Copy of the letter circulating among physicians and medical students across Canada advocating for Ottawa to address financial issues facing the medical profession beyond the impact of proposed corporate tax code changes. Image Credit: Barry Gerding/Black Press

Doctors grapple with tax policy proposals

Financial issues for MDs extend beyond corporate tax breaks

Doctors joining in the campaign to oppose proposed private corporation federal tax changes has caused some friction within the medical community.

Evidence of that is an open letter sent to federal Finance Minister William Morneau this month signed by more than 430 physicians and medical students from across Canada advocating for a comprehensive review of financial health care issues doctors face.

The letter downplays opposition to the tax changes, calling the reforms a first step in a comprehensive reassessment of tax policy in Canada, especially mechanisms that disproportionately benefit large corporations and the wealthiest Canadians.

A Salmon Arm family physician who supports the letter feels the majority of his counterparts have condemned the tax change proposals without an in-depth understanding of the bigger picture which the letter attempts to address, calling it an emotional reaction to seeing the potential loss of tax breaks impacting their income.

“The general reaction from the Canadian Medical Association and Doctors For B.C. has been to condemn the tax changes being proposed, but that reaction is divorced from any context,” said Dr. Warren Bell.

Bell is uncomfortable with doctors comparing themselves to small businesses because the two don’t exist on an even economic playing field.

“Unlike small businesses, we have reliable incomes and can work as much or as little as we want,” Bell explained.

Bell said most of his colleagues today have families and structure their working hours around their family or other personal demands. They are off work by a set time and unavailable beyond office hours.

And hospitalists are taking over looking after a family physician’s patients in the hospital as many are giving up hospital patient privileges to just focus on their practices.

“We don’t have to deal with market forces, competition or customer sales relations with our clients. A doctor probably has a two per cent accounts receivable aspect to their income, something any ordinary business would die for,” he said.

“If you want to look at people who might be vulnerable, look at farmers. Their financial plight is huge. Most of our food now is produced by larger agri-farm operations. People who do run their own farms often have to make a living off-farm in order to survive.

“If anyone deserves a break, it is them.”

Bell said the CMA and Doctors for BC are playing on outdated perceptions of the family doctor to drum up enthusiasm for opposing the tax policy—that doctors are overworked in a stressful profession and carry a huge debt load from medical school education loans.

While Bell agrees with the reliance of student loans, rather than access to student grants, as being a travesty in our current education system, he says the idea of the family doctor being on call 24/7 is not a widespread reality today.

“We have about 10 security blankets built into the health care funding system where most businesses have next to none,” he added.

Dr. Vanessa Brcic, a clinical assistant professor at UBC in Vancouver, is a leading force behind the letter writing initiative, saying it essentially advocates that doctors not be reliant on tax breaks to deal with specific drawbacks, financial or otherwise workplace related, to their livelihoods.

She acknowledged that younger physicians starting out don’t have access to the same tax benefits, such as sprinkling income among family members, that their more senior counterparts do.

She said while doctors have long training periods, incur significant student debt, enter the workforce later in life and have high rates of burnout, she said those issues shouldn’t be addressed with tax breaks.

“I often hear about time pressures and financial pressures that physicians face and I think these tax benefits are considered some form of recognition for that, yet I wonder about greater underlying issues within how are health care system functions that aren’t being addressed,” Brcic said.

“The reality is many others who oppose these tax regulation changes don’t have the income security that we do.”

Bell, one of only three doctors in the Okanagan-Thompson region to add their signatures to the letter so far, said while he would think twice about standing up among his Doctors of B.C. colleagues at a public forum and expressing his views on this issue, he feels the oath doctors take to practice medicine is about improving health care for everyone.

“I think advocating for social or tax change for our own benefit is a weakness. To be socially conscious is something we all strive for…but this tax policy opposition is an exercise in acting for our own special interests rather than working to achieve something with a broadly more applicable aim,” Bell said.

The letter also pushes for outline of a clear transition plan for savings currently held in medical professional corporations; payment reform options available to all physicians to address health benefits, parental leave and pensions plans; and to tackle medical student debt by lowering tuition for incoming students and implementing forgiveness programs for existing debt.

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Entangled gopher snake freed from netting in Coldstream

Local wildlife expert offers a reminder to homeowners following the snake’s rescue

Spallumcheen road blocked following truck collision

Both sides of Salmon River Road have been closed

Two Buddha statues stolen from Vernon yards

One owner said her statue had been left undisturbed for more than 10 years

Water levels starting to recede in Shuswap River

Though a positive trend, City of Enderby high-water restrictions are still in effect

Vernon woman seeks replica of treasured children’s toy

Monique Lee hopes someone has a replica of the Winnie the Pooh toy they’d be willing to part with

VIDEO: B.C. dentist gets grand welcome home after two months in hospital fighting COVID-19

Michael Chow was given a surprise send off by hospital staff and ‘welcome home’ from neighbours

‘Like finding a needle in a haystack’: Ancient arrowhead discovered near Williams Lake

The artifact is believed to be from the Nesikip period between 7,500 BP to 6,000 BP

Indigenous families say their loved ones’ deaths in custody are part of pattern

Nora Martin joins other Indigenous families in calling for a significant shift in policing

Friends, family mourn Salt Spring Island woman killed in suspected murder-suicide

A GoFundMe campaign has been launched for Jennifer Quesnel’s three sons

PHOTOS: Anti-racism protesters gather in communities across B.C.

More protests are expected through the weekend

Indigenous chief alleges RCMP beat him during arrest that began over expired licence plate

Athabasca Chipewyan Chief Allan Adam calling for independent investigation

‘I’m pissed, I’m outraged’: Federal minister calls out police violence against Indigenous people

Indigenous Minister Marc Miller spoke on recent incidents, including fatal shooting of a B.C. woman

UPDATED: Pair accused of ‘horrific’ assault at Vancouver’s Oppenheimer Park arrested

Police say Jason Tapp, 30, and Nicole Edwards, 33, did not show up to meet their bail supervisor this week

Most Read