I am a family practitioner practicing in Fremont CA since 1992. I serve a huge indigent population of mixed ethnic groups. I have to warn the new student that are planing to get to primary care medicine. Talking good about serving people is one thing but delivering it is different. The new health care system does not leave any room for me to practice the passion of medicine. The essence of helping patients for us is time and peace of mind. With the new changes in health care both are lacking and is getting more and more crunched. Medi-cal of California pays $21.00 for a 15 min office visit. This is only for face to face management and half of it gets wasted looking at computer monitor instead of patient. With the new requirement of EMR it takes another 5-10 min charting and satisfying many elements in the notes that have no meaningful benefit for patients well being. With spending 25 min on the patients management for only $21.00 there would be no peace of mind nor time time to deliver world class medicine to the patients. Dr Ebrahim Ahmadi.