This is the story in Canada as well, but way more than the very poor, because there are not enough primary care physicians where needed, and not enough people pursue family medicine. Why would you? What med student looks at the prospect of administering a dinky small business on top of actually practicing medicine, pay well but not great, and have zero equity when they retire? So we land in a similar position because the change might be publicly funded group practices instead of pay per service which has better optics.

Yeah it seems partial privatization is inevitable or at least the default outcome, at least in Ontario. No other way out that’s also politically viable to enact.