Dr Gottlieb has a wonderfully written opinion piece available at :
http://online.wsj.com/article/SB10001424052748704254604574613992408387548.html#printMode
One important paragraph includes this salient point:
"Next, the plan creates financial incentives for doctors to consolidate their practices. The idea here is that Medicare can more easily apply its regulations to institutions that manage large groups of doctors than it can to individual physicians. So the Obama plan imposes new costs on doctors who remain solo, mostly by increasing their overhead requirements—such as requiring three years of medical records every time a doctor orders routine medical equipment like wheelchairs."
Throughout this 'Health Care Reform (?) Bill' are incentives, and ploys that will ultimately resort in the termination of all private medical practices. That certainly is the intent.
If we continue to support this so called Health Care Reform (?) Bill, whether through the AMA's outright bragging of being in bed with the Obama camp, or the MMA's silence and ambivalence on this issue, then we are truly sacrificing the future of independent medicine for the oncoming onslaught of first corporate and eventually state controlled medicine.
Those doctors in corporate structures should not feel secure in there current structures. Eventually costs will continue to rise in medicine because we are all getting older, and future cuts will be in either physician positions within the corporations and subsequent federalization, or in drastic salary reductions.
Remember the Holocaust poem of how the intellectuals turned a blind eye to the actions of the state- "...they came for the Jews, and I did not speak out—because I was not a Jew;
Then they came for me—and there was no one left to speak out for me." (http://en.wikipedia.org/wiki/First_they_came...). The AMA and MMA and TCMS must come out in opposition to the destruction of private practice of medicine. There can be health care reform, but the current bill is more akin to Health Care Destruction than reform.
