00:15:29.980The diamonds being Ontario and Quebec.
00:15:33.340And we were the gold chain that was going to feed into that.
00:15:36.220So a hinterland economy feeds into that central core.
00:15:39.440That was the principal precept, if you will, of the National Energy Program.
00:15:43.780That's the National Energy Program was going to pull that wealth that was being generated in Western Canada and was looking to be generated.
00:15:50.080and that's what got me frosted back in the day was we were on the verge of a boom with hibernia
00:15:55.540and all those developments on our coast and we were fearful uh brian peckford certainly was irate
00:16:01.980about it that we were going to see a national energy program imposed on us and all the wealth
00:16:05.940that we build up and grow funnels into ontario and quebec and that's we're seeing it again right
00:16:13.460what's the carbon tax right why is Trudeau reflexively trying to stunt and
00:16:20.000and and hobble Alberta and BC because he sees them as a threat to their
00:16:25.260hinterland model of the economy and then the Russians leads are threatened
00:16:28.400no I don't know if you've ever seen this map and I don't know if it's accurate
00:16:34.640that's why I wanted to ask you about it but it it's a map of Canada and it
00:16:38.840draws a line at the 49th parallel and so you end up with the little jut of montreal and toronto i
00:16:45.480think below the 49th parallel and it says that 50 of canada's population lives below this line
00:16:52.360it's a bigger number than that is it bigger than that so what what is it sort of remarkable because
00:16:57.000then you see truly the way you're describing it this hinterland economy you see all of this
00:17:01.400territory that is very lowly populated yeah and then we are we're like i said the united states
00:17:07.240is this gigantic square and people say well canada's a bigger country than geographically
00:17:12.600canada from an economic standpoint is just this ribbon about maybe at its deepest parts where we
00:17:18.840are right now but for the most part it's five miles inside of the north of the american border
00:17:24.280and that's it um that is what it is but the thing is you know in the last 30 years look at the
00:17:31.880economic might that's come out of alberta even more than was already at the time you look at
00:17:37.400the the demographic shifts the population shifts and just the sheer um the miracle
00:17:46.600i don't know how up our viewers are on what everybody talks about canada being the great
00:17:51.400compromiser and nothing could be further from the truth the great compromise the actual term
00:17:55.880great compromise when you look it up in wikipedia and elsewhere refers to the convention in
00:18:00.840philadelphia and the compromise was over what it was over a triple e senate they they battled it
00:18:07.880for six months it was the one thing in the room that nobody ever wanted to deal with was that
00:18:12.600the small states uh in in the 13 said we need equality somewhere at the federal level and
00:18:19.320it was there's actually i remember watching an old pbs episode where
00:18:23.800they reenacted the scene and and uh basically new jersey had uh double crossed a couple of
00:18:32.120smaller states and they were literally going to walk out the door and uh uh benjamin franklin
00:18:38.440physically blocked the door and wouldn't let them leave and pleaded with the larger states and said
00:18:43.320if this is what's going to happen this this what we fought for this declaration we wrote
00:18:48.520ends if we don't compromise on this and then compromise and it's remarkable too
00:18:53.800And the United States doesn't exist today.
00:18:56.880The greatest, frankly, in my opinion, the greatest, most powerful, most beneficial country ever created in all of humanity.
00:40:17.880So, so you wanted to say why you think that we're sort of heading to some kind
00:40:21.060an inevitability that we've got to have some kind of restructuring discussion and i and i don't
00:40:26.020disagree with you i mean i i worry that if we don't proactively come up with some ideas about
00:40:30.900how to make things work better then um there's going to be and i've already seen it i'm watching
00:40:36.180there's a number of different groups that are out there holding town hall meetings and discussions
00:40:40.340about do you want to have nation within a nation do you want more autonomy do you want to separate
00:40:45.460these are active conversations that are taking place all over alberta right now and i have a
00:40:49.860different view if you want to know my view i i would like to see and maybe it's it's funny
00:40:54.820conservatives do tend to like to see bigger rather than smaller there's been the buffalo
00:40:58.500project is a proposal that maybe alberta saskatchewan need to combine rather than be separate
00:41:03.220or maybe we need to look at the west as a whole as a way that we can coordinate together from thunder
00:41:08.260thunder bay all the way through to uh the port of prince rupert so that's been my frame of reference
00:41:13.940so i think you're right something is coming and i want to understand why you think that these these
00:41:18.660forces are a bit unstoppable well was it perazo used the term winning conditions was that was
00:41:25.540that his phrase it was yeah yeah so i see the landscape especially in alberta and i but i'm
00:41:32.420seeing it in saskatchewan i think you'd agree and i think in bc there's some fomenting certainly in
00:41:36.820the interior um let's let's there's three groups they're the groups there's where i my core is i
00:41:46.580think we can save confederation i think there is a way to fix it using an equal uh equalizing at
00:41:52.660the senate level i see your camp danielle it's more a sovereignty association that we have powers
00:41:59.620within the constitution currently that's maximize them and use them to their fullest and become
00:42:04.980create a fortress if you will to push back and certainly alberta has a history of doing that the
00:42:09.860The ATB, the Alberta Treasure Branch, was an attempt to push back against what was happening in the banking system in Canada, and still exists.
