The main problem is that American medicine has evolved into an economic monopoly controlled by the Doctors and their co-professionals.
Entrance into the medical schools is controled by “medical professionals” who limit the number of people admitted and the number graduated. In addition, the Universities are partly to blame because the cost of a medical education exceeds that of any other profession, except possibly lawyers…and there is no excuse for this except for the inflated wages of the professors in medical schools (yes, on average, they do earn more than faculty in other disciplines!)
In addition, over the years, the Medical Societies have convinced politicians to enact restrictive medical licensing legislation.
I would think, that if Universities were forced to adopt open admissions to their medical schools, and the cost of a medical education be controlled - including faculty wage caps- and the licensing of MD’s were more fairlly and realistically administered, then we would have more doctors and the cost of their services would be reduced.
Unfortunately, the American public has been fed a diet of “Doctor Kildare” propaganda by Hollywood and the mass media for the for the past 75 years or so, so that the public actually believes that all doctors are altruistic and are walking saints. This propaganda and the traditional public antipathy for government regulations and control is what prevents true reform of the medical system.
The United States is the only country in the world that almost guarentees that an individual who gets a medical degree will be in debt up to his/her eyeballs, but ultimately can retire early and will die wealthy…