Pretty sure "everybody else" isn't paying in the 53 percent bracket or we wouldn't have a deficit.

But psychologically, that specialist who adds on the extra patient at the end of the day so they can get an earlier apt is now paying 53%. They now have a disincentive to continue this vs current practice. If you think a) this won't effect waitlists  B) morneau has accounted for this and consulted provinces c) this specialist can be replaced by nurse practitioner (as a few commenter have posted) then I have a bridge to sell you