I put on my Socialist hat.
Congress would take on the AMA directly with a wage setting plan.
Take on medical training directly and recast the wage settings using its socialist force. Target the already socialist the emergency room services. Take over the system, nationally and define the emergency room intern to be educated four years out of high school. Define the resident to have another two years. You get at least one other lower wage set.
Then, with the billion dollar emergency room business across the USA, the fed's Medicorp Military Complex invades. The effect will combine with the technology of learning to deliver a high quality stream of medical practicioner's, at the clinic level with large economies of scale. The net return for the states is nearly proportional to population, and consists mostly of gains from scale. So, politically, it has the virtue of being a socialist act which might redress an imbalance in state/federal power.
My plan is the best Socialist plan for medicine.
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