Trust must be rebuilt after proposed new labour deal rejected, Alberta doctors say

The head of the Alberta Medical Association says many factors led to the recent collapse of a proposed master agreement with the province, but he says a key one was lack of trust.

Read more: Alberta physicians reject new master agreement with provincial government

Dr. Paul Boucher says before he and Health Minister Tyler Shandro can even begin negotiating the nuts and bolts of a new deal, that trust must be regained.

“I’m not going to bring back another agreement (for ratification) unless I have pretty good confidence that it’s going to pass,” Boucher said in an interview.

Boucher said he and Shandro are meeting again, almost two weeks after the rank-and-file physicians of the 11,000-member AMA refused to ratify the new tentative deal brokered by both sides, voting 53 per cent against it.

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Read more: Alberta government, Alberta Medical Association reach tentative agreement for physicians

Boucher said normally such deals pass with a strong majority. But during the voting process, he said he heard from about 3,000 physicians and many told him their core concern was that the pact left them too exposed to a government they didn’t trust.

“Any agreement really requires both parties to work well together within it,” said Boucher.

“I think a lot of members just weren’t sure that this was going to be the case. And there wasn’t enough clarity or safeguards to ensure that their voices were going to be heard and that they would be treated fairly within it.

Those challenges began in early 2020, when Shandro unilaterally tore up the master agreement with the AMA, using a law passed months prior by the United Conservative government.

Some rural doctors concerned about changes being made by Alberta government – Feb 21, 2020

That cancellation launched a year of bitter attacks from both sides. Shandro imposed fee changes that led to some doctors withdrawing services, particularly in rural locations, saying the changes were financially unsustainable.

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Shandro’s officials dismissed the AMA as a lobby group and Shandro accused the organization of spreading misinformation to its members. The AMA, in turn, sued the government, accusing it of violating Charter rights on collective bargaining by, among other things, cancelling binding arbitration.

All this was going on as COVID-19 swept through the province, filling up hospital wards.

Read more: Some staying, some going: Rural doctors respond to new Alberta fee rules

Boucher said doctors were ready to sign a deal for less money, although they still had concerns and questions over remuneration. The deal would have imposed an annual ceiling of about $4.6 billion, almost a billion dollars less than currently budgeted.

But he said a key concern was that binding arbitration had been replaced by mediation, albeit with the mediation decision made public. In addition, the AMA lawsuit would be cancelled.

Alberta physicians reject new master agreement with provincial government – Mar 31, 2021

The AMA considers binding arbitration critical, given it can’t hit the picket line for ethical reasons to otherwise gain leverage on intractable labour disagreements.

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“(Arbitration) guarantees you a process. It does not guarantee you a result on either end, but I think a lot of docs just wanted that sense of fairness,” said Boucher.

He said Shandro and the government have pivoted from the former approach and have been working collaboratively with the AMA, particularly on the recent COVID-19 vaccine rollout.

Read more: Alberta Health Minister Tyler Shandro says 2020 changes to doctor billing wrong, won’t be repeated

Shandro has cancelled many of the fee changes he imposed and promised contentious ones won’t ever return.

After the vote failed on March 30, Shandro stated, “Our government will seek to further renew our relationship with the AMA in the weeks and months to come as we work together to ensure Albertans continue to benefit from quality health care.”

He said there is no timeline for a new deal.

“I think it’s going to be some time.”

Alberta’s former CMOH among doctors forming their own pandemic response committee – Nov 27, 2020

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