Something that is not talked about but remains a huge issue is that Family Medicine is implicitly discouraged in medical schools. Save for the very few who are passionate about entering that field: it is generally the fallback for those who cannot handle or cannot afford to specialize. Once you specialize you not only earn more, but you are in complete control of your schedule and quality of life.

Compounding this issue is the allure of wages and perks in the US healthcare system. For instance, my cousin, initially adamant about staying away from US employment as a trauma surgeon, has ended up in his second major city there. His first position not only paid him almost double what he would earn in Canada but also wiped out his student debt, provided a team of immigration consultants to expedite his wife's VISA, secured spots for their kids in a prestigious private school, and housed them in a truly remarkable hospital-owned residence, at about half the market rent.