, because of suspicions. He was in the company of a woman he identified as his girlfriend. His sister was also arrested days later and now faces 36 charges of uttering forged documents and trafficking of stolen goods.

3rd-party registration being exploited

In a news release, Peel police describe Hylton as using “loopholes in the ServiceOntario procedures that allow ‘authorized’ individuals to conduct third-party transactions.”

While third-party registration is intended for car dealers, provisions for it mean nearly any individual can transfer registration of a vehicle or register a vehicle in another person’s name.

This process is typical in other Canadian provinces, too.

“It’s a huge problem,” said O’Connor. “And that’s how a lot of these vehicles are getting through.”

For instance, the warrant in the Hylton case alleges he transferred vehicle ownerships to both a speciality tool shop in Etobicoke and an automotive exporter in St. Catharines. Neither business authorized the transfers, and both insist Hylton is neither an employee nor known to them.

Were the vehicles in question stolen, the new registration would have detached them from their previous owners. Anyone buying the vehicles would be none the wiser and would have no insurance or other protection if the vehicle’s stolen status was ever uncovered.

A screenshot of an Instagram page showing customers giving testimonials about their newly purchased vehicles.
Peel police allege this Instagram page shows customers of Hylton’s apparent brokerage ‘Royalty in the Building.’ Testimonial videos describe how Hylton set up car purchasers with vehicles. Police say at least some of the vehicles in the videos were likely stolen and given replacement vehicle identification numbers to make them appear legitimate. (Royalty in the Building/Instagram)

Peel police say Hylton sold dozens of vehicles over a year through social media under the Instagram handle “Royalty in the Building.”

That name is associated with Facebook and Instagram accounts where apparent car buyers offer testimonials.

“I called up Milton. I told him I got my money up, I need plates, I need a car. And he got it just like that,” a person said in a testimonial while standing in front of a Honda Civic.

“Got my new SUV, fully loaded. Tints, light, rims, inside’s clean. Everything’s legit,” another person said in a testimonial.

“You give him your cash. You’re on the road. You ain’t got to go to ServiceOntario. You don’t got to do no running around,” said another.

WATCH | Inside a weeks-long auto theft investigation:

How stolen cars end up back on Canadian streets

1 day ago

Duration 7:34

CBC’s David Common gets exclusive access inside an auto theft surveillance operation, targeting a suspect who allegedly re-vinned more than 100 stolen vehicles to be resold, sometimes to unsuspecting buyers in Canada.

CBC News spoke with several police and insurance officials from across the Greater Toronto Area about third-party registrations.

Each insisted the loophole needed to be closed to prevent illegal transfers. But none wanted to speak on the record, citing the provincial Ministry of Transportation as a good partner they did not want to publicly besmirch.

Meanwhile, the auto theft problem continues to grow.

In 2022, an unprecedented $1.2 billion worth of vehicles were stolen across the entire country. By 2023, more than $1 billion was lost in just Ontario alone, according to the Équité Association, the national organization charged with reducing insurance fraud.

“It’s one of the top three revenue generators for organized crime,” said Milinovich. “It’s high reward, low risk, and an easy crime.”

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Federal budget 2024 disliked by half of Canada: poll

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OTTAWA –

A new poll suggests the Liberals have not won over voters with their latest budget, though there is broad support for their plan to build millions of homes.

Just shy of half the respondents to Leger’s latest survey said they had a negative opinion of the federal budget, which was presented last Tuesday.

Only 21 per cent said they had a positive opinion, and one-third of respondents said they didn’t know or preferred not to answer.

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Still, 65 per cent of those surveyed said the plan to spend $8.5 billion on housing, aimed at building 3.9 million homes by 2031, is good for the country.

Leger’s poll of 1,522 Canadians last weekend can’t be assigned a margin of error because online surveys are not considered truly random samples.

People in Alberta were most likely to say they had a very negative impression of the budget, with 42 per cent selecting that option compared to 25 per cent across the entire country.

More than half of the people who took the poll said they are in favour of the government’s plans to spend more on energy efficiency, national defence and student-loan forgiveness for health care and education workers.

And 56 per cent said they think the increase to the capital gains tax inclusion rate — a move that’s estimated to raise another $19.4 billion in revenue over the next four years — is a good thing.

The Liberals are billing the change as critical to their plan to improve generational fairness by taxing the ultra-rich.

It has drawn criticism, including from the Canadian Medical Association, which warned on Tuesday that it could affect the country’s ability to recruit and keep physicians.

The budget proposes to make two-thirds of capital gains — the profit made on the sale of assets — taxable, rather than half. For individuals, this would apply to profits above $250,000, but there is no lower threshold for corporations.

The medical association said many doctors will face higher taxes because they have incorporated their practices and used those companies to save for retirement.

While the Liberals are aiming changes to the capital gains tax at younger Canadians including millennials and gen-Zers, Leger’s poll found it had the support of 60 per cent of respondents over the age of 55 — the highest among any age group.

