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Coldery

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  1. Not everyone. First examples were made to illustrate disparities between the province in question and every other province. Wrong question. Right question is: "Because people are paid less in a different system could we be paid less too?" Never was an advocate of taking everyone's down. All was done to speak of the relative viability of dropping the highest paid doctors pay while retaining their (slightly) tenuous desire to live a top 1% lifestyle. Just check Ontario's latest government statistics. Healthcare takes up approximately 40% of total government expenditures. Of all healthcare expenditures, physician billings takes up 25% of that. So, of all taxpayer dollars at the Ontario provincial level, 10% of the $ in their public coffers are going to physicians alone. Alberta relative to Ontario (Table 2) Of course not, extracting likely action from one's spoken word is a strawman. I may be saying this now but I would actually double our billing schedules given the chance. /s Also, that isn't a strawman. A strawman involves: 1. You arguing in favour of proposition X. 2. Me falsely claiming your position is proposition Y. Example: 1. You want to maintain physician take home profits at current levels. 2. I argue about why you want to double physician take home profits. What I did was not falsely restate your position. I extracted likely action from your given position. Is it rock hard evidence? No, nothing concrete has happened yet. However, if we can't extract likely action from one's stated viewpoint, then everyone everywhere is committing a logical fallacy when they make assumptions about family, friends, politicians, the bear they found in the woods, etc. From your very strict viewpoint: Will politician A legislate voter suppression laws? No, he never said he would. Will you necessarily walk off the job? No, of course not, but considering your viewpoint, it would make it more likely if all provincial governments suddenly slashed all fees by a factor of 4-5x. Canada has had its fair share of physician strikes (not just one or two physicians)...
  2. What about doctors in UK, France, Germany, Taiwan, Sweden, etc. Almost no doctor in any of those countries bill any more than $200k. Most of the other developed nations have training that is equal in length, if not longer than ours. In the UK, it takes 5 years of post-MD training to become a GP, approx. 8 years post-MD training to become a specialist. If they all had your POV, they would've walked off the job a long time ago. The NHS is not very forgiving when it comes to cash. In Taiwan, they aren't earning much more than $100k/year at the most senior positions. North America is the anomaly (ps: also worse health outcomes, mainly due to lifestyle factors but still). lol Australia is one of the only other developed countries that offers anything close to what NA offers in terms of cash. Likely one or two others but Canada and America are the top 2, eyes closed.
  3. $150k is bare minimum with approximately $200k billing at 25% overhead. Overhead is pretty middle of the road for a GP with minimal procedures whereas $200k is very low relative to regular GP physicians, let alone specialists. In BC, $150k books $100k post-tax, assuming every dollar is taken home as income instead of the other tax schemes available (incorporation, dividends, etc.). Depending on how you allocate that, you can get that debt done quick. To put it in perspective, there are teachers in their mid-40s still paying off their student debt with $50k/year salary pretax. If you are doing $300k/year (still below average for GPs and specialists), the numbers go up. Once you get to $400k/year, $500k/year, etc. you'll eventually get to a point where student debt becomes a joke. For a debt that normal BSc grads will take about 10 years to pay off, MDs will pay off in <5 easily, 2x over. A university president is a very big job and relatively influential people take such positions. Eisenhower was a university president just before he was elected as the 34th president of America. Not the best example. We could make an equivalent comparison with the PM of Canada. He's got the biggest job in the country. He books $357k/year.
  4. $200k to get through school is misleading. We're Canadian, not American. Tuition is $20k per year for four years: $80k. Presumably you're taking living expenses into account to fill the $120k gap. If so, the same can be done for a BFA, BSc, or whatever other degree you'd like to consider. I'm also assuming medical students don't have a sudden urge to spend when they matriculate. MD (4 years): 4 years x $20k/year + 4 years x $30k/year = $80k + $120k = $200k Any Bachelor degree: 4 years x $6.5k/year + 4 years x $30k/year = $26k + $120k = $146k If you are any run-of-the-mill physician (not working in a saturated area), you'll net at least $150k/year: pre-tax, after overhead. Theoretically, you can pay off your student loans within 2 years assuming you hadn't already done so before finishing residency. Run the same calculations for someone coming out of a bachelor program, average starting wage $50k-$60k. We are privileged members of society. The (not really) massive MD tuition fee argument would actually be an argument in favour of your opposition. Better arguments could be made.
  5. All that I see is a new, increasingly ignorant upper-class that's growing more and more blindsided to the concerns of the average Canadian day by day. While we argue about our $200k vs $250k take home $, we are forgetting about the $20k-$25k take home pay that 50% of the population (that we serve) deal with. Mind you they are the ones padding our wallets because of our publicly funded system.
  6. Yeah, even with the new changes, Alberta docs will still be some of the best paid in the country (before considering AB's much lower cost of living). Just look at the stats (example: GPs 20% higher than Canadian average). Haven't begun talking about specialists either. The only reason why other specialists would be complaining would be because they're only billing 2x the BC average instead of 3x the BC average as is the case with Derm and other specialties to a lesser extent (specialists book 25% higher than Canadian average). What most people watching the news fail to realize is that docs in AB, let alone docs anywhere in NA, are almost invariably a part of the top 1% in terms of income unless you go out of your way to drop it (saturated metropolitan areas).
