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Marc Ruel, a well-known Ottawa cardiac surgeon, plans to move to the U.S. last year, and the University of California San Francisco is “excited to announce” that he will lead the cardiac department in its surgical department.
But Donald Trump threatened Canada so much that Ruel decided to stay in Canada now.
“Canada is currently under coercion,” he told CBC. “Currently, I feel my role and responsibility are to serve my country directly from within.”
Ruel is not the only medical expert who is reluctant to work in the United States now.
This means Canada’s health care system can benefit from the political turmoil released by the U.S. president, as American doctors want to move north and Canadians give up opportunities south of the border.
“I don’t want to do politics”
For more than a decade, Ruel has served as the head of cardiac surgery at the Ottawa Cardiology Institute, the development of technologically invasive bypass surgery in the developing world.
Ruhr said he believes his skills are a product of Canada and he was ready to share them globally when he accepted the UCSF position last year.
“In the western United States, no one does this more advanced, minimally invasive multiple bypass surgery,” he said.
Ruhr has not previously spoken about his decision to stay in Canada, partly because he avoids getting involved in politics.
“I don’t want to do politics, I’m a surgeon, I’m not a politician, I respect the choice of every country to choose its own destiny,” he said.
But Trump imposed tariffs and threatened to annex the closest allies in history, making geopolitics an inevitable problem.
“Unfortunately, I had to change my decision,” Ruhr said. “Unfortunately, I said it because there are patients in California and I can tell you who we are expecting to have this surgery.”
Given the broader background, Ruel said Staying Pits was the best decision.
“I’m so happy to be here and do my best, my Canadian,” he said.
Meanwhile, in the United States, many doctors are considering whether they can continue to work under the second Trump administration.
CBC spoke with two American doctors seeking to move to Canada, and one-third of the recent move to British Columbia
The three refused to speak in the records, citing fears of retribution from the Trump administration. But they were on Secretary of Health Robert F. Kennedy Jr.
Over the past week, US media reported that Kennedy hired David Geier, a vaccine skeptic, to study the link between immunization and autism.
Geier, who was condemned in 2012 for conducting a medical trial without a permit in Maryland, had previously debunked claims that vaccines increase the risk of autism, and critics say it was the result of any follow-up investigation he led.
On Thursday, Kennedy also announced plans to lay off 10,000 jobs as part of a restructuring of the federal public health agency.
A “gate” opening
According to recruiter Michelle Flynn, concerns about the political climate in the United States have opened up a “gate” for inquiries about moving to Canada.
“The number of interest has more than doubled in the past few months,” she told CBC.
Flynn
But lately, she has been working to get any Canadian interested in moving south.
“I started a position [obstetrician-gynecologist] She said that before President Trump was elected, he was in the United States. After that, we had to completely abolish the idea. No one goes to the United States”
To deal with the influx of inquiries from American doctors who want to come to Canada, Flynn said she now conducts interviews five days a week, up from three days a week ago.
“We register over 60 doctors on our website every month,” she said.
Canada is now more welcoming doctors trained in the United States than in the past, as most provinces have eliminated barriers to licensing in recent years.
According to the provincial health department, Ontario is particularly capable of hosting American doctors.
“There is no doubt that the United States faces economic uncertainty at the hands of President Trump’s tariffs,” the Ministry of Health said in an emailed statement.
“We have taken steps to break the barriers for internationally educated healthcare workers… Working with the Ontario College of Physicians and Surgeons (CPSO) to remove unnecessary traditional tape festivals to allow physicians trained and board-certified in the United States to practice immediately in Ontario.”
The spokesman said that after introducing this new licensing pathway, CPSO registered 351 U.S. doctors between 2023 and the end of 2024.
So far this year, CPSO has received registration applications from 240 educated doctors in the United States. The spokesman said most of them are currently practicing in the United States.
Given the damage caused by Trump, Ruhr believes Canada is the “most suitable” country facing uncertain future.
“I’m a loyal believer in the Canadian healthcare system,” he said. “It needs some solutions, but I think it’s really important that we have fairness and transferability and the basic principles of access to everyone.”
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