Physicians are more likely than patients to initiate discussions about healthcare reform during in-office visits.

These discussions are negative in tone and concern both political implications and fear of a loss of autonomy.

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Hopefully we aren't all in the government health care program by then

Oh, man, I'd hate to see that.

Wait, wait, wait till Obama gets his way, it's going to be worse.

Because this is, I mean, it smacks of socialism, communism.

I would rather it be you and I deciding that than a bean counter in Washington.

Physicians also commonly express frustration about insurer intervention in healthcare delivery. This frustration centers on a loss of autonomy and an inability to exercise individual judgment in providing patient-specific care.

Patients express similar frustration with insurer intervention in healthcare and share concerns that insurer rationing of care will continue to worsen.

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And why did I go to medical school? So somebody can tell me how to practice medicine?

I don't know why I went to medical school because the insurance companies tell me how to practice medicine.

You know, private insurance is really socialized medicine to begin with.

I hope your insurance doesn't give us a hard time about that.

This is the first time I've ever gotten a letter like that, but it's getting worse and worse, you know.