Once Obamacare kicks in, then Providers will have no choice but to take the bargain basement rates the Government mandates. At that poin, you will see Physicians retire or leave the profession. You will see Black Market care spring up for those with $$ to pay extra, under the table to get well. That, or go to another country.
Rush predicted this a couple years ago.
He said the off-shore islands like the Bahamas, etc would become the place 'to go' for professional/serious medical care.