Watch for chiropractors to also lobby hard to be primary care providers. Obamacare will reduce primary medical care to waiting in long lines in some government clinic for a 10 minute visit with a physician’s assistant or nurse practitioner. Referral to see an actual doctor might take weeks or months and referral to see medical specialists will be routinely denied. Large specialty groups like the Mayo Clinic will cater primarily to foreigners and those with the money to pay cash. I also expect private clinics to spring up offshore where those with the cash can be seen by real doctors and specialists.
Think coastal ship clinics. I've been saying this for the last several years.