Most Canadians are okay with doctors’ pay

But an Insights West survey finds most Canadians also don’t like doctors setting up as small businesses to pay lower taxes

Mother and baby at hospital

Mother and baby at hospital

Most Canadians think doctors shouldn’t be allowed to incorporate their practices as small businesses simply in order to cut the amount of taxes they pay, according to an Insights West online poll conducted for Maclean’s.

If that’s bad news for doctors in their pitched battle with the federal government over proposed tax changes, the poll also found the physicians have a potential public-relations edge: 57 per cent of Canadians believe family doctors are paid “about right,” but 64 per cent think politicians are paid “too much.”

How doctors are taxed has emerged as a hot topic for the fall political season since Finance Minister Bill Morneau put out a proposal in July to close three “loopholes” now legally open to small companies, among them thousands of medical practices set up as small businesses.

READ MORE: A tax fight has Canadians on democratic autopilot. That’s a problem.

Morneau plans to crack down on so-called “income sprinkling”—the practice of small-business owners, including many doctors, reducing their tax bills by splitting income with lower-earning family members. At the same time, Morneau proposes to make it harder to shelter income from taxation by holding it inside a small business, or to convert extra earnings into capital gains, which are taxed at lower rates than regular income.

Many doctors (along with other small-business owners) are outraged by the proposed changes, arguing they deserve the tax breaks to help them pay off hefty student loans, save up for parental leave, finance expansions of their practices, and simply invest for retirement. But Morneau says the status quo “can result in high-income individuals gaining tax advantages that are not available to other Canadians.”

To get a sense of how Canadians see this clash, Insights West conducted an online survey of 1,003 adults from Sept. 5-9. It found that 62 per cent think surgeons are paid “about right,” and 57 per cent feel family doctors make reasonable incomes. (That compares with 64 per cent who think federal and provincial politicians are paid too much.) As well, about 60 per cent of respondents believe family doctors and surgeons “definitely” or “probably” pay their fair share in taxes.

RELATED: Inside Ottawa’s crackdown on small business tax loopholes

“After all the discussion of the past few weeks, I think we were expecting to see the numbers higher, in terms of doctors being the ones who are taking advantage of the system,” said Mario Canseco, Insights West’s vice-president of public affairs. “We’re not really perceiving doctors as paid too much for what they do, or paying too little taxes.”

Despite that general impression that doctors aren’t under-taxed or over-paid, however, the survey found that Canadians are open to key parts of Morneau’s argument for tightening up those small-business tax rules when it comes to physicians.

It’s important to note that only about a third of those surveyed said they have followed the story at all closely. Still, when “income sprinkling” was explained to them by Insights West, 64 per cent said they were in favour of Ottawa imposing a “reasonableness test” to make sure family members who are paid out of a doctor’s practice are legitimately earning that money. And, more broadly, 53 per cent said doctors should not be allowed to incorporate simply to reduce the taxes they pay.

Canseco said these findings suggest that even though Canadians don’t suspect that doctors are bilking the system, they are receptive to Morneau’s contention that the small-business tax rules as they now stand are too lax. “When you put some of the arguments the government has been talking about, they seem to be quite convincing for those who haven’t heard about it,” he said.

READ MORE: What do doctors really have to fear from the feds’ tax crackdown?

Along with probing public opinion on the tax-policy clash, Insights West asked what Canadians think doctors earn. It found that 37 per cent guess family doctors make on average $100,000 to $200,000, while 31 per cent think those general practitioners make $200,000 to 299,000 on average. Those who guessed higher were closer to the truth. According to the Canadian Institute for Health Information (CIHI), family doctors earned just over $271,000 on average in 2014-15.

The survey found that 27 per cent of Canadians think the average surgeon makes $300,000 to $399,000, while 25 per cent think surgeons’ average pay tops $400,000. Again, the higher guess was closer to mark. CIHI says the average pay for a surgical specialist in 2014-15 was $446,000. Among all medical specialists, ophthalmologists had the highest average clinical payment, at $669,000, and psychiatrists had the lowest, at $259,000.

The Liberal government’s tax policy proposal is shaping up as a major partisan dividing line for the fall session of Parliament, when MPs resume sitting in the House on Sept. 18. Conservative Leader Andrew Scheer has vowed to fight the changes. Morneau is expected to table tax reforms sometime after Oct. 2, when a 75-day period he allowed for feedback on the proposal runs out.


Most Canadians are okay with doctors’ pay

  1. I do not like the ‘medical industry’ which makes more money treating illnesses instead or curing them, charges a fortune, and puts everyone on an assembly line.

    • Emilyone. Hey, you do not have to go to the medical profession you are free to go to a witch doctor if you so wish. Maybe in your next posting, you can explain the tax consequences and how the proposed changes make it better for you.

  2. I’m puzzled by this. Most doctors operate out of a clinic, which is already a business of sorts. There should be no problem running a clinic as a business! There seems to be a shortage of doctors and medical services, especially where I live in Quebec. The obvious answer is to increase the (financial) returns, to call forth more supply. If this can be done by incorporation, I’m all for it.

    The shortage appears to be due to government involvement – probably fee caps, quotas, and regulation – however I am not close enough to it to give a definitive answer. Consider a similar industry – dentistry. There is no problem getting dental services – which is faced with much less government involvement.

  3. Most people don’t know what doctors are paid but I’ll wager that most don’t want to be gouged for medical care.

    Mixing public and private income doesn’t work. All taxpayers pay to establish clinics and equipment and doctors turn around and sell their service to the highest bidder, taking access away from the taxpayer.

    Owners determine the cash flow. In a public corporation the owners are the government elected by the people.

    Taking the politics of decision making out of the equation and replacing it with expertise could be accomplished by adopting the Swiss referendum model of democracy that has all but eliminated partisan politics.

  4. Please Macleans and Insights West reassure me that you provided the right data and asked the right question. A Family Doctor does not “earn” $271,000. She bills that, pays in the vicinity of 40% overhead and therefore “earns” $162,000 (gross) before paying 56% tax (in BC). What its left after tax (net) can then go to pay the 200-300K student loans, fund her own RRSP, extended health costs, EI, CPP (no employer contributions there), child care etc. This is for working on average 50 hours per week not including the nights and weekends if she works rural. This is true for every Small Business owner. Revenue does not equal earnings. It’s a misperception that this tax proposal deliberately plays upon. If you ask the wrong survey question you will get the wrong answer.