They would rather do paperwork rather than treat patients. Besides, all that Liability hassle goes away if they are salaried employees of the government. The second rate doctors will gravitate toward full blown socialized medicine while the talented and astute doctors are moving off shore. Young people starting out in this great economy should be building a medical savings account to enable them to use cash to get those plane tickets and go to Costa Rica or Thailand to get major medical work done. For right now work, like a heart attack, well, tough luck about that. There is offshore insurance available for this. My Medicare supplement company has 50k for out of country expenses. Out of the country that is worth a multiple of what it would pay for in the USA.