Given that we are in the middle of the implementation of the Affordable Care Act (ACA), and a full verdict on what is happening will not really be known for a short while, it is a prudent idea to wait before making definitive comments on what is happening out in the field.  The reality is that the "data" on the implementation of the ACA is still coming in, and none of us can be 100% sure at this point what is happening.  

However, a commentary by Patrick Ishmael (of Missouri's Show-Me Institut...
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