This is a very interesting study. Whether the methodology is ethically perfect or not, the aim is clear but the conclusions are slightly skewed. As Adam has highlighted, this doesn't cover any one sector in glory. Rather, it exposes lack of credibility across the board nationally and regionally. Unless physicians themselves are willing to be accountable and harbingers of better medical care supported by honest and brave leadership from the medical council, the trends are unfortunately not going to change. One has to give credit to millions of providers who do provide excellent and affordable care across the nation in spite of the odds, who were not captured in this study. Thank you for highlighting this and the opportunity for a cold shower Adam!