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Why is there a growing shortage of doctors in Canada?
Doctor shortage to increase by 2015
without foreign-trained physicians: Canadian study CALGARY (CP) - A new study by the Fraser Institute says the number of doctors per capita will drop over the next decade unless Canada relies on foreign-trained physicians. The study released in Calgary says government restrictions on education and training have caused the problem, which will only get worse between now and 2015. The study urges governments to allow more qualified Canadian students access to medical training to ease the reliance on foreign doctors. The doctor shortage has grown in recent years after provincial governments in the 1980s cut back the number of people allowed into medical school. The Fraser Institute concludes that Canada's reliance on foreign- trained doctors is forcing poorer countries, such as South Africa and India, to make do with fewer physicians. Last edited by XXnarg; 08-28-2006 at 03:32 PM.. |
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| 08-28-2006, 03:29 PM | |
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I don't think the socialized medicine is the only reason; it may very well be a contributing factor if doctors aren't paid as well in Canada as a result of socialized medicine, but I don't know that to be the case.
Could it be party because of the lack of socialized medicine and the promise of huge salaries in the country directly south of them? My canuck friend says that while they do have universal coverage, a lot of less critical procedures have mile-long waiting lists as a result, so the demand for doctors is definately there. |
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It is due to the fact that doctors make considerably less money in Canada than in the U.S. or any other country. Due to their nationalized healthcare system, doctors are overworked and underpaid. I've read that in some cases, if a doctor is working on-call or after normal business hours, he/she will be paid only $6 per hour! Now, it's no wonder then that there is a shortage of doctors. For the amount of schooling and training (10+ yrs), NO ONE would be willing to make $6 per hour when they can get paid 3-4 times more (entire annual salary) in the U.S.!
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Nationalized health care is not the issue here
Canada's doctor shortage to worsen without changes: Fraser report [cbc.ca] CBS Canada |
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Amen brother |
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May 2006
2,681
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Why would socialized medicine limit the access to medical school for qualified canadians, as the article asserts? |
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Sep 2004
12,627
paradise, so cal; where r those virgins?
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Seems that's an AMA function here (keeps salaries up). |
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Jan 2006
55
Right Here
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Sure, you may think there is no restriction on income but that is done in more than one way. Canadian officials will often show how much is paid to a physician for a procedure making it seem like a Canadian Physician can make the same amount as an MD based elsewhere. What you are NOT informed of is that the goverment places quotas on the number of procedures that you may perform in a given time period. Thereby, a LIMIT to your income. In the last facility I worked at, we had an Orthopedic surgeon from Vancouver, BC that left after he was simply told that he had reached the limit for number fo patients he could see for the year. He reached the limit in MAY. He also had 600 patients on the waiting list but he had capped out the maximum under the regulations. He would only be allowed to serve emergency cases for the remainder of the year. The math was simple, he moved south. Not even some European systems have that kind of stupidity. The other thing I find many people not aware of is the sheer length of waiting lists all over Canada. Face it folks, watching friends and loved ones die because they are on waiting lists for cancer treatment, cardiac care, or urgent surgeries is not pretty. Current waits for items such as urgent cardiac surgery are 3 to 4 weeks. Often the difference between "operable" & 'non-operable". Thats in the better off provinces. Saskatchewan, comparable to the breadbasket states of the US, has waits for ortho surgeries of up to 36 months. Before you blame cost, the Canadian system is not free. Individual tax rates are excessive and in most parts of the country you can expect to pay sales taxes of 15% OR MORE. And when you compare income taxes, Canadian rates are often posted to show they are comparable which is bunk. Cdn rates increase at much lower thresholds at much greater rates. Another figure is the common, "it costs $1000 more per pt in the US". This figure leaves out the cost of collecting the money in Canada which is handled by provincial and federal goverments and therefore not classed as a healthcare expense. You want socailized care, try medicaid? Remember who will run socialized care if you want it. The same bureaucracy that runs the post office, FEMA, and the pentagon. All bastions of efficiency and financial prudence. |
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Jan 2005
3,361
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More reading on the Canadian doctor shortage:
http://www.caribbeanmedicine.com/article7.htm or: "With take-home pay lower than some auto plant workers, no fringe benefits and increasing overhead, many family doctors are asking themselves why anyone would want their jobs. "I essentially make what my plumber or auto mechanic earns once I have paid my overhead," said Daniel Maher, a Glebe physician who has been practising medicine since 1991. "Why spend nine years in university for all the responsibility and risk of lawsuits to make what a beginning engineer would earn?"" "Mark Stevens, a skilled tradesman at the Ford plant in Windsor, earns about $90,000 a year. Workers willing to put in 56 to 60 hours a week at any of the Big Three auto plants can increase their income to up to $130,000 a year after completing a free apprenticeship program." ... Family doctors and general practitioners in 1999-2000, working a typical 54.7-hour week, on average billed OHIP $168,300 a year, according to Ontario Medical Association figures. Their average net earnings after overhead expenses is $99,300, the OMA reports. That means their pay is less than skilled tradespeople willing to work 50 to 60 hours a week, plus some weekends, installing and repairing machinery at vehicle assembly plants in Windsor, Oshawa, Oakville and St. Thomas. Other tradespeople can earn more than $75,000 a year, as much or more than a doctor working a 40-hour week. Geof Botting, head of Ottawa's Regional Centre for Excellence in Skilled Occupations, says efficient drywall workers, carpet installers and automatic transmission rebuilders can earn more than $80,000 annually. The centre is a partnership among area school boards and community colleges to promote skilled trades as a career option. Mr. Botting said good auto-body repair workers earn $70,000 to $80,000 a year. Skilled autoworkers willing to work 56 to 60 hours a week, plus some weekends, at General Motors, Ford or DaimlerChrysler can earn up to $130,000 a year after completing a free apprenticeship program, according to John Bettes, a Canadian Auto Workers spokesman. Tool and die makers, electricians, industrial mechanics and millwrights working at auto assembly plants earn $34 an hour. "The average guy makes $70,000 to $75,000 a year, but there can be extremes where people make well over $100,000 a year," Mr. Bettes said. "If you worked every third weekend you would get $100,000 and if you worked two out of three weekends you would probably get over $130,000." These workers need to have done a four-year, 8,000-hour apprenticeship, plus continual upgrades, with auto companies, parts suppliers or aerospace corporations. The schooling is paid for by the corporations. Being a doctor, on the other hand, is not nearly as lucrative as most people think, Dr. Maher said. "I know a lot of people working in the government with a bachelor's degree who do little most of the time and make $60,000 a year plus benefits. I make $75,000 a year with no benefits. There is no pension, no sick days, nothing." Most doctors work extra hours if they can to earn extra income, he said. He said a family doctor working an average 37.5 hours a week will gross about $132,000 a year and spend at least a third of his income on overhead." http://www.caribbeanmedicine.com/article9.htm |
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