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Dr Kim Alexander 🍁

@drkimalexander

Drkimalexander.com Canadian Gynecologist, Author, & Unitarian Universalist. Your smart, savvy, shameless sex educator & middle-aged queer mom. linktr.ee/GrownUUps

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Latest posts by Dr Kim Alexander 🍁 @drkimalexander

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This is what happens when oligarchs control the *news*

03.03.2026 18:15 👍 8441 🔁 3183 💬 317 📌 117
Dear Prime Minister Carney,
We write to you out of deep concern regarding passage of Alberta’s Health Statutes Amendment
Act, 2025 (No. 2), and the threat it poses not only to Alberta’s public health care system, but to
the integrity of Medicare across Canada.
Canadians understand that provincial health systems are under genuine strain. We all share the
goals of reducing wait times to improve access to timely care and of recruiting and retaining health
care workers. We know that protecting and improving Medicare to enable healthy populations is
a vital nation building project. However, Alberta’s Health Statutes Amendment Act, 2025 (No. 2)
risks undermining these goals.
Instead, it proposes a system where patients face financial uncertainty and where timely access to
care will inevitably depend on ability to pay. Alberta’s law abandons the foundational principles
on which Canada’s health care system has been built, as enshrined in the Canada Health Act. By
formally enabling physicians to accept both public and private payment (dual practice) and
allowing patients to be billed for medically-necessary services, this legislation enables a multi-
payer, two-tier system of care that is confusing, inefficient, unfair, and expensive.
This shift is unprecedented in Canada. Since 1984, when the Canada Health Act was passed,
Alberta, like all provinces and territories, has upheld a single-payer model grounded in equitable
access to medically necessary care based on need, not ability to pay. The Health Statutes
Amendment Act, 2025 (No. 2) represents a clear departure from that shared national commitment
and raises grave concerns about Alberta’s compliance with the Canada Health Act.

Dear Prime Minister Carney, We write to you out of deep concern regarding passage of Alberta’s Health Statutes Amendment Act, 2025 (No. 2), and the threat it poses not only to Alberta’s public health care system, but to the integrity of Medicare across Canada. Canadians understand that provincial health systems are under genuine strain. We all share the goals of reducing wait times to improve access to timely care and of recruiting and retaining health care workers. We know that protecting and improving Medicare to enable healthy populations is a vital nation building project. However, Alberta’s Health Statutes Amendment Act, 2025 (No. 2) risks undermining these goals. Instead, it proposes a system where patients face financial uncertainty and where timely access to care will inevitably depend on ability to pay. Alberta’s law abandons the foundational principles on which Canada’s health care system has been built, as enshrined in the Canada Health Act. By formally enabling physicians to accept both public and private payment (dual practice) and allowing patients to be billed for medically-necessary services, this legislation enables a multi- payer, two-tier system of care that is confusing, inefficient, unfair, and expensive. This shift is unprecedented in Canada. Since 1984, when the Canada Health Act was passed, Alberta, like all provinces and territories, has upheld a single-payer model grounded in equitable access to medically necessary care based on need, not ability to pay. The Health Statutes Amendment Act, 2025 (No. 2) represents a clear departure from that shared national commitment and raises grave concerns about Alberta’s compliance with the Canada Health Act.

We are deeply concerned that Alberta’s Health Statutes Amendment Act, 2025 (No. 2) will:
• Undermine equity by normalizing private payment for medically necessary care,
privileging those with financial means;
• Risk contravening the Canada Health Act which exists to protect universality and
accessibility;
• Exacerbate workforce shortages in the publicly-funded system by permitting physicians
to split their practice between public pay and private pay sectors;
• Set a dangerous national precedent inviting similar legislation in other provinces thereby
weakening Medicare across the country.
Beyond its domestic impacts, Alberta’s Health Statutes Amendment Act, 2025 (No. 2) raises
uncertainty related to national treatment and market access obligations under the current CUSMA.
If Alberta’s legislation opens a pathway to private duplicative insurance (covering the same
medically necessary services as the publicly funded system) and for-profit investor-ownership of
hospitals (delivering medically necessary care), we are concerned this could lead to US health
insurance companies and hospital corporations expecting to enter Canada’s
market. Notwithstanding the protections afforded by Canada’s sectoral reservations listed in
CUSMA related to health care, if the US were denied entry to Canada’s market, we are concerned
this could expose Canada to CUSMA’s investment and services disciplines.
As Prime Minister, you have a responsibility to uphold the Canada Health Act and protect equitable
access to care for all Canadians, regardless of jurisdiction. We therefore call on your government
to:
1. Conduct a formal Canada Health Act compliance review of Alberta’s Health Statutes
Amendment Act, 2025 (No. 2);
2. Urge the Government of Alberta to pause implementation of Health Statutes
Amendment Act, 2025 (No. 2) while its impacts are assessed by Health Canada’s legal
team and independent national experts;
3. Use the full range of federal tools available, including discretionary penaltie…

