Remove the financial incentive, and you get what’s happening in Canada – perceived doctor shortages:

Now, we have a situation where the great doctor can only bill a maximum of $450,000 per year (minus overhead and taxes). When, prior to the cap, he was happy to work for “services rendered” and billed accordingly.

However, now his $1.3 million practice is cropped at $450,000 per year. So he has two choices – flee to the United States, make huge dollars for 10 years, return to Canada (maybe) and be the normal doctor again. Or, look at your cap, design a perfect 40-hour week, bill out to the maximum by September of each year and then enjoy a three-month holiday.