It appears the OMA leadership is in a difficult position. They have some Doctors who are happy with their high incomes and preferential tax treatment, and others who are unhappy because they want the big pay increases that other public sector unions have received over the past 12 years.
      Unfortunately for Doctors, they don't run and finance the Liberals election campaigns like the teachers and other unions do, so they don't get the paybacks. And the OMA has some specialists who refuse to have their pay lowered, even though they have had huge pay increases because of technology, and their ability to perform more procedures in a much shorter amount of time
     Either way, the pay increases the public sector unions have been receiving are unsustainable with a $300+ Billion deficit and $1 Billion dollars going out the door each month in interest. So the government has to clamp down on costs, especially on health care and Doctor's salary's are a significant component of this expense.