Our intuition tells us that physicians are elites, and therefore they cannot be exploited. Relying on this intuition, we adopt policies which attempt to provide a health care system that gives first-quality care, at the lowest prices, delivered through a “free-market” system. As the key gatekeepers to health care, physicians are thus caught in the middle. Top-notch American health care costs money and for-profit MCOs must watch their bottom line. Rationing, therefore, is key. The issue is, assuming we have decided that free-market health care is the solution, how much should physicians have to sacrifice in the name of the greater capitalist good? This piece recognizes that physicians have a legitimate claim that in the drive to reform health care should not be overlooked.
Exploitation of the Elite: A Case for Physician Unionization, 45 St. Louis U. L.J. 207 (2001)