White Coat, Black Art The MD with over 2,000 patients, but no permanent residency
Jan 16, 2026
Dr. Michael Antle, a U.S.-trained family physician who relocated to Toronto in 2023, shares his journey of establishing a practice amid complex immigration challenges. He discusses his motivations for leaving North Carolina, highlighting political tensions and COVID-related issues. With over 2,000 patients, he reflects on the stark differences between U.S. and Canadian healthcare. Michael reveals his ongoing struggles with permanent residency, revealing the labyrinth of paperwork that stands between him and settling in his new home, despite Canada's pressing need for doctors.
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From Spacious U.S. Practice To Lean Canadian Clinic
- Michael Antle moved from an 18-year North Carolina practice to a busy Toronto clinic and quickly built a 2,000-patient roster.
- He contrasts spacious U.S. facilities with a leaner Canadian setup that still delivers the same care.
COVID Hostility Pushed A Move North
- Michael Antle recounts rising hostility during COVID from long-term patients who became confrontational over masks and vaccines.
- Verbal threats and clinic safety worries pushed him and his wife to consider moving their family.
Toronto Chosen For Diversity And Stability
- Michael and his wife chose Toronto for diversity and proximity to family in Buffalo as a buffer against U.S. political shifts.
- He saw Toronto as more resilient to the social forces that troubled his North Carolina community.