Quebec Signals Adaptability on Doctor Penalties, But Talks Remain stalled
Quebec’s minister of Health, via his deputy Daniel Paré, is signaling a willingness to review penalties linked to doctor performance targets outlined in Bill 106, though concrete changes remain elusive. During recent meetings with medical federations, Paré reportedly suggested linking 15% of doctor remuneration to achieving objectives, a reduction from the previously proposed 25%.
The discussions also touched on potential “arrangements” for physicians aged 65 and over who agree to continue practicing part-time rather than retire, and an acknowledgement that full implementation of Bill 106 may be impractical across Quebec’s diverse regions. However, no firm commitments were made regarding these issues, with a writen document outlining Quebec’s intentions expected to follow the verbal discussions.
The Federation of specialists (FMSQ) reports Quebec reiterated its desire for a more equitable distribution of the new remuneration envelope across medical specialties, citing disparities between fields like dermatology – facing growing waitlists – and radiology.
Specialist doctors express frustration over the lack of guaranteed resources to meet performance targets, specifically requesting support for operating room access and improved external clinic appointment systems. The FMSQ has indicated a willingness to accept targets if the necessary resources are provided.
Despite the potential for easing penalties, the FMSQ plans to launch an advertising campaign Wednesday to protest what it describes as a lack of understanding from Minister Dubé and a failure to address their concerns.