{"id":317,"date":"2015-01-21T19:58:00","date_gmt":"2015-01-21T19:58:00","guid":{"rendered":"http:\/\/rf.podcastfixit.com\/index.php\/2015\/01\/21\/doctors-slam-bill-20\/"},"modified":"2015-06-01T19:40:40","modified_gmt":"2015-06-01T19:40:40","slug":"doctors-slam-bill-20","status":"publish","type":"post","link":"https:\/\/newscoverage.org\/index.php\/2015\/01\/21\/doctors-slam-bill-20\/","title":{"rendered":"Doctors slam Bill 20"},"content":{"rendered":"<p><b>By Joel Ceausu<\/b><\/p>\n<div>\n<a href=\"http:\/\/www.thesuburban.com\/\">www.thesuburban.com<\/a><\/p>\n<p>Many of Quebec\u2019s family doctors will soon forfeit salary and reduce working hours, with some considering early retirement, rather than abide by the Liberal government\u2019s Bill 20, according to Dr. Michael Kalin.<\/p>\n<\/div>\n<div>\nHealth Minister Ga\u00e9tan Barrette\u2019s reform bill, if adopted as is, will introduce financial penalties for doctors who don\u2019t see a certain number of patients, rules that will punish any doctor that works less than full time; something the C\u00f4te St. Luc doctor says is counter-productive, coercive and will lead to \u2018assembly line medicine\u2019.<\/div>\n<div>\n<br \/>\nApart from the bill\u2019s new guidelines on <i>in vitro<\/i> fertilization guidelines that many critics describe as draconian, the biggest objection is to how it treats Quebec\u2019s corps of General Practitioners.<\/div>\n<div>\n<br \/>\n\u201cA family physician is not a radiologist,\u201d the medical director of GMF Sant\u00e9 Kildare told <i>The Suburban.<\/i> \u201cBarrette is taking a radiologist approach. A radiologist can look at films all day every day, but for a family physician to care for a patient takes time, conversations, getting to know them, whether it is taking care of kids, the vulnerable, or mental health patients takes time; it\u2019s easy to say see more patients but do we want doctors working 15-hour days?\u201d<\/div>\n<div>\n<br \/>\nThe president of the 8,000-member <i>F\u00e9d\u00e9ration des m\u00e9decins omnipraticiens du Qu\u00e9bec<\/i> (FQOM) said Bill 20 \u201csmacks of ignorance and disdain for the work of Quebec\u2019s family doctors and absolutely dehumanizes the practice of family medicine by transforming it into assembly-line work.\u201d Dr. Louis Godin maintains. \u201c(Barrette) proposes penalizing family doctors who take on and follow sicker patients as well as doctors who take more time with their patients.\u201d<\/div>\n<div>\n<br \/>\nBarrette has intimated that Quebec\u2019s doctors don\u2019t see as many patients as they should, but Quebec\u2019s GPs counter that the province puts too heavy an obligation to work in a hospital setting in addition to seeing patients in clinical practice.<\/div>\n<div>\n<b><br \/><\/b><br \/>\n<b>Deterring young and old<\/b><\/div>\n<div>\n<br \/>\nGodin says the bill will \u201cimpose unrealistic patient quotas on each family doctor and prolonging Quebec family doctors\u2019 obligation to work in hospitals, which is a reality unique in Canada.\u201d<\/p>\n<p>The FQOM is warning the Bill could lead to shorter medical consultations to meet patient quotas, greater difficulty treating vulnerable patients; steering medical students away from family medicine; and premature retirement of family doctors approaching the end of their careers.<\/p><\/div>\n<div>\n<br \/>\nKalin says the new regime will discourage young doctors from setting up practice in Quebec, and may even push older doctors into retirement.<\/div>\n<div>\n<\/div>\n<div>\n\u201cIt will deter young and old: If you\u2019re 67 years old and work four days a week; would you accept a 30-percent pay cut or just retire? If you are a young graduate and want to work less hours and will be paid less? Most doctors I know will fight tooth and nail but in the end would rather take a pay cut and work fewer hours. For senior doctors in their 60s and 70s, I would not be surprised if they just closed up shop.\u201d<\/div>\n<div>\n<br \/>\n\u201cThe family doctor of today is not the doctor of 40 years ago,\u201d he says. \u201cBack then, doctors were predominantly male and worked much longer hours than the physician today, who is usually female, much more family-oriented and\u2014while committed to her practice and patients\u2014is unwilling to put in the same hourly commitment.\u201d<\/p><\/div>\n<div>\n\u201cMany graduate in their late 20s and want to have families,\u201d says Kalin, who counts 20 women among the 25 doctors in his two-year-old <i>Groupe de m\u00e9decine de famille<\/i> (GMF), which provides comprehensive care for 18,000 registered patients. \u201cThey will have a hard time reconciling this with the practice of medicine,\u201d he says, agreeing that young doctors are not the type of citizen you want looking for greener pastures.<\/div>\n<div>\n<br \/>\nKalin says the answer is best found in his own GMF experience, based on the plan brought in under former health minister Philippe Couillard a decade ago. \u201cWe have greater resources and by working as a group we can cover for those doctors who take maternity leave or time off. It\u2019s the right way to go, and we are starting to see the fruits of our labour now,\u201d he says, noting that the group began with only two doctors in 2012.<\/div>\n<div>\n<br \/>\n\u201cYes there are doctors out there, and everybody knows one, who sees few patients, takes more vacations, or is just generally not as accessible as they should be. Believe me it makes me sick too, but this is no solution for that, which can be resolved without punishing the entire system.\u201d<\/div>\n<div>\n<br \/>Kalin says the reform is based on \u201cunrealistic and outdated models; it\u2019s hard-handed, it\u2019s counter-productive and ultimately, it really misses the mark.\u201d<\/p>\n<div>\n<\/p>\n<p>  (function(i,s,o,g,r,a,m){i[&#8216;GoogleAnalyticsObject&#8217;]=r;i[r]=i[r]||function(){<br \/>\n  (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),<br \/>\n  m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)<br \/>\n  })(window,document,&#8217;script&#8217;,&#8217;\/\/www.google-analytics.com\/analytics.js&#8217;,&#8217;ga&#8217;);<\/p>\n<p>  ga(&#8216;create&#8217;, &#8216;UA-45892555-1&#8217;, &#8216;auto&#8217;);<br \/>\n  ga(&#8216;send&#8217;, &#8216;pageview&#8217;);<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>By Joel Ceausu www.thesuburban.com Many of Quebec\u2019s family doctors will soon forfeit salary and reduce working hours, with some considering early retirement, rather than abide by the Liberal government\u2019s Bill 20, according to Dr. Michael Kalin. Health Minister Ga\u00e9tan Barrette\u2019s reform bill, if adopted as is, will introduce financial penalties for doctors who don\u2019t see<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-317","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Doctors slam Bill 20 - Newscoverage<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/newscoverage.org\/index.php\/2015\/01\/21\/doctors-slam-bill-20\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doctors slam Bill 20 - Newscoverage\" \/>\n<meta property=\"og:description\" content=\"By Joel Ceausu www.thesuburban.com Many of Quebec\u2019s family doctors will soon forfeit salary and reduce working hours, with some considering early retirement, rather than abide by the Liberal government\u2019s Bill 20, according to Dr. Michael Kalin. 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