You might be on to something, but I think the iron fist in the velvet glove approach will continue. The Regime will redefine caregiver categories so that more and more care will be by nurses, physician's assistants, and other medical worker categories along with administrative provisions that will punish MDs who try to leave the practice such as special attention by the IRS, licensing bodies and a court enforced discovered right of patiants to care by their former doctors.
THAT is already embedded in the Oregon Health EXCHANGE...the levels of “caregiver” categories that a person will have to go thru before seeing a real doctor will increase...