I read the article by Drs Ross and Armitage with some amusement [BCMJ 2014;56:458]. A partnership between Doctors of BC and the BC government has been formed to provide incentive for GP obstetrics! Is this the same government that decided many years ago to pay midwives three times as much for an uncomplicated delivery as a doctor would get for a complex one? I don’t have access to detailed analysis, but in our community on the North Shore the decline in GP obstetrics began at about the same time as doctors learned they were undervalued, just as the overall decline in full-service family practice began when we were told we did not qualify for MOCAP. It is worth emphasizing; it is not just the dollars; it is the lack of respect that it signifies. I doubt if $1 million will bring that back.
—Mike Marshall, MD
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