The documentation requirements did not come out of thin air. Some docs during the 80s/90s/00s made out extremely well. One of the infamous ones is ortho surgeons hitting everyone with dubious back surgeries since it was all paid for by Medicare even though there was little evidence back surgeries worked.

A lot of the doctors/dentists/pharmacists made out very well in previous decades, resulting in the healthcare expenditures becoming a political flashpoint, culminating in ACA, and thus the pendulum starts swinging the other way. Sucks for newer generation of doctors.