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Ah damn,I got Onion'd.
To your main point, doctors are not the only bad guys in our system and in many cases, they are victims since the insurance companies and hospitals really lean on the medical doctors. Plus, the medical schools cynically use their border line monopoly power to put a lot of doctors deep in debt.
Broadly speaking, the US healthcare system is designed to redistribute income upward. A truly competitive, market based system (with lots of subsidies for low and middle income consumers) would be a big improvement over what we have now, over our healthcare system pre ACA and a competitive system could be even better than single payer. However, we have, within our healthcare system, a truculent elite that wants to keep its rent seeking behavior in place. It is like America writ large, those with the most want socialism for themselves and rugged, brutal capitalism for the masses.
I agree and there is a hierarchy even within physicians themselves. many are working the system to their own benefit but some are getting worked.
and, like you're saying, the system as a whole is both actively and passively working against true reforms that would benefit society-at-large.