Gaétan Barrette tackles lazy Quebec doctors - Bend or Mirage Stick

Gaétan Barrette tackles lazy doctors - Bend or Mirage Stick:

November 28, 2014 Journal de Québec

After Carrot, the Gaétan Barrette out the big guns and announced a law to cut the salaries of doctors who do not see enough patients .

"We tried to increase the number of doctors, it did not work. We gave substantial increases, it did not work. We tried incentives, it did not work. Improving access to the first line can not pass through additional  "commented costs,the Minister of Health during the presentation of his new project law.

It threatens doctors who do not do enough tocut up to 30% of their salary. "The stick is coming," warned Mr. Barrette. In return, he believes that this measure will enable Quebec to have a family doctor.

Dr. Barrette, himself a specialist, critical particularly family doctors, who do not "workenough."Almost 60% of family physicians work less than 175days a year, for an average of 117 days, deplored the minister, who added that "analysis over a period of 15 years shows a steady decrease in the number of days worked and the number of patients seen per day worked.

"Nomore premium Bolduc

Given this failure, Gaétan Barrette completely changes the strategy of the Government of Quebec. Gone, for example, the regime "ineffective" in signing bonus of patients allowed Yves Bolduc to pocket more than $ 200,000.

He will order the doctors to handle more patients.

Currently, the minister said, a general practitioner who has 10 years of experience sees fewer than 600 patients on average. He will now have more than 1,000 dependents and must consult them regularly. The lack of attendance may be punished by a wage compression of 30%.

Financial losses

If patientswith adoctor familyto the ED or go to the outpatient clinic without going through his office, he will be penalized. If he does not do his minimum number of hours of specific medical activities, he will be penalized. If he does not support a minimum of patients determined by the state, he will be penalized.

"We developed a practice that promotes access to his patients to avoid a monetary loss. Currently it is more profitable to make emergency rather than the firm, "said Gaétan Barrette.

Bill 20, introduced yesterday in the National Assembly follows the Bill 10 which abolishes health agencies.

End of the free for assisted reproduction

The access to care bill also ends free of assisted reproduction program.

"I announce that our government has also decided to end public coverage of these acts ", launched the Health Minister, Gaétan Barrette, in press conference.

The minister banned in vitro fertilization activities among women under 18 years of age and those over 42 years. In addition, "assisted reproductive activities will in some cases be preceded by a psychosocial assessment," warned Mr. Barrette.

Tax Credit

To ensure access to IVF, which costs up $ 5,000, the Couillard government will implement a tax credit proportional to household income. This credit will pay 20% to 80% of the price of the program.

The conditions are severe, however. One insemination cycle will be paid until the age of 37 years and households who have already had a child or which man was ligated vasectomy or female will not qualify. Couples who participate in the program must also prove to the state that they have had previous sexual relations.

"The program is open to all and to all, both heterosexual couples and single women and couples from same sex, male or female. A minimum period of sexual intercourse or artificial insemination would be required prior to fertilization treatment, "said Gaétan Barrette.

$ 131 million

The legislative proposal is based in part on the recommendations in the report of the Commissioner for health and well be Robert Salois. This suggested criteria crunch that would save 30%.

In four years, the AHR Quebec program cost $ 131 million to the RAMQ and the public drug plan. It will cost $ 70 million this year. Quebec hopes to save $ 48 million with these changesdays.

- With the collaboration of Louis Gagné

FAMILY PHYSICIANS

117  |. Average annual days worked by 59% of GPs

564-1000 | Increase requested the number of patients cared for by a doctor with 10 years of practice|..

30%  Fade income if the targets are not achieved

http://www.journaldequebec.com/2014/11/28/les-medecins-paresseux-penalises