A narrow majority of physicians say Obamacare has a negative impact on medical practice, including on the quality and cost of health care, according to a report from the Journal of the American Medical Association.

The report found that 52 percent of physicians look on Obamacare as unfavorable to the general medical situation, while 48 percent say it is favorable.

According to the report, 36 percent of physicians said the Affordable Care Act had a negative impact on the medical practice overall. Only 23 percent said it had a positive impact. Thirty-one percent physicians said the healthcare law had no impact, and 9 percent said they were not sure if it had an impact.

Twenty-five percent of doctors said that Obamacare had a negative impact on the quality of patient care, while only 18 percent said it had a positive impact. Thirty-five percent said the healthcare law had a negative impact on the ability to meet patient demand, and only 10 percent said it had a positive impact in this regard.

Finally, 44 percent of physicians said Obamacare had a negative impact on the cost of patient health care and only 21 percent said it had a positive impact.

“There is frustration about higher cost to patients, out-of-pocket costs, and many high deductible plans,” said Dr. Wanda Filer, president of the American Academy of Family Physicians. “Also, it is some patients’ first time having insurance and they are facing premiums and deductibles and not sure how it works and some have to educate patients.”

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