It’s not just doctors though. It’s doctors, nurses, PAs, hospital admins, etc. Everyone in that chain is going to have to take a pay cut* to get prices down to where the rest of the American public feels it’s fair. We’re also going to have to change the way we design hospitals and remodel current ones: US hospitals are built and staffed for private rooms. That’s going to have to give way to wards, with private rooms being reserved for medical necessity.

*The staff that manages insurance payments etc. will lose their jobs.

I’m not making a value judgment, just stating facts. This is going to be a tough row to hoe once politically attractive groups start mobilizing members to fight the change.