I have a friend who is a Canadian doctor who moved to Texas after practicing in Ontario for a while. She was enticed by the thought of more money. She lasted 5 years and came back to Canada.
She said it wasn’t worth the hassle. She made more money -but she also had more expenses, including hiring 5 additional individuals as well as her office staff just to deal with all of the different insurance companies and payments and collections!
She found her medical options for her patients compromised by decisions enforced by these same insurance companies that she felt prevented her from giving her patients the medical care they needed.
She said it was such a relief to return to Ontario where she can actually practice medicine the way that best serves her patients - and she only needs 1 office person to do everything!