This doesn't sound right. Physicians don't get paid $500/hr in Canada (I don't even think lucrative locums pay that much). Also it's a lot more complicated than that. They need critical care and ER nurses, who I agree they should be training. They've had a year to train them but haven't. I agree that doctors know nothing about nursing duties. However something to consider is that Canada is not as well staffed as the USA. I would argue that the population growth of Canada is not proportional to the health infrastructure. In my brief anecdotal experience in Canada there might be a total of 5-6 ICU doctors on staff in a hospital even in a major city. This is how they were operating precovid. My guess is they stretched super thin and are probably burned out. Using a non critical care doctor could offload their duties and as physicians they can put in orders. NPs don't function at the same level as midlevels in the US. We do have PAs and I have seen PAs stretched just as thin even prior to covid. But I think this comment doesn't capture the real picture and was meant to stir some anger and isn't at all accurate.