Good piece, but one additional observation: supply & demand. All those new patients coming into the system are supposed to make Docs jump with glee, yet what they can charge (or get paid for) is pre-set. We just saw this in the housing market-when demand goes up and supply doesn't, price goes up. It has too. Why would a student go head over heels in debt to get into a practice where he is guaranteed to work non-stop, yet be stuck at a wage level he can't control? Simple-he or she won't. Period. Too many dreamy assumptions in this piece of trash and not enough practical realities.