re: What is Healthcare's future?

Healthcare has become what it is today for so many reasons. As a provider in family practice, I complete understand why family practice physicians would do MDVIP.
In Louisiana, the Medicaid expansion has really made things interesting. Many family GPs quit taking Medicaid so the system I currently work for has seen a huge increase in Medicaid patients, many of whom are total cluster f$cks and opiate seeking.

Patient compliance and accountability Are huge issues, this helps drive up the cost of healthcare. Insurance companies put pressure on providers to meet certain health measures/standards, which can be hard to do if your patient is anything but interested in anything but Norco.

So I guess to answer your question--- the future is grim unless there are major changes.