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Dr. John Fernandes

Not being able to charge any profits for dispensing a drug is unfair and unreasonable, as the Physician needs to be able to account for ALL capital expenditures in the dispensation of any drugs. As such, the direct capital costs should be reflected in all charged fees AS WELL AS the indirect capital costs for time, storage, administration, support and dispensation of the drugs. The CPSA, in requiring Physicians to register no profit, is essentially requiring Physicians to bear the costs of health care on their own backs. The service of dispensing drugs is a societal benefit that should be maintained by society. Where there is no fee schedule associated with dispensing a drug - it is by definition an uninsured service. As such, all aspects of the service should be compensated for by the patient - including direct and indirect capital costs most often born through the profit model. This includes the Physician's time to administer to the standards of practice. The CPSA needs to be much more respectful of Physicians' time and resources, as it is often perceived that scope creep at the CPSA has been increasingly putting the societal costs of Health Care on Physicians' backs. This has been and continues to be a direct contributor towards Physicians abandoning the province in favour of jurisdictions that are a lot less "communist" in culture. The CPSA is causing direct long term harm to society by not respecting the fact that Physicians have both the right and the obligation to be compensated for their time and expertise, and that such compensation has been dwindling drastically over time - to the detriment of patients. The CPSA's overly harsh requirement for "no profits" could be seen as a direct cause of this societal harm by obstructing any reasonable profits to Physicians. Society would ultimately benefit from the CPSA becoming much more aware of and educated to the potential of societal harm through its culture of obstruction of reasonable profits by Physicians - especially for uninsured services. This Standard or practice therefore needs to be rewritten in a more informed and balanced manner to allow for a reasonable amount of profit for the Physicians to be compensated fairly for the dispensation of medications to patients, in the context of the very reasonable requirements of the standard of practice.

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