'Every single year we lose money,' says Ontario family physician leaving his practice

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  • Опубліковано 17 лют 2024
  • Dr. Ramsey Hijazi, an Ontario family physician, says he's leaving his practice and 1,500 patients to work at a hospital. Hijazi says he's leaving because of the administrative burden and funding issues plaguing family medicine in the province.
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КОМЕНТАРІ • 718

  • @ScotchOnyx
    @ScotchOnyx 4 місяці тому +179

    So what this interview is saying is, as a family physician, highly educated, spent hundreds thousand for education, end up in a situation where they own a practice where the books dont balance. And to a point where they are losing money because of the OHIP amount they are given each year? This country needs more transparency into where tax payers money go. I see my income taxes increasing every year as my salary increases, but the amount I'm being taxed. I can probably speak for most Canadians. We dont get it back in any form of service. This country has gone from bad to worst.

    • @memi4586
      @memi4586 4 місяці тому

      Are you ready to pay about $500 per month for american-style health insurance and see it increase as you get older?? Stop continuing the sabotage

    • @MedicalAutonomyProject
      @MedicalAutonomyProject 4 місяці тому

      Canada spends more per capita than most g7 countries but its healthcare is at the bottom of the pack, only the US is worse. I think it is corruption

    • @manolaykhounviseth1864
      @manolaykhounviseth1864 4 місяці тому +11

      I mean millions or billions are given out else where, government rising their wage and having bigger salaries and pensions being paid for life time. You have a financial minister that doesn’t have financial background and a drama teacher running our country.
      Than there are the citizen ms who have to go to school to gain skills and knowledge to do the work?

    • @NikeDattani
      @NikeDattani 4 місяці тому +9

      He said that he has to spend more and more of his personal money to sustain the business. Where do you think his "personal money" comes from? Maybe his business was paying him a salary? Maybe that salary had to go down from 300k/year to 200k/year?

    • @ThePolypam
      @ThePolypam 4 місяці тому +5

      Unless he studied in an Ivy League school he most assuredly didn't spend hundreds of dollars.

  • @bigfose1
    @bigfose1 4 місяці тому +107

    This country is in trouble

    • @Pau1Mohabir
      @Pau1Mohabir 4 місяці тому +7

      More like it's overflowing from the toilet and that lid ain't staying closed. I'm even considering America now

    • @karlhans6678
      @karlhans6678 4 місяці тому +6

      @@Pau1Mohabir i told my family we need to move to america eventually.

    • @Pau1Mohabir
      @Pau1Mohabir 4 місяці тому +6

      @@karlhans6678 I hear ya man. My wife and I can make 2xs as much as we do in Ontario with maybe 80% the cost of living and that's living in New York

    • @user-ld6wo4rv8h
      @user-ld6wo4rv8h 4 місяці тому +6

      @@Pau1Mohabir America won't be much better. It suffers from the same toxic feminist environment and will fail shortly after Canada.

    • @squamish4244
      @squamish4244 4 місяці тому +1

      Yeah then move to Israel. Or Ukraine. Or Russia. Or basically anywhere else except Western Europe or Australia. Sorry, New Zealand ain't letting anyone else in. See how much 'better' it is.

  • @jeanbolduc5818
    @jeanbolduc5818 4 місяці тому +28

    Health is a provincial juridiction ... Ontario is one of the worst place to live in Canada

    • @rogerrabbit8756
      @rogerrabbit8756 4 місяці тому +3

      You never been to BC I take it.

    • @ARolls-dd2zd
      @ARolls-dd2zd 4 місяці тому +5

      BC is horrible.

    • @ellenmorse8559
      @ellenmorse8559 4 місяці тому +4

      No one has a family doctor in Quebec. I had to leave Canada😢. No services of any kind .

    • @anna.3855
      @anna.3855 3 місяці тому

      The whole country is in trouble. From one end to the other is the worst . Hard working people's money is going to the Doctors. GP to every kind of specialist. People take time off from work businesses leave children behind for hours The result is BIG ZERO. Doctors unskilled, unprofessional. Don't know how they became doctors? Big question ❓❓⁉️⁉️

  • @Blueskies1180
    @Blueskies1180 4 місяці тому +154

    You forgot to turn off comments CBC! We know how you don’t like hearing the truth from actual Canadians.

    • @SamsungS23-eb7fn
      @SamsungS23-eb7fn 4 місяці тому +7

      Lol

    • @PramJam5
      @PramJam5 4 місяці тому

      Time to end Socialist medicine. No one wants to become a doctor here so Canada has to bring them in from other countries. Give people an incentive and have the best stay by allowing them to make money. Why would any specialist stay here when they can make a better living in the US.
      Altruism is dead. ❤

    • @MidnightPink02
      @MidnightPink02 4 місяці тому

      The hicks of the freedom convoy are calling you back.

    • @taekwondotime
      @taekwondotime 4 місяці тому +1

      Don't worry, they're hard at work deleting any comments that mention salary figures.
      Google search "doctor salary in Ontario" and it destroys their agenda yet again.

    • @SensitiveYouTubeCensorship
      @SensitiveYouTubeCensorship 4 місяці тому +7

      100% You are absolutely right!

  • @user-kj7hy1nv4s
    @user-kj7hy1nv4s 4 місяці тому +12

    This is BS. Such an honourable profession. These guys deserve to be compensated fairly

  • @LiftingDonuts
    @LiftingDonuts 4 місяці тому +41

    He is 100% correct, I mean as a family doctor you are seeing every single age group so there are A LOT of different paper work that needs to be filled which is pretty horrible. Something needs to be looked at to optimize this process.

  • @DocShoxx
    @DocShoxx 4 місяці тому +43

    I left for this very reason, came in as an excited new family doctor only to face vilification from Wynn so they could cut Ohip payments, and Trudeau who wanted to ‘close loop holes’ by going back on agreements that were made years prior. It lead to me trying to have a family practice and resorting to cutting hours to work walk in because despite what they say about quality, you need quantity of patients to stay afloat, and I was seeing 40 patients in 6 hours. Eventually I realized I would be paid better in the us and left. Always looking to come back when the climate is better to serve Canadians, but it’s been 10 years…

    • @adelefortin6913
      @adelefortin6913 4 місяці тому +6

      I had a very good doctor who also left and went to the USA because the money was much better . You can't really blame them because a lot of time, effort, and money is put into a doctor's degree. Only thing is, in the usa they really really go overboard in doctors fees and Anything Goes in the us regarding their medical/health care system. That will never change

    • @johnbeechy
      @johnbeechy 4 місяці тому

      doc, better u become a fast food worker and earn a real living //

    • @NickSamba-cq4jd
      @NickSamba-cq4jd 4 місяці тому +1

      Sadly, stories like this keep playing in our glare mirror each day. This actually reminds me that our healthcare system in Canada is failing. Nobody across the spectrum is not taking it seriously at all. I wouldn't blame the provincial government for lack of mischief or accountability.

    • @DocShoxx
      @DocShoxx 4 місяці тому +2

      @@NickSamba-cq4jd some part of it is that it’s hard to get a grasp of how clinics are run as a non medical Canadian. How reimbursement pays a certain amount per service, which is dictated by a schedule set out by the province, how that will dictate how many patients you need to see or services you need to provide to not only pay yourself and allow for retirement savings, but then also pay your staff and lease and equipment. And there are government salaries that are equivalent that have amazing benefits that are not added to total income in comparison like police officers and mps. To me it was just shocking how under market value family physicians were being paid, as the market is restricted by the government to prevent a 2 tier system, but that authority has lead to year over year cuts and not accounting for inflation. Most docs probably want a nice 9-5 with benefits right about now.

    • @laurabailey1054
      @laurabailey1054 4 місяці тому

      And Ford wants to privatize everything. I wish I could get more than 6 visits to physiotherapy

  • @sarahshaw3630
    @sarahshaw3630 4 місяці тому +68

    Thank you Dr Hijazi for speaking up. Family medicine is collapsing. Family doctors cannot be left holding the bag for a failing system, government needs to actually value and invest in family medicine.

    • @ThinkPolisComing4Me
      @ThinkPolisComing4Me 4 місяці тому +1

      too much immigration, it’s designed to destabilize our system! we are told we need millions from the third world to make our life better, where are all the doctors?

    • @johnbeechy
      @johnbeechy 4 місяці тому

      the only failure is when a Dr fails to save a life. other than that it is just a crap shoot. (paraphrasing the movie 'Hitman')

    • @joan-lisa-smith
      @joan-lisa-smith 4 місяці тому

      They want it to fail so they can bring in privatised health care

    • @RisetoStrength
      @RisetoStrength 4 місяці тому

      @@johnbeechy I do not understand.

  • @ichow2941
    @ichow2941 4 місяці тому +39

    This country is going down the drain in every possible way. Such a pathetic reality!

