I am not opposed to economies of scale, aggregating many specialties, etc. under one convenient roof. However, what Obama and his PooCaCa law is doing is to effectively remove the ability of choice of care.
By imposing ridiculous conditions, onerous paperwork, tracking and insurance requirements, he is forcing the practice of medicine into a bureaucracy regimen that is historically ineffective and overly bloated.
Further, by making single doctor practice impractical, he is taking the doctor-patient relationship to one that isn't based on personal interaction and knowledge anymore. The new regime will be a nondescript professional (probably from some third world medical school) operating an assembly line examination where he knows nothing about the patient save what some bureaucrat allows him/her to see regarding the medical records.
I have had the same physician in a large group for more than 10 years. Being part of a group does not disrupt a long standing relationship. He knows me quite well. My former Dr joined the group by sell ing his practice and then at 65 retired.
Even after the abandonment of Ocare when the Republicans take control, the use of computers in billing and diagnosis and testing is not going away. Electronic records are a boon. The hospital has my records generated by the three groups I visit. The main group is the repository.
It is change, but not necessarily bad change.