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… A key reason Americans pay more than foreigners is that American providers earn more than their foreigner counterparts. A study by Craig Garthwaite and three co-authors at Northwestern University found American doctors earn 48% more than their Canadian counterparts on average. Ms. Warren claims most doctors’ incomes will be little changed once savings on billing are counted. But Mr. Garthwaite says invariably some doctors, in particular well-paid specialists, will earn less—and supply less care as a result. Mr. Garthwaite found that in the 1990s many pediatricians saw reimbursement rates drop when patients switched from private insurance to a new…

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