Reboot Alberta

Monday, November 29, 2010

Is There a Conspiracy to Discredit Raj Sherman?

I love politics and I think it is a force for good.  But sometimes I despair about the way politics is practiced and portrayed.  When politics is all about getting and keeping power it is becomes manipulative, intimidating and even corrupt.  That is politics at its lowest.  When politics is about exploring new ideas, sharing wisdom to protect and empower citizens, it is at its best.

This past two weeks politics in Alberta has been at its worst, at its best and is changing faster than most of us could imagine.  I am talking about the events around the courage of Dr. Raj Sherman to take a stand and expose some political truth about health care in Alberta.  There is now evidence of politically motivated reactions and tactics by anonymous forces who are intent on discrediting and even destroying Dr. Sherman.

Efforts to discredit Raj by questioning his mental and emotional state are an example of politics at its worst.  Dark forces are now challenging his professional capacity to practice medicine with anonymous innuendos.   Sherman is fighting back by talking openly about these perverse efforts against him.  That is the only way to defeat these dark forces.

Intimidation, threats and bullying is on-going from some segments of the PC government as they try to control messages and command loyalty.  I know I faced this myself when I publicly announced I was no longer going to stay as a member of the Progressive Conservative Party of Alberta.  Clients were told they would have more success in dealing with government if I was no longer involved in representing them.  Long time party supporters have been suddenly and unceremoniously removed from positions on boards because they were suddenly not “acceptable” to serve.  Why?  Because those individuals were simply publicly speaking truth to power.  Community based not-for profit agencies that rely on government funding to provide services to vulnerable citizens have been told to toe the line or there will be “consequences”- personally and organizationally. This is no way for those in authority to behave.

When this kind of coercion happens paranoia runs deep and creeps into your heart. Intimidation should not becomes “normal” in our political culture.  It must be stopped.  That can only happen by public exposure by those who are its victims.  Silence is compliance.   Speaking out against this kind of intimidation and coercion is exactly what Dr. Raj Sherman is doing now.  More reason to applaud him and value his courage.

When we feel threatened by powerful forces we can even start to question the integrity of our friends. That is what has happened in the recent highly publicized conversation between Fred Horne and Dr. P. J. White, who are both friends of Raj Sherman.   Many of us are friends of Raj Sherman and admire him for what he is doing.  We are also aware of the enormous stress Raj is facing as he stands up against some very powerful and entrenched political forces.   

With such intense feelings and threatening circumstances it is very easy to misinterpret good intentions…even of your friends.  Drawing a negative conclusion is easy and often justified as a survival strategy - but it also could be a wrong conclusion.  I think the wrong conclusions have been drawn around the actions and intent Fred Horne and P.J. White in sharing an authentic mutual concern for the well-being of Raj Sherman.

Some context is important in trying to better understand what is happening here.  Fred is the new Parliamentary Secretary for Health and Wellness.  Fred ran the new health act public consultation process this summer.  P.J. White is a psychiatrist and the newly elected President of the Alberta Medical Association.   In a cynical world it is easy to misinterpret the actions and intentions of Fred and P.J. as powerful people who may be part of a conspiracy to discredit Raj Sherman politically and professionally. 

The other, more realistic interpretation in my opinion and based on the personal characters of Fred and P.J., is they are simply sharing a genuine concern for the well-being of a mutual friend in a difficult time  In the vulnerable reality of Raj Sherman these days, one can hardly blame him for being paranoid about such a conversation taking place, even amongst good friends.  To see the erosion of the benefit of the doubt about the intent of friends, shows just how sad and dysfunctional our political culture has become these days.

I have a long standing friendship with Fred Horne.  I have a growing friendship with Raj Sherman and a deep respect for his character and courage.  I have recently met Dr. P.J. White, under other circumstances, but we share some personal values about politics.  I also admire P.J. for his personal and professional courage for standing up against the irrational political decision of Dr. Duckett and the AHS to close Alberta Hospital in Oliver.  He stopped the closure.

When the conversation Fred and P.J. had about the well-being of Raj Sherman became public and a focus in the media I called both Fred and P.J. to get some first-hand content and context on what was really going on here. I am certain from my personal knowledge of both gentlemen and our recent chats that the intent of the conversation between Fred Horne and P.J. White was motivated by a shared respect for Raj Sherman and a genuine concern for his overall well-being. 

