The Ayn Rand Center for Individual Rights recently posted the full text and video of Leonard Peikoff's 1985 lecture, "Medicine: The Death of A Profession".
Even though it is 25 years old, his projections and predictions are quite prescient.
Some of the terms may have changed (e.g., "DRGs" for "HMOs" will now be "bundled payments" for "accountable care organizations"), but the underlying principles remain the same.
Read and/or watch the whole thing.