We shall see. Like I said the other day, I'm willing to hold judgement (against my better judgement) for a few years. On a side note, two of the things in the health law that I foresee being the biggest disasters are 1) basing Medicare/caid reimbursements on patient satisfaction surveys, as everyone in healthcare knows that the malcontents are waaaay louder than the rest of us, and usually sicker, too; and 2) basing Medicare/caid reimbursements on readmission rates, as there is no way to control patient behavior once they leave the hospital. How do they envision this conversation going? Doctor: "Sir, you're severely diabetic, don't eat large amounts of sugar while continuing to get 0 exercise." Patient: "Oh wow, I never thought of it that way, thanks!" And everyone lives happily ever after.