Quoting the increasingly insightful Arnold Kling;
"Keep in mind that there is no perfect system for compensating doctors.
For example, if you pay them a fixed amount of money per patient, then
their incentive is to see a lot of healthy patients and avoid the sick
ones. If you pay them a fixed salary, their incentive is to work short
hours. If you pay them for “quality care,” that means that a central
bureaucracy, comparable to IPAB, has to define the meaning of quality."
and I add "folks will treat to the test" and the quality measure will lose whatever value it had as a measure.
So as usual it is "people respond to incentives" all the way down.
Currently the medical progressive elite and various rent seeking special interests seem to control the narrative and hence the anti fee-for- service propaganda blitz.