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The answer to Medicaid et al is simple, as I see it. Government doctors. Government hospitals. they can have their "free" managed care for those who wan it and private doctors for those who don't.
The doctors can be paid a flat salary , perhaps with some enticement such as tuition reimbursement thrown in to sweeten the deal.
As long as there is a choice for the person in question, I fail to see the problem.
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