Obama wants to lower costs but will hurt the very providers that deliver care. The cost of medical school is astronomical. The average doctor is well into their 30's by the time they complete residency and have huge loans of up to $250,000. Obama's loan reimbursement assistance asks them to give back even MORE time to public service, which means they will have to forestall their lives in private practice until age 40. And the reimbursement is only partial at that. Starting a practice requires money as well. In the meantime, they have their own bills to pay and kids to raise on a meager salary. Don't forget, too, that doctors incomes have dropped significantly in the past 20 years due to managed care. By accepting insurance, they need to work on volume because the insurance reimbursements are so low. Patients then complain about the lack of time and attention & the government wants care delivered expediently to lower costs. Additionally, Obama's plan will add extra start up costs, if not costs of up to $25,000 to make all records electronic. Who is supposed to absorb those costs? The doctor who already are strapped? Medicine is a business. There is overhead that includes absurd malpractice premiums, employee salaries, costs of their own & employees healthcare coverage, rent, etc. It is a known fact that the country is losing primary care doctors in high percentages because young people know they will not make an adequate living after their investment of time & money if they choose an area will the least payback. You can give universal healthcare to all, but there won't be enough doctors around in the future to provide the care. And if there are, you can be certain the quality will suffer because the best & the brightest will find alternatives to make a living. Doctors are not priests. They have families to support, mortgages to pay and college to save for. If you expect them to give their lives away without adequate compensation to pay back med school loans, start up costs, and malpractice, they will leave as they have already begun to do. Nowadays, there isn't a physician family around who has not deterred their kids from entering the profession. So if you think Obama's plan will provide what you have been accustomed to, think again. Get ready for a two tier system of public healthcare and private out of pocket care. Because the only true good healthcare left will be the one that you will pay for in cash.