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I was confused because what I read did not square with what I know about OCA or my experience as patient. No basis in law from what I read in original post. Further I spent many years in the business operations of health care, exiting not long ago, and I still follow it quite a bit. Private pay relationships are separate from the dictates of obamacare. Nobody has to take my word for it. From a Forbes article:

"Consider a concierge or “direct pay” physician. More and more primary care doctors are establishing “concierge” practices. Patients pay an annual fee in exchange for guaranteed 24-hour telephone access and longer personalized consultation time for complex medical problems (as opposed to the rushed 15 minute appointments common in many overcrowded primary care practices). Most concierge physicians will also act as your advocate if you require hospitalization for a serious illness, coordinating your care with the various specialists based on his detailed knowledge of your full medical history. “Direct pay” practices are similar, but without the annual retainer. Because you pay your physician directly, he is not beholden to the government or other third parties. Concierge practices can be a win-win for both patients and physicians. Physicians spend more time with their patients and can practice according to their best medical conscience, for reasonable reimbursement." http://www.forbes.com/sites/paulhsieh/2012/11/13/5-ways-to-protect-yourself-against-obamacare/

The EO obama issued clarified an earlier statment saying oca prohibited the asking abt gun ownership in the home saying it did not prohibit it. It was not an order that it must be a part of any office visit. I saw my doc not long ago and we talked abt many things, but the issue of guns never came up. This is large, prominent practice, btw. Oh I think obama would like to compel the interrogation, but that would cause too much friction. He is hoping to encourage the discussion, softly, that is what he is up to.

I am rabidly opposed to govt involvement in hc but it is important to accurately understand the climate in order to organize opposition to defeat it. Another thing, re the perils of EHRs, that is a valid concern: be careful and reticent in speaking with not only your doctor but nurses and administrators. Need-to-know basis and all that.