$49.95 for a Medi-Cal physician office visit

Yes, but the plumber makes house calls.

If general plumbers got $49.95 per visit, you would see a big drop in applications to plumbing school by all the pre-plumbing undergrads. And those idealistic young men and women who end up going to plumbing school anyway, lured by the vision of devoting their lives to fixing the pipes of America, would eventually get disillusioned, leave general plumbing and gravitate to the higher-paying specialty plumbing positions. Then, most of the general plumbing would be taken over by lesser-trained mid-level plumbing assistant practitioners. Trust me.

I make housecalls; the reimbursement is about $75.
Maybe I should bring a set of wrenches

Very cute IVF. Here’s a prediction of how your plumber story will play out: the lesser yet adequately trained mid-level plumbers will be happy to do the job that they studied so hard for that no one else wants. In fact, the mid-level plumbers will actually take the time to even give some preventative plumbing tips. People in need of these plumbing services will be happy that they are getting accessible and high-quality plumbing attention.

Yes, if this is a major plumbing job, I’m sure that the mid-level plumber will collaborate with experts in the field for a solution. After all, is an expert plumber truly needed to snake a drain??

I don’t say, “Ho-Hum….”
First, doctor strikes in my state are against the law; the anti-trust laws are stacked against us. Second, as in many areas, I’m dealing with an insurance “near-monopoly” over which I have no leverage or control. Third,I have enough confidence in my skills to know I’d do very well in a free-market practice on “LonnnggIsland”, but I’m practicing in the working class area where I grew up.
Should doctors only work in wealthy areas?