00:42:20.280ATB and the injustices of the banking system in Canada.
00:42:23.940And then there's another group that frankly says, we're out of here.
00:42:27.080The best place for us to be is out of Canada.
00:42:29.960Some say we should also be part of the U.S., but we need to be out of Canada.
00:42:33.560Those three groups, tactically, all share the same tactics.
00:42:39.860you want to see a more assertive Alberta government that that pulls all the levers
00:42:44.820Paul Himman and the Wildrose Independence Party they want to do the same thing and I want to see
00:42:50.800Alberta be far more assertive push hard against the equalization push hard for individual taxes
00:42:56.540our own banking system our own police force all those things because it furthers my goal it
00:43:02.280furthers yours and it furthers the end of the separatists and it's not just in Alberta it's
00:43:07.280saskatchewan or other areas so there's we all share the same tactics we have different strategic
00:43:12.800desires but that means our strategies ultimately we weld in terms of going okay we've got to create
00:43:18.780the crisis right to make the next thing happen and that's what we're trying to do we and and what i
00:43:27.260mean by crisis is the hinge and ontario people will tell you this all the time they see themselves
00:43:34.960as the keystone of this country um the ontario's long believed that we are the heart of this
00:43:40.720country we are and geographically they certainly are um we are the kind of the stabilizing force
00:43:47.600in this in this country but if they see alberta and saskatchewan getting further and further
00:43:53.600more aggressively towards leaving and hitting the exits ontario's got a choice to make ontario's0.95
00:44:00.800has got to say quebec shit sorry trying to swear stuff's going to happen here we've got to
00:44:08.840accommodate these people we've got to make changes in the constitution to to save this confederation0.95
00:44:14.460and save what we see as being the heart of the country uh or we're gonna have to go with these
00:44:21.300guys i think bush came to shove ontario goes with western canada ontario does not stay uh with the
00:44:27.700rump of Canada, frankly, I'll probably get quoted on that, which would be Quebec and the Atlantic
00:44:33.320provinces, which right now economically certain here are the rump. If it was to work out the way
00:44:38.420you describe where let's call it 20 provinces and we have an equal Senate. And as you've described,
00:44:45.120I understand now why you think more like six so that you can have two senators every six years
00:44:49.380so that you can have a longer, more stable turnover. I get that. Where would the capital
00:44:56.300city be i've always felt like it was situated in the wrong place i'd be quite happy for it to be
00:45:02.280in winnipeg it seems a little more fair than being actually right dead center in our country that has
00:45:06.300been proposed in the past i am totally okay with winnipeg and i'll tell you why okay yeah it's funny
00:45:12.080we we always talked about in newfoundland we should put the for those newfoundlanders after
00:45:16.700we used to use it the best place to have the capital newfoundland was bertie lake which was
00:45:20.780kind of the center of newfoundland beautiful area really good fishing and all that kind of stuff
00:45:24.280But the reason why you want to put it in Winnipeg is because nobody wants to live there.
00:45:28.380That's the perfect place to have a capital.
00:45:45.120The point being is that, I don't know, that was a nasty thing to say.
00:45:50.420No, but I know what you mean is that you don't want it to become a government town and for it to be because there is such a desire to move there, we end up with more government than we could possibly want because under your model, we want our government to be back in the regions principally.
00:46:06.180And with 20 provinces or whatever, which are much smaller, much more diffuse, but also wanting their piece of that federal pie, I mean, it's not a fluke that all the military bases are built in the United States in smaller states.
00:46:24.580Virginia and West Virginia, tennis, I'm picking states that have grown a lot since this was going on, but they were put in those areas because that was kind of the quid pro quo.
