This article is about how the unionized doctors are more interested in performing their work at high quality for less money, and how that&#x27;s in conflict with their administrator&#x27;s incentives to have the doctors get paid bonuses to favor quantity at the expense of quality. The administrators are failing at appealing to these doctors&#x27; greed because it is outweighed by their sense of professionalism and satisfaction with their current pay.<p>Also, consider that medical expenses in the US are over 3 times what they are in similar countries, while the chart you&#x27;ve linked to shows doctors in the US being paid about 25% more. That&#x27;s significantly more, but not enough to be driving the absurd costs.<p>I agree that its unfair for the patients to have no bargaining power.