The Interesting MD Podcast From U.S. Burnout to Canadian Healthcare: A Physician’s Immigration Journey Part III
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Mar 10, 2026 Dr. Michael Antil, an American-trained internist who moved to Toronto to rebuild primary care practice. He walks through immigration paths, licensing hurdles, work permits and provincial nominations. Taxes, professional incorporation, and tradeoffs between Canadian public services and U.S. costs get practical attention. He also reflects on mentorship, community values, and restoring work-life balance.
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From Rural North Carolina To Midtown Toronto
- Antil moved from rural North Carolina to a five-story Midtown Toronto townhouse and pays the same property tax rate despite higher property value.
- He highlights larger home size in Toronto but drastically smaller yard and higher assessed value.
Compare Net Costs Not Gross Salary
- Factor Canadian public education and universal healthcare into cost comparisons with US wages and private expenses.
- Antil suggests comparing US private school and health premiums against Canadian tuition and public services for like-for-like.
Real Example Of Canadian University Costs
- Antil pays roughly $4,600 semester tuition and $1,500 monthly residence at McGill for his son who studies engineering.
- He emphasizes McGill's global ranking and affordability compared with typical US engineering costs.