it might affect the caliber, quality over time? Of course it will. Where or what would be the incentive to excel? They would be held to guidelines of how many patients, how long to spend with them, what to treat or not, whether to refer or not. I would not hesitate to say over time we would look back to when nurse practitioners would have had more savvy than the federated doctors. In my opinion.
I would hope there would still be the private sector for those who could afford it and I hope I am able to partake.

I still am some what surprised there is not much discussion by the over 65 crowd of what they could lose in the deal. I keep asking if anybody thinks you get to keep what you get from Medicare today when the add 20,000,000 more to the list? It is just not going to happen. There will be the leveling of what is offered to the masses. Your current coverage will become a memory. Here again I hope I am able to afford to go with the private sector and not be subject to the herding.

btk