This does seem like the way things will need to go. The system may need to break down completely in order to be recreated. Perhaps it will start in a state wi

This does seem like the way things will need to go. The system may need to break down completely in order to be recreated. Perhaps it will start in a state with sufficient size to achieve price bargaining power. Perhaps some combination of eliminating medical school tuition, exemption from liability, and long term contracts could be used to recruit the talent.