Mark? About "distraction over paperwork and making money", are you sure you meant THAT or maybe you meant:
"complying with government regulations and billing"?
Anyway, I have some thoughts on this matter.
There once was a time in America that doctors focused on treating patients, without the red tape and threat of lawsuits that are commonplace today. Until the 1960's, Americans paid CASH for medical care, and only had insurance for a major medical crises. The inherent beauty of this system was that there were no 3rd parties paying for services. That means that the patient had a direct incentive to keep the costs down, because he/she was paying for it, not some HMO or government program.
On HMO's, they did not come about because we, the consumers, voluntarily chose to support their model of business. No, they're here because of GOVERNMENT. The HMO Act of 1973 required almost all businesses to offer their employees HMO coverage, and, in Congress's infinite wisdom, it was decreed that only employers can deduct the cost of health insurance, not the individual, (at that time) The unintended consequence of this government meddling? SURPRISE! The unemployed and low-income citizens are left without needed checkups and catastrophic coverage.
Whilst many of my fellow citizens are quick to criticize our current Health Care System, few of them realize that it was IMPOSED on us by FEDERAL LAW.
Do you REALLY consider the solution of "more government" to solve our current system? How about relying on the free market and depending on competition and direct financial incentives to keep costs down? Remember, when GOVERNMENT controls health care, all incentives to keeps costs DOWN are lost.
Also, there is the principle that we're responsible to ourselves first and foremost. I mean, COME ON. Ok, Hey Mark, I just broke my leg. I want you and your neighbors to pay for it. COME ON. Where is the sense in that?
Ok, I'll shut up now.