The patients, governments and private insurers are all interested in it I assume. Personally I'm more interested in increasing availability, when I need a medical certificate for a cold it's a huge pain to try and book a doctor. And then 99% of my interactions are watching them fill in paperwork and take my blood pressure, something we already rely on nurses for in hospitals.

I don't know if it will get anywhere though, doctors have a powerful union.

Government is interested in whatever their donors tell them to be interested in. That's why ACA is a trillion dollar giveaway to healthcare industry instead of net savings.

ACA also disincentives private insurers from wanting to reduce cost. Their profit is now limited to a certain percentage of the premiums, so naturally their only real way to profit is by raising the living shit out of the premiums.

Things weren't heading that way before the ACA and they aren't heading there anywhere else in the western world.

Whatever problems you have with the ACA, it's not the cause here.

I didn't say it was the cause. The cause is that the congressmen/women will sell their mom for a buck.