00:46:34.880if you want my support mr big state and the senate to get what you want passed we need something back
00:46:40.080our way and that imbalance has never existed i'll tell a real quick story um this is many years ago
00:46:47.440back in the 80s um there was a opening up of quota off of newfoundland for tuna blue uh the big blue
00:46:58.400fin tunas people remember and tuna at the time was trading for somewhere around 200 a pound
00:47:04.880for bluefin tuna and that quota was very much wanted by korean fishermen uh primarily but also
00:47:14.560uh japanese fishermen so this is these are fishermen who aren't even in the same ocean okay
00:47:22.320wanted quota off of newfoundland and of course newfoundland would be very interested in catching
00:47:26.240fish that literally were worth 20 and 30 thousand dollars a fish and then boats my friends had
00:47:32.000ships that were ships vessels that were uh you know capable doing it tomorrow and it was announced
00:47:39.200that all of the quota was going to korea it was also announced at the very same day not uh
00:47:45.760unintentionally that a very significant wiper blade plant was being built just north of hamilton
00:47:52.640by trico to supply wiper blades to the japanese manufacturers in ontario and the the hundi was
00:48:04.000just becoming an entity at the time and that was a quid pro quo right that was a quid pro quo do you
00:48:10.880think that happens if there's a senate where newfoundland senators have equal representation
00:48:15.120not in a minute does that happen right well it's the kind of stuff that albertans don't hear about
00:48:20.800those are the kinds of disturbing deals and the first one that albertans really became aware of
00:48:26.640was the cf-18 contract that was pulled out of manitoba and put in quebec and that was the
00:48:33.680beginning of the end of the conservative part progressive conservative party well and the
00:48:38.240conservative movement has never really been united after that and i think that's part of it is that
00:48:42.400we we observe this i think i think there was um some jubilance when stephen harper got elected
00:48:48.880and then he did a couple of things for the the west he got rid of long gun registry he got rid
00:48:52.960of the canadian wheat board but then it was you have a leadership race that was centered around
00:48:58.960how do we win votes in quebec and i think that we've i think that was part of erin o'toole's
00:49:03.760problems is that he wanted to get western support which he did to win the leadership and then he
00:49:09.760changed to try to win support in quebec and that's i think one of the big frustrations is that there
00:49:15.200does seem to be these kind of trade-offs but i don't know that the trade-offs necessarily
00:49:19.200ever benefit the smaller regions it does seem that it all flows in one direction
00:49:24.320i would also argue that the party is still divided around laurentian elite lines
00:49:28.320and the new what new canada look um uh you look at what what does jean chariot represent really
00:49:34.800what did aaron o'toole truly represent he represented that return to the elites um you
00:49:40.960You know, the policy book that earned his man with a plan policy book was a complete abandonment of the Conservative Party of Canada's policy documents.
00:49:50.260It was a betrayal, frankly, and that's why he got ousted.
00:49:53.380And it's why Jean Charest can't draw more people in my neighbor's garage sale this afternoon.
00:50:01.260Those elites are dying and those elites are running in fear.
00:50:07.260and they're doing uh you know they're going to do some pretty catastrophic things if they get a
00:50:12.060chance i hope not let's let's bring it closer to home because um i don't know if you want to
00:50:16.660comment on sort of our political environment that we find ourselves in right now because i think
00:50:19.840it's also a very similar battle this is what i've noticed with the what i loved about the convention
00:50:24.020was that i saw all my old friends from my pc days because i was a pc from 92 to 2008 and then i saw
00:50:30.240my old friends from the wild rose days 2009 to 2015 all in one room together going to the
00:50:35.520hospitality suites together, debating policy together. And it
00:50:38.440seemed to me like the merger has been successful. However, I
00:50:42.960think we still have this battle between having government run
00:50:46.580for the people, and local representation and grassroots
00:50:51.140versus the elites. I think we're seeing this play out in
01:17:29.900Service provider, you now have to publish what you're charging for services.
01:17:34.000and you have to allow uh your people who get your services to rate you and i need to be able to go
01:17:40.800and say hey i want to get a massage therapy i go on my app my health spending account app who's the
01:17:45.560best rated who's the closest who specializes in needs or in in back or neck issues who's who's
01:17:52.940got the you know i don't know uh the right uh looking office whatever whatever we want we
01:18:01.180should be able to get but there's an accountability i get to look okay i get very much like because
01:18:06.140we already we're used to this because we use air and we use uber so we know how what a rating system
01:18:11.440looks like yeah amazon all those stuff so it's it's a meme that we're a a way of dealing with
01:18:17.220so once you've got that going once you've got a lot of buy-in i'm sure it'll be very popular
01:18:21.540it's not going to bankrupt the system people will understand how to work it then you start to expand
01:18:27.080into the things and work your way into the hospital environment and then you say okay let's do
01:18:31.420diagnostics that way right let's do doctor's visits that way now the doctors have to be
01:18:37.300accountable now the doctors have and but at the same time allow the diagnostic shops to charge
01:18:41.980what they want to charge so let me pause you because what that would mean is that if you were
01:18:46.680to then make diagnostics and that would i guess include the whole range like mris and ct scans
01:18:52.040whatever else there's probably a certain additional so that budget that we currently
01:18:56.360have allocated for that within the centralized system would get flow flowed through to the health
01:19:01.160spending account so let me put a pin right there for a sec so let's say i've got 350 in my account
01:19:07.400and i don't use it okay what we would say to you is okay if you don't use it half of it stays in
