I'm not really celebrating any state of affairs. What I am saying is that the logic of the market will take the work done by a general practicioner with 10-12 years of training, and disassemble it into seperate, discrete tasks that only require 1-2 years of training to do. That's how the market and Taylorist-capitalism reduces labor costs and increases productivity when there is a mass market. Its basically industrialization applied to medicine. General praticioners are more or less obsolete, people that invest 10-12 years in school and training are going to (and have been) specialize where their investent will reap greater returns.