Dear CMRITO, I strongly disagree with the proposed increase in annual fees for several reasons: 1. **Membership Growth**: With the growing number of members, the fees should be reduced, not increased. This aligns with how other regulatory bodies, like the nursing college, have managed their fees. More members should mean that the costs are distributed more broadly, benefiting everyone. 2. **Additional Expenses**: CMRITO members are already required to obtain liability insurance and training from external parties, unlike other regulatory bodies, such as the Quebec College OTIMROEMPQ, which include these in their fees. There’s no clear justification for the fee increase when members are expected to bear these additional expenses. 3. **Financial Burden on Part-Time/Casual Workers**: The proposed amount is excessive, especially for those working part-time or casually. It disproportionately impacts individuals who do not have a full-time income to support such an increase. In light of this, I suggest the following alternatives: 1. **Two-Tier System**: Implement a fairer two-tier fee structure that accommodates part-time and casual workers, so they are not unfairly burdened by the same fee as full-time members. 2. **Office Relocation**: Consider relocating the main office to a location outside of the main city to reduce rental costs. This could help in lowering the fees for members. 3. **Explore Other Cost-Saving Measures**: Given the impact of inflation on all healthcare workers, CMRITO should explore other cost-saving strategies instead of increasing fees, to ensure fairness and affordability. Thank you for considering these points.