A rotating roster of private medical clinics already accounts for the majority of on-duty medical staff at municipal health centres. Municipalities are also purchasing private doctors services on fixed-term contracts for those areas beleaguered by a shortage of doctors.
The number of doctors working in the private sector has grown by more than 70 percent over the past decade. Conversely the number of new doctors entering the public service has grown by just 15 percent. At the same time, municipalities have tripled or quadrupled the purchase of services from private doctors.