Well here's a newsflash: Medicare and Medicaid can no longer afford however many thousands of dollars are needed for an Anesthesiologist to anesthetize someone. Especially with all you clamoring for tax cuts. Society has reached a point where they will accept marginally lesser quality in return for not being collectively bankrupted by healthcare costs.
Rich people will still demand the highest quality care. But there are far more poor people than rich people, leaving many MD and DO's forced to either work for Nurse wages on these poor people or be left out of a job.