Administridiots at Work!.

Bill 20 came under fire from the federation that represents the province’s family physicians. (Montreal Gazette).

           At a general council meeting in Montreal, the Fédération des médecins omnipraticiens du Québec (FMOQ) took an official position against the proposed legislation, which would require family doctors to take on a minimum of 1,000 patients or risk losing up to 30 per cent of their pay.
“There is only one message: It’s no to Bill 20,” said Louis Godin, president of the FMOQ.
They’re convinced that in no way will the minister’s goals of improving access to family doctors be achieved by Bill 20, Godin said, flanked by several doctors from groups that also represent family doctors working in different fields as well as future physicians.
         “On the contrary, we’re expecting a drop in access. We’re expecting a drop in the quality of family medicine that will be done in Quebec. And even more, in the long term it’s the future itself of family medicine that is in play,” Godin told reporters, adding there isn’t a medical student today who will choose to practice family medicine under the conditions proposed in Bill 20.
          "Family medicine takes time," said Godin.
            I don't want to go into the varying figures quoted by each side.  I want to go into the changes that have occurred as a result of the metamorphosis of a caring profession into the Health Care Industry and the excessive influence of the administidiots who have effected these changes.  The old fee-for service system, so detested by the administrators, many of whom had a primarily financial background, had built into it a balance that equated work done with remuneration received.  Physicians on that system would decide how much they wanted to work, some very long hours and  some not so hard and they were paid accordingly.  When the capitation system and various similar systems became prevalent things changed radically.   Human nature being as it is, it does not take long to realize that with an annual  fee per patient, where the payment is much  the same whether one sees the patient once or fifty-two times a year, one doesn't want to load up one's practice with too many complicated, multi-problem patients. Cherry-picking has become a major problem.  Nor is a physician likely to do time- consuming procedures that he is capable of doing but for which there is no reimbursement.   Because of this unnecessary referrals are made and inappropriate expenses are incurred and specialist waiting lists become unwieldy. 
              This is not a rant against a national health service.  Every civilized country needs that.  It is a criticism of the lack of  understanding of the administidiots in charge.   Sad to think that a once noble profession has been forced to become civil servants in all but benefits.