One M.D. has a novel solution to warnings of an impending physician shortage: Embrace the shortage and become, in her words, "a rare commodity":
"Why would anyone in their right mind want to go into medicine now? Until something is done to corral the HMO and government administrators (who are expensive and time-consuming annoyances); until the pay for family practice and general practice doctors is made equal to that of general pediatricians and general internists; until there are special courts for malpractice complaints instead of the current lawyer-stealing-from-doctor tort system; and until we aren’t having to cope daily with the tragic stories of people who cannot afford medications and of people who are being dumped off insurance when they are sick, I’m advising my bright young patients to look elsewhere for an occupation.
"I think we should be allowed to become a rare commodity. Maybe then we will be paid enough and respected enough to make the profession worth doing again" (source).
After my second spit-take at the line suggesting that doctors aren’t compensated enough in money and respect for their services, I got to thinking.
In some ways, I can see this physician’s point. Given their long years of expensive training, the malpractice coverage they must pay, and the risks entailed with running a business (especially one where they are beholden to insurance companies to cough up payments in a timely manner) the dazzling salaries doctors reportedly make do seem less-glittering. And, of course, it is specialization that pays the most. General practice and teaching doctors do not make dazzling salaries. I can also concede that respect for doctors flies out the window when it’s time to start looking around for a scapegoat for a tragedy, whether or not an individual doctor could have done anything differently.
Still.
Advising that physicians allow themselves to become a "rare commodity" will only mean that patients, those whom doctors are supposed to serve, will only receive worse care as the insurance companies ration out treatment options ever more thinly to meet the increased demand. And, as the physicians left in the field grow ever more gray, who will replace them? Will it take a decade-plus to train the new physicians once the potential doctors and early-retiree doctors decide to come back from their "strike"?
All in all, a silly proposal for a serious problem.
(Nod to Kevin, M.D., for the links.)

