Quebec is undergoing a significant transformation of its healthcare system through the implementation of Bill 2, resulting in a wave of changes throughout the province. Some medical clinics are reevaluating their decision to close down, while others are expressing concerns over the lingering uncertainty.
Dr. Mark Roper, a family physician and the Director of the Queen Elizabeth Family Medicine Group, shared that his clinic has already lost two full-time doctors due to apprehensions surrounding the new legislation. Despite the government postponing the enforcement of Bill 2 and hinting at potential revisions to its contentious clauses before the looming Feb. 28 deadline, the impact is already being felt.
Bill 2, introduced in October with limited public discussion, aims to revamp how doctors are compensated by tying a portion of their pay to performance metrics. Various medical associations have voiced worries that these alterations might impede patient access to care and drive healthcare professionals away from the region, exacerbating the strain on an already overburdened workforce. Particularly, clinics catering to vulnerable populations fear closure if the bill remains unchanged.
Discussing the repercussions on patients from losing two physicians, Dr. Roper highlighted the significant impact, as the clinic is now facing the challenge of accommodating 2,000 additional patients without a family doctor. The imminent struggle to replace the departed doctors threatens to disrupt services, especially in urgent care, where continuity is crucial. However, he noted some relief in the government’s willingness to adjust Bill 2 and alleviate concerns, offering hope for a more gradual implementation of the changes and the removal of punitive measures.
As the February 28 deadline approaches, Dr. Roper emphasized the importance of being able to recruit new doctors to avoid further losses and potential clinic closures, especially in densely populated areas like downtown Montreal. The pressing need to fill vacant positions and cater to the healthcare needs of the local community remains a top priority for the clinic and its patients.



