I was , in fact , arguing that paying for it differently is part of the solution , or at least is a required initial condition for implementing the actual costreducing reforms . Doctors are highly paid everywhere , afaik their amount isn ' t the deciding factor in the cost of healthcare . However , I will admit I was surprised how low the US ranks in terms of physicians per capita . Another thing to consider earlier I proposed that if singlepayer is implemented , presumably because it is seen to be in the best interests of the nation , then it also gives the nation an incentive and in particular , more means to keep the costs of healthcare down . I mentioned lower procurement costs earlier , but this could easily extend to funding more medical school intake as well , to ensure there would be enough competent doctors for the healthcare system .