[lowbloodsugar]

And that worked out well! When you optimize for reducing costs, not outcomes, the outcome you get is antibiotic resistant bacteria!

Seriously though, if we take a "maximize outcomes" approach, then doctors don't actually need to spend any time with a patient - the computer can do it. Maybe this isn't optimal for wealthy first-worlders, but it will be better than what poor first-worlders and everybody else have now. Many people in the US simply do not go to the doctor, unless it's an unavoidable ER trip.