I don't want to paint with too broad a brush, but in Poland, physicians are genuinely a separate, well-organized labor class. As such, and I have not followed it as closely for a while, during last 'reform' what I heard was lip-service about patient care followed by implementation so bad that people actually opt for a private insurance ( if they can afford it ). If they are scapegoated, it is because they are part of the equation. Luckily for them ( and pharma for that matter ), they are the only part that is actually necessary.