The field of medicine is one of the most sought after professions in this country, with admission rates around 26 - 28% of domestic applicants in a given year gaining acceptance to a Canadian medical school. Given such a low admissions rate, there are far fewer positions than qualified applicants. How, then, should we choose those who are admitted to medical school?
Many doctors who work in group practices are now paid a flat fee, per patient, per year. It essentially means the physician gets the same amount regardless of whether you have just one appointment or 10 appointments a year. So a doctor paid on that basis doesn't really lose money if a patient misses an appointment. However, protecting the doctor's income is not the sole motivation for imposing a "no-show" fee.
Thanks to dispatches, official reports sent to high command often describing battles and noting acts of bravery, we have a good record of what happened to Canada's 7th Brigade as they landed on Juno.
While total physician numbers are growing, for many physicians, their individual workloads appear to have declined but their compensation has not. In an era of tight public budgets, having more physicians doing less and costing more may be seen as a luxury. One thing is certain: The recent trend toward doing less for more is not a sustainable option.
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.