The Interesting MD Podcast Moving to Canada as a Doctor: Cross-Border Taxes, Healthcare, and Retirement Explained
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Jan 13, 2026 In this enlightening discussion, cross-border tax consultant Sonya Dolguina shares her expertise on the intricacies of moving from the U.S. to Canada as a doctor. She emphasizes the importance of early planning, detailing dual residency rules and tax obligations. Sonya explains why certain business structures, like LLCs, can complicate matters and offers insight into Canadian tax benefits such as RRSPs and TFSAs. With her guidance, healthcare professionals can navigate investment strategies and avoid costly mistakes during their cross-border transition.
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Plan Cross-Border Moves Well Ahead
- Plan your move 6–12 months ahead and consult cross-border tax and immigration specialists.
- Fix issues like LLCs or corporate structures before you become a Canadian tax resident to avoid costly problems.
Citizenship vs Residency Tax Difference
- The U.S. taxes by citizenship/green card while Canada taxes by residency, so Americans in Canada face reporting to both countries.
- Work with advisors who understand both systems to avoid missed foreign-asset reporting and penalties.
When Canadian Tax Residency Begins
- You typically become a Canadian tax resident the day you physically arrive if you intend a one-way move and establish residential ties.
- Seek professional advice if your situation includes split time or ongoing U.S. ties to confirm residency status.
