Current PA-S2 here, I can echo the sentiment provided by the people here. The nursing union is really preventing the use of PAs in Ontario and its concerning that the government doesn't recognize the work of PAs even during the pandemic. There have been issues with funding but most people are doing okay in their respective positions. Not sure how long it'll last though, since most of the people in ER/ICU are employed but fam med and subspecialties are seeing drawbacks (endocrinology PAs have been let go where I was on placement, possible other specialties too but not sure about others). Its not necessarily stable but not unstable either if that makes sense? Funding gets pulled quite easily and its difficult to get funding in new hospital areas. The biggest challenge is explaining your role in the healthcare system and why PAs are necessary to help reduce wait times and improve efficiency. The PAs I've worked with state that there are occasions where nurses, NPs, physicians question the role of PAs and see them as a threat to their income/jobs. It's going to be over a decade since PAs last tried to be regulated in 2022 so the fact that we're still discussing this is concerning for the profession. The work we do is exceptional and we have life experiences prior to entering this field, as well as on the job training that prepares us to handle a variety of situations independently, as well as part of the healthcare team alongside physicians. South of the border, it's quite different and I wish we could adopt the US model here to have the maximal impact of PAs in the healthcare system. For those still looking to go into the profession, make an informed decision and know the field is great if you have employment but its not something thats remotely stable compared to MDs.