Alberta Launches Public-Private Dual Practice Surgery Model in September

Alberta is officially launching its controversial dual practice healthcare model in September 2026, enabling eligible surgeons to perform both publicly funded and privately paid elective surgeries in accredited facilities. The initiative, enabled by Bill 11 (Health Statutes Amendment Act), was announced by Minister of Hospital and Surgical Health Services Adriana LaGrange in June and has generated significant debate about the future of Canada's public healthcare system.

How the Model Works

Under dual practice, participating surgeons must commit to a mandatory minimum number of publicly funded operating hours before they can offer privately paid procedures. Eligible operations include orthopedic surgeries, hip and knee replacements, cataract surgery, select ear-nose-throat procedures, gynecological surgeries, dermatology, plastic surgery, and minimally invasive procedures such as hernia repair. Emergency services, trauma care, and cancer treatment will remain exclusively publicly funded.

The government argues dual practice will reduce surgical wait times and help recruit and retain specialized physicians. Critics warn it mimics a Quebec model that failed to clear surgical backlogs and risks creating a two-tier system where wealthy patients get faster access. Nearly 400 physicians have already expressed interest in participating, according to government sources.

Physicians must apply for approval, meet minimum public service commitments, integrate their records with Alberta's health information systems, and inform patients about publicly funded alternatives. Alberta says it will continue to comply with the Canada Health Act and that no Albertan will be denied care due to inability to pay.

If you are an expat or newcomer in Alberta needing elective surgery, understand that your public healthcare coverage remains protected for medically necessary care. However, some surgeons may now offer privately paid options if you choose to pay out of pocket for faster access. Be clear about which system (public or private) you are using when scheduling procedures.

Sources

• Taber Times — Dual practice healthcare model will reduce surgery wait times, says Hunter
• Alberta Medical Association — Dual Practice
• WHO European Observatory — Alberta introduces dual practice model