It's all about money. Manipulation is powerful. Couldn't the government, our gov't, threaten to tax health practitioners more than they are currently? They have threatened Michigan doctors. The gov't will do anything to keep the balance, even if that balance is the rich get richer and the poor get... I believe this (rich get richer...) is actually their ideal balance (all politician are or become upper-class white collar), but that is another topic. The gov't must keep the guys on the bottom around, or else they would have anything to walk all over.