<p>Your situation will only become more commonplace with the deployment of ACA/Obamacare. Local hospital systems are forming Accountable Care Organizations (ACO’s) that are simply incompatible with our mobile society. These organizations seek to lock patients in to a hospital system and group of providers. Could you see a specialist at UNC under your Duke plan? Medicare patients are much less restricted than you and your family. Many of us believe ACO’s and the ACA to be inflexible and overconvoluted, and would prefer single-payor health care financed by combination of consumption and income taxes.</p>