We are deeply concerned that Alberta’s Health Statutes Amendment Act, 2025 (No. 2) will: • Undermine equity by normalizing private payment for medically necessary care, privileging those with financial means; • Risk contravening the Canada Health Act which exists to protect universality and accessibility; • Exacerbate workforce shortages in the publicly-funded system by permitting physicians to split their practice between public pay and private pay sectors; • Set a dangerous national precedent inviting similar legislation in other provinces thereby weakening Medicare across the country. Beyond its domestic impacts, Alberta’s Health Statutes Amendment Act, 2025 (No. 2) raises uncertainty related to national treatment and market access obligations under the current CUSMA. If Alberta’s legislation opens a pathway to private duplicative insurance (covering the same medically necessary services as the publicly funded system) and for-profit investor-ownership of hospitals (delivering medically necessary care), we are concerned this could lead to US health insurance companies and hospital corporations expecting to enter Canada’s market. Notwithstanding the protections afforded by Canada’s sectoral reservations listed in CUSMA related to health care, if the US were denied entry to Canada’s market, we are concerned this could expose Canada to CUSMA’s investment and services disciplines. As Prime Minister, you have a responsibility to uphold the Canada Health Act and protect equitable access to care for all Canadians, regardless of jurisdiction. We therefore call on your government to: 1. Conduct a formal Canada Health Act compliance review of Alberta’s Health Statutes Amendment Act, 2025 (No. 2); 2. Urge the Government of Alberta to pause implementation of Health Statutes Amendment Act, 2025 (No. 2) while its impacts are assessed by Health Canada’s legal team and independent national experts; 3. Use the full range of federal tools available, including discretionary penaltie…

Yours sincerely,
Dr. Melanie Bechard
Chair, Canadian Doctors for Medicare
Signed and endorsed by:
Alberta Federation of Labour – Gil McGowan, President
Alberta Union of Provincial Employees – Sandra Azocar, President
BC Health Coalition – Ayendri Riddell, Director of Policy and Campaigns
Canadian Centre for Policy Alternatives – Peggy Nash, Executive Director
Canadian Federation of Medical Students – Bryce Bogie, President
Canadian Federation of Nurses Unions – Linda Silas, President
Canadian Health Coalition – Jason MacLean, Chair
Canadian Labour Congress – Bea Bruske, President
Canadian Union of Public Employees – Mark Hancock, President
Coalition Solidarité Santé – Geneviève Lamarche, coordonnatrice
Congress of Union Retirees of Canada - Michael MacIsaac, President
Friends of Medicare – Chris Gallaway, Executive Director
Independent Voices for Safe & Effective Drugs – Colleen Fuller, Director
Manitoba Health Coalition – Noah Schulz, Provincial Director
Médecins québécois pour le régime public – Dr. Xavier Gauvreau, Président
National Union of Public and General Employees – Bert Blundon, President
New Brunswick Health Coalition – Jean-Claude Basque, Co-Chair
Nova Scotia Health Coalition – Jennifer Benoit, Provincial Coordinator
Ontario Health Coalition – Natalie Mehra, Executive Director
PEI Health Coalition – Mary Boyd, Chair
Registered Nurses Association of Ontario – Dr. Doris Grinspun, Chief Executive Officer
United Nurses of Alberta – Heather Smith, President
United Steelworkers – Marty Warren, National Director

