CMAJ Editorial by Journalist R COLLIER "ACCESSIBILITY TO MEDICAL OFFICES A SIGNIFICANT PROBLEM."

Mr Collier suggests that MDs buy special lifts to help morbidly obese & physically disabled pts get on to exam tables. Also wheel-chair weighing machines.

COMMENT: As with many armchair experts Mr Collier gives this Utopian advice when in Ontario the Liberal Govt is cutting MDs' fees.As well there is an absurd 13% TAX on medical equipment. Mr Collier seems to be unaware of the problem of end-of-lease moving or forced  eviction as was the case when the University of Toronto evicted all the Doctors from the the 73y Medical Arts Building on the NWcorner of Bloor West and St. George.  Now named the Jackman Humanities building. Doctors were also evicted from the 99 Avenue road building to make room for a Condominium development. An answer to Mr Collier would be Government owned Medical offices which could be leased to MDs. Similar to REGUS time-shares.

WRIST BLOOD PRESSURE MONITOR AVAILABLE IN CANADA. KYOTO OMRON HEALTHCARE CO.LTD Made in China,

SURGO SURGICAL SUPPLY in  Newmarket stocks the 7 Series. Approx $190. Free delivery.
Detects IRREGULAR HEARTBEAT (more than 2 during measurement of BP)

TORONTO Andro-Endocrinologist Dr, Jerald BAIN B Pharm MD(UWO 1965) FRCPC (Int Med.'70 Endo.85)

Moved office from Mt Sinai Hosp to 960 Lawrence Av West, Ste 404.

GLOBE & MAIL; FRAUD & FAMILY CONNECTIONS FOUND BY DELOITTE IN CONTRACTS FOR TORONTO UNIVERSITY HOSPITALS: ST.MICHAEL & ST.JOSEPH .Settled out of Court. No Prosecutions.

DELOITTE LLP is Canadian member of worldwide DELOITTE TOUCHE TOHMATSU Ltd. Founded 1845 in London by William Welch Deloitte. Headquarters in NY. Revenue 2015 $35.2 billion.

OMA MEMBERSHIP REJECTS PHYSICIAN SERVICES AGREEMENT. 55% VOTED IN PERSON & BY PROXY. 63.1 % VOTING MEMBERS REJECTED THE AGREEMENT

OMA GENERAL MEETING on PHYSICIAN SERVICES AGREEMENT Aug. 15 @ ALLSTREAM BUILDING in CANADIAN NATIONAL EXHIBITION GROUNDS.

Admin.problem: Grounds were closed to cars as preparation for Exhibition in progress. Approx 800 attended. 2000 expected. MEDIA INVITED.  At Council meetings MEDIA EXCLUDED. Globe & Mail,  National Post,, Tor Star reports good but missed the important point that OHIP pay GROSS not NET for fee-for-service. $600,000 needed to open an Ophthalmic office, Millions for Imaging.clinic. Usual 40% overhead for Toronto GP office (including rent). No difference of fee for Totonto or Northern Timmins office, Strong group from COALITION of ONTARIO DOCTORS for NO vote. Ciculated  ECONOMIC ANALYSIS by Emeritus U. Toronto Prof ECONOMICS J. L. CARR Summary: 1)VAGUENESS of the Phys. Service agreement. 2) IGNORING EFFECT of INFLATION. 2.5% increase yearly for 4y in `NOMINAL`DOLLARS.`does not in any way consider the effects of inflation`,3) DOCTORS ASSUME FINANCIAL RESPONSIBILITY FOR INCREASED USAGE IN THE SYSTEM. 4) DOES NOT PROVIDE FOR SYSTEM STABILITY Ìf utilization rates increases above 3.1 % there will be substantial and significant  payment reductions.`5) NEGATIVELY AFFECTS PATIENT ACCESSIBILITY if payments to doctors decrease.,

COMMENT: In 1974 motto of U,Tor School of Public Health was BREAK THE MEDICAL MODEL. Now Nurse Practiotioners, Pharmacists, Physician Assistants, taking over most of the work of GPs. New PharmD degree at Leslie Dan School of Pharmacy will allow Pharsms to  diagnose, investigate & treat,

OMA suggested GP salary rates and benefits. $351 NET hourly rate for part-time work.

Level 1 $171,904
Level 2  (2-5 years experience) $277,625
Level 3  (5-10 y.) $285,061
Level 4  (extra admin) $297,827
Level 5  ( top admin) $337,850

Extra if SPECIALIST
Extra for areas with high residential costs
Vacation: 1 month
CME 1 week
Statutory Holidays (11)
Extra if no pension plan.
Employer pays fees for CMPA,CPSO & OMA.

OHIP pays GPs approx $130 / hr.GROSS (overhead approx 40%) for fee-for-service, NO BENEFITS. NO PENSION. NO WORKERS' INSURANCE for communicable disease, accidental injury in office and when travelling between places of work. Also physical injury by patient/ MD pays all professional fees.