Self-regulation of paramedics in Ontario – your questions answered

I had the pleasure of sitting down with Paige Mason last night for a 1.5 hour long conversation on the potential self-regulation of paramedics in Ontario, where we answered questions submitted by paramedics, union members, service leaders, and others.

I emphasized the need for a regulatory body to protect the public and standardize practice. I highlighted issues with the current system, such as the lack of public accountability and the arbitrary 90-day deactivation rule. I argued that a college would enhance opportunities for paramedics, including international mobility, enhanced scope, and advanced practice roles.

I also addressed concerns about cost, stating that unions could negotiate fees, and that these are eligible to claim on your tax return. We also touched on the need for a unified voice among paramedics and the potential impact on the existing system.

You can access the audio recording, a summary document, and links to a number of references and supporting documents for free here:

https://doi.org/10.5281/zenodo.18381478

January 2026 – In this piece, I worked with Paige Mason to clearly explain what self-regulation could mean for paramedics in Ontario, responding directly to common questions and misconceptions. We outline how self-regulation functions in other health professions, what problems it is intended to solve, and what it would realistically change (and not change) for patients, practitioners, and the system. The aim was to provide an accessible, evidence-informed explainer that supports informed debate rather than rhetoric, grounded in governance principles and public-interest regulation.

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