National Post
Thursday, Sept. 9, 2010
Tom Blackwell
For years, an exodus of doctors to the United States helped fuel Canada's growing shortage of medical staff, and gave emotional ammunition to opponents of Canadian-style health-care reform in the States.
But medical recruiters and migration statistics suggest a surprising new trend has emerged over the past few years: a net movement of physicians from the United States to Canada.
"Canada is the number one spot in the world for doctors to come and work, live and play," said John Philpott, CEO of CanAM Physician Recruiting in Halifax. "Talking to physicians in the United States, they're shocked how much more money they can make in Canada."
The flip side of the equation seems to be true as well, with fewer Canadian doctors answering the call to practice in the States, once seen as a Mecca of better remuneration and more comfortable work environments.
"I have calls from American companies on a regular basis asking me to find them Canadian doctors, and I have to say 'that ship has sailed,' " said Susan Craig of Toronto-based Susan Craig Associates, which recruits doctors for both American and Canadian employers.
Money is not the only draw, however.
Many U.S. physicians are also fed up with a system in which private insurance companies fund most medical care, meaning they must deal with as many as 40 different firms to get paid. One study suggested that U.S. physicians spend 140 hours and $60,000 a year dealing with insurers, said Lynn Bury, recruitment director for HealthForce Ontario.
Some also see the Canadian system as allowing them to practise more freely, unfettered by private hospitals, insurance companies and HMOs, said Ms. Bury.