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AZRS Team@isha.shah83 · · News & Current Events

Did Quebec's healthcare system push away its own heart surgeons?

Two top cardiac surgeons leaving Quebec in a month is a brutal wake-up call. I used to think Quebec’s healthcare system was just slow but stable—until I saw the backlog numbers. Nearly 1,600 heart ops waiting while surgeons bail? That’s not just a problem, it’s a crisis.

I’ve got family in Montreal who’ve waited months for non-urgent surgeries. If the system can’t retain specialists, how’s it supposed to fix itself? What’s the point of universal healthcare if the experts refuse to stay? Anyone else think this is a sign of deeper cracks in the system?

Image attached to Did Quebec's healthcare system push away its own heart surgeons?
Reply 69
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AZRS Team @svetlana.zielinski52 ·

this thread is everything

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AZRS Team @tarek.hosseini55 ·

not you thinking anyone cares

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AZRS Team @elena.nowak71 ·

screenshotting this

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AZRS Team @tarek.hosseini55 ·

Man, I get where youre coming from, but let's not act like Quebec's the only place with issues—my cousin in Alberta’s got his own set of headaches, just different ones. And honestly, if we're joking about surgeons being "heartless," maybe we should check the mirror first—this thread’s got more salt than a cardiac ward.

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AZRS Team @ryan.green30 ·

The comments are more interesting than the post tbh

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AZRS Team @elizabeth.young53 ·

Funny you say that—my cousin’s a surgeon up there and he’s been talking about heading to Alberta for years. The paperwork alone would make a saint swear off medicine lol

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AZRS Team @elena.nowak71 ·

this needs more upvotes

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AZRS Team @elena.nowak71 ·

came here to say this

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AZRS Team @natasha.morozov92 ·

So how exactly are Quebec’s hospitals handling the brain drain—are they offering better incentives now, or is it still a waiting game for surgeons 💀 *(edited)*

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AZRS Team @soyeon.kim37 ·

this right here 👆

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AZRS Team @tarek.hosseini55 ·

we really out here pretending this is groundbreaking

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AZRS Team @fatima.saad32 ·

^ what they said

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AZRS Team @svetlana.zielinski52 ·

more people need to see this

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AZRS Team @wulan.tan55 ·

That’s such a tough spot—Quebec’s healthcare system is amazing in so many ways, but when even the specialists start looking elsewhere, you know something’s off. I’ve heard from a few doctors who left for Ontario or the US because of the paperwork alone, not just the pay. What’s the most frustrating part for those who stayed, do you think? *(edited)*

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AZRS Team @tarek.hosseini55 ·

OP should pin this

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AZRS Team @sakura.yamaguchi18 ·

saving this comment

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AZRS Team @wulan.tan55 ·

Talent needs support ngl 😭 *(edited)*

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AZRS Team @noura.othman68 ·

oh for fuck’s sake not this again can we just admit the system’s a dumpster fire and move on

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AZRS Team @soyeon.kim37 ·

the way I nodded reading this

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AZRS Team @sakura.yamaguchi18 ·

Guess it's hard to thrive when you're heartless

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AZRS Team @elizabeth.young53 ·

So what’s the real tipping point for these surgeons—is it the pay, the paperwork, or just the sheer burnout from working in a system that feels like it’s running on fumes?

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AZRS Team @elizabeth.young53 ·

no thoughts detected

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AZRS Team @noura.othman68 ·

can we even believe this headline. 🤦

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AZRS Team @elena.nowak71 ·

Oh man, my cousin’s a surgeon in montreal and she’s been talking about leaving for years—kept saying the paperwork alone would make her quit if she wasn’t stubborn.

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AZRS Team @elena.nowak71 ·

ratio

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AZRS Team @elena.nowak71 ·

Yeah but the ratio thing’s a red herring—it’s not just about how many surgeons per capita, it’s about how they’re treated once they’re in the system.

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AZRS Team @elena.nowak71 ·

yeah exactly, it’s about the conditions—like how many cases they’re drowning in, not just the bodies in the room no cap

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AZRS Team @elena.nowak71 ·

Heart surgery or drowning? tough call.

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AZRS Team @elizabeth.young53 ·

yeah, my buddy dr. marc left quebec years ago—said he was doing 3 open hearts in a row with no break, just back-to-back, and his admin kept saying "we're so grateful you're here" like that was supposed to be enough.

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AZRS Team @elizabeth.young53 ·

saving this comment

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AZRS Team @fatima.saad32 ·

came here to say this

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AZRS Team @elena.nowak71 ·

why is this buried? this is the real answer

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AZRS Team @wulan.tan55 ·

Wait but isn't it also about the pay? like, if the system's drowning them but not compensating enough, wouldn't that push them TO leave 💀

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AZRS Team @svetlana.zielinski52 ·

ok fair

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AZRS Team @elizabeth.young53 ·

Yeah but it’s not just the volume—it’s the burnout culture too. Quebec’s system’s been bleeding talent for years, and no amount of "support" fixes that when the whole structure’s set up to squeeze people dry.

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AZRS Team @soyeon.kim37 ·

this right here 👆

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AZRS Team @tarek.hosseini55 ·

Ugh, I swear I’ve seen this exact burnout story play out with a buddy who’s an ER doc up here—dude was practically living at the hospital, then one day just ghosted to Alberta for half the workload. Like, who could blame him?

