A group interrupted a UCP event to protest a 2021 Danielle Smith video today what's it all about?

During a United Conservative Party event Thursday focused on a seniors' discount, Pamela Rath, UCP candidate for Calgary-Mountain View, was interrupted by a group of protesters.

Rath was in the middle of a sentence, discussing jobs and investments, when she looked to her left.

There, a group of three protesters holding signs, like one that read "For Sale: Foothills Hospital," began shouting.

One of the men wearing a tan-coloured hat wasPatrick King, the NDP candidate in Calgary-Signal Hill in the 2021 federal election.

Anotherunidentifiedman made it past event organizersand began to shout "hospitals are not for sale."

Organizers attempted to stop thatman, but he was able to make it to the front of the stage, where he stood unimpeded, holding up a sign for more than a minute before the UCPfeed cut out.

When it returned, UCP Leader Danielle Smith addressed the incident.

"I think that activist like we just saw here and the NDP keep trying to confuse the issue," Smith said.

WATCH | Smith defends UCP health plans after protesters interrupt event:

Smith defends UCP health plans in Alberta after protesters interrupt event

1 year ago

Duration 4:23

UCP Leader Danielle Smith, who is in the midst of the Alberta election campaign, defends her government's health-care plans after protesters interrupted her news conference. Smith said, 'No one will ever pay out of pocket for a family doctor or for hospital services.'

After the event, the NDPresponded to what transpired.

"Elections are about talking to voters. What happened today during a press conference with Danielle Smith was unacceptable and we strongly condemned the actions taken by the protesters involved," a statement reads.

"Albertans deserve a campaign focused on the important issues facing the future ofourprovince."

So what was that all about?

It ties back to an Alberta NDPevent on Wednesday. During that event, the party raised concerns about a 2021 video of Smith speaking at a conference about potential reforms to the health system, with the NDP characterizingit as a "shocking" revelation thatSmith plansto sell public hospitals to private operators.

So what was Smith talking about in the video? And how did she respond to it on Thursday?

All of this revolves aroundprivately delivered, publicly funded health care, which has existed for years in Alberta.We'll explain all of that in a moment, but let's get into the details of the video first.

2021 video

The clip in question starts a little more than 30 minutes intoher talkatthe FreedomTalk conference in October 2021.Smith turns to a discussion of major hospitals in Alberta.

In the video, she laments the arrangement under which Alberta Health Services operates hospitals but also evaluates their own performance.

AHShas various performance metrics they are required to report on publicly.

"Guess what they say? They say, we're doing fantastic. Now, think about splitting these roles," Smith said. "You give money to Alberta health insurance. It's a separate entity. It's a government entity, so it's publicly administered."

Smith goes on to pitch the idea that the Health Quality Council of Alberta, a provincial agency focused on improving health service quality in Alberta,could serve as a sort ofauditor.

It would determine whether or not AHS should continue to run hospitals like the Peter Lougheed Centre or the Rockyview General Hospital.

"If they can't meet the terms that we want them to, we can do an [request for proposal],and then the Alberta health insurance cangive a different contract to a different group of doctors and a different group of patients and a different entity to run all of our hospitals. That is completely compliant with the Canada Health Act," Smith said.

She also said she had presented her plan to Alberta's health minister, who at that time was Jason Copping, but said the UCPgovernment under Jason Kenney at the timedid not act on her suggestions.

At a press conference Wednesday,Kathleen Ganley, the NDP candidate in Calgary-Mountain View, called the video "part of a defined pattern of extreme views" from Smith.

"Danielle Smith thinks you can sneak around the Canada Health Act to sell off our hospitals to private individuals and corporations," Ganley said.

Public vs. private

It's important to remember that Alberta already has privatized health care, and has for years.There arevarious publicly funded, privately delivered options.

Under the Canada Health Act, charges for "medically necessary" services, provided in a hospital or by a doctor, can't be charged back to a patient.

But when it comes to publicly funded health-care arrangements with private corporations, Alberta has plenty, including privately run, publicly fundedsurgical facilities,as well asprivatized community lab services.

Those arrangements have their fair share of detractors, who worry about profit motivations for companies with limited transparency. They also have supporters who feel as though such arrangements might be able todrive efficiencies in the system.

When it comes to this latest resurfaced video from Smith,Fiona Clement, a professor who specializes in health policy in the department of community health sciences at the University of Calgary, says there's not much new to pick up on.

"She's absolutely correct in her interpretation that provincial governments can contract with any different entity that they wish to deliver health care," Clement said.

"It's the same kind of model as the private surgical delivery system. I mean, she's absolutely correct in her interpretation of what's allowable and what's possible."

That's not to say that such a move would be simple.

AHSis accustomed to delivering care in Alberta, Clement said. They have an infrastructure, an organizational structure, a governance structure, relationships things that organizations need to run.

Asking an entity to run a hospital, for example, is a complicated task, and one that AHS is very experienced in handling.

"Logistically, thinking about what other kinds of groups are out there that could run a hospital, that's not an obvious answer to me," Clement said.

AHS has also made massive investments into electronic medical records, which means that patients who visit AHS facilities have all of their data available to care providers.

"Any private provider would either have to negotiate sharing that system with AHS or opt out, which would not be great from a patient perspective," Clement said.

Delivering health-care services is a hard job, with a lot of components out of the system'scontrol, Clement said. And as to whether another delivery service could do it better?

Clement said she seriously doubts it, though added it all comes back to reporting, transparency and accountability.

Smith responds to protesters

Prior to Thursday's event,CBC News requested more information from the UCP in regards to whether or not any of what Smith discussed in 2021 might be possible under a re-elected UCP government.

Dave Prisco, director of communications with the UCP, didn't answer that question specifically, but did make reference to theUCP's"public health-care guarantee,"which states that no Albertan will have to pay out of pocket to see a family doctor or to get medical treatment. He also referencedan agreementsigned by Alberta with Ottawa worth $24 billion over 10 years.

On Thursday, a reporter asked Smith directly whether she would put up acute care hospital operations, including emergency departments, to private bidders if elected, or if she would only contract out surgeries specifically.

"We will contract out surgeries where it makes sense, and we will not privatize the hospitals that are under the umbrella of Alberta Health Services," Smith said.

"You should judge me based on what I do. I hope people are understanding this. What I do is the measure of what I'm going to do as premier."