What does this research mean for the field?

The introduction of a parallel private-pay system in Alberta will worsen access to publicly funded surgical services. Novelty: ClaimNovelty.CONTRADICTORY. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

What question did this study set out to answer?

This research examines the implications of Alberta's legislative changes on access to publicly funded surgery.

March 4, 2026Open Access

A parallel private-pay system will worsen access to publicly funded surgery

RMRobert M. MayallUniversity of Calgary SHStephanie E. HastingsO'Brien Institute BMBraden MannsWinnipeg Regional Health Authority

Key Points

This research examines the implications of Alberta's legislative changes on access to publicly funded surgery.
Analysis of Bill 11 and its provisions for dual practice
Evaluation of self-referral options for diagnostic services
Assessment of potential impact on public health care access
Legislation allowing out-of-pocket payments may increase inequities in health care access
Dual practice could lead to a diversion of resources from publicly funded services
Patients may face longer wait times for publicly funded surgery as private-pay options expand

Abstract

Key points The government of Alberta recently announced legislative changes allowing patients to self-refer and pay out of pocket for diagnostic and testing services covered by publicly funded health care. Alberta subsequently passed Bill 11, which allows physicians to engage in “dual practice

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