The Obama administration wants to dramatically change how doctors are paid

[madamesilverspurs]

7. ...

Imagine a scenario in which a doctor notifies an insurance company that his patient requires a surgery that will take 11 hours and cost $100k, but he says that he will take $30k to tell the patient that bed rest will fix the problem. The company takes his offer, the doctor gets paid for doing nothing, and the patient goes home unhelped; the company saves money, the doctor makes more phone calls, the patient suffers.

That did happen, and the medical community worked quietly to move the physician into 'early retirement'; don't know how the various insurance entities were dealt with. Those patients would have preferred to have the scheme blown all over the media and the conspirators put in prison, but it didn't turn out that way.

So I'm thinking that "why" a doctor is paid should factor into "how" he is paid.