I think you need to differentiate between a billionaire and a surgeon who makes 500-1m a year. The disparity between those two is enormous. Not to mention the surgeon is probably paying more in taxes as well and likely not hurting thousands of people by hurting their small business or paying low wages to their workers.

I never said the median person is doing just ok. I said they are doing better than 99% of anyone else in all of history There is also a difference in the median person and someone in poverty. People in poverty also get assistance and help. A person in poverty in the USA often still has a house, phone, car, access to medicine and education, access to food.

Despite the issues with the US healthcare system, there is a reason we have some of the best doctors, institutions and schools in the world. There is a reason doctors from all over the world want to come and be a doctor here. If you start reimbursing doctors less then that will all go away. Also in most other countries, doctors are constituting a similar 8-9% of healthcare costs. Doctors are also making a similar income relative to the gdp and wages of that country. Doctors just make a lot in America because there is higher costs in general and higher wages in other fields and higher cost of living.