Add the number of patients but add more doctors. Developing disincentives for doctors to practice family medicine will not make medicine cheaper. You cannot legislate lower income for doctors and have more in the system. Driving out of business over 1,500 competing private insurance companies with onerous mandates will not reduce costs. Have insurance companies compete over state lines, which they presently are not permitted to do. That may even attract competition.
And remember, central board rationing of benefits under the guise of “suggesting” treatments that doctors ought to give, is not a proper way to reduce demand to meet supply.(See the Earl J Weinreb NewsHole® comments.)
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