the care you knee. in california, only 78% of hospitals are participating in blue shield. 50 of 68% of doors are participating in blue shield. you can't use your doctor. the doctor you have might not be in one of these nutworks. >> that has been the case for a long time. going to get worse? >> the state exchanges it's going to be far worse than anyone out there has seen. >> neil: what are you telling your patients? >> i'm hoping -- i don't have this problem already. there's certain insurance where everyone is dropping out and i'm trying to stay in there because i care about patients and i don't like troping them, but practicing medicine is getting harder and harder for me and i have this conversation. here's the best aroundist i can offer you. it's my choice. no psychiatrists are in any of these programs. hard to get on distributions6p2- obamacare, this is i the future. >> neil: doctor, thank you,