Single-Payer Setback: Canadian Doctors without Contract for Two Years and Counting

Physicians in Canada’s largest province, Ontario, have rejected a contract negotiated between the Ontario Medical Association and the provincial health ministry. The more than two-year-old dispute shows no sign of ending.
Every Canadian is covered by a provincial government health plan. Doctors therefore have only one plan with which they must contract. Individual doctors, however, cannot decide how much to charge their patients. Instead, they depend on a centrally bargained contract that determines fees for every procedure and practice, from the skyscrapers of downtown Toronto to the windswept hamlets on the frozen shores of Hudson Bay.
No wonder it takes more than

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