Edmonton Journal

ALBERTA’S NEW BUDGET KEEPS THE OLD GREY BIAS

NDP maintains big generation­al spending gap, writes Paul Kershaw

- Paul Kershaw is a policy professor in the UBC School of Population Health, and founder of Generation Squeeze (www.gensqueeze.ca)

We need Canada to work for all generation­s. Politics shouldn’t pit grandparen­ts against grandchild­ren.

So it’s frustratin­g that Alberta fosters generation­al tension in its budgets. Despite the recent change in government, Alberta perpetuate­s in 2016 its wellestabl­ished tradition of producing the most generation­ally unfair budget in Canada. It does so by proposing the biggest gap in social spending between citizens age 65-plus and those under age 45 that you will find anywhere in the country.

Here are the facts: The bulk of Alberta’s 2016 spending will be delivered through medical care ($20.4-billion), grade school ($7.9-billion), post-secondary and job training ($5.9-billion), and other services for families, seniors, persons with disabiliti­es, and communitie­s ($5.0-billion). Of this money, approximat­ely $19,000 is budgeted for each of the half-million Albertans age 65-plus. By contrast, the budget spends around $8,000 for each of the 2.7-million Albertans under 45.

The result is an $11,000 spending gap between an Alberta retiree and younger citizen. That gap is twice as big as the one in Ontario, and nearly three times larger than in B.C. (And all provincial gaps are made larger by federal spending on old age security).

Alberta’s big gap signals limited urgency to ease the squeeze for time and money that younger citizens now face compared to a generation ago. The typical 25-to-34-year-old earns little more for full-time work than did the same age person in 1976, despite devoting years more to post-secondary, and facing far higher housing prices after inflation.

Some may report the ongoing tuition freeze is a win for younger citizens, along with the Alberta child benefit, and the enhanced family employment tax credit. These are important policies. But they do little to influence the overall age distributi­on in Alberta spending.

Medical care drives the pattern. Canadian Institute for Health Informatio­n (CIHI) data show that 41 per cent of the $20.4-billion medical-care budget will go to the 11.9 per cent of the population age 65-plus. This adds up to more than the entire gradeschoo­l budget.

Finance Minister Ceci bragged upon taking office that Alberta would continue to be a big spender on health care. Thankfully, the finance minister no longer brags this way. Because spending more on medical care is not worth gloating about when you don’t buy better outcomes.

According to CIHI, Alberta scores below the national average for avoidable admissions due to chronic lung infections and diabetes. Alberta has worse-thanaverag­e results for breast cancer survival, colorectal cancer survival and heart disease mortality. Alberta even falls below average for life expectancy and infant mortality.

These findings suggest that Alberta is wasting money on medical care compared to other provinces.

Even if Alberta reduced its medical spending by 25 per cent (that’s $5 billion, or half this year’s deficit), it would still spend over $1,500 more per senior than in Ontario or B.C.

Why is this important? Because reallocati­ng ineffectiv­e medical spending could pay for programs that will promote the population’s health or achieve other benefits, including: a $10 per day child care system, better parental leave, sustaining the post-secondary tuition freeze, doubling the province’s budget for the environmen­t and reducing the deficit.

This means the NDP is right to slow down the tradition of six-per-cent annual increases to medical care left by the Conservati­ves. But if the government were really discipline­d, it would talk about spending smarter on health care, before spending more.

Happily, there is evidence that Premier Rachel Notley is willing to tackle big, potentiall­y unpopular, issues. By expanding efforts to price pollution, her government may slow the pace at which Alberta’s unfair generation­al spending gap will be paid for by leaving younger Canadians with a riskier climate and dirtier air, water and soil.

As she addresses this intergener­ational problem, there is hope the premier may yet tackle her government’s unfair spending gap as well.

Spending more on medical care is not worth gloating about when you don’t buy better outcomes.

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