And a good part of it has come true. Big Health is here to stay. 30-40% of healthcare employees are now useless parasitic bean counters, sucking the blood of hard-working physicians, due to all the regulations and red tape created with the explicit purpose of destroying independent physician practices and small hospitals. That's why healthcare costs are so high, because of all these parasitic middlemen, whether hospital systems, insurance companies or management corporations. It's a racket.
It's ridiculous that a professional (or a group of professionals) cannot survive independently, in 2019, because of all the sweetheart deals these regionally monopolistic big corporations have, with all the corrupt and bought politicians just watching and doing nothing, except inventing more regulations. This has been ongoing at least since the 80's. The CRNA/midlevel scourge has been just the frosting on the cake, just another symptom of the LBO era in healthcare. And the big defender of the American workers is sitting on his small hands in the White House, doing nothing to reverse the trend.