Career Focus


BMJ 1997; 315 doi: (Published 29 November 1997) Cite this as: BMJ 1997;315:S3a-7120

Rose-tinted view of Canada? Editor – Stephen Larssen has done an admirable job of informing BMJ readers about medicine in Canada.1

Having worked for 14 years in Canada, I think he is looking at things through rose coloured glasses. Perhaps this is because he lives and works in British Columbia, where residents may be isolated from the realities of the rest of the country. He does not mention the long deep recession, which resulted in swinging cuts to hospital services. In the last few months alone 12 hospitals have been slated for closure in Toronto. For the last decade doctors' incomes have dropped year on year. He did not mention the ever increasing number of Canadian graduates who move to the USA as soon as they have their licences, and omitted the fact that, in Ontario, doctors licensed since 1996 will receive only a percentage of the usual fee for service if they choose to practise in what the government has designated an “over-serviced” area.

Canada can be a wonderful place to live, but anyone contemplating the move should go with their eyes open to the true situation, warts and all.

Ian Campbell GP principal James Street Family Practice, Louth, LN11 9JU. mailto:icampbell{at}

1 Larssen S. Planning to work in Canada? BMJ 1997; Classified suppl:27 Sep

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