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?
Some evidence suggests that about one-third of the tests doctors order are unnecessary -- and doctors make a pretty penny on those tests. Recently the Ontario government announced that it is reducing OHIP fees by 50 per cent in situations where self-referral has occurred. The government has good reason to be interested in this issue, but cutting fees for self-referral isn't the answer.