01:19:13.240your account and half of it goes into what we're going to call a stop loss pool okay and so if you
01:19:21.480run out of money if you're uh you haven't got the funds then you have to deal with drawing on
01:19:28.520the stop loss pool to cover the fact that you've run out of that those funds so fifty percent fifty
01:19:34.040percent so if you're healthy that account builds and builds and builds so maybe you go get your
01:19:37.880orthodontics or whatever and there's always a copay built in um and then we slowly move further
01:19:44.120and further into health services now we're talking serious dollars but now well because we're seeing
01:19:48.520competition because we're seeing doctors being held accountable and my ability to say you know
01:19:53.880what i need stitches in my or let's let's move back to the hospital i want to go see somebody
01:19:58.840about uh my knee i want to go see a specialist um well a guy who specializes only in uh sports
01:20:06.360uh orthopedic injuries um he's 450 a visit but my knee is just sore i just want to spend 150
01:20:14.360dollars so let the doctors set their pricing let deregulate the pricing right do you think okay so
01:20:21.240here's the thing i can i can see all of the services that are not currently under the
01:20:27.240legislation and not currently offered in other provinces so call it canada health act compliant
01:20:32.600services i can see or exempt canada health i can see those very easily being ones you can adopt
01:20:40.520you get into difficulty when you start talking about doctor services and hospital services
01:20:45.560and i don't know if you can bridge that gap without then having the federal government come
01:20:50.280in and and pull back on your on your transfer payments because that's always been the big
01:20:54.360hammer that they have it's one of the things i find your brilliant idea here runs up against
01:20:59.400barriers because then the federal government could come along and say so all right well we're
01:21:03.480clawing back four or five or six billion dollars this is why i'm calling on pure
01:21:07.720and others to say we need to end the canada health act we need to say that the provinces decide let's
01:21:14.200give the provinces the gst let's give the provinces tax points on the income tax to pay for their own
01:21:19.560services and let equalization that's another topic fix fix fix fix equalization and let it
01:21:26.440deal with filling in the fast fiscal limitations that certain profits have versus others let the
01:21:32.040provinces be the provinces and do their jurisdictional duties and get the federal
01:21:36.120government out of it okay let me let me just talk about i want to get to the to the end and then i
01:21:42.120want to come back and just see if you can if you can answer some of the questions about why you see
01:21:45.800this a little bit differently so let's say this starts for a young person because i think i think
01:21:49.480young people increasingly are used to doing things on apps on phones and i i imagine they would pick
01:21:55.160it up quite easily and so let's assume that you started at age 20 with this proposal that you have
01:22:01.720and you have a reasonably healthy life all the way through so you've got a pot of money at the end i
01:22:06.600don't know if you've done some projections about what that how big that pot of money might be by
01:22:09.800the time you hit 65 or 70. but what happens then well here here's what i've two things and i have
01:22:17.480fond memories of us talking about this the first time many years ago daniel um is that let's let's
01:22:24.440assume we're covering a much larger scope of things and we're covering them from childbirth and
01:22:29.640let's say it's a five thousand dollar number so if you don't spend the money 2500 stays there
01:22:34.200in another 25 and under 25. so at the time you're 50 just to put a number out there there's a
01:22:39.160cup quarter million dollars in there whatever um how much would you pay me as a private insurer
01:22:46.040to cover you from a heart attack so you don't lose that 250 000. and oh by the way when i
01:22:51.640turns when you turn 65 or pick an age but let's say 65 that quarter million dollars now you get
01:22:59.240paid five percent of the balance every year as a pension so it's your money if you don't if you
01:23:05.000live a healthy life and that account accumulates and grows to that number you get the money as a
01:23:09.320pension and when you die it goes to your kids tax free right that's the thing now the the real key
01:23:16.600on this and i want to come back because this is really really important because people say well
01:23:19.800what if my child was born with spina bifida or some horrific dread disease and they're going
01:23:25.320to blow up their health spending account every year without fail that's why there's the stop loss
01:23:31.480fund okay the stop loss fund is half that balance that isn't used goes in to cover that but the real
01:23:37.960hanger on this and i could pinpoint exactly where i saw the light go on for you was if you have it's
01:23:46.120your money i'm buying insurance to protect the risk of my health spending account by doing so
01:23:51.960i am also paying premiums that indirectly protect the stop-loss pool because i've now buffered for
01:24:00.280my own self-interest i bought insurance but essentially that insurance is protecting the
01:24:04.120stop-loss pool as well what i like about your proposal is that it does have this mix of personal
01:24:10.120autonomy taking care of your own health but it still maintains that community aspect of knowing
01:24:15.160that not all of our friends and neighbors have the same house. Exactly. It's still universal.
01:24:22.200It's still a safety net. It gives you the choice. It gives doctors and other providers the ability
01:24:28.820to innovate, to be creative about how they do it, how they bill. We need to do the same thing
01:24:34.780in pharmaceuticals. We need to have a whole long discussion about the deregulation of pharmaceuticals.
01:24:38.700We need to let people innovate, expecting Alberta, the Super Board, to be the innovator and finders of economies is ridiculous.
01:24:48.400Well, it gets even more ridiculous, though, Gord, because now we're not talking about this kind of decentralization.
01:24:55.440We're now talking about Ottawa making the decisions about our pharmaceutical coverage and Ottawa making the decisions on our long-term care coverage.
