"So I guess you just deny that there are any bad teachers at all." This is a popular retort to various forms of "Your system for evaluating teachers is a lousy system." It is a dumb retort. It is dumb in the same way the following exchanges are dumb.
So much of this discussion on performance pay for physicians is similar and different than the one for educators. It looks like, according to the proposal, public hospitals specifically and their physicians are in greater trouble.