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It worries me about our unwillingness to really address reforms and modernization in Medicare. This thing was designed 37 years ago. It has not evolved to keep pace with current medical technology.

Physicians today, as human beings, are not exempt from the perverse economic pressures created by fee-for-service regimes to see more patients for shorter appointments and order more tests and procedures. If the incentives were changed to pay to foster better health outcomes, I am convinced physician behavior would change over time.

So it's been a slow process and it's taken some patience. That's why patients are called patients I think - patience is required.

There is a shortage of doctors, and the American Medical Association is aiming to keep it that way.

Unless physicians stand together to fight threats and injustices, our practices cannot remain viable in the future.

Any change, even a change for the better, is always accompanied by drawbacks and discomforts.

Across the board, people are looking at the problem, but simply not changing anywhere near fast enough.

I am the Doctor of Democracy. I am America's Truth Detector. And as the Doctor of Democracy, the deal you have with your doctor isn't changing. You get to keep your doctor. You get to keep your plan. You get to keep your station. Nothing's changing, and it really never was gonna change.

Innovation, especially in America, is continuing at a breakneck pace, even in areas facing substantial political or regulatory headwinds. The advances in health care in particular are breathtaking - so many selfless souls are working to advance science, and this is heartening.

Unfortunately, the experience on HealthCare.gov has been highly frustrating for many Americans. These problems are unacceptable.