    • @ruschellelilley127
      @ruschellelilley127 4 місяці тому

      You must be Conservative. The "Half empty" club. Poor you.😢

    • @anthonylowney1395
      @anthonylowney1395 4 місяці тому

      and you must be completely brain dead@@ruschellelilley127

  • @stevietalk1
    @stevietalk1 4 місяці тому +47

    BC changed the pay structure for Drs.a year ago. My GP said it is a game changer, not perfect but much better.
    The pay structure was a set fee for app’t - paperwork/admin was NOT paid for ..
    This new model pays for TIME, not just app’t. NOW, although they may get to see less patients in a day, they get paid for all they do ..
    Report JUST come out yesterday show Drs. Practicing in BC are UP !

    • @janem3575
      @janem3575 4 місяці тому +2

      God forbid a PC govt take direction from and NDP one!

    • @verar5844
      @verar5844 4 місяці тому +7

      If the MD are paid by the government according to the pay schedule and the hours they work, they are public employees just like nurses and other medical personnel are, not private businesses they pretend to be.

    • @rogerrabbit8756
      @rogerrabbit8756 4 місяці тому

      Bc has 1 million people without a GP while they utilize millions in private health-care. Just like doug ford.

    • @reejan8109
      @reejan8109 4 місяці тому +6

      I'm in BC and sure notice the difference when I have an appt with my GP....I'm allowed one reason for seeking his help and at about 9 minutes into appt, he's at the door, opening it for my departure. If I went in with 2 broken fingers, he'd treat one and tell me to make an appointment for the second one. 6 months ago, I was given a life altering test result. Imagine how great it was to be told the results, tossed a prescription and ushered out before I could even ask a question. If only I could change doctors, I surely would. I went to a Naturopath.

    • @reejan8109
      @reejan8109 4 місяці тому +6

      @@verar5844 The gov. isn't paying the rent on the offices, the gov. isn't paying the staff wages, the gov isn't buying the supplies used in the drs' offices. Drs. bill the government, they aren't paid an hourly wage.

  • @adrianravinsky8418
    @adrianravinsky8418 4 місяці тому +47

    this whole conversation is a little moot if we don’t know what his take-home is. as an owner of a few small but busy downtown restaurants in toronto, i can say that my income has definitely gone down in the past few years…that’s the feast/famine of business ownership. when he says he needs to put his own money in, i’m curious to know if that reduces his income from $250K to 100K, or 150K to 65K. without context, the article is kind of meaningless. that said… that’s what we get with a trump-lite provincial government.

    • @h2owater381
      @h2owater381 4 місяці тому +6

      You are 100% spot on with this comment. I guess some people may not realize that if you start your own business then you are always the last to get paid, regardless of the salary that you have set for yourself. You don't take your money out first and then try to pay your employees and bills, you pay your overhead first. I am getting the feeling that this guy wants to be an entrepreneur not a doctor.

    • @abcdedfg8340
      @abcdedfg8340 4 місяці тому +4

      We have a democracy, use it please. Your customers are struggling under a housing crisis, your employees need decent wages, so guess what a huge part of the solution is? Get involved in forcing our governments to provide more affordable housing for rent or sale. That would probably bring alot of money flowing back from rent or mortgage payments into people buying meals. But that only happens if canadians stop complaining silently and start taking action to make canada decent middle class country with good worklife balance again. Its called democracy. Just my opinion.

    • @auz138
      @auz138 4 місяці тому

      what is his actual take home is irrelevant - the important is the pay incentive to run family doctor business versus being an employee. If running a business only equates to a 10% increase in pay for all the extra work & stress of running a business - doctors will continue to close their practice.

    • @BarDownAndIn
      @BarDownAndIn 4 місяці тому

      the problem is that family physicians are not trained to run a business. You don't spend 10+ years in school to learn medicine to then run a small business. There's just no other choice if you actually want to have a longitudinal practice which for a lot of family docs is not viable and not what they signed up for, which is ultimately why family docs are leaving longitudinal care and taking up locums or hospital positions.
      The paper work is also next level. Patient after patient bringing in unique forms that takes time to fill them in properly and time that you are not getting paid for.@@h2owater381

    • @mike1008
      @mike1008 4 місяці тому +2

      I wouldn't compare restaurant business with doctors office. Restaurants may have significant cash component which is easily hidden from CRA. Google search says restaurant failure rate is 60% in first year and 80% in five years. That freedom (and reward) of capitalism shouldn't apply to our health care.

  • @stushShulamite
    @stushShulamite 4 місяці тому +55

    So very sad. He is one of many. 😢

    • @UnAnonKnown
      @UnAnonKnown 4 місяці тому +16

      @@5thelementcannabisproductionThere’s no such thing. Any family doctor who makes 1 million a year is committing some kind of fraud or has some kind of lucrative side business.

    • @noid8814
      @noid8814 4 місяці тому +8

      ​@@5thelementcannabisproductionYou don't know what you're talking about. You don't even live in Canada. Wake up and call your psychiatrist back tell him you need a new one.

    • @noid8814
      @noid8814 4 місяці тому +4

      ​@@5thelementcannabisproductionThis guy's just a troll and he's not even canadian doesn't live in canada.

    • @Platinumcoons
      @Platinumcoons 4 місяці тому +2

      I also closed my practice for same reasons. Practice of 1500 patients.

    • @simba8665
      @simba8665 4 місяці тому

      @@5thelementcannabisproduction 😂😂😂 you getting people mad buddy. Stop trolling lol

  • @breearbor4275
    @breearbor4275 4 місяці тому +108

    Ford’s Ontario is one with no doctors, no teachers, and lots of highways to nowhere

    • @JessT-vg7ib
      @JessT-vg7ib 4 місяці тому +5

      I love Doug Ford.

    • @SmilingBakedBaguette
      @SmilingBakedBaguette 4 місяці тому +16

      Lots of highways leading to land owned by corporations

    • @lucassquire4768
      @lucassquire4768 4 місяці тому +11

      That's the whole country, and it happens to be more acute in my NDP controlled province of BC so it won't get any better voting for leftists it seems

    • @taekwondotime
      @taekwondotime 4 місяці тому +6

      I could tell you what's happening and why, but YT will just delete it.

    • @janem3575
      @janem3575 4 місяці тому +5

      mostly agree with that. under Ford and Trudeau, it'll be private doctors, religious private teachers and private toll highways

  • @Shimra8888
    @Shimra8888 4 місяці тому +50

    Don’t we have a doctor shortage already?

    • @lisaann9120
      @lisaann9120 4 місяці тому +15

      Yes we do, this is why. The costs of everything are driving them out of the country

    • @user-bz4sy3gj4o
      @user-bz4sy3gj4o 4 місяці тому

      @@lisaann9120 it's because people put poison pharma potions in their body instead of taking care of their own health... doctors are the culprit here pushing poison pharma drugs

    • @koziray1994
      @koziray1994 4 місяці тому +4

      The shortage is intentional, more doctors = more people taking a slice out of the pie if you think about the health budget being divided between the different practitioners.
      So the only solution is to increase the health budget and then increase the number of doctors.

    • @mickpeterson3722
      @mickpeterson3722 4 місяці тому

      ​@@5thelementcannabisproductiontaxes......not to mention other COL

    • @YouTh3r3
      @YouTh3r3 4 місяці тому +6

      Over the years, I personally know and came across more and more Canadian doctors in the U.S. They make very good living here and own a house much more larger than what they can afford in Canada.

  • @StrideTowardPeace
    @StrideTowardPeace 4 місяці тому +6

    This is why my daughter went from family practice to emergency medicine. I once commented that my GP only works part-time, my daughter said, "No, she sees patients part-time. The rest of the time she's working, for free, doing administrative work so she can get paid."
    Another time I asked her why I had to make an appointment with my GP just to get a scrip refilled, she said "Would you work for free?"

    • @moondancer334
      @moondancer334 4 місяці тому +4

      Exactly. They only get paid when they see patients, per visit. My doctor has her own practice and she is there late nightly and spends all day Fridays and some time on Saturdays just doing all of the paperwork, referral letters, etc......and gets paid for none of that.

    • @MedicalAutonomyProject
      @MedicalAutonomyProject 4 місяці тому

      "You have to miss half a days work so I can make $48"

    • @lindsay6518
      @lindsay6518 4 місяці тому

      @@moondancer334 Then the province needs to pay them for the rest of their time. I wouldn't work for free either. Why should they ? We need a government that actually respects the people who care for us, pays them well, and makes things easier for them.

    • @moondancer334
      @moondancer334 4 місяці тому

      @@lindsay6518Why are you getting snippy with me? I'm one of the few here, it seems, who are defending family doctors. Most in these comments are uneducated about how much family docs work and for what little income they make, and the decreasing support they're receiving.

    • @nsteger53
      @nsteger53 Місяць тому

      We need people to stand up to the government and fight for your medical professionals

  • @frenchfan1278
    @frenchfan1278 4 місяці тому +37

    Not sure how it works, but my veterinarian always follows up on my cat’s well being with a phone call or text message after the appointment, while my family doctor never. Both veterinarian and family doctor are small businesses.

