I do think that if we choose to make the medical profession an employee of the State we need to somehow phase in those poor bastards who were foolish enough to enter the medical profession under the "old contract" wherein they took the risk and went 100's of thousands of dollars in debt on the possibility that a high-return profession awaited them on the other side of their long education expenditure.

Once the State gets to set the rates of payment it will presumably also assume the cost of educating the doctors and nurses. Further, it will have to predetermine who among us is worthy of the expenditure.