I went to doctors within my insurance company's network. They knew what's covered and what is not. But, as you state, with Obama's plan, the doctor/patient relationship will suffer greatly. Some desk jockey somewhere will receive the doctor's recommendation, then decide (based upon your potential to be a "contributing" member of society and whether or not it is the most cost effective procedure) and then will inform your doctor of whether or not you can proceed. It's a horrible idea, and one that will cripple the American health care system.