Asking nonprofits to voluntarily transform their behavior has done little to stomp out the biggest problems in the nonprofit world. The only way to end bad behavior is to pass more stringent laws and to put teeth into enforcing them. That's what Independent Sector should have been asking for when it visited Congress.
While physician payments might seem less of a problem than toxic air pollution, the impact on the economy cannot be understated. Because Medicare is typically used as the baseline for how much private insurers pay physicians, any distortions to the Medicare have widespread effects on health care and the broader economy.