Not as huge absent those two specialties that mention to justify the cost to patients as it tends now. No. I have a brother in law who is a doctor and your numbers are off. After mal practice and student loan payments, taking Medicare patients, he clears 285 k a year.Malpractice and administrative costs are and remain huge. I would agree that OB-GYN's are probably among the most expensive to ensure, but that was the one example I had seen first-hand. The point remains the same. If a Doctor is "profiting" $330K a year, but $125K goes to malpractice, $100K goes to administrative costs, and $20K goes to student loans, then he's actually only bringing in $85K a year. Cut his "profit" by a third (as in the example under discussion) to $220K a year, and he's in quite a pickle.
The refusal on the part of those who wish to simply cut reimbursement schedules to accept that doctors do not have a magic pile of never-ending money from which they can make good the resultant losses of providing care is now starting to prove disastrous for our elderly. There is, never has been, and never will be, such a thing as a free lunch, and when we make plans which assume its' appearance, we shouldn't be surprised when those plans go badly. This loss of coverage was entirely predictable, and thus widely predicted.
Now, we both need more than our generalities and too small sample size, but no one seriously thinks physicians are only making 85k a year.