I used to work for a joint replacement surgeon. 80% of his practice was MC pts. He's doing very well despite how little they pay (and I think it's decreased 2% recently) because the volume is huge. He's a specialist that does over 1K surgeries a year. So far he's ok. But the family doctor is what I fear is going to be no more some day. Med students are not going to go in general practice. If not a surgeon then a specialist.