1) Physician salaries have been decreasing relative to inflation for the last 30 years. Decrease it further, and opportunity cost will drive smart talented peop

1) Physician salaries have been decreasing relative to inflation for the last 30 years. Decrease it further, and opportunity cost will drive smart talented people away from healthcare. 2) Physician education and training are fundamentally different from nursing education. Not just in duration, but also in mindset. Doctors think through medical problems through a physician mindset, and nurses think through nursing problems through a nursing mindset. Simply letting nurses make medical decisions without the proper frame of thinking has been proven to have higher rates of complications and misdiagnosis and physician consultations. 3) The main driver of healthcare costs is not physician salary. More attention needs to be paid to equipment, capital infrastructure, nursing staff, administrators.