The shortage is at least partly to blame for the high salaries of America’s physicians, who earn 220% more than the French, 129% more than the British, and 73% more than the Germans. Debates regarding healthcare policy in America inevitably lead to discussions over exorbitant costs, and discussions over exorbitant costs inevitably lead to blame. The problem is that nobody in the healthcare ecosystem takes the blame; it’s always somebody else’s fault.