Exactly. All while the pay goes down, down, down
Nailed it. And how many patients understand that the insurance company bean counters have the last word in their treatment plan? "Authorization" = how severely does this patient's needed (and DOCTOR recommended) treatment effect our bottom line?
Yes – already has. The best minds are no longer choosing medicine unless it's an area of medicine that is on a cash basis (i.e. cosmetic surgery, etc).
It will be the people that suffer when they no longer have our brightest working to keep them healthy. Even now, you know what they call the guy that graduates at the bottom of his medical school…"Doctor". That will soon become the typical practitioner