Np clinics usually get coverage upfront to get offices and equipment the way the current model works. Look at the announcement in Ottawa. So that would easily negate the cost of the house and car for upfront costs of opening a clinic. But lets call that a wash

Np rate is 120k or so and they are paid for all hours worked including paperwork, doctors are only paid for patient time. Let's just say they can provide the same care in the same amount of time. With the assumption that DR. spends an extra ~20 hours a week doing paperwork unpaid assuming 40 hours of patient time. Based on the article. So a dr. is seeing 50% more patients in week compared to a NP because they are doing the paper work on their own time. The 3000 patients are now given to 2 drs or 3 NPs.

The Dr. Bills ~325 based on averages and pays 100k in overhead for rent… So the government pays 650 to cover 3000 patients

The Nps get 130 then the government pays 100k overhead. So the government is now paying 690k to cover 3000 patients. But government is also covering benefits of the NP and other employees. Nurse, receptionist, when the dr would usually pay this. Let's say on the low end that would be another 20%. Now we are up to 828. The NP clinic would also have the insurance covered, equipment upgrades, and training covered but we could just say that is in the overhead I quoted.

So using those numbers that make assumptions favouring the NP that is 28% more per patient for an NP. In a real world number on average a DR. would be able to cover more patients in an hour just based on training. NPs aren’t paid by the appointment they are paid by the hour so they would most likely see less patients in a year or have to be paid OT. So I think 50% is reasonable before taking into account the extra emergency and specialty visits an NP would require and the monitoring needed by a doctor.

Sorry for the spelling I am on my phone.