Physicians health reform and changes in health care law has produced a mixed reaction among America's doctors. As with the general public, physicians are divided about physicians health reform and changes in health care law.

Columbus, Ohio physicians surveyed at random by the Columbus Dispatch newspaper and WBNS-TV opposed physicians health reform and changes in health care law. Some 40 percent said changes would affect practices "drastically" while nearly 75 percent said health care law would be changed for the worse. A survey of 12,000 physicians nationwide done by the Physicians Foundation found similar results.

A survey of Massachusetts physicians found pretty much the opposite sentiment. Massachusetts passed a health care reform with universal coverage of residents in 2006. Some 70 percent of Massachusetts physicians surveyed said they supported the physicians health reform and 13 percent opposed.

Massachusetts physicians said health care reforms provided good quality medical care. Nearly 65 percent rated the changes "excellent" or "very good" and 30 percent rated them "fair".

Dr. Cecil Wilson, an internist from Winter Park, Fla. who is president of the American Medical Association told the Chicago Tribune the key issues in physician health reform included permanent Medicare physician payment formulas, medical liability reform and physician input into new health care models.

More work needed to be done in health care reform, Wilson said. The AMA was working to improve the law, but concerned about a one size fits all model, he said.

A live chat poll during Dr. Wilson's discussion found 42 percent of respondents favored leaving the health care reform law unchanged, 50 percent wanted some changes but to continue covering the uninsured and eight percent wanted to ditch the health care reform.

Some 150 doctors participating in a White House summit at the Rose Garden split 50/50 on the new health care laws with each side represented passionately.

Dr. Hershey Garner, a Northwest Arkansas oncologist, supported changes in health care laws and physician health reform while Dr. Donald Palmisano, a former president of the AMA with a physicians group, opposed the new health care laws.

Dr. Garner said the health care system was broken and needed to be reformed. Insurance companies ruled medical care. He said 73 percent of physicians supported a public option for insurance that was taken out of the new health care reform by Congress and signed into law by the president.

Dr. Palmisano said physicians opposed to the new health care laws wanted change as well, but at a slower pace and with more physician input into health care delivery systems. He said the majority of physicians opposed the so-called public insurance option.