The full implementation of the Patient Protection and Affordable Care Act will ultimately accelerate the rise of nurse practitioners and physician assistants as primary caregivers for an increasing number of patients.

So says Dr. David Troxel, medical director and secretary of the board of governors of medical malpractice insurer The Doctors Company, in an op-ed piece this week on LiveScience.com.

Troxel's prediction was part of a longer analysis of why Obamacare will discourage those with a medical profession in mind from pursuing their M.D. Features of the law, such as its incentives for employers to shift how they reimburse health care providers from fee-for-service to "a bundled fee-for-performance reimbursement system," will further reduce the already dwindling income of most physicians, and will apply pressure to see more than the 30-plus patients a day they now see.

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.