State governments could do this as a condition of medical licensure in that state.
In theory. I'd move, even if it meant leaving the country, before I'd live in a place where the government forced me to work for them. I don't think it'd hold up to constitutional challenge either. But yes, they could try it. Mass. tried it not that long ago, and was met with huge opposition, even in their liberal state, so I don't see this happening in most states, but it's possible. Any state that tries it will be met with a physician exodus, however.
We have to remember that we have the power here. They need us. We don't have to do what they say, as long as we do it as a unit.
This is rather naive. The current plan seems to be to get rid of OON. Most cash patients hope to be able recoup something from their insurance. If OON no longer exists, patients wont be able to claim any of the cost of treatment back. This will force more people to accept insurance because fewer patients will be willing to pay out of pocket.
Depends how bad the shortage is and if ANYONE takes insurance. We're living under such a severe shortage that the extreme demand will mostly protect us until that is corrected, which probably won't be in our careers as they're not increasing the volume of psychiatrists being trained.
Obviously this is somewhat location dependent, and getting fully rid of OON might force people to move to the "right area", but there's PLENTY of good, in-demand, areas where people may not want to pay cash but have the means and don't have a choice.
Now, the ethics on this is another matter.
Oddly, it's not the reimbursement of the insurance that makes me not want to take it. Medicare pays ~$75 for a 99213 in my area, which would give you $225 per hour at 3 per hour, which isn't bad, especially when mixed with some level 4's. It's the overhead and the onerousness of it. If we went single-payor and eliminated the mess, and kept reasonable rates, I'd consider it, as it would open the way for a high volume, low-overhead practice. Under the current system? No way.