But the record can and should be set straight.  I hope this blog post is a step in that direction.If there is a politically motivated conspiracy to discredit Raj Sherman based on innuendo about his mental state and capacity, Fred Horne and P.J. White are not part of it.  They, along with many others, and me included have reached out to personally and publicly support Raj.  We are all dismayed at how low some will stoop to sustain or gain political power at the expense of others.  

Raj Sherman has supporters – lots of them.  He has powerful enemies too – I expect many of them.   The big difference is the supporters are open and public while the enemies are anonymous and secretive.  So who should the public trust? Which narrative of Raj Sherman will "win" in the court of public opinion?  When seeking changes in political attitudes and culture, it is the court of public opinion that matters most.  What people come to believe becomes political reality.  In politics perception is reality…and that is not just a cliché.

Monday November 29th will see a Point of Privilege presented in the Alberta Legislature asking if Fred Horne is part of a political conspiracy to discredit Dr. Raj Sherman.  I trust it will be debated in the spirit of supporting the political integrity, transparency, honesty and the accountability of our elected representatives.  I hope it is motivated by a desire to enhance our democracy and to regain some increased respect for the institution of the Alberta Legislature.  If this is not the case, it will only perpetuate the worst of our declining political culture.

I hope for better angels to prevail on all of our provincial politicians today.  I am no Pollyanna but I do believe the better angels will triumph.  That will only happen if the wisdom and good judgment of our elected representative overcomes the excessive partisanship that dominates our political culture these days. 

Albertans are not fools and we do not think our elected representatives should be either.  If there is a politically motivated whisper campaign to discredit and destroy Raj Sherman, it must stop NOW!  I hope the NDP Point of Privilege Motion being heard today is the start of a new direction in our political culture.  If it is merely another tactic in political gamesmanship, I will despair even deeper about the democratic deficit in this province. 

So, ladies and gentlemen of the Alberta Legislature, it is time to listen to your better angels….here and now…on this issue and the many other health care concerns of Albertans.  It is time to return to your task of serving the best interests of Albertans…not just personal or partisan power agendas.  Rest assured we will be watching and judging you.
   
UPDATE NOV 29 12:35 PM - I HAVE JUST BEEN ADVISED BY SOMEONE IN THE MAIN STEAM MEDIA THAT THE NDP HAVE WITHDRAWN THEIR POINT OR PRIVILEGE THAT WAS TO GO TODAY ON IF THERE WAS AN ANTI-SHERMAN CONSPIRACY TO DISCREDIT HIM.

Sunday, November 28, 2010

Update on the Harper Induced Democratic Deficit

I did a post last week asking Albertans if they have had enough of Stephen Harper yet.  If the content of that post did not convince you this rant by Rick Mercer should help.  Canadians as well as Albertans know it is  time for an election and that we have to remove our Not So Prime Minister and his Sheeple from power over us.

The Harper Conservatives now control the Senate due to his hypocritical stance about Senate reform.  He used to say it should be Triple E: elected, equal and effective.  He has personally appointed more Senators than any other Prime Minister in history. So much for the integrity, honesty, transparency and accountability of Prime Minister Harper.

Since he can't control the destruction of democracy in the elected House of Commons as he centralizes more and more political power in himself, he is now doing it in the Senate.  That is where his personal appointed political friends are killing laws duly passed by those WE DULY ELECTED TO GOVERN US.  The Harper Senate appointees have a majority now and they are killing those duly passed laws without a word of debate.  Political power is now in the hand of Harper's appointed cronies.  This can't continue if our representative democracy is to survive.


It's Grey Cup Day in #YEG "GO RIDERS-ALLEZ ALOUETTES"

As we prepare for the mock battle that is the Grey Cup I offer this well edited video of the 40 Most Inspirational Speeches in moviedom - with a H/T to The Kelley Skar Daily

JUST A BLOGGER TRYING TO GIVE 110% Enjoy this mini-mocumentary:

Saturday, November 27, 2010

Do We Need the AHS Super Board?

The media report on the “fracturing” of the Alberta Health Services Super Board is focused on the current and possible future resignations of board members.  This is fallout from the Dr. Duckett contract decision is a crisis of confidence about the AHS Board and by the Board itself I expect.  That crisis in confidence cuts both ways and is partly due to a failure of effective governance.  There needs to be clarity of roles and responsibilities of the various boards the Government of Alberta and the AHS Super Board in particular.