01:25:02.920and and so it seems like we do you always do we have these forces of centralization versus
01:25:07.980decentralization and government control versus personal autonomy but i i feel like that's going
01:25:13.160to be we need to push back with something novel that has community buy-in otherwise the default
01:25:19.820is going to be that ottawa comes along dangles a little bit of money and then tells us that we've
01:25:24.380got to run it in the same old centralized fashion with the same old bureaucracy and we're going to
01:25:29.240end up with the same old problems. And it disappoints me to no end that you see Scott
01:25:33.380Moe and Brian, Jason Kenney, not throwing it back in their face and saying, we want nothing to do
01:25:39.460with it. And what you're seeing with pharmacare and dental care, even more so, is essentially
01:25:44.840what's going on in the States with Medicare and Medicaid. And anybody who knows anything about
01:25:48.440Medicare and Medicaid knows that it is an unmitigated disaster. In Orange County, there's
01:25:53.680what four and a half million people in orange county medicare medicaid there are i believe
01:25:58.720last i looked 50 doctors in all of orange county who will do medicare medicaid services because
01:26:05.200the what they're paying for the service is so low um and you're going to go and tell a dentist what
01:26:12.240they're going to charge for teeth cleaning like forget about it well you know and i should also
01:26:16.840mention i just did a an interview with a woman who's involved in the tech space in health care0.79
01:26:21.260in silicon valley and one of the things that they're doing all kinds of um of approach with
01:26:28.460with medical care using the genome doing testing finding out what your predisposition is and now
01:26:33.260you're doing tailored medicine it's very expensive when it first comes on stream but it will become
01:26:38.460less and less expensive as we go over time but if if we continue with the type of approach that
01:26:43.580we're taking we're not going to be able to to take advantage of the some of the innovations
01:26:47.500that we're seeing in in jurisdictions where they do allow for that personalized care when you have
01:26:52.540a monopoly and you have no uh price signal to use milton friedman's term when i think he stole it
01:26:59.340from somebody else when there's no price signal when there's no accountability loop you wind up
01:27:04.060with rationing of care uh lowest common denominator levels of service and worse outcomes and that's
01:27:13.580exactly where we're headed and that's where we're going to get further and further into until we
01:27:17.980start building building in some accountability on both sides both of the consumer and and the
01:27:23.660provider so somebody's asking just for clarity about please uh adela's saying please clarify
01:27:29.180who is the financial contributor of this health spending account i mean i look at it as a three
01:27:33.900party let me tell you my view on it and you can tell me how you get i think it needs to be a
01:27:37.820three-party contribution that the federal the provincial government flows through a portion
01:27:43.740you can you can match it if you want your employer can match it if you want if if they want to do it
01:27:47.740as well like i think all of these innovations will develop i bet as well for some of our low
01:27:52.540income populations i bet there would be charities that would set up so that non-profits could also
01:27:56.620make contributions to individuals health spending accounts it provides a mechanism to make sure that
01:28:01.580everybody has access to the kind of services that currently aren't covered by healthcare that's how
01:28:05.180I see it. How do you see it? At core, it would be the provincial government would provide that
01:28:09.300funding. And we based on whatever the costs of all the services being run, you have to be an
01:28:14.000actuarial calculation on how much we need to fill our stop loss pool. And that's why you kind of
01:28:18.120have to move it in on a gradual basis. But I can see there being obviously rules saying, hey,
01:28:22.720if you put cash into this account today, because you had a good year for tax purposes, we'll let
01:28:27.380you write it off and expense it to your personal income tax or your corporate income tax. It stays
01:28:32.700the health spending account forever and if you use it for health services down the road it's
01:28:37.660it comes out tax-free now if you start taking it as a pension maybe we have to tax it to some degree
01:28:42.460but yeah let you put your own money in there you have a good year and you want to reduce
01:28:45.660your tax rate throw it into your health spending account you've just described why it is we need
01:28:50.140to collect our own personal income taxes so that we can start developing these kinds of approaches
01:28:54.060Well, yeah, and I was going to say that we need to have so much more signals to consumers as to what health care actually costs, right?
01:29:08.120Once you know how much is being, you still hear it, we see it all the time, health care is free in Canada.
01:29:14.600You know, there's no bigger fallacy out there.
