That is Matthew Holt’s solution to cutting physician pay:
What’s the rational answer? Do what most other countries do and restrict the amount of specialty positions available. Instead insist that most physicians focus on primary care which is both cheaper to the system and more cost-effective. Of course, doing that would be better for the system overall, but it would be worse for individual physicians–or at least for their incomes. It would though of course be better for the taxpayer, who is funding the vast majority of that specialty training.