Many voting against the PSA argue that a fixed budget prevents physicians from providing necessary care to patients. No one is suggesting this. Patients who need care will be seen, necessary tests and surgeries will be done, family and specialist clinics will still see patients and physicians will continue to get paid to provide these services.
Dr. Hoskins, you in particular have been very fortunate to have worked in many positions where you could be in charge, and set you own terms. While you clearly understand the hard work, dedication and passion it takes to get through medical school and residency, I don't think you appreciate the frustration that comes when, after all that, your voice is not accepted when you advocate for your patients.
Ask yourself this: Do you have to pay back part of your salary because your employer is poorly run and losing money? Do you have to start saving six months in advance for potentially not being paid two and half months and not being told exactly how much until only months before you're getting the cuts?