Why is there a gender wage gap in Canadian medicine?

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  1. C. Copeland

    One important fact left out of this article is the fact family doctors in a capitation model are paid significantly more for female patients than for male patients in all age groups. Visits for reproductive issues for female patients are paid separately so this does not count. This article appears to try to support a position that even though fee for service is equal, female physicians are encouraged to do work of lesser value. The exact opposite is true in Ontario primary care where family doctors on capitation are paid more annually to have female patients on their rosters than male patients. Reproductive visit do not count since these are excluded and paid separately. Female family physicians who tend to have disportionately more female patients on their rosters would earn more per patient. Looking at it another way, a male physician , with a lower proportion of female patients, would have to roster more patients than his female colleague to earn the same in capitation. The earnings gap ( there is no wage gap) is not due to discrimination but due to choices people make in the work they choose and strive for. For example, social science degrees tend to pay less than engineering degrees, talk medicine tends to pay less than the unsocialable hours of hands on medical procedures. Female physicians in emergency departments are , and should be , paid exactly the same as their male colleagues hour for hour. Those who choose to take on less will earn less , male or female. There may be an earnings gap , but there is not a wage gap for the same work, that would be discrimination and illegal.

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