Ron Liepert is being blamed by the public for much of this current crisis of confidence in our health care system.  He was the political push to unilaterally and hastily disband the regional governance model in favour of a single Super Board system.  The goal was cost savings but a lot of good work and service capacity was lost in the process, especially in the Capital Region.  There was another political goal, the solving of the chronic overspending of the Calgary regional board. 

So rather than solving the “Calgary problem” and risk looking like Stelmach was punishing or picking on Calgary, the Ministry “leadership” changed to Ron Liepert, a Calgarian to solve the problem.  Overnight, without warning, consultation or concern for greater consequences, Liepert unilaterally changed the entire provincial health care governance structure.  The dismantling of the regional governance structure into one centralized appointed governance model delegated to deliver health care was established. That was the planted seed that has lead us to the current health care governance, emergency room crisis and overall systemic disarray that is now province wide.

So let’s look at the current Super Board situation in context.  Liepert created this centralized governance structure, selected and recommended the appointees to the new Super Board.  Once it was established Dr. Duckett, a health economist, was hired by the AHS Super Board with a clear mandate to get spending and costs under control.  What is particularly interesting is the composition of the Super Board…it is predominantly people with business experience – not public policy or health care experiences.  So decisions would more likely be business based before public policy based. 

These are all good people with valuable experience and who are undoubtedly trying to use their skills to make a difference and improve the health care system in Alberta.  The problem is they may only have part of the skill sets necessary to do this very complex and critically important job of overseeing the design, development and deployment of an effective health care system in Alberta.  They have the management discipline and a corporate governance experience. My question is do they understand there is a difference in dealing with public sector governance, public policy development, public sector accountability in a care giving system not a marketplace model of delivery?  Are they analytical as well as design oriented?  Are they sensitive to the human dynamics inherent in a health care delivery system at the patient, service provider and taxpayer levels?  Are they insightful enough about the political culture and context of their relationship with the Minister and the government while serving on such a board?  Can they effectively determine and articulate truth to the political power structure that is ultimately responsible and entrusted to provide health care to Alberta?  Finally do they have the benefit of a mutual two-way trust with the political powers and administrative machinery of government?

The recent resignations from the Super Board are reported to be largely based on the principle of board independence.  Political interference has to be resisted if a board is going to be effective.  However when a board is mandated to execute government policy there are public policy and political realities that may have to trump the presumption of arms length independence. Those overarching realities are the ultimate responsibility of the elected Minister to represent the public interest.  Provided the communications between the elected Minister and the appointed Board is done openly and transparently then it is not necessarily inappropriate interference with the independence of the appointed board.  A board can choose to ignore the advice or even direction of the Minister.  Unless the Board can convince the Minister that he is wrong or the suggested action is ill-advised, the natural consequences of non-compliance would be that the board would be replaced with others who would execute their roles consistent with the Minister’s interpretation of government policy.  That is as it should be in a public policy governance model so long as this is all open and public information so we citizens can judge if there is improper political interference or there is a board that is not fulfilling its responsibilities appropriately.

So what about the current AHS board status in light of current events?   I don’t conclude that Minister Zwozdesky insisting that the AHS board make the Duckett contract decision immediately instead of waiting two weeks is improper interference.  I am only basing this conclusion on media reports of the communications but none of the parties have suggested they are in accurate so far as I know.  The Board could have declined to comply with the Minister’s request for an immediate decision and if they believed that was the right thing to do in the public interest.   That is moot because the Board did make an immediate decision.  The question now is where this all goes from here!

I have suggested previously in this Blog the AHS Board and many others, like in areas of Children Services and PDD for example, are not effective in providing good governance for the province.   They are ostensibly there to provide local input and intelligence to the Minister and Ministry but they end up being a buffer and a barrier between the politicians and the public.   The system is unworkable in this kind of political culture where partisan politics replace good public policy.  This default to partisan politics driving decisions was obvious in health care under Minister Liepert.  Just look at the fact he decided unilaterally to change the health care governance structures for pure political purposes.  He did that without warning, consultation or concern for consequences to the public or the professionals just trying to do their jobs.

If these various appointed boards are in reality mere buffers designed to protect politicians from accountability to the public they should be disbanded.  Given the many Ministerial reversals of AHS Board and CEO decisions since Zwozdesky took over the Ministry, those still on the AHS Board should ask themselves if they still have the confidence of the Minister.  I think the evidence is pretty clear the answer is no. 