Yours sincerely, Dr. Melanie Bechard Chair, Canadian Doctors for Medicare Signed and endorsed by: Alberta Federation of Labour – Gil McGowan, President Alberta Union of Provincial Employees – Sandra Azocar, President BC Health Coalition – Ayendri Riddell, Director of Policy and Campaigns Canadian Centre for Policy Alternatives – Peggy Nash, Executive Director Canadian Federation of Medical Students – Bryce Bogie, President Canadian Federation of Nurses Unions – Linda Silas, President Canadian Health Coalition – Jason MacLean, Chair Canadian Labour Congress – Bea Bruske, President Canadian Union of Public Employees – Mark Hancock, President Coalition Solidarité Santé – Geneviève Lamarche, coordonnatrice Congress of Union Retirees of Canada - Michael MacIsaac, President Friends of Medicare – Chris Gallaway, Executive Director Independent Voices for Safe & Effective Drugs – Colleen Fuller, Director Manitoba Health Coalition – Noah Schulz, Provincial Director Médecins québécois pour le régime public – Dr. Xavier Gauvreau, Président National Union of Public and General Employees – Bert Blundon, President New Brunswick Health Coalition – Jean-Claude Basque, Co-Chair Nova Scotia Health Coalition – Jennifer Benoit, Provincial Coordinator Ontario Health Coalition – Natalie Mehra, Executive Director PEI Health Coalition – Mary Boyd, Chair Registered Nurses Association of Ontario – Dr. Doris Grinspun, Chief Executive Officer United Nurses of Alberta – Heather Smith, President United Steelworkers – Marty Warren, National Director

🚨 Today: Canadian Doctors for Medicare sent a letter to PM Carney expressing deep concern about Alberta's law allowing patients to be billed for essential health care.

This policy endangers the integrity of Medicare for everyone across Canada.

@cdndrsformedicare.bsky.social #cdnpoli #cdnhealth 🧵

03.03.2026 22:15 👍 96 🔁 63 💬 8 📌 3

The US is a Christo-fascist state.

03.03.2026 16:03 👍 3 🔁 1 💬 0 📌 0
Preview
Cervical cancer rates higher in states with low HPV vaccination rates

RFK Jr *lies* when he says cervical cancer risk is increased in women who get the HPV vaccine.

New study: "States with high vaccination rates have seen the biggest drop in cervical cancer, while states with low vaccination rates have had little to no progress"

www.cidrap.umn.edu/human-papill...

01.03.2026 18:44 👍 695 🔁 310 💬 29 📌 29

Thinking about this further - given that cyclists are doing this anyway, what if the City contracted Cycle Toronto to manage (and pay for) hand-shovelling of cycle tracks where the original mechanical plowing has been blocked by driveway use, windrows, etc. after extraordinary snow events?

27.02.2026 13:44 👍 6 🔁 3 💬 1 📌 0
Home - Pink Haven Coalition Pink Haven Coalition Donate Who We Are We are a collective of organizations and individuals who are committed to trans liberation and joy and to growing community defense, mutual-aid, and alternative ...

UUs also run Pink Haven, which helps trans people with things like getting gender-affirming care and relocating to safer states. www.pinkhaven.org

04.11.2024 15:05 👍 7 🔁 4 💬 2 📌 1

Rumour is shooting will start at 12pm here in #PuertoVallarta

22.02.2026 18:08 👍 1 🔁 0 💬 1 📌 0

All incoming flights were turned around and returned to origin today so we’ll see what happens tomorrow?

22.02.2026 17:50 👍 0 🔁 0 💬 0 📌 0

I’ll try to keep updating as I hear things.

22.02.2026 17:49 👍 1 🔁 0 💬 0 📌 0

#PuertaVallarta
We’re being told there may be electricity outages
Charge your phones and chargers and write down important numbers on paper.

22.02.2026 17:37 👍 4 🔁 0 💬 2 📌 0
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🚨 Situación de seguridad en Jalisco: bloqueos en distintos puntos de Guadalajara, incluidos Periférico y Tabachines, así como Calzada y Periférico.
En Puerto Vallarta se registran vehículos incendiados y bloqueo del libramiento.

 
#Guadalajara #PuertoVallarta #Jalisco #Noticias 🚔📰🔥

22.02.2026 17:32 👍 4 🔁 6 💬 0 📌 3
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🚨 #CódigoRojo en Jalisco. Se reportan bloqueos en la Zona Metropolitana de Guadalajara, en Periférico y Tabachines, así como en Calzada y Periférico.
En Puerto Vallarta hay vehículos incendiados y cierre del libramiento.

