The government decides on the number of doctors working within its area of jurisdiction ....it decides on the number of medical school and residency positions....since its sees MDs as an expense ie they see patients, order tests, diagnose, prescribe and treat patients, admit them to hospitals...the fewer the doctors the less the expense.

Bill41 will eventually have  each mini LHIN deciding on how many of these so called  " expensive" MDs that they would want to work within their realm....no doctor will be able to work in any mini LHIN or LHIN without a contract with that entity.....the government's idea is to drive doctors into rural areas...they might well drive them  out of the province or into retirement.