I think what you're arguing is a form of premature optimisation. High utilisation of the equipment is a low priority, and not a matter of public policy. Consid

I think what you're arguing is a form of premature optimisation. High utilisation of the equipment is a low priority, and not a matter of public policy. Consider the possibilities that the payment structure hampers. Could the doctor instead go into partnership with other doctors? Or rent space in a complex that has lots of specialists in it giving some kind of equipment pool? Or contract out scans to a nearby hospital? Or have a nearby hospital refer some matters to the doctor? Equipment could be rented per day. Or maybe fancy equipment isn't justified, and unit cost is lower. Having government anoint winners and losers streamlines industries away from innovation. It reduces price competition, delivers reduced patient choice, and creates environments more friendly to rent-seeking behaviour.