    • @drduckcat
      @drduckcat 4 місяці тому +33

      The business models are very different. The veterinarian is able to increase the cost of their service in line with inflation, and charge what they would deem appropriate to cover their operating costs and make a decent living, and also build in enough time and resources for follow up. Think about how much you paid for a visit to the vet. A family physician cannot increase their fees because this is set by the government. In Ontario, the government currently pay family doctors $37 per visit, and 30 to 40% of that goes to overhead, meaning the doctor only takes home $26. Over the past decade, their fees have not increased significantly. That amount covers taking a clinical history, performing a physical exam, ordering appropriate tests, making referrals, charting, then later reviewing results and making any necessary follow up plan. Under this funding model, family doctors often need to see large volumes of patient to make a living, which is one of the factors leading to burn out.

    • @ElectroSharpTurtle
      @ElectroSharpTurtle 4 місяці тому +2

      @@drduckcat
      Exactly. 👌

    • @UnAnonKnown
      @UnAnonKnown 4 місяці тому +9

      Your family doctor gets paid an average of $37 to see you. How much do you pay your vet?

    • @janem3575
      @janem3575 4 місяці тому +3

      Had a 15min physiotherapy appointment for some paperwork last week. that was $45. they don't message about current status either. that'll be another appt booking at $45. Chiropractors will call for f/u if you don't book weekly. that's to pressure you into another booking. I spend 5 min tops with the chiropractor. Guess who much that costs! more than physio.... there's many other ways to help people with their health, that are much more lucrative. I, for one, am worried my GP's office will shutter too. The entire walk in clinic at my large grocery chain close. 3 of the 4 doctors left, and the one remaining joined another health team. That clinic's remained closed for 2 years now. There's been a sign on the doors with contact number for any doctor interested in family medicine.....

    • @MedicalAutonomyProject
      @MedicalAutonomyProject 4 місяці тому +4

      My concierge NP costs $300 a year. She does referrals while I'm sitting in her office in the allotted appointment time. So what paperwork are they talking about? Something is not adding up.

  • @thomasbrown3127
    @thomasbrown3127 4 місяці тому +8

    Welcome to the club doc! EVERYONE has seen wages go down. Almost every trade / profession has long hours and large influx of their own monies. I disagree with your plight

    • @ILOVESTEAK10
      @ILOVESTEAK10 4 місяці тому +3

      GP’s still make a lot of money. Minimum $ 385,000 per year. MINIMUM.

    • @KirstinCohen-oy8gc
      @KirstinCohen-oy8gc 4 місяці тому +1

      Not even close to that. Physicians are providing all of the outpatient infrastructure. When you see "Physician reimbursement" that is not their slaary. Out of that, they pay their secretary salary, rent, utilities, clinic equipment, gauze, syringes, gloves, insurance, licenses, etc the list goes I'm. When you step foot in a clinic, all of that structure has been paid for out of "physician reimbursement" which is typically 50% or more of the reimbursement. On top of that, the government is not even keeping pace with inflation - this year, 0% increase in fees despite all their costs going up

    • @nsteger53
      @nsteger53 Місяць тому +1

      They also have insane amounts of student debt to pay for.

  • @gladlinar5883
    @gladlinar5883 4 місяці тому +4

    My Daughter Doctor left the profession a year ago. She was a very young Doctor and now she does not have one. People are not getting the proper follow-ups. Doctors are humans to they are burnt out. The health care system is falling apart. There is nothing left that is sacred anymore.

  • @anonymous4gent
    @anonymous4gent 4 місяці тому +26

    I'd rather pay for healthcare than be treated by an unhappy doctor.

    • @user-ld6wo4rv8h
      @user-ld6wo4rv8h 4 місяці тому +7

      Then get used to paying for private.

    • @Kayemm-ms1hr
      @Kayemm-ms1hr 4 місяці тому +3

      Worth every single penny.

    • @lancelange9377
      @lancelange9377 4 місяці тому

      @@user-ld6wo4rv8h We pay for it regardless of whether we use it or not. I've not seen a doctor in 20 years. But i've paid for it anyhow. Our healthcare system is not free. But we get the services of something that is free.

    • @dorinpopa6962
      @dorinpopa6962 4 місяці тому +1

      He had a private clinic if I understood correctly.

    • @user-ld6wo4rv8h
      @user-ld6wo4rv8h 4 місяці тому

      @@dorinpopa6962 No. It was his "own" clinic but paid for by the public system. Learn the difference.

  • @pjk1714
    @pjk1714 4 місяці тому +42

    Medical staffing need to be Ministry funded and trained just like the buildings they operate in.
    The paperwork is an issue because the provincial computerized system isn't bridged across the province.
    Staffing to support the paperwork is burned out and leaving the industry.
    Shame Ford got rid of arbitration right out the gate.
    Blinders on with ear's Covered is killing our medical system.

    • @abcdedfg8340
      @abcdedfg8340 4 місяці тому +2

      The rise in costs he is talking about is conmected to the rise in living costs. Staff cannot afford to live on poverty wages, nor can all the staff at the suppliers. You want to make medicine sustainable? Make housing rental and purchasing affordable so that a reasonable wage that keeps up with inflation and productivity growth isnt trying to chase a housing market driven by individual greed. Get up and help please. Many businesses are struggling with this issue, not just doctors. Our cost of living crisis is hollowing out the whole economy, in my opinion.

    • @dawsonholdsworth5371
      @dawsonholdsworth5371 4 місяці тому

      We have enough money in the system. We just don't have the incentive to manage it well.
      Which comes with us being the only country in the world that Funds and Runs Healthcare.
      It's like your the student grading your own performance. Would you ever give yourself an F or claim it's because you couldn't afford bus fare.
      Same reasoning

    • @louistournas120
      @louistournas120 4 місяці тому

      @@abcdedfg8340 Poverty wage? Wll how much is the staff payed and what do they do?

    • @angiemc2316
      @angiemc2316 4 місяці тому

      ​@@louistournas120
      MOAs are getting paid the same as McDonald's workers even when they have 10+ years of experience & the Diploma to support their training.
      I have 15 years in & am making $20/hour with my Diploma & am a superuser of the EMR which most MOAs do not get to that point.
      I can make more money by being a small business and locuming myself to other offices as then I set my wage. I've also done this before & have made $30+/hr for when MOAs are on holidays. If Dr's want someone's that knows what they are doing they will pay it, if not they will hire through a temp agency and get what they get.

    • @abcdedfg8340
      @abcdedfg8340 4 місяці тому

      ​​​@@louistournas120Open your eyes. Even many middle class people are having to skip meals to make ends meet so they can pay ever increasing rents. Thats poverty in my opinion. As I said the problem is the cost of living, and everyone from employees to employers is now paying the price. They need to solve the affordability crisis asap in my opinion.

  • @shelleyfortier3094
    @shelleyfortier3094 4 місяці тому +3

    Get ready to bust your a$$ at a hospital! Some Drs are doing the opposite their leaving the hospital?

  • @Caperkidd-qs8vq
    @Caperkidd-qs8vq 4 місяці тому +56

    Doctors don't make great money not for the level of commitment they have to give. strenuous hours, administrative duties, secondary duties. we need to support our health care providers otherwise they won't be able to support us.

    • @user-bz4sy3gj4o
      @user-bz4sy3gj4o 4 місяці тому

      yeah, all these hours writing scripts for pharma poisons.... how much do they make from drug companies???

    • @aussie.clippa
      @aussie.clippa 4 місяці тому +10

      Disagree go and see doctors lifestyle.. I have never seen a poor doctor...

    • @ctawab
      @ctawab 4 місяці тому +3

      @@aussie.clippa yes and no
      If you are a family doctor, then you are struggling.
      If you are a specialist, then yes, you make a lot of money.
      This is why most students are turning away from family, medicine and specializing.

    • @taekwondotime
      @taekwondotime 4 місяці тому

      "Family physicians earn an average salary of $308,000 per year in BC and $303,000 in Ontario." - Google Search results.

    • @janem3575
      @janem3575 4 місяці тому

      more money to be had off social media. there was an MD from UK who left medicine to influence full time. much more lucrative. and the restrictions are so much less. just don' t piss off the algorithm or censored content monitors

  • @BluntedZephyr
    @BluntedZephyr 4 місяці тому +29

    The issue-is corporate interest have perverted health care into a generic 'revenue stream'.
    I went without a doctor, for decades, because the doctors that were in the area were more-concerned with 'how much they could bill the province' providing service.
    That was after a husband/wife team that habitually booked for two doctors but only one would show up so they'd shortchange the 'visit' and say to book an other appointment (mid/late 90's)

    • @PramJam5
      @PramJam5 4 місяці тому +1

      You're right. Broken system.
      Why does everyone have to stand in line when some can afford to pay like you.

    • @BluntedZephyr
      @BluntedZephyr 4 місяці тому

      @@PramJam5 Who said I could afford to pay?
      I was denied a doctor for decades because they didn't see 'a new house, cottage, vehicle in providing me any service...

    • @karlhans6678
      @karlhans6678 4 місяці тому

      The clinic i used to go to has become a private clinic. Now I have to go to a more crowded clinic which is hard to get an appointment. Those greedy doctors only think about filling their pockets. Makes me glad that our government is trying to make private clinics illegal.

    • @ILOVESTEAK10
      @ILOVESTEAK10 4 місяці тому

      Report them

    • @karlhans6678
      @karlhans6678 4 місяці тому

      @@ILOVESTEAK10 youtube deleted my comment.

