Was just thinking that there should be doctor clubs, where a bunch of people pool their money to hire a dedicated general physician. Or to have a shared tailor, or group cafeteria, or whatever.
The ratio of people covered to specialists would probably determine whether it’s feasible. You’d want the specialist to still get paid a healthy (and guaranteed) salary and to have a more satisfying relationship with customers. And the members of the club to get better service / product than they would otherwise with middlemen taking a cut.
I am sorry but this just sounds like today’s society with nothing new added to it. You just said there won’t be any middleman anymore. And just magiced away a lot of issues, which often are solved by the middleman.
The doctor’s club would still need people to run the club. There needs to be someone your farmers can approach to find an available doctor. They can’t just shout it into the wind.
Your farmers won’t have the logistics to bring their food to the people. They won’t know how much to bring where. They won’t have the equipment to do so. And if you solve all of these issues they won’t have enough time to farm anymore.
Universal healthcare isn’t a new concept and doesn’t require people to buy exclusive access.
And you still talk about compensation but based on your explaining money would be useless. Everyone has free access to these shared specialists.