I am wondering whether the these conditions will change Jan 1, 2014, when Obamacare begins to add 38 million previously uninsured folks trying to find doctors. We may need to give prospective new patients pre-applications; add some good new people and clean house of chronic "boat anchors". Is there a way to check the crime database, or to screen out litigious people or bad credit risks? I feel sorry for all those physician-extenders who fill in for the doctor shortage, and end up with our riffraff.