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Sarnia Physician Information regarding Tentative Physician Services Agreement (PSA)

This site serves as an information portal for local Sarnia-Lambton physicians as they consider the Tentative Physician Services Agreement reached between the MOH and the OMA.  Many physicians have concerns about the Tentative PSA.  

Details about the agreement can be found on the OMA secure website.

Here is Dr. Sean Peterson's review of the tentative PSA.  This information was provided to the OMA and the response is included in italic text. 

Please consider visiting two physician groups that are opposed to the current tentative PSA:

Concerned Ontario Doctors

Coalition of Ontario Doctors

The following details were taken from information provided by the Section of General and Family Practice of the OMA.

Reasons to Vote NO:

  • I will not consider the “economic climate” when a patient sits in front of me trusting that I will do everything that I can do to take care of them.
  • I have absorbed a 29.5% decrease in net income since 2011 (OMA economics department data looking at fee changes, overhead and inflation) to help reduce the deficit from $15.3 Billion (2011/2012) to $5.7 Billion (2016). The Ontario debt continues to climb to over $300 Billion aided in part by years of waste of taxpayers’ dollars (EHealth; gas plants, Pan-am games, rescinded Ontario pension plan etc.) How much of this am I to be responsible for?
  • Although the Physician Services Budget (PSB) will grow over the 4 years, these are not fee increases. My take home pay will continue to decline due to cost of practice and inflation. Further, if actual utilization exceeds the provisions in this Agreement (2.5% + 1-time payments + modernization) designed to keep it within the 3.1% annual target, I could get an even further decrease in my income.
  • If the government cannot pay its health-care bill then it needs to permit other options to promote sustainability (eg., two-system health care). I refuse to be the system gatekeeper of financial cuts that will greatly affect patient care.
  • While this tPSA gives the government stability and predictability for healthcare, I know this deal does not give me stability and predictability to pay my bills. The numbers in this tPSA are inadequate. I cannot be the sole party responsible for overuse of the system. The government and patients are equally responsible.
  • Nor can I increase patient access for service (eg. weekend work) without an increase in funding.
  • Co-management for me means that the OMA no longer has my back. They are supporting the government in its clawbacks. (call it modernization). And it is unclear whether this co-management process will adequately address critical issues within Bill 210 related to physician working conditions and sub-LHIN governance.
  • NO vote for me means we are drawing a line in the sand and saying to the government “NO more abuse”.


Reasons to Vote YES:

  • Restoring managed entry into FHO to 40/month which we know is sufficient to keep up with demand for this model, enabling Family Doctors to work together by joining existing groups or establishing new groups with no restrictions based on location of practice. Caveat that there is no income stabilization for these new family doctors.
  • Predictable funding for the next 4 years. Yearly 2.5% increases to base funding plus annual payments plus mutually agreed upon savings are expected to keep spending within budget. This means no further unilateral cuts and no further reductions to gross income. Existing reductions do remain.
  • NO hard cap for year 1 and previous years’ overage (~$250M) being waived. Hard cap will be in place for years 2, 3 and 4 but the expectation is that future hard cap can be negotiated away in future negotiations once economic times improve.
  • Continuation of the Charter challenge for binding arbitration. The fight for binding arbitration is part of a strengthened negotiations process for future PSAs.
  • MSPC co-management process with independent third party expert with authority to make binding recommendations on both parties on specific issues to be negotiated over the term of this agreement.
  • Possible removal of contentious areas of Bill 210 that would allow LHINs to act as agents of the Ministry to unilaterally change contracts, cancel them or negotiate directly with physicians. This is contingent upon the government successfully renegotiating all family medicine programs
  • Ability for us to be at the table to co-manage the changes that need to be made to our health care system so it will be there for our children.
  • The Ministry committing to work with us on patient accountability to address open-ended demand on physician services.




How to Vote on PSA


Regardless of your position on the PSA, please exercise your right to vote on the agreement. 

All voting must be done in person at the General Meeting on August 14, 2016 at 12:00 noon at
The Allstream Centre
105 Princes' Blvd,
Toronto, ON M6K
3C3 (Exhibition Place)

OR by PROXY through Investor Vote.

You will need your control number provided to you by the ComputerShare.  It was emailed to you - please search "computershare" and check your junk/trash folder.  
Ensure that the email holds the most recent of two control numbers; it will have a subject of "OMA New Proxy Information: Action Required"

If you can still not find it, please call ComputerShare at

This is a proxy vote which means that you must assign your voting to someone who will be at the General Meeting in Toronto on August 14, 2016.

If voting YES, I suggest that you assign Dr. Virginia Walley as your proxy.

If voting NO, I suggest that you assign Dr. Nadia Alam as your proxy.  Please email concernedOntarioDoctors@gmail.com your confirmation so that Dr. Alam knows that she is your proxy.

The Coalition of Ontario Doctors has a how-to-vote Guide


Or, you may also CALL 1‑888‑518‑6805
Mon through Friday, 8:30am-10:00pm

Resources for Physicians

Ontario Medical Association PSA Details

Sarnia Observer article on tPSA

Concerned Ontario Doctors Website

Coalition of Ontario Doctors Review of tPSA

Dr. Sean Peterson's Review of tPSA

Section Chair of General and Family Practice Review of tPSA

Lawyer Review of tPSA

A Family Physician's Review of tPSA

Primer on Healthcare Cuts

Superior Court Judge Ruling Against OMA