15 - The Truth About Physio Fees in BC: What Every Clinician and Clinic Owner Needs To Know

In this episode of the Health of Business podcast, Danielle Boyd breaks down the real story behind physiotherapy fees in British Columbia and why the new PABC 2025 Fee Guide matters for every clinic owner, practitioner, and patient.

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Danielle revisits her widely shared BC Physio article and dives into the five key themes that shape the economic reality of running a physiotherapy clinic today. You will learn why fees in BC have not kept pace with rising costs, how undervaluation by insurers and government is impacting clinics, and what a sustainable future for the profession can actually look like.If you are a physio, clinic owner, student or health professional in BC, this is essential listening. Learn the numbers, understand the advocacy, and explore real strategies to raise fees in a thoughtful, ethical and client-centered way.

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Chapters include:

• Why BC physios need a raise

• What the real clinic numbers look like

• Why insurers and government undervalue physiotherapy

• How to raise your rates without losing clients

• The future of physiotherapy in BC

If you want to support clinic sustainability, better access to care, and improved working conditions for physiotherapists, this episode is for you.

Time Stamps:

00:00 Welcome to the episode

01:05 Why this topic matters and background on the BC Physio article

03:10 Why physiotherapists in BC need a raise

06:25 The fears and resistance clinic owners have about raising rates

09:40 How undervaluation from insurers and government impacts clinics

13:15 Primary care vs allied health and the perception problem

16:58 The current financial reality of clinic ownership

21:40 Breaking down the clinic profit and loss numbers

24:55 How the PABC 2025 Fee Guide was created and why it matters

27:48 Why MSP rates and public access must be part of the conversation

30:10 The case for expanded public funding for physiotherapy

33:22 Strategies for raising your clinic fees without losing trust

36:18 How to communicate fee increases to clients

38:40 Sliding scale options, group programs and alternative models

41:05 Why aligning as a profession is essential

43:10 What the future of physiotherapy in BC could look like

46:45 Final thoughts and a call to action for PABC advocacy

Keywords:

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