Now that the SCOTUS ruling is known, what are the various scenarios for American medicine and the options available to physicians? This talk will examine the distortions to the system that brought us to Obamacare, what further distortions have evolved through the initial implementation of Obamacare, and the physician’s various options as we move forward to regain autonomy in the examination room, protect our privileged communications and privacy, and drive reform of the system with collaboration of separate but like-minded organizations.