Now if the government really wanted to take a bold step, they would allow two tier medicine on a partial basis to augment the  income doctors stand to lose. Governments could enter into a public/private partnership with doctors just as they do with other areas in the the public arena. The government would still gain its tax dollars, the doctors would gain and putting a proviso as has been proposed all along, that patients under the public system would not be affected, allows a total re-working of the healthcare system. We dance and dance around the two tier system while hanging on to a system that is antiquated and ineffectual. it's not if but when will the system change. This could open the door to change.