From JAMA: Physician autonomy after health care reform. An important issue for patient care quality and safety.

http://www.ncbi.nlm.nih.gov/pubmed/22274681

JAMA. 2012 Jan 25;307(4):367-8.
Physician autonomy and health care reform.
Emanuel EJ, Pearson SD.
Source
Department of Medical Ethics and Health

"Many physicians are distressed as they look toward the future. A recent survey of physicians reported that 65% thought the quality of health care will deteriorate in the future.1 Part of this malaise is driven by concerns that reforms contained in the Affordable Care Act (ACA) will further erode physicians' autonomy."