[A CA Guy]

So you reform the fee structure, you don't add a level of people who need paychecks in there.

Also don't forget the HMOs made it possible for horrible doctors to work anywhere.

When HMOs started, they contracted available doctors for their plans which was all the unemployable ones who couldn't get hired elsewhere.

IMO, HMOs were not the best thing to happen in medicine.

[mrustow]

So you reform the fee structure, you don't add a level of people who need paychecks in there.

Point taken.