It's already happening.
PCP's are getting out of the Medicare game and setting up cash only practices and flat fee practices. The concierge style practices charge $1500 or so for "unlimited" office visits (exclusive of lab, X-ray).
Others are refusing to accept new Medicare patients . . . something that will only get worse as baby boomers turn 65. Factor in the number of med school grads who are opting for specialties over primary care and you have a train wreck ready to happen.
Oh, and let's not forget the $74 TRILLION Medicare unfunded liability . . .
