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Who decides the billing rates?


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The fee schedules are negotiated on a provincial basis between the ministry of health and the province's medical association (ie the OMA in Ontario).

 

One of the reasons for the huge discrepancy in specialists vs family docs fees is that it used to take up a lot of the specialist's time for certain things (like cataract surgery or reading a CT scan). Now these things are done way faster, the fees have not decreased (and if anything have probably gone up).

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