Try as they might, those Team Hopenchange wizz-kids - you know, the ones who are soooo much smarter than us proles - can't seem to repeal that pesky law of unintended consequences: Growing number of doctors refusing Medicare patients due to "reforms" in payments.
When you set prices based on political considerations alone, and not on what something actually costs, what do you expect?
How long do you think it will be before doctors are forced to accept Medicare and Medicaid patients - and the fee structure Congress arbitrarily decides - as a provision of their license?
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