Before Reagan started the latest Oligarchy Redux, medicine was considered more of a highly honored public service than a life-access monopoly.
I don’t know if the Reagan admin was the turning point or not, but I quite agree that there’s been an attitudinal change in the medical practice in my lifetime, and not for the better.
So, we might factor in doctors’ millionaire entitlement compensation culture while we’re at it.
Actually, that’s a rather LARGE part of it. In other countries, an M.D. is not a ticket to the upper class. My nephew is a GP in Sweden, and “getting rich” is not in the cards for most doctors, over there. So, the doctors don’t make as much, nurses don’t make as much, med techs don’t make as much, hospitals don’t make as much……
And….one of the larger problems with overall “reform” is that any changes to those compensation structures would result in a lowering of our care outcomes, as many health care professionals (many of whom do work in stressful conditions) choose other professions that pay as well.
It’s a mess, whatever way you look at it.