  • @lizliz4186
    @lizliz4186 4 місяці тому +18

    Isn't this what Doug Ford is working towards, because it's cheaper to pay a nurse practitioner.

    • @johnyliltoe
      @johnyliltoe 4 місяці тому +12

      My guess is the ultimate goal is to point to the problem his administration is causing and say "See, this is why we need to let these clinics privatize so that they can set their own prices to cover the bills!"

    • @echoed52
      @echoed52 4 місяці тому +7

      Nurse practitioners are actually not cheaper, but much more expensive. They take longer to see a patient for the same issue compared to a physician. NPs also take fewer patients rostered and get paid pension, benefits, sick pay etc. that physicians do not get. NPs also order more unnecessary tests and send unnecessary referrals that cost tax dollars.

    • @joywebster2678
      @joywebster2678 4 місяці тому

      Doug hates RNs and is actively promoting the RPN ( former Diploma Nurse) to expanding roles with less education.

    • @janem3575
      @janem3575 4 місяці тому +1

      Ford's nurse poaching from the hospitals to produce these NP. Sure, there's natural attrition toward more skilled nursing. But in the meantime, the hospitals are slammed and the skill level remaining is downgrading....

    • @MedicalAutonomyProject
      @MedicalAutonomyProject 4 місяці тому

      A NP was the only person in Ontario who diagnosed my endometritis. She was also the only non-OHIP covered person. I even saw a specialist surgeon here.

  • @babygrizwold
    @babygrizwold 4 місяці тому +7

    Well I live in a small town and the town actually built a medical building / office for a doctor. It's very nice and it has an ambulance facility built next to it as well. It isn't huge because like I said it's in a small town and I'm thinking that the doctor will be leaving looking elsewhere. It's a husband and wife team and I have to say she isn't a very good doctor. Every time you go in to see her she sits there and Googles your symptoms. The only time she is on the ball helping you is when it can be an emergency situation and or with symptoms presenting themselves in her face where she knows she has to take steps. Not every doctor are great doctors that's for sure. She has had so many complaints and even had two or three lawsuits pending. I going to see her and she asks me what's going on and what's the problem and then she types it all into Google while I'm sitting there watching her and then when it pops up she goes oh yes it says that it could be this this and this. I'm sitting here going I could have done that at home. It's too bad that good doctors are closing their practices. I'm hoping we get a better doctor up here in this area

    • @ambersmith9648
      @ambersmith9648 4 місяці тому

      It's better than them using the computerized system that is designed to streamline certain tests so that the pharmaceutical companies can make the most money

    • @ambersmith9648
      @ambersmith9648 4 місяці тому

      It's better than them using the computerized system that is designed to streamline certain tests so that the pharmaceutical companies can make the most money

  • @QUICKIRONS
    @QUICKIRONS 4 місяці тому +14

    Remember when Doctors used to ride miles to your house for a couple chickens and a dozen eggs?

    • @anthonylowney1395
      @anthonylowney1395 4 місяці тому +5

      no, and neither do you

    • @debbietodd8547
      @debbietodd8547 4 місяці тому +3

      No, but I DO remember when they still made house calls and when nobody in Canada was faced with NOT having a family doc. It's a rarity to speak to someone who DOEs have a family doc anymore. I don't blame them for leaving the profession, the red tape and stress is unsustainable.

    • @shelleyrollins4782
      @shelleyrollins4782 4 місяці тому

      I do remember when they made house calls and when you could trust them to care. Even though I have very serious autoimmune diseases and am now mostly bedridden, I don’t bother going in to see doctor. In feeling pressured to speak quickly & only mention one symptom which isn’t going to help him diagnose anything; so , I’ve given up. It’s too stressful & a waste of MY TIME & TRANSPORTATION COST to feel unimportant & dismissed.
      I’ve had enough of doctors making foolish mistakes with treatment because they couldn’t be bothered to listen. THIS is what I’ve learned about being over age 72, disabled, & female. Actually I’ve even had major surgeries (bowel surgery & shoulder replacement where one surgeon here didn’t have the expertise of my excellent but retired surgeon at Mt. Sinai and the one surgeon I’d really liked & trusted who did my shoulder replacement only for me to suffer incredibly (I couldn’t call & ask for pain meds because that seems to not be allowed for people who aren’t drug addicts) until check up time when an X-ray revealed that the wrong procedure had been done because there was another patient with the same name as me having work the same day! The doctor actually admitted this himself! I had to have my surgery done again a couple of days later on my birthday & it hasn’t healed as well as the first shoulder that he had also done. Even if I could’ve complained about him, etc. I did not want to because I figured that he had been so overwhelmed with trying to catch up on surgeries because of COVID. He had also been so incredibly kind to me when he did the previous shoulder soon after my only son had died.
      So…I guess part of the reason I’ve given up trying to get the tests, procedures & care that I’d had from my GP who retired when COVID started is that I’m just so very tired disappointed in our Ontario health care & also losing faith in a country I’d always loved. I figure that I’ve lived for a good enough chunk of time what will be will be.
      I’m not begging for anything anymore.
      Ironically, my very first job when I graduated high school was working at an insurance company in Toronto to help set up the new, wonderful health insurance called OHSIP starting October 1, 1969!
      And now that plan we were all so proud & excited about couldn’t give a fig if I lived or died!

  • @joywebster2678
    @joywebster2678 4 місяці тому +37

    Im a old RN and i initerviewed at a 4 Dr family practice for a job as clinic Nurse. Inwas interested until the Dr announced their flinic practice was only accepting patients from their own land. I looked him in the eye, and said Canada? He shifted around, nooooo, he meant India. I spoke with his office staff. Theyvsaid these 4 drs hirexwhite women only in supoirt roles, and the patients are all Indian. I said thats not right! They said the Drs say its permitted. Sontherexare 4 family drs is city with a dr shortage, limiting their practice by ethnic origin. I refused the job offer.

    • @reejan8109
      @reejan8109 4 місяці тому +19

      Nurses are generally quite literate, whereas this person isn't. I call BS on this story!

    • @Olive_O_Sudden
      @Olive_O_Sudden 4 місяці тому +1

      What does your anecdote have to do with the story in this video? I also don't believe you, and it was probably the case that he said that most of the patients they accept were from 'their own land', i.e., India, and you didn't like that and they didn't offer you the job. I suspect you're either misremembering the encounter or you're a fabulist. It is illegal to discriminate against patients based on ethnic origin, so why didn't you report him and the practice? The fact that your anecdote isn't about how you reported this incident to your province's regulatory agency makes you unreliable, because there would have been no risk to you or your career to report this illegal and unprofessional activity.

    • @davea691
      @davea691 4 місяці тому +2

      Bot?

    • @temia7944
      @temia7944 4 місяці тому +2

      If this is true, then it should be investigated.

    • @MedicalAutonomyProject
      @MedicalAutonomyProject 4 місяці тому

      Gotta have a hidden voice recorder.

  • @shoobydoobiemauiwowee
    @shoobydoobiemauiwowee 4 місяці тому +11

    There's an expression that goes: 'if they knew better they'd do better'...it applies to a lot of the problems we're facing today...there are people who like to be in control and keep applying for leadership positions while the outcome of their leadership leads many to suffer...it's not that they're bad people, it's our commodified survival...take a moment to imagine our modern world with an indigenous perspective where we ENSURE safe housing, clean water, healthy food, quality education, and full health care for EVERYONE, while planning future development to be in harmony with the Earth and with each other. So kids and adults can earn a living wage from a place where they feel safe and loved, working towards an ensured basic standard of living, while achieving self actualization in the process. There's a lot to that but it is possible with our current technology and it's key to the cultural perpetuity of all of humanity.

    • @fgoindarkg
      @fgoindarkg 4 місяці тому

      Politicians are mostly lawyers and lawyers are bad people.

  • @montanagal6958
    @montanagal6958 4 місяці тому +1

    the old days, you only went to a doctor if you were sick and dying, no insurance, no expensive preventative for crap you don't need

  • @dsbarclayeng1
    @dsbarclayeng1 4 місяці тому +21

    He's separating the costs for running his clinic from his revenue for seeing patients.
    But he's only got one source of revenue. So its an artificial separation.

    • @jgalt5002
      @jgalt5002 4 місяці тому +2

      Yes , I think it’s just poor business planning verse can’t work

    • @angiemc2316
      @angiemc2316 4 місяці тому +3

      It's called he doesn't know how to do his CODB correctly or he would have no issues.

    • @MedicalAutonomyProject
      @MedicalAutonomyProject 4 місяці тому

      They get a flat annual fee per patient of a couple hundred dollars.

    • @angiemc2316
      @angiemc2316 4 місяці тому +4

      ​@@MedicalAutonomyProject
      No they don't. Each billing code has it's own $ amount that is billed to the province for it.
      He has multiple issues within his practice. He's bringing in untrained staff to try and run his front office and they don't know how the billing works, he doesn't know how CODB works and multiple other problems that he should have figured out before he attempted to open a practice.

