Physicians today, as human beings, are not exempt from the perverse economic pressures created by fee-for-service regimes to see more patients for shorter appointments and order more tests and procedures. If the incentives were changed to pay to foster better health outcomes, I am convinced physician behavior would change over time.
The Senate is allowed to work the way it was designed to - meaning a place where nothing is decided without a good dose of deliberation and debate, as well as input from both the majority and minority parties - it arrives at a result that is acceptable to people all along the political spectrum.