We aren’t going to lie, we are wholly unimpressed by Ontario’s exceedingly complex and unclear billing models for family physicians.
They have 3 major streams of family physician pay, each one more complicated than the last. There is a basic fee-for-service option, which pays so poorly that only high-volume walk-in clinics can survive it. There is an ‘enhanced’ fee-for-service model, which trades some physician autonomy for slightly higher billing codes (for example, these physicians have to commit to working some nights and weekends to get paid 10% more on certain codes). Finally, there is the ‘blended capitation’ model, which pays physicians through a set yearly dollar amount per patient, and then tops them up for the visits they provide for patients. Governments use something called ‘negation’ to take back some of this money if patients seek care elsewhere. It puts a lot of risk at the feet of family doctors, who cannot control where their patients may seek care.

All of this is to say that Ontario’s billing system for family doctors is complicated and quite honestly obtuse. It is never really clear how much you could expect to make as a family doctor in Ontario, and that does not, in our minds, make it a hospitable business environment to work in. The province also has some serious work to do on the perks it offers its family doctors – they get no continuing medical education funding, no retention benefits, and a pretty shoddy parental leave benefit. Paired with skyrocketing housing costs in Ontario, we are not surprised Ontario struggles to attract the many new family doctors it needs. 
Clocking in at $57/hour ($11 less than the national average), it is no surprise that Ontario is at the 10^th out of 13^th position for pay.