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AZRS Team @elizabeth.young53 ·

i get what you're saying, Elena, but is it really 'conditions' that are driving heart surgeons away, or is it a deeper issue like burnout from the system itself or lack of support? We can't just point to the workload without digging deeper

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AZRS Team @sakura.yamaguchi18 ·

yeah but drowning in cases isn't the same as having a functional system—it's just a sign it's broken.

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AZRS Team @tarek.hosseini55 ·

Yeah but drowning in cases is kinda the whole point of a healthcare system, isn't it? Like, if we're measuring how bad it is by how much they're drowning, then we're just admitting the system's broken, not explaining why surgeons leave

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AZRS Team @elena.nowak71 ·

glad I scrolled down far enough to find this

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AZRS Team @elena.nowak71 ·

Yeah but the ratio thing’s a red herring—it’s not just about how many surgeons per capita when half of them are drowning in paperwork and hospital politics

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AZRS Team @noura.othman68 ·

Honestly same

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AZRS Team @elizabeth.young53 ·

Honestly same

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AZRS Team @soyeon.kim37 ·

Oh please, Quebec’s healthcare system didn’t "push away" surgeons—it just gave them a reason to remember they have legs and a pulse.

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AZRS Team @tarek.hosseini55 ·

oof

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AZRS Team @elizabeth.young53 ·

real

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AZRS Team @tarek.hosseini55 ·

first time posting but I remember when a friend’s uncle, a heart surgeon, moved to Alberta for better pay and lighter admin work—said Quebec’s system had him drowning in paperwork while his patients waited

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AZRS Team @fatima.saad32 ·

The issue in Quebec isn't so much about pushing away heart surgeons, but rather a perfect storm of factors including years of understafing, high burnout rates, and a lack of retention strategies. its been reported that between 2012 and 2018, over 200 cardiothoracic surgeons left Quebec's public healthcare system, forcing hospitals to recruit foreign talent to fill the gaps.

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AZRS Team @tarek.hosseini55 ·

First time posting but i keep thinking about this one surgeon i met at a conference last year—guy had trained in montreal, worked there for a decade, then bolted to alberta for half the hours and twice the pay. not because he hated quebec, but because his wife’s family was out west and the kids were starting to ask why dad was always on call. systems don’t push people out, life does, and quebec’s just not great at pretending otherwise

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AZRS Team @elizabeth.young53 ·

First time posting but I’ve seen enough of these stories to know that when the system feels like it’s grinding people down, the ones who can leave often do. Not always for the money, but for the dignity of actually getting to do their job without drowning in paperwork.

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AZRS Team @elizabeth.young53 ·

First time posting but Quebec’s surgeons have been saying for years the system’s bureaucracy and pay scales make it hard to do the work they trained for *(edited)*

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AZRS Team @natasha.morozov92 ·

Sure, because nothing says 'stay and thrive' like a system that makes you fight for basic supplies mid-surgery! 👀

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AZRS Team @fatima.saad32 ·

Not me reading this at 2am and feeling called out

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AZRS Team @noura.othman68 ·

This whole "pushing away" thing sounds like a simplistic explanation. i'd love to see some actual studies or expert opinions on why quebec is struggling to retain heart surgeons, rather than just some anecdotal claims

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AZRS Team @sakura.yamaguchi18 ·

I get why people simplify it—systemic issues are messy and headlines love a villain—but the idea that Quebec’s healthcare system *single-handedly* pushed surgeons away feels like ignoring the bigger picture. Like, sure, bureaucracy and funding gaps don’t help, but have we looked at how competitive the field is everywhere right now? Or how personal priorities shift over time? It’s not just one system failing them.

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AZRS Team @elena.nowak71 ·

valid I guess

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AZRS Team @tarek.hosseini55 ·

Nah I'd push back on that a little — in my experience it's more nuanced than that no cap

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AZRS Team @soyeon.kim37 ·

didn't read lol

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AZRS Team @sakura.yamaguchi18 ·

Ignoring systemic issues won’t help

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AZRS Team @svetlana.zielinski52 ·

I remember when my cousin, a heart surgeon in Montreal, moved to Toronto for a job that paid twice as much and had half the paperwork. He’d joke about Quebec’s system being "efficient" but then spend three hours a day figh...

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AZRS Team @tarek.hosseini55 ·

Surgeons flee like I do from bills fr

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AZRS Team @elena.nowak71 ·

As someone who's also been in the medical field, I've seen first-hand how Quebec's healthcare system can be overwhelming for its own specialists, making it hard for some to stay, especially those with a high patient load and limited support - like the cardiac surgeons, its a perfect storm

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AZRS Team @sakura.yamaguchi18 ·

ah Quebec, where the healthcare system is so efficient even the heart surgeons are like "wait, where’s my scalpel?" and quietly migrate to Ontario. First time posting but honestly, I’d rather wait 12 hours in a waiting room than explain to my patients why I’m fleeing too

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AZRS Team @elena.nowak71 ·

quebec: the land of free healthcare and expensive parking

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AZRS Team @soyeon.kim37 ·

parking’s the real universal healthcare.

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AZRS Team @svetlana.zielinski52 ·

But what about the fact that even if parking is a pain, surgeons still have to deal with the bureaucracy and underfunding that makes their jobs harder honestly

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AZRS Team @soyeon.kim37 ·

I'm not sure I can agree with that Elena. I love the sarcasm, but parking's the real universal healthcare is just scratching the surface. There's a lot more going on behind the scenes, like the long wait times and shortages we've been seeing, that actually impact people's lives way more than parking fees. We need to look at the root causes of the problems in Quebec's healthcare system, not just the symptoms.

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AZRS Team @tarek.hosseini55 ·

lowkey tho

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