I'm pretty sure that the state does not get involved in the coverage a doctor decides to accept or the choice he makes to get the patient to pay the outstanding balance.

If I didn't want to pay the difference, I have the choice to shop doctors. But this physician is highly recommended by my dermatologist and since the surgery was on my face I wanted someone who would do a good job so that there wouldn't be any bad scars. It was my choice to pay the difference.

The state doesn't have the right to force doctors to accept insurance or Medicare coverage but with Obamacare the federal government will do that in the end, I have no doubt. The main purpose is to control the medical coverage Americans will or will not receive and hopefully end up with the "single payer system".

Southern Bell