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The political process: why doctors must make their voices heard from within corridors of power.

Medical men and women must become more actively involved in the political affairs of this nation. Scientists in general, including practising physicians and surgeons, have traditionally looked at politics as an unattractive and unimportant field to them; one they did not want to mess around in. The result has been that outsiders have been making decisions and imposing them upon doctors. It has become obvious that the medical profession is more and more controlled by federal and provincial laws imposed by politicians, bureaucrats, administrators and others who are not necessarily either sympathetic to the medical profession or well informed on the health field in general. The federal government has shown in recent years that it is quite prepared to take unilateral action when politically expedient and to restrict budgets that directly affect the income of the physicians. The provincial governments in some cases have not shown a great deal more regard for the profession. Health care costs have been skyrocketing it is true, but the increases have been largely on the institutional side. However, doctors have been blamed for these increased costs. Bureaucrats and to some extent the public have accused doctors of channelling all these increased costs into their own pockets. The fact is that increases in doctors' incomes have been very modest in recent years. It is now obvious that passage of the medicare legislation 10 years ago places severe constraint on the incomes of physicians in this country, because physicians have not taken enough care to ensure that their incomes are properly protected.