for some of the exchange products. if you put enough people in those plans and don't have enough doctors participating you end up with a bottle neck, which means you're not doing what this was all about, improving access to care. >> trace gallagher joins us with more from l.a., trace? >> and so megyn, the mantra might now be if you thought you kept your doctor you may want to double check. you have thousands of doctors leaving the health care exchanges. they are opting out because the reimbursement rates are simply too low. for example, we know an orthopedic specialist who performed a surgery and was paid a few hundred dollars, not enough to cover his expenses, so he opted out. in early 2012 a doctor who wants to remain anonymous was sent a contract from blue shield saying quoting here, your participation