Some believe that a universal healthcare system would provide fewer incentives for doctors, who would be less likely to perform at their best. Doctors who are not paid based on their quality may be more likely to perform at a lower quality, some hypothesize. This argument is also used to support the fact that having national health insurance may dissuade those who would be good doctors from going into the medical field, as they may opt for better paying positions. Paying doctors, and healthcare workers as a whole, is another major issue that those opposed to universal healthcare site. They wonder how the economy can support such a policy, believing that it will be paid for by a hike in taxes, so that the benefit from universal healthcare will be overshadowed by the literal cost.

John O'Shea, a practicing general surgeon and a prominent conservative, takes this view. He argues...
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