The goal is that they will all be ZERO'S DOCTORS.
But who would want to be one of Zero's doctors?
Once upon a time, an MD degree meant a nice car and a big house in the suburbs and being on call on Christmas every few years.
Now it means delivering health care "as the Secretary may require" and losing your shirt in compliance costs.
Obviously, it would behoove a young person of above average intelligence to seek other lines of work.
Elections have consequences, especially if you get sick.