500K a year....Tulo of the Blue Jays clears 250 every week of the year B. and he is 1 for 20 this week.  Not bad eh??

I have no probs with Dr.s billing, just make sure the double billing issue is not part of the equation.  If some wealthy people wish to pay and have the means, then do so. I have several friends who have brought their resources south of the border for treatment, enriching the US system.  
Our system is broken.....I have many many friends who will be requiring hip and knee surgery due to their athletic activities. Myself I was insightful and stopped these sports in my mid 50's hence saving myself.  Still cycle over 5000 K a year and swim miles but no tennis or running.
The holy grail question is do I get a tax rebate for being responsible for my health and stopping in time these aggressive activities that have proven to be harmful to the body and our health care system.??  How about the irrefutable evidence of harmful activities as a child. Hockey, football all cost.