End of bonuses for orphan patients via the GAP: the population taken “hostage” by doctors, says Minister Dubé

End of bonuses for orphan patients via the GAP: the population taken “hostage” by doctors, says Minister Dubé
End of bonuses for orphan patients via the GAP: the population taken “hostage” by doctors, says Minister Dubé

SAINT-HYACINTHE_Minister Christian Dubé accuses family doctors of taking the population hostage by ceasing the care of orphan patients, starting next Friday, due to the abolition of a bonus of $120.

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The Minister of Health dropped his gloves during the CAQ General Council in Saint-Hyacinthe on Saturday morning.

“I will never accept that we take the population hostage for negotiations,” he told the delegates.

In recent days, medical clinics have informed their patients that they will not be able to continue to provide follow-up via the First Line Access Window (GAP).

Their letters follow the minister’s decision to end the $120 bonus granted annually to offer appointment slots to orphan patients.

The Federation of General Practitioners of Quebec (FMOQ) has proposed extending the bonus, time to find permanent, but the minister refuses and asks its members to continue offering consultations, without receiving the bonus.

According to data from the Ministry of Health, the number of appointments offered by clinics through GAP has already started to decline rapidly. More than 18,000 time slots were available this week, compared to just 5,699 after June 1.


In the press scrum, Christian Dubé said he saw concerted action on the part of the FMOQ, as part of the negotiation to renew their framework agreement with Quebec.

“I told the deputies send me everything you receive from the different GMFs. Copyed and pasted, all the letters are the same,” said the minister. They come in particular from the FMOQ and the Association of General Practitioners of Quebec, he explains.

For example, one sent by the Clinique Médical de la Vallée, obtained by the Newspaperinforms patients that they can no longer be followed by his team.

“Minister Christian Dubé has chosen to end the agreement on accessibility for orphan patients (GAP) as of May 31. This decision has significantly reduced our availability of appointments for orphaned patients registered collectively at the clinic,” writes the clinic located in Saint-Raymond, in Portneuf.

The correspondence then invites patients to “contact your MP to make them aware of your situation”, before providing the contacts of MPs in the region.


In the meantime, some 900,000 Quebecers registered with a GMF via the GAP could find themselves without a doctor as of next weekend.

Questioned several times, Christian Dubé refused to specify how these people will be taken care of, if necessary.

His team simply points out that a conciliator has been appointed to resolve the impasse, as requested by the FMOQ recently.



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