DirtyBird, you probably know as well as I do that a doctors' reimbursements are not associated with their level of skill, but only with what kind and how many procedures they do. Only in competetive markets may skills make a difference (usually, social skills such as courtesy to referring provider and patients are more important). The salaried docs at Mayo etc. do excellent work (and are not underpaid since likely, their fixed salaries start at 150-200K), although I have to admit that their model is not easy to generalize - docs go to Mayo as being part of an world reknowned institution and may forfait some pay for that.

"If they had to provide for their own defense, provide stability around the world for the peaceful democratic countries their tax rates would be 70-90% You socialist leaning people conveniently forget that part of the overall picture." I am happy that you are so satisfied with the peace American troups have brought to the world since WWII. Go, team America!