What year did your wife start working? I expect doctors to get squeezed much harder in the coming years. It is go big or go home everywhere, so from the doctors I know, in order to compete you have to join healthcare group, where you will eventually become a cog in the machine frequently owned by PE groups. They are in turn competing with bigger MCOs, hospital groups, etc.
On the other side, politicians are doling out what responsibilities that were previously restricted to doctors to nurse practitioners and physician's assistance, effectively using 1 doctor's license (and liability) to increase the supply of healthcare (effectively lowering the quality of healthcare since you are no longer being seen by a doctor).