If providers are under the gun from having patient satisfaction tied to reimbursement then shouldn't Medicare/Medicaid recipients have continued coverage tied to provider satisfaction?

Non-compliant? No soup for you!

Didn't lose the weight? No soup for you!

Still smoking? No soup for you!

Fourth kid on Medicaid? No soup for you!

Seriously.

Why do the "powers that be" punish providers for supposed substandard performance but are unwilling to put performance standards on patients? Especially the ones on the taxpayer dime?

Patients need performance standards, too.