‘It’s like a renoviction from a doctor’: Victoria doctor’s monthly retainer raises questions of two-tier healthcare It seems like a legal loophole, but patients say they fear losing care

A View Royal woman was confused by a letter from her doctor last week, introducing a new “operational and service fee” of $125 a month.

“My first thought was, ‘Could this be a scam?’” she said. “What the heck is this? Then I immediately thought, ‘This is a two-tiered system.’”

She asked that we not use her real name out of concern for her ability to find a doctor in the future (“I certainly don’t want my name out there as somebody who’s a shit-disturber for doctors,” she said) so we’re calling her Alyssa.

Her doctor, Dr. Perpetua Nwosu of Perpetual Health Clinic in Victoria, wrote in the letter that the clinic has faced increasing challenges meeting the needs of patients over the last year, and this “retainership service” is needed to keep the clinic from closing.

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