De-listing Services – The Mazankowski commission is calling for the creation of an "expert panel" that would decide which health services should (and should not) be covered by Medicare. Given that the Klein government’s top priority is cutting costs, there is no doubt that this panel will reduce the number of procedures and services covered under Alberta’s public health plan.

Increasing Premiums – The Commission says that the health care premiums paid by all Albertans should be increased to cover 20 percent of the total cost of Medicare in the province. Premiums currently cover only about 10 percent of the cost. So, following the Council’s recommendation would mean doubling premiums – from $816 per family to more than $1,600.

Privatizing delivery – The Commission also says that regional health authorities should be "encouraged" to hire more for-profit companies to deliver core medical services. In other words, more and more services will be handed over to the private sector. They’re even talking about allowing profit-seeking corporations to own and administer hospitals.

Make Patients Pay – Mazankowski says individuals should pay more for the health services they receive – especially if they’re seriously ill and placing greater demands on the system. The Council makes a number of suggestions in this area including ideas like imposing "surcharges" on people who need more care or turning health care into a taxable benefit. Two other proposals put forward by the Council would involve the introduction of Medical Savings Accounts or Variable Health Care Premiums. Under both of these schemes, each Albertan would be given a set amount of money each year to cover their medical expenses. People who use up their accounts would have to pay for health services out of their own pockets.

Electronic "debit cards" – Mazankowski is also calling for the introduction of electronic debit-cards for health care. These cards would track how much health care individual Albertans "consume" – presumably with the goal of sending out statements and ultimately charging extra for services.