Obamacare was enacted on March 23, 2010. Every year since, Pundits predict the demise or significant alteration of Obamacare. The alternative to Obamacare is Othercare. In other words, employed and independent practitioners can struggle using old models of care and try to chase their tail every time the government and payers issue new rules, or, you can be innovative and be proactive. Skate with the puck v skating to where the puck will be. You need to adapt to several major trends like fee for service migrating to payment for valued care, improving the patient experience, the demand for care outstripping supply, and many more. It's time for doctors to take care of business since, if they don't, they will no longer be able to take care of patients.