The Québec government has introduced a controversial special law aimed at reshaping physicians’ compensation and curbing their means of pressure within the healthcare system. The legislation imposes a freeze on doctors’ remuneration until 2028 and grants the government authority to amend current agreements by regulation.
Key Provisions of the New Law
- Linking 15% of physician remuneration to performance indicators.
- Budget envelopes maintained at approximately $9 billion until March 31, 2028.
- Suspension of negotiations with specialists and general practitioners.
- Performance-related remuneration tied to specific targets, including surgery wait times and care access.
- An exemption for physicians aged 65 and older.
Judicial Challenge by Medical Federation
The Fédération des médecins spécialistes du Québec (FMSQ) has announced plans to challenge the law legally. Dr. Vincent Oliva, president of the FMSQ, expressed serious concerns over the government’s approach, characterizing it as destructive to the healthcare system.
Legislation Details
On Friday, Premier François Legault called for an extraordinary session of the National Assembly to expedite the passing of this bill under a “gag order” procedure. This will mark the eighth occurrence of such legislative maneuvers since Legault took office in 2018.
- The law targets collective means of pressure exerted by physicians.
- It restricts coordinated actions that could hinder access to healthcare services.
- Penalties for non-compliance range significantly, with fines reaching up to $500,000 per day for organizations.
Financial Incentives and Monitoring
Additionally, Québec plans to impose financial incentives linked to performance targets, potentially increasing physician remuneration by 2.5% in 2026 and 2027 if specific goals are achieved for family doctors and specialists. The government aims for complete care coverage for all Québec residents by summer 2026.
Criticism and Opposing Views
The introduction of this law has sparked significant backlash from various political factions, with critiques regarding the government’s confrontational stance towards health professionals. Pablo Rodriguez, leader of the Liberal Party of Québec, emphasized that the government has had ample time to address healthcare issues without resorting to punitive measures.
The Impact on Healthcare Professionals
The law includes strict measures intended to prevent a mass exodus of healthcare professionals. It aims to deter physicians from leaving the public system for private practice or out of province. Measures include evaluating the reasons for any physician’s disengagement from public service.
Overall, this legislative action signifies a major shift in Québec’s approach to healthcare management, raising concerns about the implications for both patients and medical professionals. The coming legal challenges from the FMSQ will be closely monitored as the new law unfolds.