01:29:16.900uh if you looked at the can the calgary health region last i looked um spend somewhere in the
01:29:23.300neighborhood of six or seven thousand dollars per resident on health care something like that okay
01:29:28.980let's say six thousand so that means a family for twenty four thousand dollars okay as a group
01:29:33.780insurer if you gave me twenty four thousand dollars and i could provide those services
01:29:38.180to you privately do you know what kind of health care services we'd be providing you it would be
01:29:42.900off the charts it'd be extraordinary except for if you have something catastrophic happen
01:29:47.540like cancer or heart disease or we would we'd be sitting down with swiss re we'd be creating stop
01:29:53.780loss funds to take that care of that stuff if we had the leeway to decide who our providers were
01:29:58.260and oh by the way just a little sidebar on that i'm looking i'm working on an apple computer
01:30:03.700you're working on a computer if the government what we're doing in healthcare is basically
01:30:07.620mandating that all health care be manufactured and delivered in alberta or in canada why can't
01:30:14.820we send people to india to get their knees replaced with a health spending account it's0.59
01:30:20.580four thousand dollars over there instead of twenty five thousand in in canby or three years wait or
01:30:28.340five years or five years wait in in saskatchewan for a knee replacement so so let's think that
01:30:32.660through because we do have a a lot of uh folks who would travel internationally so if you were
01:30:36.820planning on being in india or malaysia or whatever anyway and you needed to get the you wanted to
01:30:41.780convalesce with uh with family or friends while you're there then you would be able to put a
01:30:46.260little allotment for that in the health spending account and then it would the same goes and i'm
01:30:51.940gonna get i'm gonna have to put a mirror under my car tomorrow because i'm gonna say this publicly
01:30:56.740but we should do the same thing with mexican dental services why shouldn't we allow people
01:31:00.660to use their health spending accounts that we're talking about to put towards or you know implants
01:31:06.900or whatever get it done in mexico for 20 of the cost in canada uh i know people who've done that
01:31:13.940getting 20 or 30 000 quotes here and then it's only five or ten thousand down there but you know
01:31:20.340we have no problem with the government of alberta buying computers for its employees built in china
01:31:25.380or india right why do we not allow albertans to spend canada alberta funded provincial funded
01:31:32.420dollars outside of the country to get the service done for a fraction of the cost here and what kind
01:31:37.380of cost pressures and delivery uh pricing pressures does that put on uh alberta doctors
01:31:42.660and alberta facilities a lot it would and that's what we need we need competitive pressures right
01:31:48.980so so let me ask you this because anytime you implement a new program i walked through an
01:31:53.620example for a 20 year old but what about somebody who's already 80 years old there is a bit and so
01:32:00.100they already have higher health needs probably but they haven't had the benefit of building up an
01:32:05.140account over those over those years there there is a bit of an equity issue that i that i think we
01:32:10.100have to acknowledge and i don't know how you would deal with that well i would argue that the 20 year
01:32:14.580old never got the freeload on the health care system for the last 80 years like that 80 year
01:32:18.820old is okay well so the 80 year old has been able to use health services for the past okay fair
01:32:23.860enough right so that 80 year old they get the same amount of money in their house spending account as
01:32:29.140a 20 year old gets if they run out of funds there's the stop loss fund which is going to deliver
01:32:33.700services as good or better than what they would have had under the previous system i'm not i don't
01:32:37.860think that is a substantive argument um and plus it may be a way for an 80 year old to put money
01:32:42.820into a fund on a tax you know there's a lot of 80 year olds on you who have certain tax issues that
01:32:47.940would love the opportunity well once you get to be 71 you have a certain portion of your rsps that
01:32:52.100have to be taken out so roll it over into your house from your roof into your health spending
01:32:57.060account and then you'd be able to have a pot of money that you could grow up so that if you do
01:33:00.260ultimately need long-term care you buy some insurance with it to protect you against the
01:33:03.700catastrophic you know gord let's just talk just in our final minutes here about uh unless there's
01:33:09.140anything more on this i think you've you've mapped out something really fascinating and it's why it
01:33:13.460stuck with me all these years i think i met you in 2009 where you planted this seed with me
01:33:17.940And it really has been something that I've been thinking about what's politically possible.
01:33:22.220Everything we've talked about here today may not be politically possible, but we've got to get started somewhere.
01:33:27.700But this is the thing that I find very frustrating is that, and I've said this before, what frustrates me about conservatives and conservative policies is that all we ever talk about is we want to generate more tax income through reducing taxes and having a better regulatory environment.
01:33:42.960So we grow the pie and then we have all this new revenue and then we hand it off to the same old central planning bureaucrats to run the system in the same old way.
01:33:50.540And what do they do? Well, they hire a bunch more bureaucrats.
01:33:53.740We have a bunch more money being wasted on administrators and it stays within sort of this publicly funded, publicly delivered, heavily unionized environment.
01:34:01.500So you hire more people who are very likely to vote NDP.
01:34:03.800So our success on the economy gets translated into more votes for the NDP because we have no vision for how it is to deliver all of the services people care about in a conservative way with conservative principles.
01:34:17.640What you've put forward, we're talking about individual autonomy over dollars.
01:34:23.080We're talking about having free enterprise, choice, markets, competition, privatization.
01:34:29.540There's still a sharing element to it, a community-based element to it.
01:34:32.340These are all beautiful principles on which to transform our public services, but do it from a conservative perspective with the things that we know work in free enterprise.
01:34:43.880What is wrong with us in the conservative movement that we haven't been able to articulate and get buy-in and implementation on ideas like this?
