I didn't have time to read all of the above. But, the only way to resolve this (and we never will because doctors just aren't business people, period) is to say the hell with antitrust laws and go on strike against these payors. For instance, if all PCPs in Maine stopped treating Mainecare until the government sat down and negotiated a fair price, the system would come to a grinding halt. I laugh at the thought of quickly the ED would collapse under the weight of all of the Medicaid patients showing up for diaper rashes and ear infections and eczema.