#Jalisco #Guadalajara #PuertoVallarta 📰🔥🚔

22.02.2026 17:10 👍 0 🔁 2 💬 0 📌 0
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🚨 #CódigoRojo en Jalisco. Se reportan bloqueos en la Zona Metropolitana de Guadalajara, en Periférico y Tabachines, así como en Calzada y Periférico.
En Puerto Vallarta hay vehículos incendiados y cierre del libramiento.

#Jalisco #Guadalajara #PuertoVallarta 📰🔥🚔

22.02.2026 17:12 👍 0 🔁 3 💬 0 📌 0

If you’re in #PuertoVallarta now, make sure you contact your consulate.
You’ll want to know if there are evacuation flights

22.02.2026 17:26 👍 2 🔁 5 💬 0 📌 0
Fires in Puerto Vallarta

Fires in Puerto Vallarta

#PuertoVallarta on fire

22.02.2026 17:07 👍 2 🔁 0 💬 1 📌 0

They were pulled out of their car at gunpoint. They were quite literally a target?

22.02.2026 17:06 👍 0 🔁 0 💬 1 📌 0
Puerto Vallarta multiple fires

Puerto Vallarta multiple fires

Tourists targeted as well

22.02.2026 16:48 👍 11 🔁 1 💬 1 📌 0

Started about 9or 9:39am I think.
I’m hoping I’ll be able to fly out on Tuesday 😳

22.02.2026 16:45 👍 1 🔁 0 💬 0 📌 0

We all got home safe.
But major routes all blocked by burning cars or buses.

22.02.2026 16:40 👍 1 🔁 0 💬 1 📌 0
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Puerto Vallarta this morning (Sunday). Multiple fires set by cartel because local police forces captured a drug boss.

22.02.2026 15:55 👍 4 🔁 1 💬 0 📌 0

It hasn’t hit the news yet, but PV is shut down right now

22.02.2026 16:16 👍 5 🔁 4 💬 1 📌 0

Good luck have fun!

18.02.2026 01:13 👍 1 🔁 0 💬 0 📌 0

i will never accept this excuse out of a society that demands you take on 5 to 6 figures of debt to commit to a degree for a career at age 18

17.02.2026 12:16 👍 116 🔁 34 💬 0 📌 0

If you are a smoker, please reach out to your family doc, or nearest hospital with thoracic surgery and ask about lung cancer screening.

17.02.2026 12:46 👍 2 🔁 0 💬 0 📌 0
a sign pointing to the restrooms in a museum, with an unfortunately placed poster beneath saying "of Discovery, of Stories, of Ideas, of Creativity, of Culture, of Learning, of Imagination," playing on the name of the museum, which is the National Gallery of Art

a sign pointing to the restrooms in a museum, with an unfortunately placed poster beneath saying "of Discovery, of Stories, of Ideas, of Creativity, of Culture, of Learning, of Imagination," playing on the name of the museum, which is the National Gallery of Art

must be some impressive restrooms

16.02.2026 21:22 👍 45 🔁 4 💬 3 📌 1

So you're saying ICE is incompatible with the rule of law as practiced in this nation from the founding?

Think I see a pretty easy solution here, champ.

16.02.2026 20:07 👍 8514 🔁 1862 💬 128 📌 22

Doctors say that vaccines protect children from dangerous diseases. A nepo baby who barbecues dogs and snorts cocaine off toilet seats says that vaccines make children vulnerable to 5G radiation. For busy parents, it can be hard to know who to trust.

14.02.2026 03:41 👍 3882 🔁 1010 💬 30 📌 24

Great article!

The US government has a definition via U.S. Holocaust Museum:

"What distinguishes a concentration camp from a prison (in the modern sense) is that it functions outside of a judicial system. The prisoners are not indicted or convicted of any crime by judicial process."

14.02.2026 04:32 👍 122 🔁 48 💬 1 📌 1

That's totally going to be me someday minus the Jewish 🤣

12.02.2026 23:17 👍 9 🔁 0 💬 0 📌 0