01:34:52.480I would argue what you outlined there in the first portion of that, what is the red Tory ethos?
01:34:58.300okay um it's the in the american context that's the that's the rockefeller republican uh outlook
01:35:05.640and that is we support free markets we support uh lower taxes because generates more government
01:35:13.160revenue which means now we can spend more government money and have government be more
01:35:16.500involved that is the red that is jean charret in big bold letters that is erin o'toole in big bold
01:35:22.560letters pierre poiliev the one word you didn't use expressly was freedom okay and i think that
01:35:29.760the if we look when we look back i won't be around to look back but when we look when they look back
01:35:34.400they'll look at the real start of all this was preston manning and then moving into stephen
01:35:40.320harper's tenure the first real attempts to make government smaller to bring in those kind of
01:35:46.240strategies tfsa's landmark legislation all that kind of stuff the wheat board pierre qualiev in
01:35:53.040my opinion is the heir apparent to that he's using the same rhetoric you're talking about
01:35:57.440i think the canadians are absolutely keen to see more of that um and it's all associated it all
01:36:02.880comes into one big ball that people realize we want more we want the ability to decide for
01:36:07.280ourselves what we want to do we want the government to get out of our lives and i think the ideas are
01:36:12.560are coming i i think ourselves at libertas i know there are other people are very keen
01:36:16.800in coming up with some really interesting ideas and the more we get into that the more we develop
01:36:20.800those things especially with a leader and a party being led by somebody like pierre pauliev
01:36:26.880that is more open to those ideas and more determined to do those things
01:36:31.280and has a mandate to do it i think that you know one of the things that stephen
01:36:36.560harper had as a challenge was he was always on a knife's edge from a mandate standpoint i think
01:36:42.160in the next election we're looking at a mulroney's first team term level of mandate that
01:36:47.760that the conservatives get and then they can do the things that frankly mulroney being the red
01:36:52.400tory that he was was philosophically incapable of executing on so i think those ideas are out
01:36:57.440there i'm not the only one obviously um and a lot of people starting to push that ball down the road
01:37:03.360we are in terms of conservative ideas where the united states was somewhere in around 1965 66
01:37:10.080we're always a little bit behind the eight ball on that stuff but i think frankly in many ways
01:37:13.920we're going to leapfrog the united states in terms of rds and innovations and and conservative uh
01:37:18.880policies and thoughts so i sure hope so you know what it is it seems a lot of conservatives act
01:37:24.880as if the only solution is to cut so when you hear oh i'm gonna cut then a senior is thinking
01:37:29.840oh my goodness that's my pension or that's my health care or that's my long-term care a mom
01:37:34.320thinks oh my goodness that's health care for my kids or it's their university or it's their
01:37:38.320education i think we need to talk in terms of personal empowerment individual sovereignty
01:37:43.680putting dollars in the hands of customers and individuals so that they can pay for the services
01:37:49.360directly and hold them to account and that does that that i mean some people are saying oh are
01:37:54.000you saying there should be a greater role for government i'm saying there should be a role
01:37:56.720for government but it should be an appropriate role for government and what we have right now
01:38:00.800is one where we're we're paying through the nose for all kinds of services we know that we're paying
01:38:05.600higher than anywhere else. And we end up with taxpayers and recipients who are frustrated
01:38:10.320because it seems like a lot of it gets eaten up in the bureaucracy and administration and not
01:38:14.420the front line. And I think we can fix that. Yes. There's, there's, well, you're familiar
01:38:20.000with the Laffer curve. You probably wrote papers. I know I love the Laffer curve. You should,
01:38:24.820you know how I describe it. And if you, if I have it wrong, you should, you should,
01:38:28.220it's sort of this, it's, if you, if you were to draw a line starting at the bottom,
01:38:32.600you get a zero tax rate you get zero government revenue as you start increasing your taxes you
01:38:38.420start increasing the amount of revenue until you get to a point where your tax rate becomes so high
01:38:42.660that ultimately if you were taxing 100 you're also getting zero revenue because no one is going to
01:38:47.540sit around and pay 100 of their income zero tax rate gets you zero dollars 100 tax rate also gets
01:38:54.200you zero dollars and somewhere there's an optimal point of tax versus that and that's on a that's
01:38:58.900of dollars since but there's also in my opinion a regulatory laboratory where over regulation you
01:39:05.620get more and more diminishing returns and growth and worse and worse results that's what we have
01:39:10.820in healthcare we're over regulated in healthcare we need to deregulate healthcare we were that way
01:39:15.700with transportation years ago and now we're seeing the deregulation of transportation and guess what
01:39:20.340we get way cheaper flights uh way more flights to go on uh and far more flexibility and service
01:39:27.220and levels of service um so we need to move back down the laffer curve and regulatory from a
01:39:33.460regulatory standpoint okay let me let me run one more idea by you i don't think we've talked about
01:39:38.740this but people have asked me what i think needs to be done in health reform and so now people
01:39:42.660have a better idea of why i'm so excited about the potential for reform with health spending accounts
