&gt; Sorry, I meant suggest taking less patients, in addition to charging enough to match what you were making before.<p>How? They can&#x27;t negotiate with public insurers (Medicare and Medicaid), who together control over 40% of the payer market.<p>They can&#x27;t charge self-paying (uninsured) patients any more, because those patients can&#x27;t really afford it so they don&#x27;t actually pay.<p>And they <i>already</i> overcharge private insurers (to account for the below-cost reimbursement rates of public insurers), so there really isn&#x27;t room to charge them any more.<p>&gt; Is there no doctor&#x27;s lobby?<p>Not really. The last 40 years have been a massive power shift from doctors to hospitals, and from hospitals to insurance companies. The ACA was probably the single biggest sign of that, but it was as much a symptom as it was a cause.<p>Contrary to popular belief, doctors have less power today than they did 20 or 40 years ago, and they have very little leverage with which to secure any additional power. Almost all the industry power rests in the hands of the insurers. (And the private insurers are themselves beholden to Medicare).<p>The entire narrative is around expanding coverage and reducing costs, which invariably means paying doctors <i>less</i>, not more, for the same work.