Let's be real.  none of the Provinces can afford the withdrawal of services should these doctors choose to "go private", but the doctors could probably find backing for building out patient clinics. I had an operation on my wrist many years ago in such a clinic in Toronto. When the provinces started to enforce the choice of all public or all private that surgeon left for Buffalo. The province lost a great orthopedic surgeon and all of his years of expertise in one fell swoop. This is not a good outcome, when waiting lists are already long. The quiet ignoring of mixed billing has served a purpose. Calling it out and trying to end it again will result is prolonged waits as it did 25 years ago