He said that among Western nations only Britain spent less than this and that the United States devoted about 10 percent of its G.N.P. to health care. Ottawa Cuts Contributions With inflation running high and the federal Government anxious to keep its deficit down, the 10 provinces, which are responsible for their own health systems, are undergoing a particularly tight financial squeeze this year. Ottawa has cut the rate of growth of its contributions to the provinces for health care by about 15 percent. Well before the cuts, doctors’ incomes were losing ground to those of other professional groups, the Medical Association says. It cited tax figures indicating that between 1971 and 1977 lawyers, dentists and accountants increased their incomes at a much faster rate than doctors. In Ontario, according to an association spokesman, the average net income for a doctor is about $53,000 a year. The doctors want their yearly incomes increased to well over $100,000 in some cases, and Mr. Geekie acknowledged that it was difficult to get support for this from ordinary Canadians making much less. Talks Break Down, Then Resume Ontario doctors were particularly upset last week when the provincial government tried to impose new fee schedules when negotiations with their representatives broke down. Although there have been further talks since then, many doctors saw the government’s move as the start of a process that could lead to state medicine and the transformation of doctors into salaried civil servants. The present Ontario fee schedule allows about $7.80 for an ordinary office visit, about $114 for an appendectomy and about $230 for complete obstetrical care over 11 months. Ontario has been proposing to raise these fees by some 10 percent a year over three years, while the Ontario Medical Association has been demanding twice that amount so doctors can ”catch up” with inflation. Talks in the last few days have narrowed the gap somewhat, and there was a possibility of an accord over the weekend. In Ontario 15 percent of the doctors do not participate in the system at all and charge what they like.