Well, it only stands to reason...if you add 50 million to a system that doesn't add any doctors, something has to give.
Rationing is the only solution. For example, if an older person needs a knee replacement he will be entered into the triage software that will determine statistically where on the list he will land. Say a 50 year old and a 75 year old are on the list. The software will determine that statistically the 50 year old has more years to live and work. He goes up the list and the 75 year old goes further down. The 75 year old will be issued a cane and a bottle of aspirins and told to go home and wait.
Now, further down the road, the pool of doctors start getting a little worn around the edges. Maybe more work and less pay. Maybe gets frustrated to see the older people suffer. Word gets out about the pay and frustration and good people do not see the incentive to go to medical school. The government will have to compensate and recruit new doctors from somewhere. Where will they come from? The best and brightest have gone into other careers that will reward them with more incentives like money and job satisfaction.
It gets to be a slippery slope, indeed.