The lastest SGR Deal (click for article) sounds good, increasing doctor pay tied with quality. However:
1. Interventions from DC that purport to make doctors provide a higher quality of care by paying them extra for certain check-boxes and computer clicks are not effective.
2. The doctor groups that are supporting these measures do not see, or choose not to see, the reality of #1
3. The primary net results of these measures are: more bureaucracy, increased cost for already overpriced medical care, more passing the buck on cost-control.