There is too much money in the US system, and the current employees would never agree to losing what they have. It's far more lucrative to be in medicine in the

There is too much money in the US system, and the current employees would never agree to losing what they have. It's far more lucrative to be in medicine in the US than in other countries. In short, it's not just the insurance companies or the administration, but the industry as a whole. You try telling a group of doctors that they have to take a pay cut for the good of society, and they'll laugh you out of the room. This is not to say that doctors don't work hard or aren't worth a lot in a career with a decade or more of training, but it's pretty clear that doctors in the US don't work particularly harder than their foreign contemporaries, yet they earn a ton more.