New OMA notice - cuts to fees

[aaronjw]

McGuinty seeks provincial allies in fight to reduce doctors fees
http://www.theglobeandmail.com/news/...rticle2431541/

LMAO. He can't led his own province (unless into financial disaster) yet is trying to lead a Canadian alliance against Doctors?

[Robin Hood]

Originally Posted by aaronjw

McGuinty seeks provincial allies in fight to reduce doctors fees
http://www.theglobeandmail.com/news/...rticle2431541/

LMAO. He can't led his own province (unless into financial disaster) yet is trying to lead a Canadian alliance against Doctors?

Seems B.C. is following suit.

[Prince Medward]

Here is a comment to a Globe and Mail article on the impact of Ontario doctor fee cuts on Family Doctors. It's hard to find info on the imact of the cuts on GPs and this is one of the few bits of info I have seen.

Can anyone share their insights on the impact of the cuts on GPs?

I see some posters commenting that just the specialists are getting severe cuts....actually I have seen the entire agenda being imposed by the MOH for the next 4 years and starting next year, Family physicians are getting SEVERE cuts....we are losing all our chronic care bonuses to care for diabetics and elderly, our fees for general visits are being slashed, and our gross income getting clawed back. All our Medical Education updates are now not being reinmbursed, and our liability insurance is not going to be subsidized any more, so for most of us it will triple or quadruple. Worst of all, within 2 years, the goal is to eliminate fee for service, and have all family doctors working as "employees" (still without benefits, of course! ) of the LHINs, being answerable for all their visits and work hours to administrators. We will be docked for our patients not only going to walk-in clinics, as we are now, but even to the Emergency room! We are to absorb costs for all the new doctors getting liscensed in Ontario (presuming there will be any!) Talking with some very experienced docs who have been through many cycles of ebb and flow with government funding, the thinking is that this will result in approximately a 50% cut in net wages to most docs in the province by year 4. (Remember our rents and supplies continue to climb, and our employees continue to expect raises and performance bonuses!). It is, for the first time, going to be financially unfeasible for the average doc to earn a decent living here. I do not think it is crazy to say that Ontario may lose 50% of its MDs to retirement, moving to the US where Obamacare is searching for 90,000 new MDs to provide 5 yr contracts, or other sunnier provinces. If this worries you, please write to your MPP and ask him or her who will provide you primary care when your doctor closes her practice? Or, just don't get sick.

http://www.theglobeandmail.com/news/...rticle2431541/

NOTE: this was posted as a new thread in Primary Care Residencies but maybe it is better here.

[1234]

Not sure if you all have been made aware of this.

Proposal: "New physicians will receive scaled payments in the first five years of practice and encourage practice in needed specialties and geographic areas."

Cut to first year staff physician could be as high as 50% of salary.

That is from an official document from MOH to OMA.

[A-Stark]

**** McGuinty.

[aaronjw]

Originally Posted by A-Stark

**** McGuinty.

I'd rather toss him off a cliff in a burlap sack but you do what you want instead lol

[1234]

Well, when we lose 50% of physicians to the US, its going to be quite a disaster. All the new recruits are going to leave and physician needs will be met by international physicians. I'm sure the population will love spending money training top tier physicians only to watch them leave.

The government has been notoriously poor at predicting physician requirements. When we have concurrent mass retirement (which is expected upon further rebound of the economy) and mass exodus due to physician remuneration, those health care metrics such as wait lists will skyrocket. Right now, they are oblivious and think the oversupply of physicians is going to last.


I'm just waiting for two-tier in Canada.

[aaronjw]

Originally Posted by 1234

Well, when we lose 50% of physicians to the US, its going to be quite a disaster. All the new recruits are going to leave and physician needs will be met by international physicians. I'm sure the population will love spending money training top tier physicians only to watch them leave.

I'm just waiting for two-tier in Canada.

We already have it. It's called rural and urban health care.

[1234]

Originally Posted by aaronjw

We already have it. It's called rural and urban health care.

I'm talking an overt two tier system, not some under the radar system that is applicable to 2% of the population.

[aaronjw]

Originally Posted by 1234

I'm talking an overt two tier system, not some under the radar system that is applicable to 2% of the population.

try 20% of the population that's serviced by less than 10% of all family physicians and less than 3% of all specialist physicians.

Equates to 1 family physician for every 1757 people and 1 specialist physician for every 6327 people.