Specialist Doctors Reject Quebec’s ‘Final’ Offer

The Fédération des médecins spécialistes du Québec (FMSQ) has rejected the Québec government’s latest offer, labeled as “final.” This occurred during a press conference held on a Wednesday afternoon. Dr. Vincent Oliva, FMSQ’s president, criticized the proposal, claiming it lacked new information and offered little more than previous iterations.
Details of the Government’s Offer
Presented on the same Wednesday, the government’s offer included the addition of 500 healthcare professionals to Family Medicine Groups (GMFs) this year, and another 500 next year. It also proposed to open new surgical blocks and provide additional funding.
Urgent Call for Negotiations
Health Minister Christian Dubé issued an ultimatum, demanding that medical federations return to negotiations by Thursday morning due to the “urgency to act.” He emphasized the necessity for swift resolution: “Québécois are tired of waiting.”
Key Provisions and Changes
- 15% of physician remuneration linked to performance indicators.
- No increase in the overall funding envelope, remaining frozen at $5 billion over five years.
- Anticipated funding cuts for subsequent years: $4.65 billion for 2026-2027 and $4.58 billion for 2027-2028.
- Targets set for surgeries: 95-97% to be completed within 12 months.
Response from FMSQ
In response to the government’s proposal, the FMSQ suggested utilizing non-binding arbitration to achieve a resolution. This approach would involve an independent expert to provide fresh insights on the negotiations.
Dr. Oliva indicated that FMSQ might recommend suspending pressure tactics during arbitration. Notably, since September 15, specialists have ceased teaching medical students as part of their pressure strategy.
Future Actions and Concerns
The government plans to increase funding for GMFs by $50 million starting in 2026, to add new health professionals. Furthermore, they aim to allocate an additional $100 million annually for four years to enhance surgical availability.
Discussions surrounding the controversial Article 8 of Bill 106, which affects the remuneration process for doctors, are also ongoing. The government commits to delaying its implementation for two years post-enactment.
Fédération des médecins omnipraticiens du Québec (FMOQ) Reaction
The FMOQ is currently evaluating the new offer before publicly responding. They have noted that the government has termed the proposal as final and non-negotiable, quelling hopes for renewed negotiations.
The situation remains tense as both sides seek to address the pressing healthcare challenges faced by the province of Québec.