I wonder how this sentence ended up with so many commas. > The problem, doctors say, is that lower and lower reimbursements mean reliable community doctors, li

I wonder how this sentence ended up with so many commas. > The problem, doctors say, is that lower and lower reimbursements mean reliable community doctors, like Wagner, could have to make choices that are inherently bad for patients, like cramming more patient visits into a single day to make up for lost revenue, dropping patients on certain insurance plans, or selling their practices altogether.