SORS, this I an excellent closing to your post. A good summary.
I was a witness to "concierge medicine" several years ago. It works kind of like a private club. You pay for the "privilege" of seeing your doctor. That is on top of regular payment for services.
At the time I'll admit I saw it as greed. It was in an affluent community and the doctor group wanted to weed out Medicare patients and people with low paying insurance plans. Under Ocare, it will become a means of survival.
If not survival , then a means of being paid what their education skill and experience entitles doctor to receive.