People between 18 and 35 were least likely to support the Liberal plan to spend another $73 billion on defence in the next two decades. Just 45 per cent of respondents in that age group said ramping up defence spending is good for the country, compared with 70 per cent of people over the age of 55.

Leger also asked questions about the country’s fiscal future.

Almost half the respondents, 47 per cent, said they want to see the government cut back on spending and programs to get the budget balanced as quickly as possible.

Just 16 per cent said spending more and running large deficits is the best plan for the next five years, and 14 per cent want to see the government increase taxes to bring the deficit down.

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Provincial audit turns up more than 40 medical clinics advertising membership fees

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Alberta’s health ministry says an audit has determined that more than 40 medical clinics in the province are advertising membership fees for services, nearly a year after one such plan landed a Calgary clinic in hot water.

The audit was launched last December. In July, CBC News reported that a medical clinic in Calgary’s Marda Loop district was moving to a membership system and planned to charge $4,800 a year for a two-parent family membership, covering two adults and their dependent children.

The next day, Health Canada said the arrangement at the Marda Loop Medical Clinic equated to patients purchasing “preferential access” and warned Alberta that it could face cuts to federal health transfers if the situation wasn’t handled.

Alberta Premier Danielle Smith and Alberta Health Minister Adriana LaGrange directed Alberta Health to investigate, and the clinic halted its plan for membership fees shortly after.

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In December, LaGrange told CBC News that “appropriate action” would be taken if audits determined that violations were found, adding the province would do whatever it took to ensure clinics were in compliance.

A woman speaks at a podium.
Speaking at a news conference in July 2023, Alberta Premier Danielle Smith said the Marda Loop Medical Clinic would be fined, lose medicare funding or be shut down altogether if it proceeded with a plan to charge membership fees. (CBC)

The province promised the audits early in the new year. Now, the health ministry says it has conducted interviews to gather information on operations and business models of the clinics, adding this work is ongoing.

“Over 40 clinics in the province [advertise] a membership meant to pay for a defined set of uninsured services, while also providing insured services covered under the Alberta Health Care Insurance Plan at no cost to Albertans,” wrote spokesperson Andrea Smith in a statement.

“Once this review is completed, its findings will be used to inform next steps. Alberta’s government will also determine if additional audits of more membership clinics is required.”

In July, Health Canada said executive and primary health clinics charging patients enrolment and annual membership fees exist in a number of provinces. Generally, investigations have indicated that clinics provide members with an variety of uninsured services, such as life coaching and nutritional services.

“However, in some cases … these fees are also a prerequisite to accessing insured services at the clinic (i.e., medically necessary physician services). Mandatory fees to access or receive preferential access to insured services are contrary to the Canada Health Act,” the government department wrote in a statement.

A spokesperson for LaGrange told CBC News in July the ministry wasn’t aware of any other clinics offering services for membership fees that didn’t align with legislation.

What comes next for those 40 clinics is a murky grey area, said Fiona Clement, a professor at the University of Calgary in the department of community health sciences. Much of it has to do with the exact language being used when services are outlined as parts of packages.

“We’re on the razor’s edge of exact wording there that runs them afoul. Really, I think it will come down to what the government is willing to fight with these clinics about,” she said.

CBC News asked the provincial government for a list of the clinics identified, but did not receive it by publication time. A spokesperson with the province said if any clinics are found to be non-compliant with legislation, appropriate action would be taken.

Report had identified 14 clinics

Clement said the big issue that got the Marda Loop Medical Clinic in hot water was the concept of guaranteed access.

“That’s the problem that Marda Loop got into, because there you are charging access to medical care, which is the part that contravenes the Canada Health Act,” Clement said.

At the time the Marda Loop clinic fell under scrutiny, it was clear there were other such clinics providing membership programs, in Calgary and Canada.

In 2022, researchers from Dalhousie University and Simon Fraser University released a paper tracking the number of clinics taking private payment across the country. Between November 2019 and June 2020, the period of the analysis, there were 14 private clinics in Alberta with a range of membership fees and private payment.

A woman smiles at the camera.
Fiona Clement, a professor at the University of Calgary in the department of community health sciences, says she hopes to see an ongoing review tied to Alberta clinics charging membership fees made publicly available. (Riley Brandt/University of Calgary)

“So, 40 is a larger number than I was expecting. And I think it speaks to growth in this area, the number of clinics that are charging fees for different parts of care,” Clement said.

“I think it underscores the lack of stability, and the need to really think about how we’re funding primary care, because more and more clinics are turning to this private charge as a revenue source to keep the doors open.”

Provinces that allow private health-care providers to charge patients for medically necessary services have dollars clawed back by the federal government under the Canada Health Act.

According to Health Canada, Alberta was subject to a $20,450,175 deduction to its Canada Health Transfer payment in March 2024 under the diagnostic services policy. That’s up from $13,781,152 last year.

But the province received $20,538,796 in partial reimbursements tied to its March 2023 and 2024 deductions, which represents actions that Alberta Health has taken to limit patient pay for publicly funded goods or services, according to Clement.

“I guess we’re making some progress. But it’s still a big number, which says there’s still a lot of patient billing going on,” she said.

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