Bill 74 – The Biggest Change to Healthcare in 50 Years! Seriously?

Big things happen every few decades. We landed on the moon in 1969. The Berlin Wall fell in 1989. The Ford government tabled Bill 74 in 2019.

At least that is how everyone talks about Premier Ford’s new bill. Former Deputy Minister of Health, Dr. Bob Bell, said that The People’s Health Care Act is the biggest change to healthcare in 50 years.

Minister of Health, Christine Elliott, announced Bill 74 on Tuesday. It had already been leaked, condemned, defended and modified. So it did not spark the same surprise had we known nothing.

The NDP’s Andrea Horwath said the leaked legislation guaranteed private healthcare. The end was not near: it was here. But Bill 74 does not mention privatization.

Bill 74

The People’s Health Care Act (Bill 74) dissolves the Local Health Integration Networks (LHINs). Most clinicians cheered.

The LHINs are full of eager, well-intentioned people, who inflict programs and metrics on clinicians to justify the LHINs’ existence. I feel bad for the LHIN people. But anytime they launched a new LHIN directive, I felt worse for us.

Here are five things you need to know about the bill: Continue reading “Bill 74 – The Biggest Change to Healthcare in 50 Years! Seriously?”

Physicians Can Finally Move Beyond Fees

Before Netflix, we watched shows at the same time each week.

People built rituals to make sure they could flop in front of the TV on Friday at 8 pm.

We could not miss our show.  There was no way to watch it later.

After the last episode of a favourite series, we felt lost. What were we going to do at 8 pm on Friday?

Last week, doctors across Canada watched the final episode in a seven-year reality show staring the Government of Ontario and the Ontario Medical Association. Most of the audience started watching in 2015, when the Liberal government attacked doctors and slashed fees. Docs had to close clinics. Others laid off staff. Everyone grumbled.

Premier Wynne’s systematic attacks genetically modified a new generation of doctors tuned in to politics. They will never hold an “essentially benign view of government.” They got hooked on a gothic mini-series and have become cult followers.

But last week the show ended: The board of arbitration ruled. Continue reading “Physicians Can Finally Move Beyond Fees”

How to Leave Medicine & Travel the World

Dr. Matt Poyner left medicine to travel the world. You could too.

How would you like to leave medicine, right now?

Close your clinic. Work your last shift. Say goodbye and maybe never go back?

Do you have enough money? Could you get your finances in order?

How would you manage an identity change?

Meet Dr. Matt Poyner

Matt is 42 and free. He and his wife, Lindsay, sold everything and took their four boys on a trip around the world for a year.

Dr. Poyner graduated from Mac and completed family med at UBC, plus a year in EM. He practiced emergency medicine for 13 years. Then he walked away.

Matt might return to medicine. He suspects probably not but keeps his options open.

Aside from admiring his courage, I wanted to know how Matt and Lindsay could do it.

How could they leave medicine and give up being a medical family?

Did Matt win a lottery?

Did he work two jobs?

I sent Matt a list of probing questions: everything from finances to burnout and fear of the CPSO. He answered them all.

Could you or I be the next Dr. Matt Poyner?

How to Leave Medicine and Travel

Continue reading “How to Leave Medicine & Travel the World”