Example 1: A procedure costs $6,000 to be done at a hospital. It prices out patients paying out of pocket. The doctor realized that he himself gets about $700 from it. So the doctor reached out to another facility who agreed to do it for $1,800 instead of $6,000 for the exact same procedure. You can imagine how happy the doctor's patients are, particularly ones paying out of pocket.
Example 2: A patient got upset a doctor's office wanted him to pay copay. The patient got the bill and felt the doctor already got paid $1,500. When the office informed the patient that out of the $1,500 the doctor only got about $300, the patient was shocked.
Really what we need is a doctor compensation to everything else index. When we get that, we will realize the sham most of the efforts to reduce healthcare cost is. Most healthcare cost efforts focus on paying the doctor a little less, say $300 instead of $400. Problem is, bulk of the cost is not the doctor's fees. It is the cost of the bed, breakfast, Tylenol etc. We need regulation on those fees.