conditions and want to go to a specialty institution and even get a second opinion, youit won t be able to do that. those aren t going to be accessible. they are great institutions with great doctors and great care. people from all over the world go to those hospitals. t are you saying if i want to go to one of those and it is not in. network i will have to pay t substantially out of my pocket for my cancer care? is that what is happening? tha sub stan that h substantially and it will bell b prohibitively costly for p people.y they won t be able to do it. another thing happening as a result ofng this law and that. is the integration of medical networks, hospitals and physicians. tell us what is happening there. you described it as the deathcrb of dr. marcus welbie, md, the family physician. the three or four doctor practice. doctors are owned entities of hospitals and health care systems. it makes it easier to regulatei the physicians if they are part of systems you can