haha! This comment really quieted the forum. We currently have a sytem where there are built in incentives for all the wrong things. Doctors are compensated for procedures, running expensive tests with expensive technology and completing emergency surgery while preventative measures, such as taking the time to educate the patient about nutrition and excercise before the heart attack, are not well compenated if at all. Changing the way the system rewards/ compensates physicians to one that values prevention is not necessarily going to lead to decreasing salaries, although it may for some of the higher paid specialties- but come on, should those specialists really be making that much anyway? Like most of Obama's reform ideas, the majority of doctors will probably see no change in salary, or increase, while the wealthiest few may see a decrease. Personally, I think its a great idea.