    • @lynns3868
      @lynns3868 4 місяці тому +3

      @@angiemc2316 Some family physicians are part of a family health team. They do get paid an annual fee per patient and a small percentage of the fee for a visit that is billed to the province. Health teams are limited so most family docs do charge fee-for-service. There are different billing practices in Ontario. The other thing people need to remember is family doctors have to also pay back their school debt and licensing fees/insurance on top of paying rent, wages for staff, etc. The fee schedule definitely needs to increase. I'm one of the lucky ones who does have a family doctor, but I'm always worried that she'll end up closing her practice because the province isn't doing what they should to help them.

  • @johntaylor9988
    @johntaylor9988 4 місяці тому +2

    I’m a 60 year old family physician and I feel the same way. Can’t afford to walk away, earnings compared to other professions have dropped so much with 2 kids in university I will have to work until I am found dead at my desk.
    Have no option but to work for the government, and don’t get me wrong I agree ideologically with universal health care, but our own association (OMA) does nothing but let our position worsen yearly. No other profession has this. Dentists? No. Lawyers?🤣 etc…. Teachers have a strong union and have the option of working for a private school.
    Within medicine family medicine gets the short end of things, specialists dump what they don’t want to do on us and get paid more. Not a small part of this is complete sexism as many family physicians are female.
    We also have to do a lot of work for free that OHIP does not cover. We can charge patients for that work, but many don’t pay and we don’t charge prices like a lawyer or an accountant would. Imagine what would happen if you didn’t pay them, yet we are told by the CPSO we must supply those non-OHIP covered services even when patients refuse to pay.
    If I was advising someone young on career choice I would strongly advise them NOT to be a family physician in Ontario. It isn’t a political party thing either. I have worked under three different political parties and they all treat us like dirt, the worst though is the OMA. Supposed to represent us yet do nothing except collect fees from us with no option to opt out when they do nothing substantial to get us paid anything like our true value.

    • @ILOVESTEAK10
      @ILOVESTEAK10 4 місяці тому +2

      My cousin is a GP and makes $ 385,000 per year.

    • @amitkp6957
      @amitkp6957 4 місяці тому

      @@ILOVESTEAK10 Is that net of all the expenses?

  • @NDcompetitiveshooter
    @NDcompetitiveshooter 4 місяці тому +9

    Wait until he finds out about all the hospital politics, drama, committees, contract changes, and staffing issues. Grass isn't always greener. He will just have a financial buffer with the hospital possibly having more funding or being able to cost shift so he doesn't have to put personal money into it to keep it alive. Hospitals close too though.

  • @fgoindarkg
    @fgoindarkg 4 місяці тому +2

    If you're hiring and training new staff all the time then the working conditions or the pay are sub standard.
    Doctors are no longer getting into medicine to serve the public and make a good living. The want wealth and an easy life. Unrealistic expectations cause the most grief in life.

  • @murraytown4
    @murraytown4 4 місяці тому +8

    Cry me a river.

  • @fashionfruit99
    @fashionfruit99 4 місяці тому +1

    its either a Private Practice aka your own clinic, Health team clinic (healthpoint, Jack Nathan etc), Hospital, or running a med spa....those are usually the options for Physicians....

  • @HavendaleBlvd80
    @HavendaleBlvd80 4 місяці тому +9

    The economy isnt numbers... it's people.

    • @dawsonholdsworth5371
      @dawsonholdsworth5371 4 місяці тому +2

      Okey? It's numbers of people paying for a system can't use.

    • @archie_bunker
      @archie_bunker 4 місяці тому

      ah finally a good answer. thanks.

  • @danielpollard7554
    @danielpollard7554 4 місяці тому +2

    There are alot of people out there that work as many hours for alot less.

  • @DaddyGameOn
    @DaddyGameOn 4 місяці тому +3

    Same story for other provinces.

  • @angiemc2316
    @angiemc2316 4 місяці тому +11

    MOAs pay a great amount of money for their schooling also & Dr's are barely paying them minimum wage which is atrocious. If you paid your staff the appropriate wages then you would get property trained staff that want to continue to work for you.
    As an MOA it's disgraceful that Dr's think it's okay to try and pay their staff the same amount for well educated staff as a McDonald's worker.

    • @drduckcat
      @drduckcat 4 місяці тому +8

      30 to 40% of a family physician's income goes towards running the clinic and paying staff. With inflation the cost of running a clinic has increased dramatically, while physician billing has not increased significantly over the past decades. Most physicians strive to pay fair wages, but without appropriate increase in government funding, it becomes harder each year.

    • @angiemc2316
      @angiemc2316 4 місяці тому

      ​@@drduckcat
      I've been in the field for 15+ years and Dr's get a fee increase every year. I work my behind off at my office and run my office for essentially minimum wage. I have taken on many practicum students within my time as an MOA.
      If you want good staff that will stay with you and that knows what they are doing you must pay for that. I know my billing codes and who cam be billed what and when they can be billed for that service & I use my reminders in my EMR for recalls for my pts so that services are not missed. If your MOA is not doing this that is because of improper training. I am a highly sought after practicum host for the schools around me. I can also help folks in other parts of the province on the same EMR as myself without having mine up in front of me because I am a what is called a superuser of the system and I know it inside and out.
      If you are choosing to pay MOAs the same as McDonald's workers than you are going to go through many of them. For an experienced MOA you need to pay the correct wages, we won't work for McDonald's pay. We know exactly how much physicians make as it's public information and MOAs are the heart of your office you can't run without us.

    • @bmir89
      @bmir89 4 місяці тому +6

      You don't need anything more than a high-school diploma to be an MOA.
      There are post secondary courses, but they're not mandatory.
      Furthermore, no legitimate schools offer an MOA course, just a regular office administrative course, which is one year.. and only a certificate.
      Anywhere offering a course labeled as a "MOA course" is a diploma mill.
      Talking like being an MOA requires years of uni and costs you tens of thousands of dollars... lol.

    • @SensitiveYouTubeCensorship
      @SensitiveYouTubeCensorship 4 місяці тому

      I would have to say the average McDonalds employ when I worked there did more work in a 8 hr sift that the receptionist at my walk in clinic does for 8 hrs. One is standing most of the day the other is sitting down most of the day. Just because you work in health care does not mean you desire a higher wage.

    • @bmir89
      @bmir89 4 місяці тому +1

      @SensitiveUA-camCensorship
      This.
      An office worker trying to compare themselves to doctors.
      Trying to lump themselves in with the Healthcare workers that actually suffer.
      Yikes...

  • @budt525
    @budt525 Місяць тому

    People just don't realize how much overhead and stress there is.

  • @doctorbryan954
    @doctorbryan954 4 місяці тому +1

    The bureaucratic paperwork required is punitive.

  • @joywebster2678
    @joywebster2678 4 місяці тому +6

    Why not choose a different specialty? Or set up practice in a smaller town, city where life is cheaper. I know 250.000 a year in take home is so low.

    • @Jayl__
      @Jayl__ 4 місяці тому

      That’s why no new doctors are choosing family doctor. But family doctors are what we’re short of and we need more in this field. I waited 2hrs for a doctors visit and my doctor wants to retire as all the nearby doctors left giving her 6000 patients. She says it’s easy to leave if you don’t care but if you care makes even harder

    • @johnbeechy
      @johnbeechy 4 місяці тому

      I agree with u on that Joy to the world, as there are so many other Jobs // money is not import- Ant the thrill of saving lives is the Key to success

    • @dontworryaboutit273
      @dontworryaboutit273 4 місяці тому

      That's the issue. Many are choosing different specialities, which leaves no family medicine doctors and thus puts a greater burden on emergency departments and hospitals.

  • @mikefreve159
    @mikefreve159 4 місяці тому +24

    I feel so sorry for these professionals. it is a thankless job that requires our upmost attention and gratitude. Pay these pros professional wages and streamline the system.

    • @taekwondotime
      @taekwondotime 4 місяці тому +2

      "While ZipRecruiter is seeing salaries as high as $363,500 and as low as $11,500, the majority of Doctor salaries currently range between $72,000 (25th percentile) to $239,000 (75th percentile) with top earners (90th percentile) making $336,500 annually in Ontario."
      "Family physicians earn an average salary of $308,000 per year in BC and $303,000 in Ontario."

    • @Mooseflows
      @Mooseflows 4 місяці тому +2

      @@taekwondotimeif you know business you know they still have to pay their employees and run a clinic etc plus did we forget all the years of training they needed where they didn’t get paid because they were collecting debt trying to get the knowledge they needed to practice

    • @janem3575
      @janem3575 4 місяці тому +1

      I sometimes feel this way until I run into the bad ones. This is a society that values stock portfolios over health expertise. Lots of lipservice to all health service professionals and their support staff. Society needs to put their money and support to where their mouths are. At least when teachers strike, people bring them hot food to show support. I've talked to many healthcare workers who strike and the resentment is real. They should have known the working conditions and remuneration going in. So don't complain, is the attitude. I'm glad more people are beginning to understand the issues at hand. Do something before it's impossible to rectify

    • @h2owater381
      @h2owater381 4 місяці тому

      What do you mean "pay these pros professional wages!?" He owns his own "business". The streamlining process is there, he didn't have to start his own "business", he didn't have to take on all the secondary duties, he could have been satisfied with just being a doctor and not an entrepreneur and now his issue is that he doesn't make as much money personally as he thought he should? Don't get me wrong I have compassion for health workers, but not when they decide to be an entrepreneur and then complain that the profits aren't good enough. Nobody's fault but his own.

