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The $2-million performance review of Alberta’s health-care system proposes deep reform in just about every area.

It’s stunning, a recipe for radical change that will make the eruptions of the Ralph Klein era look narrow and limited.

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There will be less pay for doctors and nurses. Some medical services, including surgeries, will be farmed to private clinics.

Almost all non-medical services — hospital food, laundry and others — would be fully privatized. Health-care arms such as Calgary’s Carewest could be sold to raise cash. The city would lose its excellent EMS dispatch centre to the province-wide system.

Some specialists, especially radiologists, would face significant pay cuts. Nurses would be less able to claim overtime. Those working fewer than 15 hours a week lose benefits.

This report isn’t quite as strident as the earlier MacKinnon document, but the thrust is the same.

The major target in spending reductions is pay for doctors and nurses. General practitioners are already agonizing over the prospect of cuts up to 30 per cent, while overhead costs stay high.