  7. Do you work as a GP earning ~$100k in an overly saturated region? If finances are your priority, you can make $500k+ pretax. I guarantee you that people in Big Tech aren't making that unless you're talking about people at the top of the pyramid (tech lead roles) at which point you're probably on par with them. Red dit.com/r/cscareerquestions
  8. You can pay off 4 years worth of 25k/year tuition in one year as an attending and keep the change while you're at it. It ain't that easy as a BSc or BA grad. You'll be looking at about half a decade or longer depending on how you manage your finances in the latter case.
  9. I purchased a condo on a mortgage about 3 weeks ago. Living there now. From what I recall, the big banks have a program where they assume your future income for mortgage application if you're: a resident or an M4. I was still able to use my LOC for the downpayment. Two caveats I believe that the government just enacted a law which prevents anyone from using an LOC for mortgage financing including the downpayment. Saw it in the news just a week or two after my mortgage was confirmed. I believe it is going to go into effect July 1st but don't quote me on it. Also, unsure as to whether it applies to Canada or BC (I'm from BC). The bank that you have the LOC with may restrict what you may or may not use the LOC for. I'm with RBC and they said I was not allowed to use it for any non-educational expenses. I was about to cancel with them until one of them told me that it is "up to you how you would define an educational expense". Is a new property an educational expense? You decide.
  10. Tuesday and Thursday AMs are always free. The only exception is when there is a Monday statutory holiday. In such a case, they usually end up squeezing the missed lectures into the Tuesday morning. Tuesday and Thursday PMs are usually filled with communication skills, clinical skills, or family practice visits/seminars/lectures. The schedules vary from person to person. Depending on the group/individual schedule, you could be placed at LSC (UBC), VGH, BC Children's, or even St Paul's. Also, there will almost always be several free Tuesday/Thursdays once your family practice visits are completed (if you're scheduled for a visit in the first place; there is a very small minority of people who end up not matched to one...) or once your FP seminars/lectures are completed. Edit: Tuesday and Thursday AMs are obviously also not free during the first two intro weeks lol
  11. I mean Bill Gates or the one 15 year old kid I know who makes $70k/month also exist. An anecdote will only ever be an anecdote, meaning nothing in the face of data. The statistics on the 50th percentile of each specialty (including opthos) exist. Stratify it by province and you get more detailed numbers. The 20-year compensation chart has this data. The average optho makes $1,250,000 in Alberta, $944k in BC. It's technically the mean and not the median but do a quick search for your local ophthalmologist and check their billings on your provincial website. Not sure about Ontario but BC has almost all salaries listed on their MSP "Bluebook". I'll guarantee you that it isn't just 1%-5% of the ophthalmologists hoarding the green mass. Also, check the stats on the 50th percentile BCom grad. Compare mid-range BCom to mid-range Opthos (or even mid-range MDs at-large) then think about it. Physician billings as a whole isn't as much of a concern as the top specialties who get all the cream. Leaving the healthcare system in a GP drought due to an artificially-imposed specialty brain-drain is not ethical and spits in the face of those who need the care.
  12. How do I get a VP job at an IB? Hit me up if you know. The reality is that not every business school grad comes out and works at a VP job making $1mil-$6mil after a decade or two. It takes a certain type of person to: climb over others, suck up to the right people, and strike while others are down, to get to the top of the business world. They call them sociopaths. Very common phenomenon at the top of the corporate ladder. To top that, statistically speaking, how many people with business degrees can be VP/directors/managing directors at IBs? Most of my business peers are happy to get a job as a retail banker. Medicine hedges those who go into it with a guarantee of employment with the additional benefit of guaranteed top 1% incomes. The business world doesn't do any of this. The belief that medicine doesn't remunerate its practitioners handsomely (minus GPs) is just short of delusional and it angers me. Especially when there are so many others around us that have it much worse, barely getting by on their monthly paycheck.
  13. Hey guys. Just a few questions about IM, GIM, and CCM. I'm also still a first-year medical student so mind my ignorance if I ask any dumb questions here: With 4 year IM programs still being a thing and with many internists writing the Royal College exam in their 3rd year, what prevents other subspecialists from also qualifying as a (non-General) Internal Medicine doctor and working in community settings? From what I've heard, the job market for CCM is one of the worst out of all of the MSM specialties. Is this true? If #1 is possible, could someone going into CCM hedge it with the possibility of practicing IM while waiting for a job in the ICU? I believe that GIMs can practise in ICU settings too so could you technically work in community ICUs as a quasi-intensivist? Thanks!
  14. CaRMS has all the data you're looking for. https://www.carms.ca/data-reports/r1-data-reports/ I don't believe they have the # of applicants for any specific program though. Only overall applications to the discipline in Canada.
  15. From my previous application, I believe it was continuous. It wouldn't make sense to score it on a discrete scale either.
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