When Bill 11 passed in December 2025, Alberta became the first province to legislate two-tier health care — a system that gives faster access to those who can pay and longer waits for those who can’t afford to jump the queue — for medically necessary services. This report shows how the Health Statutes Amendment Act puts Canadian medicare at risk and opens the door for American health insurance corporations to enter the Canadian market.

Despite years of conservative governments undermining labour rights and restricting collective bargaining, the union wage advantage — the gap between average earnings of unionized and non-unionized workers — remains strong in Alberta. This report draws on new data to show how unionization strengthens wages and benefits while promoting fairness for women, immigrants, and precarious workers across the province.