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The farther the patient and doctors get away from each other, the higher the cost will be for the patient and less money for the physicians.
If we want to lower health care cost in Indiana we need reduce regulatory red tape to allow patient to pay physicians directly. Eliminate the 20-30% back office overhead to process insurance claims for service under $2,000 and have insurance for all out of pocket expenses over $X,000 per year, emergency and major medical expenses.
There is no benefit to the patient or the physician to charge $150 for a 10 minute visit. Hand them 3 twenties ($60) and skate out the door. You should not have to see a doctor 2 times a year to get a medication you have taken for years, if it is not working then the patient needs to be proactive, take responsibility for there healthcare.
“I have insurance I don’t care what it cost”, is a horrible healthcare system.
In a litigious society Physicians need protection from frivolous lawsuits.