"Simply put, they don't like healthcare reform. They don't want to be handcuffed [as to] how they practice medicine. Whether it's real or not, I think they feel they don't want more government control. And I don't think it's just a political issue."
The nearly 2,500-page ACA is so multi-faceted that it is broken down into distinct parts or sections. Physicians may embrace or reject it in total, but many others may like some of it, or dislike some, with partisan preferences playing a role, Stream concedes.
"Even among this very intelligent segment of our population, physicians, I think many of the folks are subjected to the same sort of partisan rhetoric as the rest of the population," Stream says.
"You can ask them, ‘What part of the Affordable Care Act don't you like? Are you against insurance reforms, such as coverage for young people to 26, or no pre-existing conditions?' They are all in favor of that. Are you in favor of getting more primary care doctors and having them paid more? They say, ‘Yes.'"
Not surprisingly, Stream sees the individual mandate provision of the law, which goes into effect Jan. 1, 2014 and requires virtually all Americans to obtain insurance or pay a fine, as a major sticking point and cause for disagreement among physicians. It will certainly be a prime focus for the highest court.