“Power concedes nothing without a demand. It never did and it never will.” – Frederick Douglass


After negotiations between the Ontario Medical Association and the government broke down, the government imposed a reduction in the fees physicians received. In response, Ontario physicians launched a social media campaign to shame the government back into negotiations.

The campaign highlights personal stories of sacrifice. For example, one story tells the tale of a male surgeon who left his newborn baby’s side to treat a patient, attached to a hashtag like #CareNotCuts.

Unfortunately against the backdrop of ballooning health care costs (of which 60% is labour), the campaign comes across as whiny and self-indulgent.

Regardless of how negotiations end, physicians will be dissatisfied. Until physicians move away from selling time, they will always be unhappy with their monetary compensation. (Physicians are compensated per service. There are only so many services that can be performed in a day. So, their profits are capped. After all, you cannot replicate yourself.)

No one, from doctors to lawyers, should enter a profession for profit. The majority of professionals ultimately sell time, and selling time is a bad business model.