I know a guy from Massachusetts and when they passed their state health bill he got a letter from his doctor. The letter basically said I have 2500 patients now and will be cutting down to 600, if you want to be one of the 600 send me a $3000 retainer each year to be your doctor. On top of the $3000 he still bills out what ever service you require. This health care bill will end up with a 2 tier system one for the wealthy and one for everyone else.