The Interesting MD Podcast US vs Canada: A Doctor Compares working in Universal Healthcare, Pay & Lifestyle (Ft. Dr. P. Hertz)
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Apr 29, 2025 
In this engaging discussion, Dr. Paul Hertz, a physician based in North Vancouver and a leader in British Columbia's healthcare, shares his journey and insights into the differences between practicing medicine in the U.S. and Canada. He emphasizes the appeal of British Columbia's universal healthcare, the simplicity of the billing process, and the impressive work-life balance. Dr. Hertz also offers advice on navigating medical licensing and highlights the serene lifestyle and job opportunities for internists, painting a captivating picture of life as a doctor in Canada.
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Canada's Simple Doctor Billing
- Canadian physicians are paid by the government through a straightforward fee-for-service system.
- The billing process involves submitting fee codes via an app and receiving payment every two weeks.
Training Differences Affect Licensing
- Canadian internal medicine training is typically 4-5 years, while US training is three years plus subspecialty or other training.
- Licensing nuances exist due to differences but are being addressed for US-trained internists.
Outpatient Practice Setup
- Outpatient clinics in Canada are mostly private and physician-run, not hospital-owned.
- Doctors control their schedules and overhead costs, allowing flexibility and lucrative practices.