Like many doctors, I've got a mortgage, kids and all the expenses that come with being a Canadian.

As a specialist, I do not have access to the code boost GPs can use for MAID meaning the amount a MAID procedure pays me is exactly $200.

MAID procedures at home usually take 3-4 hours when done right.  After expenses, this means This is paid less than $30/h (office expenses still need to be paid when not there).  Roughly half what a single high blood pressure follow up in specialist office pays.  Less than a Pap Smear, kid with a sore throat, etc.

It has made MAID essentially a charity service.  

If I was independently wealthy it would not matter but hey, there's that pesky mortgage, retirement to save for and other sundry living expenses.  Do the math.