[sarah]

I agree that doctors may opt out of medicare, some even opt out of preferred payment insurance companies and HMOs because of the paperwork and restrictions. I think on a hopeful side that they will be replaced (it's already happening) by immigrant doctors for whom the salary seems adequate. If they are Chinese or some other nationalities, they may not be as warm and fuzzy but they will still be good doctors. Let's hope the medical insurance that doctors pay doesn't get too high (it's high already), that would be a negative also.
health and happiness
sarah