Future health care services won't look anything like the conventional doctor-patient relationships. It's already beginning to happen. Youngsters who may have otherwise gone into medicine are asking themselves why they should go through 8-10 years of higher education for a profession that has earnings potential of a plumber. Medicine is being dumbed-down. In my area if you go to the emergency room with anything less than a heart attack, you won't see a doctor -- you'll see a nurse practicioner or a PA. It's no mystery that it's the only way the dynamic of a dwindling supply of doctors and an increasing number of patients can be dealt with. Those who forced Obamacare down our throats will, of course, retain their private physicians.