Zwozdesky is not the kind of Minister who wants to hide from the public in doing his policy and political duty.  He and his department are the ones who are ultimately responsible for the outcomes of health care and they know it.  The appointed and virtually anonymous Super Board, like many others in the province, are ineffectual in serving the public interest, especially if there is political interference and a lack of clear mandated authority.  Under these circumstances I think the AHS Board should all resign and return the clear and direct lines of accountability and responsibility for design and delivery of health care to the government.  This need not be in protest or seen in any way as a failure to perform by the AHS Board.  Rather it would put the responsibility for health care policy clearly back on the Minister and Ministry where it belongs.  It would set an example for the other Boards too who are mostly being used as mere buffers between the public and the politicians

The expertise in the health care system would not be lost and can be more effective at bring truth to power - directly – as the Emergency Room Docs are doing now.  The bureaucracy can also do its job better in providing analysis and suggesting policy options for our elected representatives to consider when making public policy decisions on our behalf.

I have great respect for any citizen who comes forward to serve on government agencies, boards and commissions.  I have done so many times myself.  There is always a question about roles, responsibilities and relationships between these boards and the government, the Minister and the public interest.  The wisdom and judgement of all those involved are always required in keeping these realities in context.  My conclusion is the AHS board was set up by the previous Minister primarily for political reasons.  If the current Board members come to the same conclusion then they need to return the legal responsibility to provide for health care in Alberta back to the elected officials.  That is just part of the task of fixing the governance model as well as the resolving of the health care crisis that we are seeing unfold these days. 

CLARIFICATIONS REQUIRED:
There is a news story in the Edmonton Journal today on the status of the Super Board quoting me that need clarification and correction.  By way of clarification there is an implication in remarks attributed to me that Minister Zwozdesky threatened to remove the AHS Board if they did not comply with his request.  I don’t know if that happened or not in the discussion between the Minister and the Board Chair.  It appears that I am quoting the Minister in that regard.  I was not. 

My point is that is within the power of the Minister to replace the Board, and that is as it should be.  It appears in the news story that I am saying the Minister made such a comment to the Chair.    I did not say or imply that comment was made at all.  I only suggested that removing the Board is a natural and appropriate consequence of not a Board not complying with a proper direction of the Minister....the key here is was the Ministerial direction proper and not just political.  In my mind Minister Zwozdesky was acting appropriately and not politically in his comments on the preferred outcome from the AHS Board on the Duckett situation.

I DON’T SPEAK FOR THE ALBERTA PARTY!
The other point of clarification that is needed is the headline on the continuation of the story on page B12 that says “Alberta Party wants mass resignation.”  This headline is totally inaccurate and misleading.  While I am a member of the Alberta Party I do not speak for the Alberta Party.  I know the headlines are not written by the same person who writes the story.  The reporter here is doing a very good job at informing the public about some very important governance, policy and political events impacting our health care system.  Unfortunately newspapers don’t have the reporters write the headlines for their own stories to ensure they accurately represent the content and intent of the articles they write.  This is unfortunate.  Please be assured I do not speak not do I intend to speak for the Alberta Party on any matter of its policy.  That is the job of the Leader Sue Huff and the President Chris LaBossiere.  

Let's let Minister Zwozdesky, Parliamentary Assistant Fred Horne and now Independent MLA Raj Sherman plus the rest of our elected representatives in the Alberta Legislature do their jobs in fixing the crisis in our health care system - just as we elected them to do. 

Friday, November 26, 2010

Raj Sherman's Speech on the New Health Act in Alberta

OK gentle readers...it is Friday - a lovely day and just before Edmonton hosting the Grey Cup this weekend.  Grab a sandwich and eat lunch at your desk and read Raj Sherman's opening speech in the Legislative Assembly of Alberta on the New Alberta Health Act.

There is a whisper campaign going on over Raj's emotional well-being.  This is pure Nixonian, Dubya Bush and even Stephen Harper style of dirty politics.  Read this speech and even others and judge for your self about the ability, commitment and capability of Dr. Raj Sherman to make a difference.  He is now a single voice of reason, care and compassion.  He is speaking for all of us who are disappointed and despairing over abusive politics and  poor governance in our province.

Here is a link but go to page 1481 to start.  Make sure you have the facts as outlined by Dr. Sherman and then be sure to talk about the facts to your family, friends, neighbours and fellow workers.

BTW vote on my blog poll on who you think is to blame for Alberta's crisis in health care?  Rude Ronnie Liepert is seen and the major reason followed by Ed Stelmach so far.  Dr. Duckett is not the culprit even though he was the wrong guy for the job...but you can blame Liepert for that lack of judgement