    • @Mooseflows
      @Mooseflows 4 місяці тому

      @@h2owater381 ​​⁠entrepreneurship is what drives ideas and creates value. More value is more money. That’s exactly the problem with people’s mentality. Yea let’s keep them as employees. Look at the horrible service and wait times in hospitals. Canadian healthcare is terrible because there isn’t any innovation or more entrepreneurship. These doctors are overworked with the lack of healthcare infrastructure already. They spent years in school accumulating debt and they have to use their money to pay their staff and other business overhead costs .

  • @eves.blaise9821
    @eves.blaise9821 4 місяці тому +1

    Lots of things are wrong in this country. It has to change.

  • @MentionBiscuit
    @MentionBiscuit 4 місяці тому

    Thank you Dr Hikazi for your service. This is beyond sad for all.

  • @dkchef
    @dkchef 4 місяці тому +2

    Welcome to private business. In the restaurant business this is the reality. Currently 61% are operating at break even or loss. Owners often have to put their own money in to keep employees paid and the business open.

    • @NoSlowFlow
      @NoSlowFlow 4 місяці тому +2

      Private business are allowed to charge what they want. Drs a handcuffed by the government

  • @semiramis47
    @semiramis47 4 місяці тому +1

    I sympathize with the paperwork load. I worked in a high pressure job as a self employed small business, not medicine, and found that I was spending onerous amounts of unpaid hours on paperwork mostly fed and Prov mandated. It was a big part of the reason I retired early and left the country for opportunities elsewhere

  • @RMTbeccalemire
    @RMTbeccalemire 4 місяці тому +1

    Very sad and unfortunate, there needs to be change, or everyone suffers, doctors and patients (aka EVERYONE).... this is madness. We, the people, demand solutions from the government!

    • @lornemyers6638
      @lornemyers6638 4 місяці тому

      I think the government is the issue, quit relying government to fix everything, we seen what they did during covid.

  • @magicalcapi9148
    @magicalcapi9148 4 місяці тому +5

    HOW come a job in high demand be poorly paid and have shortage of available workers?
    There is no way that is not artificial by law makers

    • @kylefan8478
      @kylefan8478 4 місяці тому +1

      simple. it's not a market. government decides how much to pay out and thats that.

  • @kalvli
    @kalvli 4 місяці тому +2

    😂😂 by dumping his own money he means by taking home less and less considering he pays himself a large large sum.
    Instead of driving a Porsche he has to down grade to a Audi.
    Cry me a river doctor

  • @Globodyne
    @Globodyne 4 місяці тому +9

    Thanks Doug Ford, thanks Wynne.

    • @johnbeechy
      @johnbeechy 4 місяці тому +1

      i am not a fan of Ford, but the DR was a DR before Ford was elected the first time. as for wynne LOL she was not a Premier for that long and again the DR was already a Dr // blame the Drs for being Drs tell them to move to Ukraine and earn a real living there.

    • @TheMagicofRoberto
      @TheMagicofRoberto 4 місяці тому +2

      Thank Trudeau, he's to blame

    • @Globodyne
      @Globodyne 4 місяці тому

      All 3 are to blame@@TheMagicofRoberto

  • @user-nc9li1kq8t
    @user-nc9li1kq8t 4 місяці тому +10

    That’s complete nonsense. I’m a nurse and I’m friends with tons of physicians. This guy is simply lying.

  • @PhonicallyPsychotic
    @PhonicallyPsychotic 4 місяці тому +1

    So...working his private practice put him below the poverty line ? I'm sure jumping into Ford's planned privatized healthcare will make him more financially secure. Good job getting ahead of the line.

  • @brendanbroekhoven5541
    @brendanbroekhoven5541 4 місяці тому +1

    Publish the numbers.

  • @Mahaveer_S
    @Mahaveer_S 4 місяці тому +2

    Losing Money - making 1 million instead of 1.25 million...poor doc😢

    • @leech3427
      @leech3427 4 місяці тому

      You have a poor idea of what family doctors make

  • @Slovac100
    @Slovac100 4 місяці тому +11

    I do not buy it. Average income physicians in Ontario 200,000-300,000$. Show it to full time engineers

    • @kidklassic
      @kidklassic 4 місяці тому +3

      That's before expenses.

    • @jgalt5002
      @jgalt5002 4 місяці тому +1

      @@kidklassicaverage is about 287,000 for a go. overhead should be no more than 25 percent which would leave them over 200,000. Maybe some physicians have a bad business model for their practise , that would be my assumption

    • @angiemc2316
      @angiemc2316 4 місяці тому

      Many of the newer physicians likely don't know their fee guide very well and don't know that there is more that can be billed than they usually do. These are things that your MOA with a diploma will know as they've had experience with it. Certain codes can only billed with other codes or only billed a certain number of times per year. There are other codes that the MOA can do telephone follow-ups with the pt & it can be billed that many GPs don't use, if they had an experienced MOA they will know these codes/hacks & it makes those few extra dollars which always helps.

    • @moondancer334
      @moondancer334 4 місяці тому +2

      You need to understand, all physicians don't get paid the same, it totally depends on their position....there's family practice, specialists, those who work in hospitals (hospitalists), etc. Family practice docs in Canada don't make nearly as much as people assume, like you do. By the time they pay all of their overhead (building rental/lease + insurance + property taxes if they own it, cost of supplies, cost of clinic cleaning services, utilities, malpractice/liability insurance, professional dues, cost of office equipment (computers/paper/printer ink/all that), cost to securely store archived health files offsite, employee wages, etc etc......they do not get paid nearly what you think they do. A hospital or ER doc gets paid wayyyyyy more. So you might say, "well nobody is forcing you to be a family practice doc, go work in a hospital"....if they all did that we'd have no family practice docs....oh wait, that's what we're dealing with now. Some ppl in some provinces have been waiting 1-3 or more years just to find a family doc.

    • @angiemc2316
      @angiemc2316 4 місяці тому

      ​@@moondancer334
      You need ti understand that as a person that has worked in the field for 15+ years GPs make the lowest wages of the bunch but the one in this video clip has no idea how to do his CODB. I not only work as an MOA but I very successfully run another business and that's because I have my CODB correct.
      If you aren't hiring qualified staff to run the office then you are going to be missing out on things that you could get paid for simply because your MOA doesn't know about billing and how the codes go together.

  • @aubreyhibbs6629
    @aubreyhibbs6629 4 місяці тому +1

    Come to Newfoundland, god forbid Labrador, if you think it is bad in the capital of our country.

  • @sy2219
    @sy2219 4 місяці тому +12

    Ottawa should do something about this. No wonder it's impossible to find a family doctor now. Stop giving money away around the world, take care our own people.

    • @guy86hart36
      @guy86hart36 4 місяці тому +2

      the money is there...... go blame doug ford for not spending the money and starving the system

    • @Evilskyworshippers
      @Evilskyworshippers 4 місяці тому +1

      @@guy86hart36 Ya he privatized part of it, which costs taxpayers 2-3x MORE per person AND HE STILL had a surplus and chose to Not spend it as CONservatives agreed they are disposable meatbags. The LESS CONservative interference, the more utopian life becomes. Con areas are ALL dystopian hellholes

    • @frankd9015
      @frankd9015 4 місяці тому

      @@guy86hart36 The post says : stop giving money away around the world. That is federal government not provincial so my guess is you're just liberal supporter and ignoring who really is responsible!

    • @ssansu
      @ssansu 4 місяці тому

      ​@@frankd9015Healthcare is a provincial responsibility. And the money to fix this mess is indeed there, just not being spent by the Ontario government. This is a documented fact. Ford wants privatization and is starving the system deliberately.

    • @TheMagicofRoberto
      @TheMagicofRoberto 4 місяці тому

      Trudeau rather give money to Ukraine and terrorists

  • @abcdedfg8340
    @abcdedfg8340 4 місяці тому +7

    The rise in costs he is talking about is conmected to the rise in living costs. Staff cannot afford to live on poverty wages, nor can all the staff at the suppliers. You want to make medicine sustainable? Make housing rental and purchasing affordable so that a reasonable wage that keeps up with inflation and productivity growth isnt trying to chase a housing market driven by individual greed. Get up and help please. Many businesses are struggling with this issue, not just doctors. Our cost of living crisis is hollowing out the whole economy, in my opinion.

  • @jacquirimown3886
    @jacquirimown3886 4 місяці тому

    Contact Prescott Family Medical Clinic in Prescott. Well run clinic, 45 minutes from Ottawa at the end of the 416.

  • @harry99420
    @harry99420 4 місяці тому +1

    They have money management problems if they are struggling on a doctor's salary.

  • @ILOVESTEAK10
    @ILOVESTEAK10 4 місяці тому +1

    How in the world is the GP clinic losing money? My cousin is a doctor has five doctors working with him and he is making millions. He’s A GP.

