I have no problem with the doctor exercising her right to run her practice as she sees fit.
After listening to the discussion about the process which will be used to amend the Law to include children with pre-existing before 2014, it became apparent that Ms. Sillybus has broad authority to write specific regulations - which I am sure she will change on a regular basis. Given that, I would suspect that there may be a move to deny physicians the ability to practice medicine independently, i.e., on a private pay basis. BO is really pushing the electronic medical records issue but he doesn’t have a clue how much data will be descending on those trying to manage the program. Their systems are not state of the art nor are there enough people who can manage such systems. I would suspect that all of this is several years down the road and if we can’t get Congress re-staffed before them we are in real trouble. On the other hand, I’m not sure that the Republicans we have in Congress right now have sufficient knowledge to problem solve these matters either.