That looks like the future under 0-care. I could foresee doctors working under contact, hourly for a hospital ACO on some days and then reserve their best efforts for the self pay patients.
And yet the socialists in our country always take the French socialized medical system as their ideal and that we should implement it here in the US Back to the French, these fools really believe that their ineffective and out dated socialized medical system is great, the same goes for most Europeans and they get surprised why we use so many sophisticated medical tests and medical equipments to treat patients here in the US. Not only they believe their ineffective socialized medical system is great but they do believe that whole damn corrupt and destructive welfare system is great and the way to go. The problem in Europe is the Europeans themselves, they love the socialist crap system they live in and they want more of it .