Watch and see while MDs take their practices to off-shore Carribean islands for routine and elective procedures. Patients who have saved their money will be able to enjoy a nice vacation while receiving medical care. Believe me when I say that people will not put up with this sh*t. The health care in the USA will be reduced to the lowest common denominator offered by the worst doctors to the bottom feeders of this country - the Obama voters.
Mexico is closer, and some physicians are already setting up surgical practices there. Both their patients and the surgeon normally live in the US, but both travel to Mexico for the surgery.
Mexico has a large number of competent, English speaking medical support people, again vetted by the American surgeon. Added up, a major surgery for cash costs as little as 1/4th the price of getting it in the US. There is the added advantage that the surgery will not be in the patient’s HIPAA medical file, so cannot be accessed by government agencies.
The doctor does not have to pay egregious malpractice insurance prices, nor worry about litigation. It is all very cheap, cheerful, and capitalist.