Ontario’s proposed cuts welcomed by critics of ’boutique psychiatrists’ who over-treat wealthy patients

While Ontario doctors have denounced a government proposal to limit funding for psychotherapy, some physicians say they would welcome cuts that “curb boutique psychiatrists” who “over-treat the worried well.”

The document suggests limiting OHIP funding to 24 hours of psychotherapy per patient per year would save the government $13 million annually. We need to make sure those of us who understand kids #mentalhealth are at the right tables where agendas are set. We cannot be marginalized. Our voices cannot be shushed. Contact your MPPs, tell them #kidscantwait

Only medical doctors are able to bill OHIP, but there aren’t enough psychiatrists to meet the need, so the majority of psychotherapy in the province is performed by clinical psychologists and licensed therapists, many of whom have a social work background. Generally, they are funded either by private insurance or by out-of-pocket payment.

Dr. Mario Elia, a family physician in London, Ont., and adjunct professor at Western University, is among those who think that the proposed cuts could redistribute psychiatric care in a more equitable way.As far as he is aware, none of the 76 psychiatrists practising in London are accepting referrals for ongoing psychotherapy.

Yet he has been very vocal in opposition to the cuts, which he thinks might have unintended consequences and hurt patients who need ongoing, long-term therapy.

If they get paid the same, they can overt-treat anyone. How would you know what the proper treatment is. Rich people have problems too. It is just not about having enough money, which a psychiatrist can’t treat anyway

If they get paid the same and overly rich people need help, what’s the problem ?

have you ever noticed how patients sent to a psychiatrist never get better over time. rarely discharged and made well.... treatment goes on and on and on.. and they keep getting paid. two psychiatrists would never agree on a diagnosis.

i have a friend who went to a hospital with abdominal pain after GI tract surgery. She was misstreamed sent to a psychiatrist who put her in the hospital for 3 weeks. the doctor never saw her and diagnosed her with bipolar disorder, schizophrenia and delusional thinking.

because of OHIP. you don't need to be wealthy to be OVERTREATED. money, money is the bottom line. there is an abundance of MISDIAGNOSING patients because there is so much money in long term care.

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