But not that deep… because if 99.999% of the people can't afford a surgeon we will just have fewer surgeons. And as it is, for some procedures, there's like just 1 or 2 people in the world who can perform them. Take away 99.99999% of their customers and there will be nobody who can perform them instead.

So quality of care will decrease (to a much lesser extent) for rich people as well.

Do you think they accounted for that? I doubt it.