…doctors profit by restricting access to medical care. Specifically, they maintain their market power most effectively via artificial constraints on the number of residency positions and the ability of non-physicians to treat patients. - Owen Zidar and Eric Zwick, The Everywhere Millionaire: Who is Really Rich in America and How They Got There (2026)

Artificial constraints on the number of residency positions leads to a shortage of physicians, and that what we have:

And a shortage of physicians leads directly to higher spending on healthcare - much higher than what other countries spend:

Next: How loosening constraints on the ability of non-physicians to treat patient puts us on the path to a viable universal healthcare system in the US.