well that just depends on the type of universal healthcare. if it's the type they're trying to enact in massachusetts, then nothing will change...they're just requiring everyone have a healthcare plan (private or government). if it's a true government run healthcare system then it could change a ton or very little. at the very least our reimbursements will go down (or stay the same as inflation continues to increase)...and that's the biggest problem docs i know have with universal healthcare...LESS MONEY. another one some residents in my program bring up is that they don't want some minimally medically trained nurse (or less) in washington telling us what we can and can not do for our patients (what won't be reimbursed)...but we already have that crap with the current privatized healthcare. i'm personally for universal healthcare at a STATE level. i think each individual state should be able to decide whether they want this for their citizens or not.