>>OK.
>>Let's look at what you wrote.
>>You're not saying that they do or don't tick each box, but that if they do, it's because of those terrible other people.
>>When everyone in the system does that, you get what we have - a mess.
>>On the other hand, if just one of the players refused to go along, things might improve.

Nice paraphrases. You're saying that physicians should fight city hall because the public won't?

My experience is that physicians turn out to be human beings who can and should care about themselves and their families. When pushed too hard, especially if administrative/infighting overwhelms patient care: they walk. The same physician who fights an insurance company fiercely to secure a kidney for a young mother, will become demoralized and will start valuing greener grass elsewhere if they're also expected to fight insurance companies for rates of pay, for medication gouging and for all of the other entrenched special interests and their mercenaries.