For the last year, I have kept my distance on the potential impact of the health care law. I realized that this was probable a hot topic a year ago - but I am finally getting my head out of the ground and looking around. I am an independent Nurse Practitioner in Washington State. I am not a medicare provider due to being an independent NP. I am not eligible for any incentives. I guess my question here is --what is going to be the impact on the small practices?? I am assuming that most AC uses are also small practices. Are we going to become absolete to the big "Whole Care Centers" like Kaiser? If possible, would it be possible for someone to summarize what the impact might be. Thank you.