Logical progression: Insurers limit the doctors in the network to keep rates lower, the doctor's outside the networks get less patients or have to charge the non-obamacare patient's more to make up for their losses, they either go out of business or quit. Less doctors for everyone, and the fees paid to doctors keep going down. All the money goes to administration. Nobody wants to be a doctor anymore (there is already a shortage of family practitioners) longer wait times, crowded waiting rooms, and crappy care results.