    • @ILOVESTEAK10
      @ILOVESTEAK10 4 місяці тому

      @@beesinthegardens Then something is wrong. Every GP needs to set up their own clinic and have a minimum of 3 GP’s working under them for a 70/30 split. Provide excellent care to patients and one can then make an excellent income after expenses. Loans shouldn’t be a problem because if set up correctly can be paid off within 3-4 years. Also, once you become a GP, every bank will provide a GP one million line of credit.

  • @anonoumos
    @anonoumos 4 місяці тому +6

    what does he mean by running a business, and he has to take out some of his personal income into it. isnt that typical?

    • @oldmedstudent1750
      @oldmedstudent1750 4 місяці тому +9

      Family clinics are funded solely by what the physician makes from seeing patients. Then they have to rent a clinic, pay staff, and cover other supplies. Not to mention all the unpaid time doing paper work. Whatever is left over at the end, is what the physician takes home. Each year due to inflation, the aforementioned costs go up but the amount of money that physicians make does not go up to match the increase in inflation. So what he's saying is that year over year his take home is actually decreasing. And there is nothing he can do to make it increase because you can't see more patients (there is a maximum) and you can't cut staff because you need people to handle administrative work. Family doctors should not have to be business owners in order to see patients, they are doctors. That's why he decided to work in a hospital so he doesn't have to worry about all that overhead.

    • @UnAnonKnown
      @UnAnonKnown 4 місяці тому +4

      Yes but year after year inflation raises how much money you have to put into overhead to run that business. That’s perfectly normal.
      What isn’t normal is that family doctors can’t control the rates they get paid for the services they provide. Small business owners get to set the rates for the services they provide.
      If the raises GPs get from the government don’t keep up with rising overhead, then your take home salary shrinks year after year.
      After 10 years you start thinking about switching careers.

  • @familyb5800
    @familyb5800 4 місяці тому +1

    I know....Dr Tam

  • @kannanpagalam5761
    @kannanpagalam5761 4 місяці тому +1

    What else can this current Gov’t break…?

  • @real2204
    @real2204 4 місяці тому

    You are absolutely right. The government is responsible for this, and the health minister

  • @MentionBiscuit
    @MentionBiscuit 4 місяці тому

    Welcome to the club. Every single year we all lose money! Very sad and undeserved treating our Physicians like this! Disgraceful

  • @fgoindarkg
    @fgoindarkg 4 місяці тому

    What price do doctors pay for malpractice in Canada? Insurance. Nothing more.

  • @YT2go4me
    @YT2go4me 4 місяці тому +1

    This anecdotal interview doesn't help to give insights into the frequency and why this is happening. One can be a great doctor but bad at running finances 🤔

  • @MrLambchops21
    @MrLambchops21 4 місяці тому

    Thank you for bringing light to this important issue Dr. Hijazi!

  • @binaymandur
    @binaymandur 4 місяці тому +3

    dude makes 250k plus a year from taxpayer money and is complaining.

    • @EricaChavira-on4oz
      @EricaChavira-on4oz 4 місяці тому

      lol

    • @rp315
      @rp315 3 місяці тому

      See the risks dr takes must be so careful with patients

  • @user-bz4sy3gj4o
    @user-bz4sy3gj4o 4 місяці тому +9

    INTERESTING HE'S NOT SAYING HOW MUCH HE MAKES AND HOW MUCH IS LEFT???/

    • @GrantM.-gx2kn
      @GrantM.-gx2kn 4 місяці тому

      You'd be shocked at how much your allowed to keep. Then if you build up a business, being a dr is one of the few that you cant pass down to your kids. Then when you do have a business you can, Jusitn wants his taxes up front that typically is financially impossible for the kids to buy the business. Krisi Noam got into politics because the gov came for their pound of flesh before her father was even in the ground.

    • @lornemyers6638
      @lornemyers6638 4 місяці тому +1

      ​And you think that is too much? 1 million a year is justified for his position.
      Government is the problem.

    • @noid8814
      @noid8814 4 місяці тому

      This is ontario canada doesn't work that way. we don't have medicare here . Wrong country..​@@5thelementcannabisproduction

    • @Platinumcoons
      @Platinumcoons 4 місяці тому

      How fast you are to count someones money. First of all he does not get paid that, see ohip billing codes. 37 dollars a visit. And do you work for free personally?
      Because of underpay, stress, too much responsibilities and too entitled arrogant like you patients doctors leave.
      Good luck getting treatment when you get sick. Er are packed 12 hr wait or more because family doctors are closing their practices everywhere. Stuff that could have been treated early or prevented gets into irreversible stage and treating that costs the government more than properly funding family clinics

    • @echoed52
      @echoed52 4 місяці тому +2

      ​"Medicare"? You are the one misinformed. This is "OHIP" that pays doctors $37 per patient. Then the doctor has to pay 1/3 of it to overhead, before tax man gets their cut.

  • @irenavenger3206
    @irenavenger3206 4 місяці тому

    Welcome to our world.
    And on a separate note, we completely lost trust to medical service providers after the COVID-19

  • @dsbarclayeng1
    @dsbarclayeng1 4 місяці тому +2

    What happened to the one doctor, one secretary model?

  • @miavale2340
    @miavale2340 4 місяці тому +13

    I don't buy that - him saying clinics lose money year over year.
    I've done taxes for doctors. I can't speak for everyone but they've certainly not lost money.
    That said, doctors are incredibly important and something needs to be done. Enough with private clinics, fund public health properly and cut back on unnecessary frills and throwing money for buying specific voter groups.

    • @kidklassic
      @kidklassic 4 місяці тому

      If you do taxes and don't see the numbers. You need to be fired.

  • @youtubeisbiasedandsucks
    @youtubeisbiasedandsucks 4 місяці тому +1

    Were these problems around before 2015?

    • @archie_bunker
      @archie_bunker 4 місяці тому

      this is the problem when you have a liberal government that paid all these bums to stay home and dumbed them down by saying the government will take care of you lol..

  • @RobotsandMonsters
    @RobotsandMonsters 4 місяці тому

    Nothing more quintessentially Canadian than destroying efficiency for gatekeeping and red tape.

  • @barneycruicks4444
    @barneycruicks4444 4 місяці тому

    The NDP in ontario stripped doctors of the right to strike and implemented a government organization to negotiate their annual pay decreases. The NDP in connection with this decided to take 2 months pay back from the doctors as part of their first pay reduction. This triggered doctors leaving ontario. Since then they have not had a single increase matching the cost of living. Doctors must give their employees invreases, pay increased rental prices, energy, carbon tax, increased fees for the organization negotiating their pay decreases... A pharmacist gets more money from the government for a vaccination than a doctor. This doctor was held back with much that he could have said. Basically he said the effects of what the government is doing. The family doctor mst also pay a substantial amount of money to ensure the patients records are available for up to 20 or 30 years ( not certain on the time span) This is one of the financial burdens a doctor has to stop working. They are single source income from the government with no pension, no rights to strike, must pay a government organization increasing amounts as this organization year for year reduces their pay and increases the non paid work load. Now we can understand the government generated family doctor shortage in ontario. Over 30% of the present family doctors are beyond retirement age.

  • @es1653
    @es1653 4 місяці тому

    Ottawa's Clinic Model would be excellent in Toronto. Canada could import doctors from many western European countries as Saskatchewan did in 1961 when Medicare was adopted.

  • @vir822
    @vir822 4 місяці тому

    I feel the same way as a pharmacist. My salary hasn't grown up in last 10 year. We are 90% reliant on siniors and gov't hasn't increased its fee that pay us in 19 years while cost of operating business. My assistant who doesn't have any education or responsibility whatsoever work with me half the pay as me. And i after going to 5years of school and 200k debt hasn't gone any raise in 10 years. Looking my option over south. This is the story for pretty much every single health care jobs not paid by hospitals

    • @verar5844
      @verar5844 4 місяці тому +1

      vir822: So, how much do you pay for a prescription drug and how much do you charge your customers for the same drug?

  • @user-tw7qc5oe8w
    @user-tw7qc5oe8w 4 місяці тому

    Sad. We'll have less and less services available.

  • @dsbarclayeng1
    @dsbarclayeng1 4 місяці тому

    The over-documentation is a huge problem.

    • @johnbeechy
      @johnbeechy 4 місяці тому

      cops have to do paperwork and that is all that needs to be said about the 'special nature' of doing paperwork. (G I Jane movie line paraphrased)

  • @margueritestewart8694
    @margueritestewart8694 4 місяці тому

    We have become a very complex health society. Physicians are not getting paid for it. Staff are feeling the severe effects as Dr's cut back on staff and wearing many hats. Worked for them for 25 yrs. I know first hand especially I saw the numbers from billing.

  • @user-vr2tx4tt6b
    @user-vr2tx4tt6b 4 місяці тому

    Insane that a doctor can't make a go of it. Wow.

  • @cherylsibson2529
    @cherylsibson2529 4 місяці тому +4

    Then they take it out on the clients. This is not just an back east issue, Doctors staff out right hang up on clients, some of the doctors can and do get sick themselves, then do not give another doctors notice, or a heads up, to go to until 2 weeks later, and so other doctors get wind of calls, and have to line up a specialist for a group of patients, and so if I treated people like that, which creates a cycle of no hope, verses hope, I would be called negligent, incompetent, lazy. In all my years of being alive, I've never witnessed this before. It's ridiculous! I'm a very tough type of person, can take a lot of BS. Then tell clients to get mental services or therapy. This is not a healthy cycle.

