Why American Physicians Choose Canada Over the High Salaries in the USA

During a post-operative checkup, I inquired about my surgeon's choice to practice in Canada as opposed to the significantly higher salaries available in the USA. This surgeon, clearly upset, responded that working in Canada enables him to fully dedicate his time to his patients, making decisions based on their best interests. Unlike his peers in the USA, who spend more time arguing with Managed Care Organizations (MCOs) than treating them, he believes in a more patient-centric approach.

The Human Side of Medicine

There's more to the decision to practice in Canada than just the business aspects. When I sought tests, imaging, or surgeries, there was always confidence that these requests would be supported. This seamless approval process removed significant stress that often comes with navigating complex systems in the USA.

My children have access to a world-class education, including university, at a fraction of the cost in the USA. Moreover, active shooter drills are a thing of the past here, allowing children to focus on their studies and grow up in a safer environment. Additionally, Canadian education often comes with the benefit of bilingualism, as many children here learn two languages fluently from an early age. The roots and extended family are also deeply entrenched in Canada, which adds another layer of stability and support.

Comparing American Doctors to Their Canadian Counterparts

Your background as an American-Canadian, American-Australian, and American-New Zealander briefly made me question if you were a troll. However, it's important to note that physician salaries do not explain the entire picture. While it's true that you might not earn a higher salary in Canada, the quality of life for Canadian physicians is often significantly better. This includes a more comfortable lifestyle, less stress, and a better work-life balance.

According to official data, family doctors in Canada earn on average the same or more than their USA counterparts. The most significant disparity in pay exists in the surgical field, where USA surgeons are paid almost twice as much as their Canadian counterparts. This economic incentive is at the root of a shortage of general practitioners in the USA and a surplus in Canada. Only 33% of USA doctors choose to specialize in family medicine, while about 50% of Canadian doctors do the same. This disparity is not just about money; it's also about the lifestyle and the work environment.

The Cost of Healthcare in the USA

It's also worth noting that the Lifetime Cost of Healthcare in the USA can be astronomical. Patients are often overcharged for hospital visits, leading to many needing to mortgage their homes or sell personal items to pay their bills. Additionally, life-saving prescription medications in the USA cost about twice as much as those in Canada. For instance, insulin, a crucial medication for diabetes, costs roughly double what it does in Canada. This high cost of living in the USA affects not only patients but also healthcare providers, creating a system that is both exploitative and unsustainable.

In conclusion, the decision to practice in Canada goes beyond just the financial aspect. A more supportive healthcare system, better quality of life, and a balanced lifestyle are key factors that contribute to the appeal of the Canadian healthcare system. While it's true that you won't earn as much in Canada, the overall benefits often outweigh the financial considerations. For many, a truly fulfilling medical career is worth more than a higher salary.