I wrote a blog about intimidation versus straight talk today, but I was too intimidated to post it. So, I’ll save it for sometime in the spring.
On a safer topic, finance minister Bill Morneau has sparked outrage in the business community.
He plans to hit small businesses with an over 30% tax hike. Morneau says that incorporated small businesses are no different than a salaried employee.
Tim Paziuk wrote a great list that shows how Morneau is wrong.
Paziuk is an accountant specializing in Canadian professional corporations. His book on corporations was invaluable, when I was setting up my own corp.
The only thing I can add to Tim’s list is that corporations have a greater burden of accessing financing and complying with regulations.
Incorporated vs. Salaried
Morneau starts his dreaded tax proposal by asking us to imagine an incorporated person and her salaried neighbour. Morneau makes a dishonest comparison, and Paziuk shows why below. Continue reading “Incorporated vs. Salaried”
A journalist from a National paper told me, “I need something new to say. My editor won’t publish without a new angle. People are tired of hearing the same thing about hospital overcrowding.”
Last week, I asked an MP, “What do you think about the new tax changes?” He gave a long defence of Morneau’s tax grab on small businesses. He sliced up all the arguments that he expected I would raise.
No income splitting, despite the risk that small businesses put on family members.
These proposals wipe out retirement, savings for children’s education and parental leave. It makes the extra cost and effort of incorporation a total waste.
Sometimes, governments tell voters something so outrageous, that people lose a frame of reference to check the facts. Small lies spark public protest. Big lies elicit shock but no action. Continue reading “Stealing from Patients”
The dead of summer used to mean rest. Stand-ins covered talk radio. Politicians attended Canada-Day celebrations, and everyone hit pause on life.
Summer meant nothing happened in medical politics; you might as well go to the cottage.
Not anymore. Now, summer means no one is looking, so why not push through something doctors will hate. At this rate, summer will become the new fall, and we will all need vacations in September.
In an effort to pretend I’m ignoring medical politics, here are my rambling from a Muskoka chair.
Who Knows Best?
Mark Twain said,
“I would rather listen to a soldier who has been to war talk about war than listen to a poet who has never been to the Moon talk about the moon.”
Someone also said, “The eye sees what the mind knows.” Doctors see and know problems in clinical care. We must give doctors voice. Government cannot know enough to know, let alone solve, all the problems.
This raises Hayek’s knowledge problem. Every system contains more knowledge than any single person can know. No one can ever know the thousands of decisions people make inside a system. Continue reading “Who Knows Best?”
Can a broken relationship be mended? When one party has done something really wrong, and the other has lashed back, can they reconcile?
Doctors in Ontario have been heckled in the legislature, slandered in the media and ignored for multiple pieces of legislation. Unexpected rounds of unilateral cuts have caused festering wounds. It makes caring for sicker patients with longer wait times almost unbearable.
Some doctors are so sick of feeling abused, they only want to mock the other side. A few prefer mutually assured destruction.
But most doctors just want to care for patients. Doctors want to be left alone to care for patients without worrying about the next crisis.
People love movies about underdogs. We like watching Harry Potter get picked on because we know that he fights back in the end.
Underdogs create great stories, but they do not stay under forever.
Medical schools look for students who seem able to care.
Do they have empathy? Are they lovers or fighters?
Journalism and law schools look for different things.
Med schools err on the side of sensitivity, even if it means that some gentle souls might burn out now and then. Better that than a class full of fighters and advocates.
It wasn’t always this way. In the olden days, good grades guaranteed a spot. Schools didn’t weed out the way they do now. Each class formed a cross-section of everyone who did well in school and wanted to become a doctor.