http://www.npr.org/blogs/health/2014/02/04/271522288/a-denver-family-of-doctors-has-seen-medicine-transformed
"When I started out, there was only one insurance company, and that was Blue Cross Blue Shield," he says. "Most of the people you dealt with on a cash basis, and you worked that out. Then, pretty soon, here come the insurance companies. Here comes Medicare and Medicaid, and all of a sudden the bureaucracy is just overwhelming. You have to ask about what you're going to do. You have to go get permission to do what you think is right. But it was really nice when you could just be able to be a doctor."Robert says the bureaucracy frustrates doctors because it separates them from their patients
They all but say what I have proposed about how we should be paying for healthcare. Get rid of all but catastrophic insurance and let patients and doctors agree between them a course of diagnostic, treatment and payment for services.