Your first half definitely describes a lot of the reality.

But another huge factor as I mentioned elsewhere in the thread is that the "universal healthcare" model in Toronto where the OP talks about maxes out at about a $35 dollar cap that the government will pay out to a GP for a visit.

So the GP can't set their prices for the value of their labour or to keep pace with rising CoL, inflation, overhead, etc. The only way they can make the numbers work is to increase patient volumes and continually shorten visits and quality.

In general, they can't even hire more staff to streamline things because staffing only adds salary costs while the rate-limiting step is the doctor's face-to-face time (at $35 a pop and the government will only pay out for physician one-on-one time, not those of extenders).

This is on top of ever increasing liability, more & more diversity with non one speaking English, more forms, paperwork & more BS non-medical demands, more automated requests from the pharmacy, the lab, the patient portal (all unpaid but more liability), longer wait times to see specialists, more BS astroturfed campaigns from your betters such as screening for poverty, for DV, for guns in the home, for new cancer screening, new STI screening, pushing the new jab, screening for the latest Public Health scare disease, screening for early childhood developmental problems, etc.

The heartless, entrepreneurial shitbags thrive off the high volume by being reductionist, ruthless & pushing whatever is The Current Thing and new Big Pharma New Product.

Anyone with any introspection or qualms quickly gets crushed by the Leviathan and either finds a small niche to fill to get off the conveyor belt or burns out.

Your first half definitely describes a lot of the reality.

But another huge factor as I mentioned elsewhere in the thread is that the "universal healthcare" model in Toronto where the OP talks about maxes out at about a $35 dollar cap that the government will pay out to a GP for a visit.

So the GP can't set their prices for the value of their labour or to keep pace with rising COl, inflation, overhead, etc. The only way they can make the numbers work is to increase patient volumes and continually shorten visits and quality.

In general, they can't even hire more staff to streamline things because staffing only adds salary costs while the rate-limiting step is the doctor's face-to-face time (at $35 a pop and the government will only pay out for physician one-on-one time, not those of extenders).

This is on top of ever increasing liability, more & more diversity with non one speaking English, more forms, paperwork & more BS non-medical demands, more automated requests from the pharmacy, the lab, the patient portal (all unpaid but more liability), longer wait times to see specialists, more BS astroturfed campaigns from your betters such as screening for poverty, for DV, for guns in the home, for new cancer screening, new STI screening, pushing the new jab, screening for the latest Public Health scare disease, screening for early childhood developmental problems, etc.

The heartless, entrepreneurial shitbags thrive off the high volume by being reductionist, ruthless & pushing whatever is The Current Thing and new Big Pharma New Product.

Anyone with any introspection or qualms quickly gets crushed by the Leviathan and either finds a small niche to fill to get off the conveyor belt or burns out.