"A very big consequence of this legislation is that fees will be shifted to
take money away from specialists and give it to primary care doctors - a big
disincentive to become a specialist. More doctors are going to drop out of
insurance programs altogether and just offer private pay, or just leave the
profession altogether."

This was happening already in fields that were more vulnerable to lawsuits
and hence burdened with extremely high insurance rates.  In particular, I am
thinking of OB/GYN's.  This has hit rural areas harder than urban areas.
 Small hospitals refer their pregnant patients to the closest metro
hospital.

The trend will just increase in rate and spread to other areas.  There will
always be specialist, they just won't be as many or as spread out.


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