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    Friday, November 14, 2003

    Rebuttal: Matthew Holt rebuts my claim that money isn't the factor motivating Canadian physicians to move South, noting this statement in the survey I linked to:

    "Professional factors rated most important by most physicians in both groups were professional/clinical autonomy, availability of medical facilities and job availability. Remuneration was considered an equally important factor by those in Canada and in the United States. Six of seven personal/family factors were rated as more important to their choice of practice location by respondents in Canada than by those in the United States. Current satisfaction was significantly higher among respondents in the United States. Most physicians in each group planned to continue practicing at their current location. Of Canadian respondents, 22% indicated that they were more likely to move to the United States than they were a year beforehand, whereas 4% of US respondents indicated that they were more likely to return to Canada."

    What dose this actually say? It says that doctors in both places believed that they were where they were for reasons of professional autonomy, etc, etc AND money. Canadians ranked family/personal issues as more important to them. But American based docs were happier. Canadians were more likely to think about moving.

    I think that this one in imponderable. It doesn't say that the Canadian's didn't care about money--they cared equally to those based in the US--but it does not (as you imply) say that they don't and that they moved to the US for other reasons. Unless the abstract says different things to the main piece I'd say that it's at the least inconclusive. But there are 2 key factors I mention in my piece that are persuasive to me:

    1) The $ amounts I link to in my piece are real--docs make more here & its not secret

    2) Despite that (or whatever other reasons may be making the move attractive) the amount of emigration is low, in fact extremely low based on the salary differences and the supposed superiority of practice conditions here. Your real question should be why are there any docs left in Canada? (the answer from this paper seems to be so they can stay near their parents and have built-in baby sitters.)


    Point taken. Canadian doctors come here for better working conditions AND money.
     

    posted by Sydney on 11/14/2003 07:46:00 AM 0 comments

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