the deal will be this: high salary positions will be much more competitive starting from landing residency
managed care positions the bulk of the post residents: they will have to work harder to pull what they do now. I bet nearly 15-20% more hours a week to earn the same gross.
The real deal is when post-residents open "premium care" offices and serve either only cash based clients, or high insurance based clients. These will only be in the wealthiest areas, will occur for only the most competitive residents, and will be very few and far between.
So the bulk of people will be playing the managed care game --more hours more money. most doctors even now wave 10% of their fees for people without insurance, that will increase as the gov't finds a way to broaden medicaid -- and they should.
BUT: They should also pay our medical school!!!
The damn loan comapnies are making a killing off us, and you better bet that they are not in school till they are 30!
Maby there will be a gov't loan for doc-students 1%, 30 years max!
The effect will be that only people who really love medicine will keep going.