Late Stage Capitalism

This is an issue I have rarely seen discussed outside of healthcare circles. I’m not sure if this exists in other countries, but in the US and Canada we are facing an issue in which those who have money and connections can afford to see physicians, and those without money and connections are forced to see Nurse Practitioners with a small fraction of the training. Of course this is a complex issue that also involves the increasing expense and inaccessibility of a proper medical education. I would love to hear your thoughts.