This happens to me (my PCM is a nurse) but funnily enough my costs haven't gone down. Those nurses still work under a qualified doc, who will never look at your file until youre nearly dead, but theyre still getting a cut believe you me.
Im curious if you think malpractice insurance is also a significant, unnecessary cost? What if we made it harder to sue doctors? On the flip side, malpractice is still a real problem - probably not one that will be fixed by removing medical licences :D just hoping you see this comment since I am genuinely interested in your answer
By me in FL, it's hard to find a doctor that actually has a private practice now. Most are corporate owned clinics where doctors are just employees.