Canada

Back when I was in school, there were at least 3 people in my grade ( of like 30 kids) that both wanted to become a doctor and had the grades to probably do it. Not a single one of them was able to afford the schooling.

Canada really needs to do more for potential medical students. Why is the most important industry gatekept by wealth?

This is the ‘slow walk’ to private (read:profitable) health care in Canada.

All these business interests pushing the governments to ‘let it ride, until it breaks’.

Then they can swoop in, take over, and CASH IN BAYBY!

Money, favours, and stock options speak volumes.

TL; DR:

ER doctors are leaving because we can no longer do what we trained to do; we can no longer help people — our raison d’être — to the standard they deserve. In short, continual moral injury is breaking your ER doctors.

My GP/Family Doctor closed his practice and moved to the other side of the country 7+ years ago now.

Despite moving to a larger city; I've been entirely unable to find a family doctor, walk-in clinics are packed if they are even accepting walkins when you show up.

I had to go to the ER for a broken finger yesterday and sat there for five and a half hours total.

I was lucky to find another doctor after my family GP of decades retired at 85. He wasn't allowed to keep practicing after 85. He moved to an advisory role in another clinic giving up his practice. He wasn't able to find someone to buy his single practitioner clinic. The real estate costs and the many services where patients are passed around is the new model listed as reasons he couldn't sell it. I suspect since everything was still in paper records didn't help.

The new GP is one of many doctors in the same clinic. He does mostly phone calls with some in person visits but usually it's phones calls first and it's 7 - 20 days before one can get an appointment. Anything urgent will need to be a drop in clinic which are full most of the time, or the ER worse case.

I have to wonder how much minor time sensitive cases are burdening the system overall. I ended up at a drop in clinic as the last appointment this summer due to an issue with bandages after a surgery. If this had failed it was the ER next for me as there was no way the GP could fit me within a week unlike the old days with my GP. Thankfully a adjustment to my bandages and cream solved my infection but it was still minor.

I don't think there's a easy fix coming soon anytime...

Many years ago we got lucky and a recently-graduated doctor took us under her roster. Not losing that is one of the reasons we hesitate to move to a different place, even though our doctor is pretty much only doing phone appointments since the pandemic began.

I dunno what's the situation in the other provinces, but I remember in Quebec that there were walk-in clinics before.

Now they all need to be scheduled through a system that if you're not fast enough (between a specific time slot where the appointment for the next day are opening up) you cannot get a time slot.

You're doubly-screwed if you're not comfortable using a computer, and calling 8-1-1 will make you wait for up to an hour before you even get to talk to someone about your issue and determine if you need an appointment.

The ER is the healthcare system safety valve, but it can only eject so much pressure before it becomes a bomb.