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Obamacare is a monstrosity. ... That's why physicians, the ones who have any understanding of health care policy and economics, oppose Obama.

I think just the opposite.

For one small example, look at the docs in charge of Healthcare Partners and Davita - they're making lots of money on the changes precisely because they understand healthcare policy, economics, and what changes are coming. And in general they're big supporters of Obama.

For another example, look at HCA's Clinical Allignment initiative to get area docs all working with each other in a collaborative way so as to increase quality and capitalize on back-end savings. Universal Health Services (UHS) has a similar effort.

The CEOs I talk to all say the same thing...increased coverage means increased opportunity.

It's true that tort reform was never part of the initial system changes, and every nonsense claim has a deep impact on the individual physicians involved that nobody but us gives a damn about. But that doesn't mean there can't/won't be changes in the future once we get past the initial stages of extreme Republican obstructionism. In doing something about rising health care costs for our society, tort reform isn't an area where a large impact can be made. That's not to say that one lawsuit isn't costly for one doc, or that marginal docs don't practice defensive medicine. They're separate issues.
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