    • @BearbearbearbearbearbearRarrrr
      @BearbearbearbearbearbearRarrrr 4 місяці тому

      It’s in the boilerplate that insurers provide. That’s one of the roots of this issue we don’t hear about.
      We hear the tools medical providers have are inadequate, but very little about that part of this narrative gets out. I think that’s why we are in this downward spiral and trajectory.

  • @996068927
    @996068927 4 місяці тому +10

    This guy made it sound like he is quitting medicine completely only to have the reporter call him out and clarify he is only switching jobs. The paperwork is tied to the patient fee that they bill. Therefore paperwork is not "unpaid". Unless he is doing it without charging the patient's health card which is unlikely.

    • @UnAnonKnown
      @UnAnonKnown 4 місяці тому +1

      The fee he gets paid to see a patient is $37 per appointment. Do you think that reasonably covers paperwork?
      And yes he staying in medicine in hospitals. But that still translates to a shortage of family doctors in clinics.

    • @dontworryaboutit273
      @dontworryaboutit273 4 місяці тому +1

      Gee there ya go, get this guy in charge!
      /s

  • @Clerence999
    @Clerence999 4 місяці тому +2

    no context at all, what does he mean by running a losing business? you can charge everything into you accounts and say it's losing money; is it because they are all underpaid or is it just him not good at running a business? just a person's opinion. doesnt answer any question. bad journalism

  • @insiderinside1905
    @insiderinside1905 4 місяці тому

    so 2 doctors work in 1 office and hire an assistant to do the paperwork.

  • @karannn81
    @karannn81 4 місяці тому +5

    I think he need some financial management classes. I work with doctors in a real family practice in ontario. He is just full of crap.

    • @thamenevans6417
      @thamenevans6417 3 місяці тому

      He is telling the Truth,
      The costs of the overhead, on TOP of the Time & emotional grit that it took to become licensed.

  • @johnnygrey9285
    @johnnygrey9285 4 місяці тому +3

    And there you have it folks. Greed at its finest.
    “ failing business “ : likely because he studied medicine not commerce. No one to blame but himself.
    “ incentivize “ : yea-against a physicians code of ethics.
    Looking for handouts from the government. Maybe should focus on patient care and service delivery instead of his bank account. I’m appalled.

  • @raymondwindley4145
    @raymondwindley4145 4 місяці тому +1

    Family doctors all overbill anyways, they bill 15 minutes minimum for visits where they only see patients for 2 minutes. My doctor builds 15 minutes each and I've seen him go through 30 patients in an hour

  • @gregabbott8100
    @gregabbott8100 4 місяці тому

    Never mind leaving, so many don’t want to even consider family practice…

    • @ssansu
      @ssansu 4 місяці тому

      They'd consider it if it paid decently. Which it doesn't.

  • @fahadkn90
    @fahadkn90 4 місяці тому

    No wonder doctors are in a hurry to see the next patient in Ontario.

  • @charles597
    @charles597 4 місяці тому +4

    They business does not lose money when you are paying yourself large salaries/dividends. Profits may be shrinking but he is being disingenuous with the terminology.

    • @moondancer334
      @moondancer334 4 місяці тому

      Get informed. Family practice docs can't just bill for services "whatever they want"...they have to follow provincial fee guides. They can only see so many patients a day. Here in Alberta a family doc gets paid only $50 a visit whether that visit is 5 minutes or 25 minutes. Overhead costs have gone on (cost of office rental/lease/utilities/cost for office cleaning staff/etc etc etc). Then add staff wages. There are so many costs to run a family practice that come directly out of a family practice doc's pocket that people are not even considering.

  • @AM-vj5ms
    @AM-vj5ms 4 місяці тому +1

    We all ae loosing money, not just doctors

    • @archie_bunker
      @archie_bunker 4 місяці тому +1

      Canada lost its doctors many years ago. what you are seeing now are the scraps at the bottom of the can

  • @dissydog98
    @dissydog98 4 місяці тому +1

    Is it a social calaboration of drs or a union,is there fees payed,also every small business owner in Canada put their own money in,that is the basis of small business,also your personal money your puting in,comes from the operation of the business,so you are not losing money or operating a failing business,you just want to be paid more,after all your not exactly starving,what's that chair your sitting on cost 3000$ ya real hard times for you

    • @leech3427
      @leech3427 4 місяці тому

      That doesn't look like an expensive office chair at all. Looks more like one of those $300 Amazon chairs. The good/expensive chairs dont have overly cushioned back rests like that

  • @Tam...
    @Tam... 4 місяці тому

    OMG, this is terrible! All the best, y'all😩

  • @virtualworlddisorderrealit1848
    @virtualworlddisorderrealit1848 4 місяці тому +1

    why move... more money. HELLO! no paper work??? it's all done on site, at a turtle's pace, on SCREENS.

  • @MrTacosAndBurritos
    @MrTacosAndBurritos 4 місяці тому +18

    In no other industry you don't need to compete to get clients!!

    • @GrantM.-gx2kn
      @GrantM.-gx2kn 4 місяці тому +1

      Insurance you have the police chasing you around making sure you bought. The 407 where they suspend your license for not paying. Home insurance if you have a mortgage or you dont get a mortgage. Electric/hydro as you have to be hooked up to the grid (solar), or you dont get a building permit. Building permits that make up the largest expense in some areas to build a home like Vancouver. Licences period from pet to transmitting. Drone licences, hell in the UK you have to pay your BBC license. They used to have a radio license. Hell, you can say taxes are a license to stay out of jail. If you want to invest your money, they need a license. A license to sell houses. You dont have to see someone with a medical license to assist curing you, but it is recommended. Go to Chinatown, they have all kinds of holistic cures.

    • @ASid-yj1og
      @ASid-yj1og 4 місяці тому +4

      physicians cant set the fee for their services. Would YOU be ok with the government telling you how to set your fees for your products or services? Difficult to compare physicians to "other industries".

    • @anakidd8221
      @anakidd8221 4 місяці тому

      @@ASid-yj1ogthis is why they want to privatize healthcare, then they can charge whatever they want and if you don’t have your own health insurance that you pay put of pocket then you are screwed just like in the USA

  • @velmano9191
    @velmano9191 4 місяці тому +5

    So he's tired of paying for bills to run a business, tired of paying people to help run his clinic, tired of doing paperwork to get paid for the services he provides, tired of having to work on the weekends, tired of putting an effort to make way more money than 90% of the Canadian population...he's tired. I'm sorry, you aren't complaining about being UNDERPAID...if so, plenty of doctors from Canada move to the states for that reason. It seems you just want to take care of patients, clock out, hang out with friends and family outside working hours. Why don't you retire? I'm pretty sure your house is paid off and you have a nice (better than most Canadians) savings for retirement.
    No. You're spoiled. Doctor's charge money for doctors notes and anywhere they need to sign things. I'm talking about $40 and up. Name where I can get paid to sign a small note and get paid $40 CASH. I'm pretty sure they aren't reporting this income to the CRA. Second, they are all incorporated. Meaning they are NOT paying their fair share of taxes. Someone mentioned to me that they pay the equivalent of someone making 10% of their salary in taxes. There's a reason why they 'inc' themselves. There's no min or max cap on their salary. Most doctors after a certain amount of years CUT DOWN their hours by just taking care of their 'regular' patients. These doctors often work part-time hours (a few days a week for 6 hours day), just enough to earn money to pay the bills and have time to enjoy their life. Let's face it, most doctors aren't working 5 days a week, 8 hours a day. Then they get paid for referrals. That specialist your doctor sent you to see, better believe your doctor is getting some money from that. That prescription he sent to the nearby pharmacy to fill, better believe he's getting some money for that.
    Doctors aren't complaining about their pay. They KNOW they are paid well. The problem is, there are a bunch of doctors who WON'T see new patients because they want that 'family work balance'. Imagine you telling your boss "Hey boss, I'll come to work on Monday, Wednesday and Thursday but Tuesday and Friday I need off. I want to hang out with my family and friends. You know, work life balance." Your boss would be like "You know what, take the rest of the week off, you're fired".
    We need doctors to actually work a 5 day schedule, 8 hours a day like the rest of Canadian AND not put a cap on which patients they see. Reason why so many people have a hard time finding a doctor is that these doctors aren't NEW doctors. They have a list of patients who make them enough money to enjoy work life balance. They can certainly see new patients but they don't want to. Make every medical clinic a walk-in clinic. No doctor has a regular patient list. First come, first serve. End of doctor shortage.

    • @ILOVESTEAK10
      @ILOVESTEAK10 4 місяці тому +3

      GP’s make tons of money. $ 385,000 MINIMUM and up from there. They are just being GREEDY.

    • @WasFakestCenturyAesthetics
      @WasFakestCenturyAesthetics 4 місяці тому

      ​@@ILOVESTEAK10you're right, he should do something useful like renting out basement apartments to 20 Punjabi "students". Would probably make more money too