01:39:48.100the other thing though is that we can't maintain this hierarchical system where we basically hand
01:39:54.020a check of $20 billion over to one person at the head of Alberta Health Services. So I've given
01:39:59.080some thought on how we should restructure healthcare. And I understand why we got rid
01:40:03.260of hospital boards. I remember back in the day, Ralph Klein said that we had hospital boards that
01:40:08.000had no hospitals, that there had already been some consolidation, but the infrastructure and
01:40:13.140administration stayed in place. So it started with that notion that, come on, we've got to
01:40:17.680right size this. I think the error that they made is that this is what I would have done
01:40:22.360if we could have done it again for every every facility needs to have its own board and I have
01:40:29.040some experience on this because I was on the Calgary Board of Education which is just way
01:40:32.540too big way too many schools to have a personal relationship and I was on the board of Weber
01:40:36.520Academy and so I've seen that you can actually have a very effective local board and you can
01:40:41.680be more involved in the decisions so if you had a if you went back and re-established hospital
01:40:46.500boards and I think we've got a hundred facilities under the AHS umbrella we also know that the
01:40:50.960province is pretty evenly divided with a major center in Fort McMurray, Grand Prairie, then of
01:40:56.820course you've got Edmonton, Red Deer, Calgary, Lethbridge Medicine Hat, and then over in the
01:41:03.140east you'd have a cold lake. So make sure that each of those centers has a robust regional hospital
01:41:10.680that can provide most of the services that people will need. And then you can have all of your
01:41:14.940individual hospital boards send a representative onto that regional board. But we also know that
01:41:19.960Calgary and Edmonton have services that only they can provide. You look at NICU, for example,
01:41:24.400the intensive care units for newborns, or you look at transplant surgery or brain surgery or
01:41:30.540whatever. There's going to be some high level things that can only be done in Calgary and
01:41:33.460Edmonton, which is why each of those regions needs to send somebody to a central board so some of the
01:41:39.360planning and coordination can take place. So you actually get the benefits of coordination,
01:41:44.480but you push the administration down to each of the hospitals where it should be, where they're
01:41:50.340going to have salaries that are not stratospheric, where you're probably actually going to have more
01:41:54.880people doing some administration and some hands-on work. And then you could start hollowing out that
01:42:00.080layer after layer after layer of middle management. So I think there needs to be some kind of
01:42:05.120companion governance change. That's my notion of it, but I bet you've got some ideas since I know
01:42:10.700you think a lot about governance what would you well i think i think the reason why the the model
01:42:16.220struggles currently is there is no price signal in that model okay there's no what does it cost
01:42:21.700to get a stitch done at an er on a sunday afternoon compared to if you went to a clinic that was open
01:42:26.300and was being run by a a semi-retired doctor right we don't get those choices but clearly there are
01:42:35.020essentially monopoly elements within the health care system like you said there's only so much
01:42:40.580uh nick you know intensive care things like that where but we should treat monopolies once we've
01:42:47.500got the price signal in place and price system in place they should be turned into utilities we0.97
01:42:52.880should regulate them like a utility give them autonomy they do what they have to do now utilities
01:42:58.860basically formerly used to work on a cost plus model they don't any longer they work on a cost
01:43:05.880plus but if you innovate you get to keep some of the innovation as a profit so they devise more
01:43:11.720efficient and better ways to do what they have to do they also have very as you know utilities
01:43:15.880power delivery companies have enormously high levels of standards that they have to meet to
01:43:20.360to stay in business so uh you know healthcare you can have just as owners the standards there as
01:43:25.720as we need so but also allow just like we see in telecommunications there's your phone that you
01:43:32.040You can get to your house and cable and whatnot, but there's, you know, where there isn't a monopoly environment, you let other providers get in there and fight it out for that dollar and that need.
01:43:45.020So I think that once you've got the price system starting into that, then you give that autonomy truly gets to flex its muscles and starts to say, hey, let's run our ER a different way.
01:43:56.300let's you know innovate and not have it's just beyond me why people think that the answer to a
01:44:02.920problem is to make an ever greater and stronger more regulated monopoly where in all of the world
01:44:08.180has that ever worked you know but conservatives always do that like we're the we're the our worst
01:44:15.120enemies because we allow people we allow people to bracket us as cut and and uncaring uncompassionate
01:44:22.020people. Right. And that is absolutely wrong. And I think
01:44:25.200that what what's what's really flipped the dime with Pierre and
01:44:28.680other people who are now deploying the freedom rhetoric
01:44:30.920DeSantis the same way, is that we're still going to be there
01:44:35.760for you. We're still going to provide those things. We're just
01:44:38.180going to give you way more options and ability to, to seek
01:44:42.060what you need, what you see in your best interest. We're not
01:44:44.520going to tell you what you need to do or how to do it. We're
01:44:47.200going to let you do it the way you see fit in your best