Al I absolutely agree about the Darkside of CCHIT, but I am trying to be optimistic in these dark times. I just got off the phone with a close friend who is a DPM, and 80% of his practice is Medi-cal or Medi-Medi. In order to balance the budget in Calif, they simply have announced that Podiatry will no longer be a covered benefit. He is preparing to close his practice.
I don't think we will sit still for the Canadian system, but the Aussie's have a two tier, Public and Private system that may work for us. I still think the individual Dr. will be able to continue to drive the system enough that the big five you listed above will not be able to prevail. (The phrase, "whistling by the graveyard comes to mind!)